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find Keyword "显微外科手术" 16 results
  • Microsurgical Treatment of Pineal Region Tumors

    目的:研究比较松果体区肿瘤的显微外科手术切除不同手术入路及其优缺点。方法:回顾分析收治的48例松果体区肿瘤患者的手术情况及术后表现,并进行分析。结果:48例患者中,经枕小脑幕切开(Poppen)入路31例,幕下小脑上(Krause)入路8例,经胼胝体-穹窿间入路6例,经胼胝体后部(Dandy)入路2例,颞部侧脑室三角部入路1例。肿瘤全切除40例,次全切除5例,大部分切除3例。8例未全切者及病理证实为恶性的病变术后行放疗和(或)化疗,5例术后并发脑积水行分流术,偏盲1例,死亡2例,随访6个月~6年,KPS大于80分者约43例。结论:松果体区肿瘤的手术治疗效果较好,全切率高、死亡率低,合理的入路及体位,娴熟的显微外科手术技巧是手术成功的关键,Poppen入路和Krause入路是符合微创理念的理想入路。

    Release date:2016-09-08 10:14 Export PDF Favorites Scan
  • 足跟皮肤撕脱再植一例

    对于足跟皮肤撕脱临床多采用原位缝合或修薄打包回植,成活率低。目前国内少见关于足跟皮肤撕脱再植成活的报道。我们于2008 年12 月7 日收治1 例足跟皮肤撕脱患者,行再植术后成活。报告如下。

    Release date:2016-08-31 05:41 Export PDF Favorites Scan
  • EARLY MICROSURGICAL TREATMENT OF UPPER OBSTETRICAL BRACHIAL PLEXUS INJURY

    OBJECTIVE: To search for the operation timing and methods for obstetrical brachial plexus injury (OBPI). METHODS: Thirty-two children with upper OBPI were treated by microsurgical procedure from October 1997 to April 2001. The average age of patients was 10 months, ranged from 3 months to 24 months; of them, 19 were below 6 months while 13 were over 6 months. Surgical procedure included neurolysis(n = 12), coaptation after resection of the neuroma without function (n = 7), phrenic nerve transfer to anterior cord of upper trunk or musculocutaneous nerve (n = 7) and intercostal nerves transfer to musculocutaneous nerve(n = 6). The children underwent operation with microsurgical technique and 7/0 or 9/0 nylon was used for nerve suture. RESULTS: Thirty cases were followed up for 21 months postoperatively; the excellent and good rate was 76.7% (23/30). The results of the children under 6 months were better than those over 6 months. CONCLUSION: The microsurgical operation might be considered at the age of 3-6 month infants who had shown little or no improvement in elbow flexion. Neurolysis and nerve coaptation are superior to neurotization. The appropriate procedure should be selected according to the findings of exploration.

    Release date:2016-09-01 09:35 Export PDF Favorites Scan
  • 双目间接检眼镜直视下巩膜加压手术和外路显微手术治疗裂孔性视网膜脱离的临床观察

    Release date:2016-09-02 05:41 Export PDF Favorites Scan
  • 手术显微镜联合间接检眼镜下视网膜脱离巩膜扣带术的临床观察

    Release date:2016-09-02 05:42 Export PDF Favorites Scan
  • 以视力障碍为首发症状的鞍结节脑膜瘤33例临床分析

    Release date:2016-09-02 05:51 Export PDF Favorites Scan
  • 关于“视网膜脱离外路显微手术的临床观察”一文的讨论

    Release date:2016-09-02 05:52 Export PDF Favorites Scan
  • External-route microsurgery for retinal detachment

    Objective To observe the clinical efficacy of external-route microsurgery for retinal detachment (RD). Methods In 36 patients (36 eyes) with single rhegmatogenous RD, the silica gel piece and/or buckling bands were preplaced, and drainage of subretinal fluid, retinal cryotherapy, e xamination of locating the holes, and intraocular injection of gas were performe d under surgical microscope. The surgical effects were compared with those of ot her simultaneous 37 patients with rhegmatogenous RD who underwent surgery under binocular indirect ophthalmscope. Results The simultaneous intraoperative observation of the fundus details and the sclera through the microscope was excellent in all cases. Under the surgical microscope, the reaction of r etinal cryotherapy was clearly visible without any serious surgical sequela. The observation of reaction of retinal cryotherapy and the orientation of the holes were not affected by mild opacity of the refractive media. Retinal reattachment was achieved in 31 eyes after the primary surgery and in 3 eyes after the secon dary surgery, with the final rate of rettachment of 94%. The best-corrected vi sual acuity was <0.1 in 6 eyes (16.7%), 0.1-0.4 in 15 eyes (41.7%), and ≥ 0.5 in 15 eyes(41.7%). The results were similar to those of the patients underwent surgery under indirect ophthalmoscope.Conclusion The external route microsurgery is simple, convenient, reliable, and effective. (Chin J Ocul Fundus Dis,2004,20:369-373)

    Release date:2016-09-02 05:58 Export PDF Favorites Scan
  • 双目间接眼底显微镜应用于玻璃体切割术的临床观察

    Release date:2016-09-02 06:00 Export PDF Favorites Scan
  • 玻璃体视网膜手术联合硅油填充治疗后极部 裂孔性视网膜脱离

    Release date:2016-09-02 06:03 Export PDF Favorites Scan
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