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find Author "刘伟良" 2 results
  • 应用记忆合金接骨器治疗胸骨骨折

    目的总结应用记忆合金接骨器治疗胸骨骨折的经验。 方法回顾性分析2009年1月至2012年6月收治的10例胸骨骨折患者的临床资料,其中男6例,女4例;年龄40~65岁。 结果10例患者住院时间14~30 d。1例患者因重度复合伤术后给予呼吸机辅助呼吸,其余9例术后即拔除气管内插管。所有患者术后胸痛明显缓解,呼吸改善,术后2周复查胸部X线片骨折断端无移位,无纵隔脏器损伤、纵隔感染、切口感染等发生,均痊愈出院。所有患者术后3个月复查,1例患者有轻度胸痛不适,其余患者无胸痛不适。所有患者影像学检查提示骨折对位良好,胸骨骨折均临床愈合无骨不愈合发生,接骨器无脱落松动现象。 结论采用记忆合金接骨器治疗胸骨骨折,操作简单,固定稳定,并发症少,是治疗胸骨骨折的理想方法。

    Release date:2016-10-02 04:56 Export PDF Favorites Scan
  • Comparison between layered anastomosis and mechanical anastomosis of tubular stomach and cervical esophagus in esophagectomy

    Objective To compare the outcome of tubular stomach and cervical esophagus laminated anastomosis and mechanical anastomosis. Methods A total of 128 patients with middle and upper esophageal cancer in our hospital from January 2013 to January 2016 were randomly divided into two groups, 64 patients in each group and all patients underwent esophagectomy. In the group A, there were 46 males and 18 females with age of 40–75 years, treated with tubular stomach and cervical esophagus layered anastomosis. There were 51 males and 13 females with age of 43–71 years in the group B receiving mechanical anastomosis. We observed the short-term and long-term efficacy as well as complications. Results In the group A, there was cervical anastomotic fistula in 1 patient, anastomotic stenosis in 2 patients and reflux esophagitis in 12 patients. In the group B, 1 patient suffered chylothorax, 8 patients cervical anastomotic fistula, 4 patients anastomotic stenosis and 14 patients reflux esophagitis. Conclusion Layered anastomosis can effectively reduce the incidence of anastomotic fistula and stenosis. Tubular stomach can effectively prevent and reduce the reflux esophagitis, and the high long-term quality of life will be achieved after the operation.

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