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根治性顺行性模块化胰脾切除术与传统胰体尾脾切除术治疗胰体尾癌的临床经验 被引量:2
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作者 聂晓涵 耿诚 +6 位作者 程坤 苏利丹卡扎·仇曼 伊力旦·热合曼 艾尼·买买提 冷昆增 陈启龙 韩玮 《腹腔镜外科杂志》 2020年第9期646-650,共5页
目的:总结根治性顺行性模块化胰脾切除术(RAMPS)治疗胰体尾癌的单中心初步经验。方法:回顾分析2013年5月至2019年6月收治的214例胰体尾导管腺癌患者的临床资料,其中82例行RAMPS(RAMPS组),132例行传统胰体尾切除术(CDP组)。观察指标:(1)... 目的:总结根治性顺行性模块化胰脾切除术(RAMPS)治疗胰体尾癌的单中心初步经验。方法:回顾分析2013年5月至2019年6月收治的214例胰体尾导管腺癌患者的临床资料,其中82例行RAMPS(RAMPS组),132例行传统胰体尾切除术(CDP组)。观察指标:(1)术前因素,包括性别、年龄、合并症、美国麻醉师协会评分、癌胚抗原、CA19-9、T分期;(2)术中因素,包括手术时间、术中出血量、术中是否输血、联合血管切除、联合器官切除;(3)病理学因素,包括肿瘤最大径;(4)术后观察因素,包括术后胰瘘(B、C级)、腹腔出血、消化道出血、胃排空延迟、乳糜瘘、腹腔感染、腹腔积液等并发症情况,有无再次手术,住院时间等。随访截至2019年12月。结果:214例手术均顺利完成,无住院期间或术后30 d内死亡病例。两组手术时间、术中出血量、术中输血量、联合脏器切除、联合血管切除、术后住院时间差异均有统计学意义(P<0.05);术后两组再次手术情况、总体并发症发生率及胰瘘、乳糜瘘、腹腔出血、消化道出血、胃排空障碍、胸腔积液、肺部感染、腹腔积液、腹腔感染、切口感染等发生率差异均无统计学意义(P>0.05)。术后197例患者获得随访,其中RAMPS组76例,CDP组121例,RAMPS组中位生存时间16.3个月,复发转移率为46.1%(35/76);CDP组中位生存时间17.6个月,复发转移率为41.3%(50/121),两组相比差异无统计学意义(P>0.05)。结论:RAMPS治疗胰体尾癌是安全、可行的,可能使患者生存获益。 展开更多
关键词 胰腺导管腺癌 根治性顺行性模块化胰脾切除术 并发症 生存率
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The feasibility of an internet-based intervention for Chinese people with mental illness: A survey of willingness and attitude 被引量:1
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作者 Xiu-Yu Yao Zheng Li +2 位作者 David Arthur Li-Li Hu gen cheng 《International Journal of Nursing Sciences》 2014年第1期28-33,共6页
Background:The easy accessibility,increasing usage,and low cost of internet make it a desirable way of providing health information and delivering interventions for health consumers.Studies in other countries have ver... Background:The easy accessibility,increasing usage,and low cost of internet make it a desirable way of providing health information and delivering interventions for health consumers.Studies in other countries have verified and confirmed the effectiveness of internet-based interventions among people with mental health problems.Similar programs have yet to commence in China.Purpose:This study investigated the willingness for,and attitude toward internet-based intervention in Chinese mental health service users and explored the feasibility of such an intervention.Methods:A cross-sectional survey utilizing a self-developed questionnaire was administered to 186 mental health service users in Beijing,between April and May 2011.Results:Most participants held a positive attitude toward online information and expressed interest in getting assistance from the internet.Some advice and suggestions were provided such as more ways of getting assistance,setting up more professional websites,increasing interaction,as well as having government funding and guidance.Conclusion:Internet-based programs are feasible and applicable,and worth implementing with Chinese people with mental illness. 展开更多
关键词 Internet-based nursing intervention Mental health nursing Mental health patients
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