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find Keyword "显露" 5 results
  • Clinical Analysis of Thyroid Lobectomy by Meticulous Capsular Dissection and Exposure of Recurrent Laryngeal Nerve in 452 Cases

    Objective To explore the clinical significance on protection of parathyroid and recurrent laryngeal nerve (RLN) by meticulous capsular dissection and exposure of RLN in thyroid lobectomy. Methods Clinical data of 452 patients who underwent thyroid lobectomy by meticulous capsular dissection and exposure of RLN in our hospital from Jan. 2010 to Dec. 2012 were retrospectively analyzed. Results All of the 452 cases underwent thyroid lebectomy successfully without death, and the operative time was 45-110min (average 60 min), the blood loss was 5-100mL (average 20mL). The pathological results showed that there were thyroid adenoma in 193 cases, nodular goiter in 175 cases, Hashimoto thyroiditis in 38 cases, thyroid cancer in 46 cases. After operation, 4 cases suffered RLN injury, 1 of the 4 cases recovered after removal of drainage tube, and other 3 cases recovered during 0.5 to 3.0 months. In addition, 2 cases suffered laryngeal nerve injury whose symptoms disappearred within 1 week, 5 cases suffered parathyroid founctional damage without permanent hypocalcemia whose symptom had kept 1-5 days after treatment. Three cases were reoperated because of bleeding, including branch of anterior venous bleeding in 1 case, thyroid side arterial tube bleeding in 1 case, and thyroid stump bleeding in 1 case. Twenty one cases suffered hypothyroidism in 1 month after operation, and no recurrence happened during the followed up period. Conclusions Meticulous capsular dissection can effectively protect function of parathyroid and reduce the injury probability of RLN. Exposure of RLN is safe and feasible, which plays an important role in avoiding serious RLN injury.

    Release date:2016-09-08 10:34 Export PDF Favorites Scan
  • Reviews of Exposure Technology of Gastroesophageal Region in Laparoscopic Surgery

    ObjectiveTo explore various exposure technology of gastroesophageal region and their advantages and disadvantages by laparoscopic surgery in upper abdominal. MethodThe related literatures on various exposure technology of gastroesophageal region by laparoscopic surgery in upper abdominal at home and abroad in recent years were collected and reviewed. ResultsNow, there were main three exposure technologies of gastroesophageal region by laparoscopic surgery in upper abdominal, including traditional retractor liver retraction, suspension liver retraction, and adhesion liver retraction. Each method had its own advantages and disadvantages. Conclusionthe most suitable exposure method of gastroesophageal region by laparoscopic surgery in upper abdominal should be selected according to situations of surgery and patient.

    Release date:2021-06-24 01:08 Export PDF Favorites Scan
  • RIB-SPARING TECHNIQUE FOR INTERNAL MAMMARY VESSELS EXPOSURE AND ANASTOMOSIS IN BREAST RECONSTRUCTION WITH DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP

    ObjectiveTo explore the feasibil ity and rel iabil ity of rib-sparing technique for internal mammary vessels exposure and anastomosis in breast reconstruction and thoracic wall repair with deep inferior epigastric perforator (DIEP) flaps. MethodsBetween November 2009 and September 2011, 11 female patients with post-mastectomy deformities were treated. The mean age was 42 years (range, 33-65 years). Of them, 10 patients underwent breast reconstruction with the DIEP flaps, and 1 patient received defect repair for chronic thoracic wall irradiated ulcer with the DIEP flap. The size of the flap ranged from 18 cm×9 cm to 28 cm×12 cm. Rib-sparing technique was applied in all these cases. The internal mammary vessels were exposed by dissection intercostal space and anastomosed with the deep inferior epigastric vessels. The donor sites were closed directly in all cases. ResultsIn all cases, the rib-sparing technique for internal mammary vessels exposure and anastomosis was successfully performed. The mean time for internal mammary vessels exposure was 52 minutes (range, 38-65 minutes). The mean exposure length of the internal mammary vessels was 1.7 cm (range, 1.3-2.2 cm). All flaps survived completely postoperatively, and wounds and incisions at donor sites healed primarily. All patients were followed up 8-26 months (mean, 12 months). All patients were satisfied with the reconstructive outcomes. No collapse deformity or discomfort of the thoracic wall occurred. ConclusionThe rib-sparing technique for internal mammary vessels exposure and anastomosis is a rel iable and reproducible approach to reconstruct the breast and repair the thoracic wall with DIEP flap, and it can reduce collapse deformity of the thoracic wall.

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  • 胸壁入路腔镜甲状腺手术中喉返神经的显露与保护

    目的探讨胸壁入路腔镜甲状腺手术中喉返神经显露的技巧,预防喉返神经医源性损伤。 方法回顾性收集2013年8月至2014年12月期间于兰州军区兰州总医院行胸壁入路腔镜甲状腺手术的45例患者的临床资料。手术时利用甲状腺下动脉、气管食管沟及甲状软骨下角显露喉返神经。 结果45例患者中,行单侧腺叶大部切除18例,行单侧腺叶切除22例,行双侧腺叶大部切除5例;手术时间108~125 min、(120±7)min,术中出血量18~25 mL、(23±4)mL。术后均无不适,无并发症发生。术后所有患者均获访,随访时间6~12个月,平均9个月。随访期间出现甲状腺功能减退2例,其余均正常,且2例甲状腺乳头状癌患者均未复发。 结论术中显露喉返神经有利于避免喉返神经损伤。

    Release date:2016-12-21 03:35 Export PDF Favorites Scan
  • 儿童阴茎显露异常的分型及外科诊治

    儿童阴茎显露异常是一组阴茎体正常,但阴茎外观异常,病因病理改变与临床表现各异的阴茎显露异常综合征。儿童阴茎显露异常因发病机制相对复杂,致其归类存在较大争议。目前已被认可的四大分类为隐匿型阴茎、埋藏型阴茎、蹼状阴茎和束缚阴茎。阴茎显露异常极少不治而愈,临床主要是针对各种症状的具体病因而择取最优的外科手术方法进行治疗。该文对儿童阴茎显露异常病因、病理、诊断及治疗等方面的最新研究进行了综述,以期完善临床上对儿童阴茎显露异常的认知,从而为临床上对该病的研究和治疗提供参考。

    Release date:2017-11-24 10:58 Export PDF Favorites Scan
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