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find Author "薛华" 4 results
  • 大型“C”臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿的临床观察

    目的探讨大型"C"臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿的疗效。 方法将12例肺脓肿患者随机分为治疗组和对照组, 每组各6例。对照组患者予以止咳、化痰、抗感染及体位引流等常规治疗。治疗组患者在上述治疗的基础上加用大型"C"臂实时引导下经电子支气管镜小导管脓腔冲洗治疗。两组患者的疗程均为3周。 结果对照组患者的总有效率为68.8%;治疗组患者的总有效率为100.0%, 两组总有效率比较差异有统计学意义(P<0.05)。治疗组患者的住院时间、抗生素应用时间及血降钙素原恢复正常时间均较对照组明显缩短(P<0.05)。治疗组电子支气管镜治疗过程中未出现严重并发症。 结论大型"C"臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿具有疗效确切、治愈率高、疗程短的特点。

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  • Indications about removing abdominal drainage after pancreaticoduodenectomy

    Objective To investigate the appropriate indication about removing abdominal drainage after pancreaticoduodenectomy. Method The clinical data of 156 patients who underwent pancreaticoduodenectomy in our hospital from January 2014 to June 2016 were analyzed retrospectively. The patients were divided into two groups, with 76 patients in the enhanced recovery after surgery (ERAS) group and 80 patients in the control group according to the type of indications about removing abdominal drainage. The time of removing abdominal drainage, hospital stay, incidence of postoperative complications, and readmission rate during 30 days after surgery were compared between the2 groups. Results Compared with the control group, the time of removing abdominal drainage 〔(6.2±2.5) dvs. (10.8±2.2) d,P<0.001〕and hospital stay〔(11.8±3.4) dvs. (15.7±3.6) d,P<0.001〕 of the ERAS group were both shorter, incidence of abdominal infection was lower〔1.3% (1/76)vs. 10.0% (8/80), P=0.020〕 , but there was no significant difference in the incidence of postoperative pancreatic fistula 〔18.4% (14/76) vs. 21.3% (17/80)〕 , delayed gastric emptying〔1.4% (1/76) vs. 7.5% (6/80)〕 , and the readmission rate during 30 days after surgery〔5.3% (4/76) vs. 3.8% (3/80)〕 , P>0.05. Conclusions Indications about removing abdominal drainage after pancreaticoduodenectomy by authors are safe.

    Release date:2017-10-17 01:39 Export PDF Favorites Scan
  • Surgical Treatment of Advanced Hepatic Alveolar Echinococcosis (Report of 36 Cases)

    ObjectiveTo investigate strategies and efficacy of surgical treatment of advanced hepatic alveolar echinococcosis. MethodsThirty-six patients with advanced hepatic alveolar echinococcosis who underwent surgical treatment in our hospital from August 2014 to March 2016 were selected, who were divided into three groups:radical hepatectomy group (15 cases), quasi-radical hepatectomy group (17 cases), and palliative surgery group (4 cases). The operative time, intraoperative blood loss, postoperative complications, and metastasis were analyzed among these three groups. ResultsThe operative time, intraoperative blood loss, and rate of postoperative complications had no significant differences between the radical hepatectomy group and the quasi-radical hepatectomy group. No patient had postoperative recurrence in the radical hepatectomy group. The hepatic portal residual lesion was enlarged for 1 case and the intrahepatic and extrahepatic lesions were stable for the other patients in the quasi-radical hepatectomy group. In the palliative surgery group,the retroperitoneal lesions enlargement was seen in 2 cases and the lesions around the abcess grew progressively in 1 case. ConclusionIndividualized treatment accompanied with multiple-disciplinary treatment and damage-control surgery concept could benefit optimally to patients with advanced hepatic alveolar echinococcosis.

    Release date:2016-11-22 10:23 Export PDF Favorites Scan
  • 经MDT治疗后获得长期生存的晚期肝癌病例临床分析

    目的 通过多学科诊疗(MDT)机制治疗晚期肝癌,探索将其变为慢性疾病的可能。 方法 采用MDT机制治疗晚期肝癌患者,结合患者具体病情,多次MDT诊疗确定个体化的综合治疗方案,包括多次经皮肝动脉化疗栓塞术(TACE)、手术切除、免疫治疗、抗病毒治疗、多次微波消融、放射治疗等治疗手段。 结果 晚期肝癌患者经治疗后已无瘤生存5年多,恢复正常工作和生活。 结论 MDT机制下制定个体化的方案,适时采取合理的、安全的治疗手段,可以提高肝细胞肝癌(hepatocellular carcinoma,HCC)的治疗效果,从而使患者的生存获益,有将晚期HCC变成慢性疾病的可能性。

    Release date:2017-01-18 08:04 Export PDF Favorites Scan
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