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find Keyword "外科治疗" 340 results
  • 肺曲菌病的诊断与外科治疗

    目的 总结肺曲菌病的诊断和外科治疗经验。 方法 57例肺曲菌病患者中17例(29.8%)术前已明确诊断,21例(36.8%)于术前误诊为肺结核、肺部占位病变、肺囊肿和肺脓肿等,19例(33.3%)术前漏诊。行肺叶切除术27例,肺段或肺楔形切除术18例;在电视胸腔镜辅助下行肺段或局部病变切除术5例,电视胸腔镜辅助下小切口肺楔形切除或局部病变切除术7例。 结果 无住院死亡。术后出现包裹性液气胸4例,胸腔积液、积气2例,切口感染1例,肺部感染3例,均经3~7d的相应处理治愈。术后积极治疗肺部基础疾病,同时均给予氟康唑400mg/d,治疗4~8周。所有患者均得到随访,随访时间6个月~12年,肺曲菌病未复发,患者生活质量良好。 结论 肺曲菌病误诊、漏诊率高,术前应加强对肺曲菌病的认识,认真检查诊断;手术切除病变是治疗肺曲菌病的有效方法。

    Release date:2016-08-30 06:15 Export PDF Favorites Scan
  • Analysis of Surgical Treatment of 72 Colorectal Cancer Patients with Intestinal Obstruction

    【摘要】 目的 探讨结直肠癌致肠梗阻的诊断和治疗。方法 回顾性分析2003年1月—2008年12月间72例结直肠癌致肠梗阻的外科诊治资料。结果 72例患者中肿瘤位于右半结肠23例,左半结肠29例,直肠16例,回盲部4例。其中63例手术治疗,一期切除吻合46例,Hartmann术7例,单纯造口10例。有9例因肿瘤全身广泛转移等因素自动放弃手术治疗。结论 重视对结直肠癌致肠梗阻的认识、合理选择手术方式、做好围手术期处理是减少并发症、提高疗效的重要措施。

    Release date:2016-09-08 09:37 Export PDF Favorites Scan
  • 糖尿病足伤的外科治疗

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  • PREVENTION OF POSTOPERATIVE PERIPANCREATIC ABSCESS FORMATION IN ACUTE NECROTIZING PANCREATITIS

    Fifty three patients with acute necrotizing pancreatitis were performed operation, treated surgically, including incision of the pancreatic capsule to release the pancreatic presure, removal of necrotic tissue, and placement of drainage tube around pancreas. Twenty two patients (41.5%) developed postoperative peripancreatic abscess. The average hospitalized days (83.3±25.1 days) of the patients with peripancreatic abscess was longer than those without (22.7±14.7 days) peripancreatic abscess (P<0.01). Six cases of 28 (21.4%) patients who had localized or scattered pancreatic necrosis developed peripancreatic abscess, 16 cases of 25 (64.0%) patients who had subtotal or total pancreatic necrosis developed peripancreatic abscess which showed significant difference between two groups (P<0.01). Among 21 patients in whom 2 to 4 doublelumened tubes for negative presure drainage were placed,5 cases (23.8%) had peripancreatic abscess but 32 patients with only one tube placed, 17 patients (53.1%) had peripancreatic abscess, the difference between two groups were significant (P<0.05). At least 6 patients whose drainage tubes worked badly produced postoperative peripancreatic abscess. These results indicate that the peripancreatic abscess is closely related with the severity of the disease, surgical treatment, and proper postoperative care of the drainage tubes.

    Release date:2016-08-29 03:18 Export PDF Favorites Scan
  • 肺动脉四瓣畸形行肺动脉瓣置换术一例

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  • THE HISTORY,PRESENT AND PROSPECT OF THE SURGICAL TREATMENT OF PRIMARY LIVER CANCER IN CHINA

    Release date:2016-09-08 02:00 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
  • Improving the Level of Surgical Treatment for Periampullar Tumor

    胆总管在穿过十二指肠壁时与胰管汇合,汇合后略膨大,称Vater壶腹(简称壶腹)。壶腹及其外周环绕的括约肌向十二指肠肠腔突出,使十二指肠粘膜隆起形成十二指肠乳头。在壶腹周围(包括壶腹),上述组织结构所发生的肿瘤统称为壶腹周围肿瘤,并以恶性居多。壶腹周围的恶性肿瘤包括来自壶腹、胆总管下端、十二指肠乳头和胰头的癌肿,临床上把前三者连同胰头癌统称为壶腹周围癌。目前,外科手术仍是治疗壶腹部肿瘤的主要手段,提高壶腹部肿瘤的外科治疗技术水平是患者获得治愈的唯一途径。壶腹部肿瘤因其组织来源不同其生物学行为亦表现出很大差异,应根据壶腹部肿瘤的不同组织来源、生物学行为及其发展阶段作出合理的外科治疗。

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • 原发性恶性心脏肿瘤一例

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  • A型主动脉夹层动脉瘤的外科治疗

    目的 总结1996年1月至2002年8月收治的34例A型主动脉夹层动脉瘤的外科治疗经验. 方法 应用Bentall手术19例,升主动脉人工血管置换术7例,升主动脉人工血管置换加主动脉瓣成形术(Trusler’s法)5例,分别行升主动脉人工血管置换及主动脉瓣置换术(Wheat术)2例,升主动脉、主动脉弓人工血管置换术1例. 结果 手术死亡6例,死亡率17.6%.其中慢性主动脉夹层动脉瘤死亡3例,急性夹层动脉瘤死亡3例.随访20例,随访率71.4%.随访时间2~46个月,平均24.7个月,1例术后3个月猝死(原因不明),1例术后6个月死于心内膜炎.18例存活患者情况良好. 结论 应根据夹层动脉瘤的部位及范围采用不同的手术方式,保留主动脉瓣的升主动脉人工血管置换术治疗该病效果较好,准确可靠的吻合技术、保留瘤壁的完整性,将使手术更为安全.

    Release date:2016-08-30 06:32 Export PDF Favorites Scan
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