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find Keyword "临床解读" 2 results
  • Chinese expert consensus on the uniportal video-assisted thoracoscopic surgery for lung cancer: An interpreation

    Uniportal video-assisted thoracic surgery (UniVATS) is a significant approach of mini-invasive surgery for lung cancer. UniVATS was first used for treatment of lung cancer in 2010. The European consensus and the Chinese consensus were published in 2019 and 2020 respectively. The latest Chinese consensus included the definition of UniVATS, indications for lung cancer treatment, safety and feasibility, surgical skills, learning curve, short-term and long-term results, providing suggestions for the standardization of uniportal video-assisted thoracic surgery, which are essential to improve the quality of surgery and reduce the incidence of related complications. The Chinese consensus also summarized the current status of subxiphoid UniVATS and non-intubated UniVATS for lung cancer. Considering the technical difficulties and challenges, the application of both technologies in clinical treatment has certain limitation. This article aims to give an interpretation of the results of the Chinese consensus and the similarities and to compare the differences with the European consensus, and to provide a reference for the majority of thoracic surgery colleagues.

    Release date:2021-03-05 06:30 Export PDF Favorites Scan
  • 《7T-MRI 癫痫特别工作组关于 7T-MRI 临床应用的专家共识》解读

    通过磁共振成像(MRI)识别脑结构性病变对癫痫具有重要意义,是药物难治性局灶性癫痫患者术后癫痫无发作最重要的影响因素。然而,约 1/3 的癫痫患者在常规磁场强度(1.5T 和 3T)MRI 检查无法发现病变。现有研究已证明 7T- MRI 在 1.5T 和/或 3T-MRI 检查中有或无已知致痫性病变的患者中有应用价值。然而,将 7T-MRI 用于临床仍具挑战性,尤其是在刚开始或准备开始应用的癫痫中心,并且有必要对 7T-MRI 在癫痫患者临床管理中的应用提出具体推荐意见。7T 癫痫特别工作小组(一个代表有 2 000 例癫痫患者扫描经验的 21 个 7T-MRI 中心专家组成的国际小组)于 2020 年 12 月在《Neurology》上发表了《7R-MRI 癫痫特别工作组关于 7T-MRI 临床应用的专家共识》(下文简称为“共识”)。该《共识》针对 7T-MRI 在癫痫患者中应用的适应证、患者准备、扫描协议和设置、技术挑战、图像分析等进行了指导,并对 7T- MRI 在癫痫患者中未来的分子和功能显像进行了讨论。当然仍有检查的年龄、如何缩短扫描时间、阅图规范等问题未得到解决。不过鉴于 7T-MRI 已被批准用于临床,我国已有部分医院开始引进 7T-MRI 设备,本文旨在解读《共识》,希望对推荐转诊、合适的 7T-MRI 扫描方案和图像分析来指导临床 7T-MRI 在癫痫管理中应用。

    Release date:2021-04-25 09:50 Export PDF Favorites Scan
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