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

Search

find Author "林志雄" 5 results
  • 掌背复合皮瓣修复手指背部皮肤及肌腱缺损

    目的探讨掌背复合皮瓣修复手指背部皮肤及肌腱缺损的临床效果。 方法将2011年1月-2013年6月收治的手指背部皮肤及肌腱缺损患者80例按其治疗方法分为对照组和观察组,每组40例。对照组患者采用带蒂皮瓣转移治疗,观察组患者采用掌背复合皮瓣修复治疗,比较两组患者的治疗效果。 结果观察组与对照组手术时间分别为(71.9±12.6)、(147.2±15.7)min,修复出血量分别为(20.6±5.2)、(45.6±7.2)mL,患者术后住院时间分别为(2.6±0.4)、(5.0±1.2)d,差异均有统计学意义(P<0.05)。观察组和对照组总有效率分别为95.0%和85.0%,两组比较差异无统计学意义(P>0.05);满意度分别为95.0%和65.0%,两组比较差异有统计学意义(P<0.05);观察组和对照组分别有3例(7.5%)和7例(17.5%)出现不良反应,两组比较差异无统计学意义(χ2=1.829,P=0.176)。 结论临床上采用掌背复合皮瓣修复手指背部皮肤及肌腱缺损治疗效果理想,值得进一步推广应用。

    Release date: Export PDF Favorites Scan
  • PREVENTION OF POSTOPERATIVE DEEP VENOUS THROMBOSIS IN LOWER LIMB AFTER OPERATION BY INTERMITTENT PNEUMATIC COMPRESSION

    OBJECTIVE: To investigate the effect of intermittent pneumatic compression on prevention of deep venous thrombosis after operation of lower limbs. METHODS: From Oct. 1997 to Aug. 1998, forty cases were received Doppler examination preoperatively, which showed no deep venous thrombosis in all the lower limbs of 40 cases. Among them, 24 cases were received total hip arthroplasties, 4 cases were received total knee arthroplasties and 12 cases were received dynamic hip screw. Postoperatively, every case were continuously received intermittent pneumatic compression for 14 to 21 days (2 hours, qid), and venography were performed on the operated lower limb on the 7th day after operation to check the presence of deep venous thrombosis. RESULTS: Among the 40 cases, there were 4 cases of deep venous thrombosis without symptom of pulmonary embolism, the incidence rate was 10%. CONCLUSION: Intermittent pneumatic compression can significantly reduce the incidence rate of deep venous thrombosis after the operation of the lower limbs.

    Release date:2016-09-01 10:26 Export PDF Favorites Scan
  • 掌背动脉逆行岛状皮瓣在手外伤的应用

    Release date:2016-09-01 11:10 Export PDF Favorites Scan
  • 血友病性关节炎误诊手术分

    报道6例血友病性关节炎因误诊而行手术治疗。误诊原因为病史询问不详,遗漏重要的既往史、家族史等;对血友病的骨关节改变缺乏认识;术前常规化验结果正常疑诊血友病者,应行凝血酶原消耗纠正试验,有条件时,可动态测定血中凝血因子活性。避免术中、术后严重并发症出现,并提出误诊手术后采取的有效措施。

    Release date:2016-09-01 11:14 Export PDF Favorites Scan
  • Diagnostic value of intra-intestinal angiography CT in patients with anastomotic leakage after rectal cancer resection

    ObjectiveTo investigate the diagnostic value of intra-intestinal angiography CT in patients with anastomotic leakage (AL) after rectal cancer resection.MethodsPatients who admitted to The Department of General Surgery of The No. 900 Hospital of The Joint Logistic Team from January 2013 to October 2018, who were diagnosed with rectal cancer and underwent rectal cancer resection with sphincter preserving surgery, were retrospectively collected in the study. All patients underwent routine imaging examination on the 7th day after rectal cancer operation. The retrograde contrast enema (RCE) was performed to obtain the abdominal X-ray film, then the pelvic CT scan was performed to get the CT image of the intestinal lumen. The films were reviewed by 2 senior radiologists, and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of RCE and intra-intestinal angiography CT in the diagnosis of AL after rectal cancer resection were evaluated. Evaluated the sensitivity of the CT image feature to predict AL after rectal cancer resection.ResultsThe sensitivity, specificity, PPV, and NPV of RCE in the diagnosis of AL after the rectal cancer resection were 69.23% (18/26), 98.64% (218/221), 85.71% (18/21), and 96.46% (218/226) respectively. The sensitivity, specificity, PPV, and NPV of intra-intestinal angiography CT were 96.15% (25/26), 99.09% (219/221), 92.59% (25/27), and 99.54% (219/220) respectively. The sensitivity and NPV of intra-intestinal angiography CT in diagnosis of AL were significantly higher than those of RCE (P<0.05). The sensitivity of contrast agent leakage to diagnosis of AL was the highest, reaching 96.15% (25/26).ConclusionsThe sensitivity of intra-intestinal angiography CT in the diagnosis of AL is high and the overall diagnostic efficiency is better than RCE, and the leakage of contrast agent is the main imaging feature of AL. It is significant to guide the clinical practice.

    Release date:2019-05-08 05:37 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content