ObjectiveTo explore the therapeutic effect of etofenamate gel on omarthritis. MethodsA total of 60 patients with omarthritis (diagnosed by MRI) treated between February 2010 and May 2014 were randomly divided into the treatment group and control group, with 30 patients in each. First, all of the patients underwent the oral medication (to diminish inflammation and relieve pain), physiotherapy, injection, and manual relaxation. Then, the patients in the control group were treated with diclofenac gel, while in the treatment group was treated with etofenamate gel. The usage in both groups was 4 times per day; use externally and waited till desiccation. Improvement of clinical signs and symptoms were observed after 2-week treatment. ResultsAfter 2 weeks of treatment, the total effective rate in both of the two groups were 100%. The efficiency rate of the treatment and control group were 76.7% and 46.7%, respectively, with a significant difference (u=3.491, P < 0.05). ConclusionEtofenamate gel and diclofenac gel are effective on omarthritis; etofenamate gel is more effective, which is worthy of clinical applying.
Recently, the frequency of lung disease appears higher and more precise than previously estimated. Small pulmonary nodules (SPNs) are frequently detected on high-resolution computed tomography (CT) scans. For the reason of high rate of false positives by fine needle aspirate biopsy, small lung nodules often can not be confirmed by monitor or palpation with forceps. How to precisely locate and mark the nodule before the surgery is one of the most important things for video-assisted thoracoscopic surgery (VATS). We reviews the methods of location the pulmonary nodules before the surgery and analyzes the advantages and disadvantages of various methods.
目的 探讨经右胸入路胸腔镜下胸导管结扎在乳糜胸治疗中的作用及优势。 方法 回顾性分析南京军区南京总医院心胸外科 2012～2014 年采用胸腔镜手术治疗乳糜胸 18 例患者的临床资料，男 15 例、女 3 例，年龄 56～79（66.56±6.43）岁。所有患者均采用右胸入路胸腔镜辅助下行胸导管结扎，术中若能找到明显破口，则在破口的两端用 Ham-lock 夹闭胸导管，若未能找到明确的胸导管破口，则在第 8、第 9 胸椎附近用 Ham-lock 将胸导管及周围脂肪组织一起夹闭。 结果 全组 18 例患者均完成手术，无中转开胸，手术时间 28～45（35.83±4.58）min，术后胸腔引流时间 2～5（3.33±1.03）d，术后住院时间 5～8（6.11±1.02）d。术后无感染、吻合口瘘等严重并发症，随访 3 个月无复发。 结论 经右胸入路胸腔镜辅助手术结扎胸导管治疗乳糜胸是一种安全、有效的治疗方法，因其微创、住院时间短、手术效果确切等优点，值得在临床上推广。
ObjectiveTo evaluate the safety and application value of three-dimensional reconstruction for localization of pulmonary nodules in thoracoscopic lung wedge resection.MethodsThe clinical data of 96 patients undergoing thoracoscopic lung wedge resection in our hospital from January 2019 to August 2020 were retrospectively reviewed and analyzed, including 30 males and 66 females with an average age of 57.62±12.13 years. The patients were divided into two groups, including a three-dimensional reconstruction guided group (n=45) and a CT guided Hook-wire group (n=51). The perioperative data of the two groups were compared.ResultsAll operations were performed successfully. There was no statistically significant difference between the two groups in the failure rate of localization (4.44% vs. 5.88%, P=0.633), operation time [15 (12, 19) min vs. 15 (13, 17) min, P=0.956], blood loss [16 (10, 20) mL vs. 15 (10, 19) mL, P=0.348], chest tube placement time [2 (2, 2) d vs. 2 (2, 2) d, P=0.841], resection margin width [2 (2, 2) cm vs. 2 (2, 2) cm, P=0.272] or TNM stage (P=0.158). The complications of CT guided Hook-wire group included pneumothorax in 2 patients, hemothorax in 2 patients and dislodgement in 4 patients. There was no complication related to puncture localization in the three-dimensional reconstruction guided group.ConclusionBased on three-dimensional reconstruction, the pulmonary nodule is accurately located. The complication rate is low, and it has good clinical application value.