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find Keyword "外科治疗" 340 results
  • 糖尿病足伤的外科治疗

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  • 老年胆囊炎胆囊结石88例外科治疗体会

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  • Surgical treatment for 30 patients with tracheal and main bronchial tumors

    Objective To study the surgical treatment of tracheal and main bronchial tumors. Methods We retrospectively analyzed the clinical data of 30 patients with tracheal and main bronchial tumors treated in Shengjing Hospital of China Medical University from January 2000 to December 2015. There were 12 males and 18 females with the age ranging from 22 to 80 years. Results Ten patients were treated with enucleation, 12 patients tracheal tumor resection and end-to-end anastomosis, 1 patient window resection, 1 patient wedge resection, 5 patients tumor resection and tracheal reconstruction by using pulmonary tissue flap with alloy stent and 1 patient left pneumonectomy. One patient died of sudden massive hemoptysis 26 d after operation. Intraoperative complications were found in 2 patients. Others had a good recovery after operation. Patients were followed up for 11 months to 14 years. Eight patients were followed up less than 5 years postoperatively, one patient died of sudden massive hemoptysis 14 months after operation, while others survived; 21 patients were followed up more than 5 years and 5 patients were lost to follow-up. Conclusion Surgical resection is recommended for tracheal and main bronchial tumors. Patients with small benign tumor may choose local tracheal resection; tracheal segmental resection and end-to-end anastomosis is the most common surgical treatment. Patients with more than half of the whole length of tracheal defects or in the risk of anastomotic ischemic necrosis may be suggested to receive tracheal reconstruction.

    Release date:2017-08-01 09:37 Export PDF Favorites Scan
  • Investigation of Diagnosis and Treatment for Colorectal Cancer with Intestinal Perforation

    目的 探讨结肠癌和直肠癌并发肠穿孔的外科诊治方法。方法 分析13例结直肠癌并发肠穿孔患者的临床资料。结果 13例患者中4例行肿瘤所在肠段一期切除吻合术; 4例行一期病灶切除吻合术,近端肠段行外置双管造瘘术; 2例切除肿瘤所在肠段,近端行端式结肠造瘘术,远端行封闭(Hartmann)术; 3例行单纯肠造瘘术。术后并发症发生率为46.15%(6/13),手术死亡率为15.38%(2/13)。结论 重视对结直肠癌并发肠穿孔的认识及选择合适的手术方式是减少并发症、提高疗效的重要措施。

    Release date:2016-09-08 10:58 Export PDF Favorites Scan
  • 先天性心脏病继发感染性心内膜炎的外科治疗

    目的 总结先天性心脏病继发感染性心内膜炎41例外科治疗的经验。方法 手术均在体外循环下进行畸形矫正和赘生物清除。室间隔缺损(VSD)直接缝合16例,补片修补10例;动脉导管未闭(PDA)均采用直视缝合法。同期行肺动脉瓣成形术5例,三尖瓣置换术2例,主动脉瓣置换术12例,主动脉瓣和二尖瓣置换术2例。结果 1例急诊VSD修补同时行主动脉瓣置换术,术后并发脑栓塞死亡;其余患者均痊愈出院。随访35例,随访时间3~102个月,无1例死亡和心内膜炎复发。结论 正确把握手术时机和使用有效抗生素是提高治愈率的关键,应强调对先天性心脏畸形的早期治疗,以防止严重并发症。

    Release date:2016-08-30 06:33 Export PDF Favorites Scan
  • Preliminary Experience with Indications for Liver Transplantation for Hepatolithiasis

    Objective To explore the indications for liver transplantation among patients with hepatolithiasis. Methods Data from 1431 consecutive patients with hepatolithiasis who underwent surgical treatment from January 2000 to December 2006 were retrospectively collected for analysis. Surgical procedures included T-tube insertion combined with intraoperative cholangioscopic removal of intrahepatic stones, hepatectomy, cholangiojejunostomy, and liver transplantation. Results Nine hundred and sixty-one patients who had a stone located in the left or right intrahepatic duct underwent hepatectomy or T-tube insertion combined with intraoperative cholangioscopic removal of intrahepatic stones. The rate of residual stones was 7.5% (72/961). Four hundred and seventy patients who had a stone located in the bilateral intrahepatic ducts underwent surgical procedures other than liver transplantation; the rate of residual stones was 21.7% (102/470). Only 15 patients with hepatolithiasis underwent liver transplantation; they all survived. According to the degree of biliary cirrhosis, recipients were divided into 2 groups: a group with biliary decompensated cirrhosis (n=7), or group with biliary compensated cirrhosis or noncirrhosis group (n=8). There were significant differences in operative times, transfusion volumes and blood losses between 2 groups (P<0.05). In the first group, 6 of 7 patients experienced surgical complications, and in the second, 8 recipients recovered smoothly with no complications. Health status, disability and psychological wellness of all recipients (n=15) were significantly improved in 1 year after transplantation as compared with pretransplantation (P<0.05). Conclusion Liver transplantation is a possible method to address hepatolithiasis and secondary decompensated biliary cirrhosis or difficult to remove, diffusely distributed intrahepatic duct stones unavailable by hepatectomy, cholangiojejunostomy, and choledochoscopy.

    Release date:2016-09-08 10:56 Export PDF Favorites Scan
  • 巨大食管弥漫性平滑肌瘤病一例

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  • Surgical Treatment of Portal Hypertension (Report of 56 Cases)

    目的 探讨门静脉高压症手术适应证、手术时机和术式选择。 方法 回顾性分析我院56例门静脉高压症手术治疗患者的资料。 结果 行预防性手术治疗12例,无死亡; 行治疗性手术44例,死亡16例(36.4%)。择期手术38例中死亡2例(5.3%),急诊手术18例中死亡14例(77.8%)。行断流术40例; 死亡16例(40.0%); 行断流加分流术16例,无死亡。 结论 门静脉高压症并发巨脾,严重脾功能亢进,重度食管静脉曲张且镜下见有出血倾向,肝功Child A、B级者可行预防性手术; 对治疗性手术应尽早施行或择期施行; 急诊手术以贲门周围血管离断术为首选,择期手术以分流加断流术为宜。

    Release date:2016-08-28 04:43 Export PDF Favorites Scan
  • 胸内巨淋巴结增生症的诊断及外科治疗

    目的 为了提高对胸内巨淋巴结增生症的认识,探讨其诊断方法、外科治疗特点. 方法 回顾11例胸内巨淋巴结增生症的病例,对其临床症状、影象学特点、手术方式、病理分类等进行分析. 结果 胸内巨淋巴结增生症的临床症状无特异性,影象学表现为纵隔、肺部或肺门阴影和胸腔积液.9例瘤体完整切除,2例有少量残留;术后效果良好,随访至今无复发. 结论 胸内巨淋巴结增生症可以发生在胸腔的任何部位,术前确诊率低,但手术效果好.病理属良性肿瘤,故术中应尽量保留正常肺组织,并避免损伤周围脏器.

    Release date:2016-08-30 06:30 Export PDF Favorites Scan
  • 28例右心系统肿瘤的诊断与外科治疗

    目的 探讨右心系统肿瘤的特点,总结其诊断和外科治疗经验。 方法 对1989年6月~2006年8月期间的28例右心系统肿瘤患者的临床资料进行回顾性分析。28例中26例在体外循环下行肿瘤切除术,其中17例良性肿瘤均完整切除,同期行三尖瓣DeVega成形术2例,补片修补房间隔或右房壁3例;9例恶性肿瘤因侵及范围广泛,仅行大部切除术。 结果 全组28例中26例行手术治疗。手术死亡2例,1例为横纹肌肉瘤术中死于低心排血量综合征,1例为间皮肉瘤术后2d死于低心排血量综合征、多器官功能衰竭。术后2例出现脑栓塞给予相应的治疗,其中1例神经系统症状消失,1例遗留轻度运动障碍。17例良性肿瘤患者中,无远期死亡和复发;9例恶性肿瘤患者中除1例随访时间较短外(lt;3个月),其它8例均于术后6个月内死亡。 结论 右心系统肿瘤临床少见,恶性率、误诊率高,手术效果和预后均较差。

    Release date:2016-08-30 06:16 Export PDF Favorites Scan
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