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find Author "关俊文" 3 results
  • 慢性硬膜下血肿钻孔引流术中冲洗与不冲洗疗效对比研究

    目的对比分析慢性硬膜下血肿钻孔引流术中冲洗与不冲洗不同手术操作方法对患者术后疗效及并发症的影响。 方法回顾性收集 2013 年 1 月—2014 年 12 月在四川大学华西医院神经外科就诊的 81 例单侧慢性硬膜下血肿患者临床及影像学资料,患者分别采用钻孔引流+术中生理盐水彻底冲洗+术后引流治疗(冲洗组 46 例)及钻孔置管引流不行冲洗治疗(引流组 35 例),应用 3D-Slicer 软件精确测量术后 1 d 颅内积气量及出院残余血肿量,对测量数据及并发症发生情况进行对比分析,并利用术后门诊随访及电话随访资料对比分析血肿复发情况。 结果术后第 2 天冲洗组与引流组患者颅内积气量分别为(9.98±4.73)、(3.78±1.80)mL,差异有统计学意义(P<0.05);冲洗组与引流组术后发生新鲜出血概率分别为 6.5%、2.9%,出院前残余血肿量分别为(9.82±3.20)、(10.94±4.34)mL,血肿复发率分别为 6.5%、8.6%,差异均无统计学意义(P>0.05)。 结论钻孔引流术中冲洗能快速引流出硬膜下血肿,但明显增加术后颅内积气,并可能增加出血风险,且远期疗效与不冲洗组相比无明显差异,故钻孔引流无需术中冲洗。由于样本量及设计学缺陷,尚需大规模随机对照试验作进一步验证。

    Release date:2017-02-22 03:47 Export PDF Favorites Scan
  • Study of the Effect of Cholecystokinin-Induced Acute Pancreatitis on the Free-Running Rhythm of Mouse

    The present paper reports the effect of pancreatitis induced by cholecystokinin (CCK) on free-running rhythm of locomotor activity of the ICR mice, and analyzes the interaction of inflammatory diseases and acute pancreatitis with circadian rhythm system. In the study, the mice were modeled under different phases of acute pancreatitis in DD status (Double Dark,constant dark condition). By comparing of the inflammatory status and the indicators of rhythm before and after modeling of the running wheel activity group and the rest group, it was observed that the rest group showed more possibility of inflammation than the activity group did in ICR mice model of acute pancreatitis. In the rest phase model, the extension of the period is particularly longer. The results presented indicated that CCK-induced acute pancreatitis impacted free activity rhythm of ICR mice. Also in a free running model under different phase, the inflammation severity was proved significantly different. This study provides possible clues for the research of the pathogenesis of acute pancreatitis severe tendency.

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  • The scalp localization system of neurosurgery based on augmented reality theory

    Neurosurgery navigation system, which is expensive and complicated to operate, has a low penetration rate, and is only found in some large medical institutions. In order to meet the needs of other small and medium-sized medical institutions for neurosurgical navigation systems, the scalp localization system of neurosurgery based on augmented reality (AR) theory was developed. AR technology is used to fuse virtual world images with real images. The system integrates computed tomography (CT) or magnetic resonance imaging (MRI) with the patient's head in real life to achieve the scalp positioning. This article focuses on the key points of Digital Imaging and Communications in Medicine (DICOM) standard, three-dimensional (3D) reconstruction, and AR image layer fusion in medical image visualization. This research shows that the system is suitable for a variety of mobile phones, can achieve two-dimensional (2D) image display, 3D rendering and clinical scalp positioning application, which has a certain significance for the auxiliary neurosurgical head surface positioning.

    Release date:2019-06-17 04:41 Export PDF Favorites Scan
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