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find Keyword "复发" 339 results
  • 视网膜脱离术后复发的原因与处理

    分析57例视网膜脱离术后视网膜不复位26例,复位后再脱离31例,手术失败的原因,发现原裂孔未闭、新裂孔形成和增殖性玻璃体视网膜病变是视网膜脱离术后未复位或再脱离的三大原因,并分析了造成这些原因的因素,讨论了有关再手术的问题。 (中华眼底病杂志,1993,9:164-165)

    Release date:2016-09-02 06:35 Export PDF Favorites Scan
  • 32例复发性念珠菌性外阴阴道炎的临床分析

    摘要:目的:探讨导致复发性念珠菌性外阴阴道炎的致病因素。方法:回顾性分析我院3年来门诊复发性念珠菌性外阴阴道炎的的治疗情况。结果:糖尿病是导致复发性念珠菌性外阴阴道炎的重要因素之一。结论:糖尿病的诊治在降低念珠菌性外阴阴道炎反复发作中起重要作用。

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • Diagnostic Significance of CT Three Dimension Reconstruction in Local Recurrence after Surgery for Gastric Cancer

    Objective To discussion the diagnostic significance of CT three dimension reconstruction in local recurrence after surgery for gastric cancer. Methods Thirty-nine patients with gastric cancer recurrence after radical surgery were performed multislice CT scan between December 2004 and December 2008 in The Third Affiliated Hospital of Harbin Medical University, and the images were reconstructed by three dimension reconstruction in workstation. The axial CT images and three dimension images of gastric cancer recurrence patients were diagnosed and compared. Results The detection rates of axial images and three dimensional CT images were 82.1% (23/28) and 100% (28/28) for pathological morphology, 62.5% (10/16) and 93.8%(15/16) for extension of tumors, 66.7% (10/15) and 93.3% (14/15) for lymph node metastasis, 87.5% (7/8) and 87.5% (7/8) for distant metastasis, respectively. Conclusions CT three dimension reconstruction can carry out more direct and solid results, such as measuring the vertical thickness of the thickened gastric wall, observing the infiltration situation with proximal organ, and metastasis of the lymph node. The method of three dimension reconstruction used for the diagnosis of local recurrence after surgery for gastric cancer is better than the axial image, and it can supply data which would be useful for the tumor advancing treatment.

    Release date:2016-09-08 10:55 Export PDF Favorites Scan
  • Recurrent Primary Breast Lymphoma in Nipple of the Same Side after Surgery: Report of One Case

    【摘要】 目的 总结原发性乳腺淋巴瘤(primary breast lymphoma,PBL)的临床病理学、免疫组织化学特征、综合治疗及复发情况。 方法 对2010年11月入院手术切除的PBL术后同侧乳头复发的1例患者的临床资料进行回顾分析,病理常规切片及免疫组织化学观察。 结果 光学显微镜检查低倍镜下肿瘤细胞弥漫性浸润破坏乳头组织,导致乳头结构紊乱,肿块乳管结构紊乱;高倍镜下显示瘤细胞成分多样,以中等大小细胞和大细胞为主,肿瘤细胞弥漫侵犯小血管。免疫组织化学结果显示Ki-67(gt;90%),CD20(+),bcl-6(+),MUM1(+),CD43(灶+),CD3(-),CD10(-)。符合恶性非霍奇金淋巴瘤。 结论 PBL是一种少见的结外淋巴瘤,临床表现缺乏特异性,术前很难与乳腺其他良、恶性病变区分,其诊断主要依靠术后病理。目前单纯肿块切除术+放射治疗联合全身化学疗法是治疗PBL临床共识,肿瘤复发可能与Ki-67高度表达存在相关性。【Abstract】 Objective To investigate the clinical pathology, immunohistochemical features, comprehensive treatment, recurrence and prognosis of primary breast lymphoma (PBL). Methods We retrospectively analyzed the clinical data including general information and pathological and immnohistochemical examinations of one patient with recurrent PBL in nipple of the same side after surgery who was admitted into our hospital in November 2010. Results Under low-power optical microscope lens, we found that the tumor cells diffused and infiltrated the nipple tissue which looked quite disorganized. Under high-power lens, we observed various tumor cells, especially the medium-and large-sized tumor cells which infiltrated small vessels. The results of immunohistochemical tests were as follows: Ki-67 (gt;90%), CD20 (+), bcl-6 (+), MUM1 (+), CD43 (nidus+), CD3 (-), and CD10 (-). All these indexes indicated malignant non-Hodgkin’s lymphoma. Conclusions PBL is a kind of extremely rare extra-nodal lymphoma with low-specificity clinical manifestations, and it is hard to distinguish from other mammary abnormalities. Its diagnosis mainly depends on pathological examinations. At present, lumpectomy followed by chemotherapy and radiotherapy is the best treatment method. Its recurrence may be related to the high expression of Ki-67.

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Study on Relationship Between Orthotopic Liver Transplantation with or Without Preservation of Retrohepatic Vena Cava and Postoperative Allograft Hepatitis B Virus Reinfection

    ObjectiveTo explore the relationship between liver transplantation procedure with or without preservation of retrohepatic vena cava and postoperative reinfection of hepatitis B virus.MethodsHepatitis B virus makers of 15 retrohepatic vena cava samples from hepatitis B virus active replicating recipients was detected using immunohistochemistry stain LSAB and HBV DNA hybridization in situ. Hepatitis B virus reinfection rate and survival rate after transplantation in classic group (20 cases) and piggyback group (7 cases) was analyzed retrospectively. ResultsHepatitis B virus makers including HBsAg and HBcAg and HBV DNA of all 15 retrohepatic vena cava samples, 10 from classic group and 5 from piggyback group, was negative. In classic group, 20 recipients were followedup 6-30 months, mean 18 months, only one case of hepatitis B recurrence was confirmed 22 months after operation; In piggyback group,7 recipients were followedup 5-12 months, mean 8 months, none of hepatitis B virus reinfection was encountered. Recurrence rate in classic group and piggyback group was 5.0%(1/20) and 0(0/7), respectively.ConclusionThis preliminary study indicated that the retrohepatic vena cava of hepatitis B virus active replicating recipients don’t have the residence and replication of hepatitis B virus particle. Orthotopic liver transplantation procedure with preservation of retrohepatic vena cava appears not to increase the hepatitis B virus reinfection rate in hepatitis B virus active replicating recipients after transplantation.

    Release date:2016-08-28 04:49 Export PDF Favorites Scan
  • Sequential and Combined Therapy after Hepatoma Excision(Report of 3 Cases and Literature Review)

    目的探讨肝癌手术切除后的序贯综合治疗,以达到有效防治肿瘤复发的目的。方法从我科收治的肝癌患者中挑选3例手术治疗后进行序贯综合治疗并取得良好效果病例,对其临床资料进行分析,从中获取有关肝癌术后治疗的经验。结果3例肝癌患者在我科手术后接受了积极的预防复发措施,虽最终均出现复发,但对待复发的肿瘤均采取积极的应对措施,获得了长期生存。结论对于肝癌手术切除后的患者进行积极的序贯性综合治疗有较好的临床意义,鼓励对术后复发病例进行积极序贯综合治疗。

    Release date:2016-09-08 10:41 Export PDF Favorites Scan
  • Research progress of risk factors for recurrence of drug withdrawal after epilepsy surgery in children

    Epilepsy is one of the most common neurological diseases in children, about 2/3 can be seizure-free after anti-seizure medications (ASMs) treatment, but there are still some drug-resistant epilepsy (DRE) need surgical treatment, epilepsy surgery including excision surgery, dissociation surgery and palliative surgery, surgery can make 30%~40% DRE fully controlled. Clinicians usually choose to discontinue ASMs after seizure-free for 1 to 2 years after epilepsy surgery, but there has been controversy about whether to discontinue ASMs after surgery in children with epilepsy, how long to discontinue ASMs, the timing of ASMs withdrawal, and there is still a lack of unified guidelines. This article will comprehensively analyze and summarize the risk of recurrence after ASMs withdrawal in children with epilepsy.

    Release date:2025-03-19 01:37 Export PDF Favorites Scan
  • 瓣膜置换加双极射频消融术后心房颤动复发患者电复律的护理

    目的 总结经胸体外直流电复律治疗心脏瓣膜置换加双极射频消融术后复发心房颤动患者的临床护理经验。 方法 回顾性分析2009年7月-2011年1月行心脏瓣膜置换加双极射频消融术,出院后复发心房颤动的26例患者其体外直流电复律治疗的护理措施。 结果 通过严密监测和有效护理26例患者均安全出院,其中24例复律成功转为窦性心律,2例复律失败。 结论 做好电复律前的护理准备工作,严密观察电复律对心房颤动患者的治疗效果并实施有效的护理措施,既能促使电复律达到满意的效果又能保障患者安全。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Efficacy and Safety of FTY720 in the Treatment of Relapsing-Remitting Multiple Sclerosis: A Systematic Review

    Objective  To evaluate the efficacy and safety of FTY720 (fligolimod) in different dosages in the treatment of Relapsing-Remitting Multiple Sclerosis (RRMS), so as to provide references for clinical practice. Methods  Such databases as MEDLINE, EMbase, The Cochrane Liabrary, CBM and CNKI were searched for collecting randomized controlled trials (RCTs) of FTY720 in the treatment of RRMS, which were published from January 1, 2001 to December 31, 2010. The studies were retrieved and the data were extracted according to the predefined inclusion and exclusion criteria, the quality of included studies was evaluated with improved Jadad scale, and the Meta-analyses were performed with RevMan5.1 software. Results  Three high quality RCTs were included. The Meta-analyses showed that: a) compared with the control group, orally taking FTY720 could obviously decreased the annualized relapse rate (OR=-6.67, 95%CI -10.75 to -2.60, P=0.001), the confirmed disability progression rate (OR=0.64, 95%CI 0.47 to 0.87, P=0.004), and the incidence rate of intensified lesion on T2-weighted magnetic resonance imaging scans (OR=0.28, 95%CI 0.21 to 0.37, Plt;0.00001); b) There was no significant difference (P=0.55) between the small dosage (0.5mg/d) group and the big dosage (1.25mg/d) group of FTY720; and c) The incidence of adverse events was significantly different among the 3 dosage groups (5mg/d, 1.25mg/d and 0.5mg/d), and the minimum dosage group (0.5mg/d) was safer than the other groups. Conclusion  FTY720 is safe to treat RRMS, and it can obviously decrease the annualized relapse rate, confirmed disability progression rate and incidence rate of intense lesion on T2-weighted magnetic resonance imaging scans. There is no dosage-effect relationship found in treating RRMS with FTY720 in different dosages, but the 0.5mg/d FTY720 as the minimum dosage is the safest.

    Release date:2016-09-07 10:59 Export PDF Favorites Scan
  • Reoperation of Hyperthyroidism (Report of 32 Cases)

    Release date:2016-08-28 04:30 Export PDF Favorites Scan
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