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find Keyword "内镜下" 37 results
  • Endoscopic Third Ventriculostomy versus Ventriculal Peritoneum Shunt Surgery for Hydrocephalus: A Systematic Review

    Objective To evaluate the clinical effectiveness of endoscopic third ventriculostomy (ETV) and ventriculal peritoneum shunt (VPS) for hydrocephalus. Methods A fully recursive literature search was conducted in PubMed (1996 to June, 2011), EMBASE (1996 to June, 2011), Cochrane Central Register of Controlled Trials (Issue 3, 2011), CBM (1996 to June, 2011), CNKI and Wanfang Database (1996 to June, 2011) in any language. The randomized or non-randomized controlled trials of hydrocephalus treated by endoscopic third ventriculostomy and ventriculal peritoneum shunt were considered for inclusion. The analyzed outcome variables were overall complications and the survival rate of all time points. Data related to clinical outcomes were extracted by two reviewers independently. Statistical analyses were carried out by using RevMan 5.0 software. Results Nine published reports of eligible studies involving 1 187 participants met the inclusion criteria. Compared with VPS, ETV had no significant differences in short-term (1 or 2 years) survival rate (RR=1.02, 95%CI 0.90 to 1.16, P=0.74; RR=1.14, 95%CI 1.00 to 1.30, P=0.06), but there were significant differences between the two groups in overall complication rate (RR=0.70, 95%CI 0.57 to 0.89, P=0.001), postoperative 3-year survival rate (RR=1.23, 95%CI 1.07 to 1.41, P=0.004), and postoperative 5-year survival rate (RR=1.14, 95%CI 1.29 to 1.66, P=0.05). So the outcomes indicated ETV was superior in controlling the overall complication rate and prolonging the long-term survival rate. Conclusion Current evidence suggests that endoscopic third ventriculostomy is superior to ventriculal peritoneum shunt in reducing the overall complications and prolonging the long-term survival rate, but there is no significant difference in short-term survival rate between the two methods. The effectiveness of the two operational methods for hydrocephalus caused by all specific reasons still has to be further proved by more high-quality, multi-centered and double-blind RCTs.

    Release date:2016-08-25 02:39 Export PDF Favorites Scan
  • 内镜下黏膜剥离术治疗早期胃癌的护理

    目的 总结内镜下黏膜剥离术(ESD)治疗早期胃癌的护理经验,为临床护理提供参考依据。 方法 对2011年1月-12月20例接受ESD治疗患者的围手术期护理方法及要点进行回顾性总结。 结果  20例患者均术后康复出院,其中1例术中发生穿孔,予钛夹夹闭,后经保守疗法痊愈。1例术后病理示:上皮内瘤变及黏膜内癌,追加外科手术。本组患者2个月后随访,内镜复查无l例病变残留及复发。 结论 护理行ESD早期胃癌患者,需具备丰富的临床护理经验和娴熟的操作技能,并采用周全有效的护理措施,方可减少术后并发症,促进患者早日康复。

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  • Establishment and Management of Enteral Nutrition Support in Critical Patients

    Release date:2016-09-08 10:45 Export PDF Favorites Scan
  • THE ROLE OF ENDOSCOPIC VARICEAL LIGATION IN THE TREATMENT OF BLEEDING VARICES

    Release date:2016-08-28 05:30 Export PDF Favorites Scan
  • Pneumatic Balloon Dilatation for Achalasia: A Systematic Review of Randomized Controlled Trials

    Objective To determine the effectiveness and safety of pneumatic balloon dilatation in patients with achalasia. Methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL, issue 1, 2007), MEDLINE or PUBMED (1978-2007), Embase (1978-2007), OVID Database (1978-2007), Chinese Biological Medicine Database (CBMDisc, 1978-2007), CNKI (1979-2007), Chinese VIP Database (1989-2007) and Wanfang Database (1978-2007). We also checked the reference lists of retrieved articles and relevant proceedings. We used the methods recommended by The Cochrane Collaboration to conduct this systematic review.  Results Twenty four trials involving 1045 patients were included. Meta-analyses showed that the short-term total effective rate was much higher with pneumatic dilatation than intrasphincteric botulinum toxin injection (P=0.0007). The long-term total effective rate was higher with pneumatic dilatation compared to intrasphincteric botulinum toxin injection (P=0.005). Intrasphincteric botulinum toxin injection was superior to pneumatic dilatation in terms of clinical relapse rate (Plt;0.0001). Our analyses of complications and adverse effects found that pneumatic dilatation was superior to intrasphincteric botulinum toxin injection (P=0.0008), and endoscopic sphincterotomy was superior to balloon dilatation (P=0.0006). Conclusions The limited current evidence shows that: pneumatic dilatation is safe and effective for the short- or long-term treatment of achalasia.

    Release date:2016-09-07 02:16 Export PDF Favorites Scan
  • Evidence-based Case Discussion for Post-ERCP Hemobilia

    Objective To analyze and explain how to treat 1 patient with post-ERCP hemobilia based on best clinical evidence. Methods We used EST and EPBD, ENBD, Hemobilia as key words to search MEDLINE (1978 ~ 2004) and CBMdisc(1978 ~ 2004) to find the best clinical evidence and evaluated the quality of evidence. Results According to the evidence, we found that endoscopic papillary balloon dilation (EPBD) or endoscopic nasobiliary drainage ( ENBD ) may be more effective and better tolerated in the treatment ofpost-ERCP hemobilia. Our patient did not receive sufficient medical treatment after hemobilia. He was not given a general assessment before surgery including liver function tests. As a result, the patient died of liver failure and its complications. Conclusions We should treat such patients promptly and efficiendy after hemobilia. We should also evaluate their general condition properly before the operation.

    Release date:2016-09-07 02:25 Export PDF Favorites Scan
  • 经口内镜下环形肌切开术治疗贲门失弛缓症的术后护理

    目的 探讨经口内镜下环形肌切开术(POEM)治疗贲门失弛缓症(AC)的整体护理措施在临床的应用价值。 方法 对2011年5月-2012年10月收治的25例行POEM治疗患者的术后护理方法及要点进行回顾性分析。 结果 全部患者顺利完成手术,术后1例患者出现皮下气肿,未经特殊处理,3 d后自然消退。经治疗与护理,25例患者痊愈出院。 结论 POEM作为一项近年来内镜下治疗的新型微创技术,是目前治疗AC的首选方法,其术后系统性的护理则是手术得以成功的重要保障。

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • 内镜黏膜下剥离术治疗胃肠道间质瘤的围手术期护理

    目的 总结内镜黏膜下剥离术(ESD)治疗胃肠道间质瘤的围手术期护理方法。 方法 回顾分析2007年1月-2011年8月符合内镜下治疗77例胃肠道间质瘤患者行ESD的临床资料和护理措施。 结果 77例患者全部经内镜完整切除肿瘤,其中3例出现出血,5例发生穿孔,2例发生术后狭窄,经内科保守治疗、内镜下治疗以及围手术期精心护理,患者痊愈出院。 结论 ESD治疗胃肠道间质瘤安全、有效,正确细致的各项护理措施是胃间质瘤患者手术获得成功、且身体早日康复的有力保障。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Comparison of the Clinical Efficacy between Endoscopic Surgery and the Surgery Combined with Plasma Low-temperature Radiofrequency in Treating Papilloma of External Auditory Canal

    目的 观察独用内镜下手术以及联合等离子低温射频治疗外耳道乳头状瘤的疗效。 方法 2006年7月-2010年7月,随机将收治的45例外耳道乳头状瘤患者(150只耳)分组,比较独用内镜下手术组(A组)以及联合等离子低温射频组(B组)治疗外耳道乳头状瘤的疗效。 结果 患者均术后成功随访1~3年,48只患耳无复发及恶变,2只患耳3个月后复发。 结论 内镜下手术联合等离子低温射频治疗外耳道乳头状瘤具有微创,手术彻底有效,防止复发的优点,值得临床广泛应用。

    Release date:2016-09-08 09:17 Export PDF Favorites Scan
  • Study on Laparoscopic Cholecystectomy Combined with Endoscopic Sphincterotomy in the Treatment of Cholecystolithiasis Associated with Choledocholithiasis

    目的:探讨腹腔镜胆囊切除术(LC)与内镜十二指肠乳头括约肌切开术(EST)联合应用治疗胆囊结石合并胆总管结石的临床效果。方法:回顾性分析我院开展的LC联合EST治疗胆囊结石合并胆总管结石76例,其中56例先行EST后行LC,20例先行LC后行ERCP/EST。结果:本组全部治愈,先行EST组56例,3例并发胰腺炎,3例出血,2例再发胆总管结石,先行LC组20例行EST11例,6例取石后未做括约肌切开,3例结石自行掉入肠道,1例出现胆道感染,1例胰腺炎,无出血及穿孔。结论:内镜治疗胆囊结石继发胆总管结石具有创伤小、效果好、并发症少、恢复快的的特点;先作EST可解除胆道梗阻、减轻炎症,并为LC创造条件,选择性先行LC后可减轻创伤,甚至不必做EST。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
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