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达芬奇机器人辅助Swenson-like巨结肠根治术
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作者 曾纪晓 徐晓钢 +6 位作者 王欣星 刘斐 兰梦龙 陶波圆 梁子建 叶志华 罗媛圆 《中华腔镜外科杂志(电子版)》 2024年第4期239-243,共5页
目的探讨达芬奇机器人辅助Swenson-like巨结肠根治术治疗8个月以内婴儿先天性常见型巨结肠的安全性、可行性、治疗效果和并发症。方法以广州医科大学附属妇女儿童医疗中心胃肠外科40例先天性常见型巨结肠患儿为研究对象,由同一外科医师... 目的探讨达芬奇机器人辅助Swenson-like巨结肠根治术治疗8个月以内婴儿先天性常见型巨结肠的安全性、可行性、治疗效果和并发症。方法以广州医科大学附属妇女儿童医疗中心胃肠外科40例先天性常见型巨结肠患儿为研究对象,由同一外科医师实施手术,术式为三臂法机器人辅助Swenson-like巨结肠根治术。回顾性收集患儿术前、术中和术后临床资料进行分析,术后随访10~18个月。结果40例(男30例,女10例)先天性病患儿巨结肠(Hirschsprung disease,HSCR),平均手术月龄6±2个月,全部顺利完成手术,均无需中转开放及增加辅助孔,平均手术时间为152±17 min,其中机器人手术操作时间43±16 min,肛门部直肠分离时间6±2 min,术中出血量为2±1 ml,平均切除肠管长度25±7 cm,肠功能恢复时间为8±2 h,住院时间为6±1 d,术后疼痛评分为2±1分;40例术后6例(15%)需行肛门扩张;全部患儿均痊愈出院,围术期内均无手术并发症发生,术后主要并发症为肛周皮炎(7.5%)和小肠结肠炎(7.5%)。结论达芬奇机器人辅助Swenson-like巨结肠根治术适用于婴儿期先天性常见型巨结肠的治疗,近期效果良好。 展开更多
关键词 先天性巨结肠 机器人手术 儿童 Swenson
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The “Traditional Chinese medicine regulating liver regeneration” treatment plan for reducing mortality of patients with hepatitis B-related liver failure based on real-world clinical data 被引量:7
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作者 Ling Dai Xiang Gao +4 位作者 zhihua ye Hanmin Li Xin Yao Dingbo Lu Na Wu 《Frontiers of Medicine》 SCIE CSCD 2021年第3期495-505,共11页
On the basis of real-world clinical data,the study aimed to explore the effect and mechanisms of the treatment plan of“traditional Chinese medicine(TCM)regulating liver regeneration.”A total of 457 patients with HBV... On the basis of real-world clinical data,the study aimed to explore the effect and mechanisms of the treatment plan of“traditional Chinese medicine(TCM)regulating liver regeneration.”A total of 457 patients with HBV-related liver failure were retrospectively collected.The patients were divided into three groups:the modern medicine control group(MMC group),patients treated with routine medical treatment;the control group combining traditional Chinese and Western medicine(CTW),patients treated with routine medical treatment plus the common TCM formula;and the treatment group of“TCM regulating liver regeneration”(RLR),patients treated with both routine medical treatment and the special TCM formula of RLR.After 8 weeks of treatment,the mortality of patients in the RLR group(12.31%)was significantly lower than those in the MMC(50%)and CTW(29.11%)groups.Total bilirubin level significantly decreased and albumin increased in the RLR group when compared with the MMC and CTW groups(P<0.05).In addition,there were significant differences in the expression of several cytokines related to liver regeneration in the RLR group compared with the MMC group.RLR treatment can decrease jaundice,improve liver function,and significantly reduce the mortality in patients with HBV-related liver failure.The mechanism may be related to the role of RLR treatment in influencing cytokines related to liver regeneration. 展开更多
关键词 hepatitis B virus-related liver failure traditional Chinese medicine liver regeneration liver regeneration microenvironment CYTOKINES
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