腹部手术后腹腔粘连是一种常见的临床现象,可导致严重的并发症,如肠梗阻、腹腔和盆腔疼痛、不孕和不育等。严重的腹腔粘连常给再次手术造成极大困难,由于粘连形成过程复杂,治疗效果又十分不理想,所以探索其形成机理及预防措施成为当今外科领域的重点内容之一,本文就此分述如下。
近年来,胃癌研究发展迅速,许多先进技术和治疗理念逐渐引入外科领域并为大家接受,以手术为主,辅以化疗、生物靶向治疗的综合治疗观念已经建立,成为主导趋势,现就这方面的问题予以讨论,并与同道商榷.……
Objective To study the relationship between angiopoietin and the angiogenesis of gastric carcinoma, and to investigate the inter-regulation effect between different vascular growth factors which exist in microenvironment of gastric carcinoma. Methods Literatures about angiopoietin and angiogenesis of gastric carcinoma were collected and reviewed. Results There is a relationship between the expression of angiopoietin in microcirculation and the angiogenesis of gastric carcinoma. Yet, it is still a disputable issue on the inter-regulation effect of different vascular growth factors. Conclusion Angiopoietin may play an important role in the processes of sprouting, development and apoptosis of the microvessel of gastric carcinoma.
【Abstract】 Objective To introduce the recent studies about the lymph node-targeted chemotherapy for gastric carcinoma. Methods The literatures on the lymph node-targeted chemotherapy for gastric carcinoma in recent years were collected and reviewed. Results The lymph node-targeted chemotherapy for gastric carcinoma was effective because it couled improve the drug concentrations in regional lymph node. Conclusion As a part of multiple treatments for gastric carcinoma, lymph node-targeted chemotherapy will be further developed.
目的 探讨异位胰腺的临床特点、诊断及外科处理原则。方法 对我院近8年病理确诊的16例异位胰腺患者的资料进行回顾性分析。结果 16例中男8例,女8例,年龄1~74岁,平均37.5岁。异位胰腺分布部位: 空肠5例,十二指肠4例,胃2例,胆总管2例,胆囊、纵膈和后腹膜各1例。术前仅1例确诊,5例误诊,10例漏诊。均行手术治疗,无一例出现术后并发症。结论 异位胰腺的临床表现和检查手段无特异性,易漏诊和误诊; 一旦发现,无论有无症状,均以早期手术治疗为宜,以明确诊断及避免出现严重的并发症。