west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "宋超" 3 results
  • 改良Nissen手术在滑动性食管裂孔疝治疗中的应用

    目的评价改良Nissen手术在滑动性食管裂孔疝治疗中的应用价值。 方法回顾性分析自2001年6月至2013年5月蚌埠医学院第一附属医院52例滑动性食管裂孔疝经手术治疗患者的临床资料,其中男27例、女25例,平均年龄62.13(35~84)岁。所有患者术前均行上消化道X线钡餐造影、胃镜检查确诊为滑动性食管裂孔疝,均行改良Nissen手术,即胃底上提至贲门口上方2~3 cm,包绕双层缝合固定食管180°,并置于膈肌下方。分别于术后3个月、6个月、9个月在平卧头低位下行消化道X线钡餐检查,并长期随访,以评价手术效果。 结果本组均顺利完成手术,无手术死亡,患者术前存在的食管下括约肌松弛和胃酸反流,术后均明显改善。术后平均住院时间9(5~11)d。52例患者术后2周内复查上消化道X线钡餐检查,无胃食管反流。所有患者均随访,随访时间2个月至10年。除1例术后半年并发食管狭窄外,其余患者均恢复顺利,症状消失,营养及发育好转。随访期间无复发。 结论改良Nissen手术是治疗滑动性食管裂孔疝的有效方法,加强食管下段高压区,折叠胃及贲门口置于膈肌下方,不仅能使胃还纳腹腔,同时还有抗反流的效果。

    Release date: Export PDF Favorites Scan
  • 降主动脉置换治疗局部晚期食管癌一例

    Release date:2017-03-24 03:45 Export PDF Favorites Scan
  • The First 10 Balloon Dilated Aortic Valve Replacement Patients in China

    ObjectiveTo discuss the feasibility about the using of transcatheter aortic valve implantation (TAVI) in severe aortic valve stenosis chinese patients, then to make more exploration and accumulate enough experience. MethodsWe selected 10 out-patients with severe aortic valve stenosis and calcified with 9 males and 1 females at age of 76.4 (65-81) years in our hospital from January 2011 to March 2014. All the patients can't tolerate traditional open surgery through preoperative evaluation. So we chose the Sepian TX system, balloon dilated transcatheter aortic valve, to treat them via transfemoral approach. ResultsTen patients accomplished TAVI successfully. One patient was assisted by the left-ventricular puncture. No complication occurred. The function of aortic valve after TAVI improved significantly. The hospital stay time was 3-5 days. The patients were followed up for 3-34 months. One patient died of pulmonary cancer during the following-up. ConclusionTranscatheter balloon dilated aortic valve replacement can be used in chinese severe aortic valve stenosis patient, but more accurate preoperative preparation, evaluation, and operation are needed.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content