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find Keyword "手术方式" 27 results
  • 四种手术方式治疗前庭大腺囊肿临床疗效观

    【摘要】 目的 观察比较采用前庭大腺囊肿切除术、传统造口术、改良造口术及微波造口术治疗前庭大腺囊肿的临床效果。 方法 比较2002年1月-2008年2月采用不同手术方式进行治疗188例前庭大腺囊肿患者的治疗效果。 结果 改良造口术和微波造口术与传统造口术相比手术时间更短、术中出血量更少,术后复发率更低。囊肿切除术中出血量明显多于其他3种造口术,手术时间也明显增加。 结论 改良造口术和微波造口术优于其他术式,值得临床推广。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • Individualized surgical procedures for well-differentiated thyroid cancer located in the isthmus: report of 19 cases

    ObjectiveTo investigate the adequate surgical procedures for well-differentiated thyroid cancer (WDTC) located in the isthmus.MethodsNineteen patients with WDTC located in the isthmus were identified with WDTC and managed by surgery in Department of General Surgery in Xuanwu Hospital of Capital University from Jun. 2013 to May. 2018.ResultsAmong the nineteen cases, fifteen patients had a solitary malignant nodule confined to the isthmus, four patients had malignant nodules located separately in the isthmus and unilateral lobe. One patient received extended isthmusectomy as well as relaryngeal and pretracheal lymphectomy; six patients received isthmusectomy with unilateral lobectomy and central compartment lymph node dissection of unilateral lobe; four patients received isthmusectomy with unilateral lobectomy and subtotal thyroidectomy on the other lobe as well as central compartment lymph node dissection of unilateral lobe; seven patients received total thyroidectomy or isthmusectomy with unilateral lobectomy and nearly total thyroidectomy on the other lobe, as well as central compartment lymph node dissection of both sides; one patient received total thyroidectomy and central compartment lymph node dissection of both sides, as well as lateral thyroid lymph node dissection of both sides. The median operative time was 126 minutes (67–313 minutes), the median intraoperative blood loss was 30 mL (10–85 mL), and the median hospital stay was 6 days (4–11 days). Hypocalcemia occurred in 12 patients. There were no complications of recurrent laryngeal nerve palsy or laryngeal nerve palsy occurred. All the nineteen patients were well followed. During the follow up period (14–69 months with median of 26 months), there were no complications of permanent hypoparathyroidism occurred, as well as the 5-year disease-specific survival rate and survival rate were both 100%.ConclusionsFor patients with well-differentiated thyroid cancer located in the isthmus with different diameters and sentinel node status, individualized surgical procedures should be adopted.

    Release date:2019-08-12 04:33 Export PDF Favorites Scan
  • Analysis on Reasonable Surgical Options of Duodenal Injuries for Prevention of Duodenal Fistula (Report of 28 Cases)

    目的 探讨十二指肠损伤后预防肠瘘的合理手术方式。方法 对我院2005年3月至2009年10月期间收治的28例十二指肠损伤患者的临床资料进行回顾性分析。结果 28例均行手术治疗,其中1例因多器官功能衰竭于术后第2天死亡,3例十二指肠瘘均经保守治疗后痊愈。27例患者术后随访2~6个月(平均3.5个月),2例发生不全性肠梗阻,1例发生盆腔脓肿,均经非手术治疗后痊愈。结论十二指肠损伤后选择合理的手术方式是预防术后发生十二指肠瘘的关键因素。

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
  • APPLICATION OF COMBINATION OF ANTERO-AND RETRO-GRADE TECHNIQUE IN LAPROSECOPIC CHOLECYSTECTOMY

    目的 结合腹腔镜手术的特点,设计出部分顺逆结合法腹腔镜胆囊切除术(LC),总结该法的应用体会。方法 介绍部分顺逆结合法LC的方法。在1 250例LC中有255例采用部分顺逆结合法切除胆囊,其中慢性胆囊炎146例,急性、亚急性胆囊炎65例,慢性萎缩性胆囊炎44例。结果 所有患者均获痊愈。术中发现胆囊三角区细小副肝管4例,胆汁渗漏3例,均予妥善处理,无严重并发症发生。结论 该法吸取了开腹顺逆结合法胆囊切除术的优点,又符合腹腔镜手术的特点,适用于胆囊三角解剖结构不清者的手术。该法对发现解剖变异及避免胆管损伤有一定的作用。

    Release date:2016-09-08 02:00 Export PDF Favorites Scan
  • Pattern of Lymph Node Metastasis for Siewert Type Ⅱ Adenocarcinoma of The Esopha-gogastric Junction and the Choice of Surgical Approach

    ObjectiveTo discuss the pattern of lymph node metastasis for Siewert type Ⅱ adenocarcinoma of the esophagogastric junction and its appropriate surgical approach. MethodsWe retrospectively analyzed the clinical data of 162 patients with Siewert type Ⅱ adenocarcinoma of the esophagogastric junction who underwent curative resection in West China Hospital of Sichuan University from January 2007 through February 2010. The patients were divided into three groups based on their surgical approach, including 96 patients in a left thoracic group, 20 patients in an Ivor-Lewis group and 46 patients in an abdominal group. ResultsThere were 120 patients with lymph node metastasis. The lymph node metastatic rate was 74.1%. Simple thoracic lymph node metastasis was observed only in 2 patients (1.7%), 98 patients (81.7%) with simple abdominal lymph node metastasis, and 20 patients (16.6%) with both capacity lymph node metastasis. The thoracic approaches had an advantage in dissection lower mediastinal lymph node over the abdominal approach, while for the abdominal lymph node the result was reversed. There are 11 groups of lymph node with a more than 10% metastatic rate. ConclusionsThe abdominal lymph nodes are the dominating metastatic area of Siewert type Ⅱ AEG, but some important groups of lower mediastinal lymph node should be removed. In terms of curative resection of tumor, the Ivor-Lewis operated by a thoracic surgeon who is more familiar with the abdominal lymph node may be a reasonable choice.

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  • 合并慢性肾功能不全患者的冠状动脉旁路移植术

    目的 探讨冠状动脉粥样硬化性心脏病(冠心病)合并慢性肾功能不全患者行冠状动脉旁路移植术(CABG)时手术方式的选择. 方法 15例冠心病合并慢性肾功能不全患者根据施行的术式不同分为两组,常规CABG(CCABG)组: 9例患者,在体外循环下行CCABG.OPCAB组:6例患者,行非体外循环冠状动脉旁路移植术(OPCAB).术后观察两组肾功能情况、心律失常、呼吸和神经系统并发症、移植血管支数、呼吸机辅助时间、术后出血量和输血量等临床指标. 结果 全组无手术死亡,CCABG组患者术后早期肾功能较术前差(P<0.05);OPCAB组患者术后早期肾功能较术前无明显变化(P>0.05),术后并发症比CCABG组低,手术时间、ICU时间和术后呼吸机辅助时间均比CCABG组短,术后出血量和输血量比CCABG组少(P<0.05). 结论 冠心病术前合并肾功能不全的患者,采用OPCAB术式明显优于CCABG,经围术期的积极处理,大多数患者可渡过肾功能衰竭关.

    Release date:2016-08-30 06:32 Export PDF Favorites Scan
  • THE SURGICAL OPERATIVE METHODS IN TREATMENT OF PEPTIC ULCER

    Release date:2016-09-08 02:00 Export PDF Favorites Scan
  • RESEARCH PROGRESS OF SURGICAL PROCEDURES FOR CUBITAL TUNNEL SYNDROME

    ObjectiveTo summarize the clinical research progress of surgical procedures for cubital tunnel syndrome. MethodsThe related literature on surgical procedures for cubital tunnel syndrome was summarized and analyzed. ResultsMultiple surgical procedures have been applied to treat cubital tunnel syndrome, including simple decompression, subcutaneous transposition, submuscular transposition, medial epicondylectomy, intramuscular transposition, and ulnar groove plasty. Each procedure has its own advantages and disadvantages. With the development of minimally invasive surgical technique, endoscope-assisted surgery has been gradually applied to treat cubital tunnel syndrome. ConclusionOptimal surgical procedure remains controversial and individualized treatment decision based on patient's clinical conditions is recommended.

    Release date:2016-10-02 04:55 Export PDF Favorites Scan
  • 106例重症急性胰腺炎临床治疗分析

    Release date:2016-08-29 09:20 Export PDF Favorites Scan
  • Diagnosis and Treatment of Cecal Diverticulitis

    目的:探讨盲部憩室炎的诊断和手术方式的选择。方法:回顾性分析18例盲部憩室炎的临床资料,包块临床表现、腹部体征、辅助检查、手术方式及随访结果。结果:18例均有右下腹疼痛及右下腹压痛。术前诊断困难,仅通过钡灌肠结肠造影和结肠镜确诊各1例,误诊为急性阑尾炎12例、阑尾周围脓肿1例、回盲部肿瘤3例。憩室单发3例,多发性15例,其中2个憩室9例,3个憩室6例。单纯憩室切除9例,回盲部切除2例;右半结肠切除7例。全组患者均获治愈,无严重并发症发生。结论:盲肠憩室炎的临床特征与急性阑尾炎相似,极易误诊为急性阑尾炎等。术中应注意探查,避免遗漏病变。根据憩室具体情况决定手术方式。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
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