期刊文献+
共找到9篇文章
< 1 >
每页显示 20 50 100
Comparison of surgical indications for hysterectomy by age and approach in 4653 Chinese women 被引量:2
1
作者 Jingjing Jiang Ting Ding Aiyue Luo Yunping Lu Ding Ma Shixuan Wang 《Frontiers of Medicine》 SCIE CAS CSCD 2014年第4期464-470,共7页
Approximately one million hysterectomies are performed each year in China. However, national data regarding the indications and the surgical approaches for hysterectomy are lacking. The aim of this study was to examin... Approximately one million hysterectomies are performed each year in China. However, national data regarding the indications and the surgical approaches for hysterectomy are lacking. The aim of this study was to examine the surgical indications for hysterectomy in different age groups and the relative merits of different surgical approaches for hysterectomy in Chinese women. Clinical data from 4653 cases of hysterectomy performed in Tongji Hospital from 2004 to 2009 were analysed. Hysterectomy was most commonly performed among women aged 40-49 years (2299; 49.4%). Overall, colporrhagia and abdominal pain were the two most common indications for hysterectomy. The most common indications by age groups were as follows: malignant ovarian tumour, 〈 20 years; malignant uterine tumour, 20-29 and 30-39 years; uterine myoma, 40-49 and 50-59 years; and uterine prolapse, 60-69 and 〉 70 years. The proportion of malignant aetiology also varied by age, being the highest in women aged 〈 20 years (75.0%) and the lowest in those aged 40-49 years (19.9%). Approximately 35% women who had hysterectomies also had concomitant bilateral oophorectomy. The lowest rate of oophorectomy occurred in women aged 30-39years (15.8%), whereas the highest rate was in those aged 50-59years (75.9%). The abdominal surgical approach was used in 84% of all hysterectomies. Surgeries using the vaginal approach required a significantly shorter operating time (118 min average) than all other approaches (P 〈 0.05). Both the amount of bleeding and the blood transfusion volume required were smaller in vaginal approaches, with no significant differences between the others. The surgical approaches used were also related to the scope of surgery. Both the surgical indications and the rates of bilateral oophorectomy varied by age. In terms of both operating time and the amount of bleeding and blood transfusion volume required, the vaginal approach was superior to all other surgical approaches. 展开更多
关键词 HYSTERECTOMY surgical indications surgical approach bilateral oophorectomy
原文传递
Surgical Management of Abdominal Trauma: Indications and Outcomes in Two Emergency Units with Limited Infrastructure Resources in Yaoundé(Cameroon)
2
作者 Savom Eric Patrick Bang Guy Aristide +5 位作者 Biwole Biwole Daniel Bitang A. Mafok Louis Joss Bwelle Motto Georges Roger Ekani Boukar Mahamat Yannick Ngo Nonga Bernadette Essomba Arthur 《Surgical Science》 2021年第10期339-349,共11页
<span style="font-family:Verdana;"><strong>Introduction:</strong></span><span style="font-family:Verdana;"></span> <span style="font-family:Verdana;"... <span style="font-family:Verdana;"><strong>Introduction:</strong></span><span style="font-family:Verdana;"></span> <span style="font-family:Verdana;">Abdominal trauma is a major public health concern. Their management is controversial and difficult. Operative indications are not codified in all situations. <b></b></span><b><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">This was a descriptive cross-</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">sectional study over a period of 5 years, carried out in the surgical emergency department of the Central Hospital of Yaoundé and the Emergency Centre of Yaoundé. We reviewed retrospectively medical records of patients who had laparotomy after abdominal trauma. <b></b></span><b><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"></span></b></span><b> </b><span style="font-family:Verdana;">We collected 115 files. There was a male predominance (83.47%) and the average age was 33.8 years. The average time to admission was 12.3 hours and the aetiologies were dominated by road traffic accidents (53%). Abdominal contusions represented 69.56% of cases and abdominal wounds 30.44% of cases. Indications for surgery were hemodynamic instability, evidence of a lesion of a hollow viscus, the presence of evisceration or a gunshot wound, and initial non-operative treatment fail</span><span style="font-family:Verdana;">ure. Postoperative morbidity was 9.56% and overall mortality was 3.47%. </span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Conclusion</span><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">Surgical management of abdominal trauma is frequent in our setting, mainly indicated for hemodynamic instability. Results are good with a low morbi-mortality.</span> 展开更多
关键词 Abdominal Trauma Abdominal Contusion Abdominal Wound surgical indications Yaoundé
下载PDF
Surgical management of pituitary adenoma during pregnancy
3
作者 Xin-Yu Jia Xiao-Peng Guo +3 位作者 Yong Yao Kan Deng Wei Lian Bing Xing 《World Journal of Clinical Cases》 SCIE 2023年第12期2694-2707,共14页
BACKGROUND Although conservative treatment is typically recommended for pregnant patients with pituitary adenoma(PA),surgical treatment is occasionally necessary for those with acute symptoms.Currently,surgical interv... BACKGROUND Although conservative treatment is typically recommended for pregnant patients with pituitary adenoma(PA),surgical treatment is occasionally necessary for those with acute symptoms.Currently,surgical interventions utilized among these patients is poorly studied.AIM To evaluate the surgical indications,timing,perioperative precautions and postoperative complications of PAs during pregnancy and to provide comprehensive guidance.METHODS Six patients with PAs who underwent surgical treatment during pregnancy at Peking Union Medical College Hospital between January 1990 and June 2021 were recruited for this study.Another 35 pregnant patients who were profiled in the literature were included in our analysis.RESULTS The 41 enrolled patients had acute symptoms including visual field defects,severe headaches or vision loss that required emergency pituitary surgeries.PA apoplexies were found in 23 patients.The majority of patients(55.9%)underwent surgery in the second trimester of pregnancy.A multidisciplinary team was involved in patient care from the preoperative period through the postpartum period.With the exception of 1 patient who underwent an induced abortion and 1 fetus that died due to a nuchal cord,39 patients delivered successfully.Among them,37 fetuses were healthy until the most recent follow-up.CONCLUSION PA surgery during pregnancy is effective and safe during the second and third trimesters.Pregnant patients requiring emergency PA surgery require multidisciplinary evaluation and healthcare management. 展开更多
关键词 Pituitary adenoma PREGNANCY SURGERY surgical indication surgical timing
下载PDF
Retrospective analysis based on a clinical grading system for patients with hepatic hemangioma:A single center experience 被引量:1
4
作者 Cheng-Ming Zhou Jun Cao +5 位作者 Shao-Ke Chen Tuerhongjiang Tuxun Shadike Apaer Jing Wu Jin-Ming Zhao Hao Wen 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第7期2047-2053,共7页
BACKGROUND The optimal approach for managing hepatic hemangioma is controversial.AIM To evaluate a clinical grading system for management of hepatic hemangioma based on our 17-year of single institution experience.MET... BACKGROUND The optimal approach for managing hepatic hemangioma is controversial.AIM To evaluate a clinical grading system for management of hepatic hemangioma based on our 17-year of single institution experience.METHODS A clinical grading system was retrospectively applied to 1171 patients with hepatic hemangioma from January 2002 to December 2018.Patients were classified into four groups based on the clinical grading system and treatment:(1)Observation group with score<4(Obs score<4);(2)Surgical group with score<4(Sur score<4);(3)Observation group with score≥4(Obs score≥4);and(4)Surgical group with score≥4(Sur score≥4).The clinico-pathological index and outcomes were evaluated.RESULTS There were significantly fewer symptomatic patients in surgical groups(Sur score≥4 vs Obs score≥4,P<0.001;Sur score<4 vs Obs score<4,χ^(2)=8.60,P=0.004;Sur score≥4 vs Obs score<4,P<0.001).The patients in Sur score≥4 had a lower rate of in need for intervention and total patients with adverse event than in Obs score≥4(P<0.001;P<0.001).Nevertheless,there was no significant difference in need for intervention and total patients with adverse event between the Sur score<4 and Obs score<4(P>0.05;χ^(2)=1.68,P>0.05).CONCLUSION This clinical grading system appeared as a practical tool for hepatic hemangioma.Surgery can be suggested for patients with a score≥4.For those with<4,follow-up should be proposed. 展开更多
关键词 Hepatic hemangioma Clinical grading system surgical indication OUTCOME Postoperative complications
下载PDF
Reconsideration of the clinical management of hepatic hemangioma
5
作者 Zhi-Hong Zhang Chuang Jiang Jia-Xin Li 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第11期3623-3628,共6页
In this letter,we comment on the article by Zhou et al that was published in the recent issue of the World Journal of Gastrointestinal Surgery.This article proposes a new clinical grading system based on a multidiscip... In this letter,we comment on the article by Zhou et al that was published in the recent issue of the World Journal of Gastrointestinal Surgery.This article proposes a new clinical grading system based on a multidisciplinary team,which prompts us to rethink the clinical management of hepatic hemangioma.Hepatic hemangioma is the most common benign solid liver tumor.In general,follow-up and obser-vation for the vast majority of hepatic hemangioma is reasonable.For those pa-tients with symptoms and severe complications,surgical intervention is ne-cessary.Specific surgical indications,however,are still not clear.An effective grading system is helpful in further guiding the clinical management of hepatic hemangioma.In this article,we review the recent literature,summarize the sur-gical indications and treatment of hepatic hemangioma,and evaluate the potential of this new clinical grading system. 展开更多
关键词 Hepatic hemangioma surgical indication Clinical management Grading system Multidisciplinary team
下载PDF
Analysis of surgical indication and efficacy in hypertensive intracerebral hemorrhage
6
作者 李浩 《外科研究与新技术》 2011年第3期193-193,共1页
Objective To analyze the clinical data of patients who suffered from hypertensive intra cerebral hemorrhage (HICH) in West China Hospital of Sichuan University from 2006 to 2009,to evaluate the efficacy and prognosis ... Objective To analyze the clinical data of patients who suffered from hypertensive intra cerebral hemorrhage (HICH) in West China Hospital of Sichuan University from 2006 to 2009,to evaluate the efficacy and prognosis of surgical treatment and conservative treatment in HICH, to investigate the surgical and 展开更多
关键词 GCS WEST HICH Analysis of surgical indication and efficacy in hypertensive intracerebral hemorrhage
下载PDF
Volume of residual urine as an indication for surgical treatment of benign prostatic hyperplasia
7
作者 朱伟 《外科研究与新技术》 2003年第2期120-120,共1页
Objective To study the volume of residual urine as related to the surgical indication for BPH. Methods Urodynamic study was carried out in 103 BPH patients who were assigned to group A(no residual urine), group B( res... Objective To study the volume of residual urine as related to the surgical indication for BPH. Methods Urodynamic study was carried out in 103 BPH patients who were assigned to group A(no residual urine), group B( residual urine【 60 ml) and group C( residual urine 60 - 100 ml). Results Qmax, URA, DR and DI were not significantly different between group C and group B (P 】 0.05) but significantly different between group C and A or between B and A(P【0.05). Conclusion The conventional conception that surgical intervention is indicated when the residual urine being 】 60 ml should be strictly followed. Early surgical intervention should be undertaken if the bladder outlet obstruction or bladder function deteriorated by BPH causing residual urine. Other causes such as neurogenic should be ruled out before surgery. 10 refs,2 tabs. 展开更多
关键词 of Volume of residual urine as an indication for surgical treatment of benign prostatic hyperplasia
下载PDF
Recovery from Out-of-Hospital Cardiopulmonary Arrest Due to Type A Acute Aortic Dissection: A Case Report 被引量:1
8
作者 Yoko Sugawara Tomohiro Kurihara +7 位作者 Satoshi Ohtsubo Masanori Takamatsu Kenichiro Sasao Motojiro Takebe Shiho Irino Mirai Takahashi Takashi Hirotani Kazuhiko Sekine 《Case Reports in Clinical Medicine》 2016年第11期505-510,共6页
Case: A 55-year-old man without past medical histories suffering from back pain for two weeks was successfully resuscitated from an 8-min cardiopulmonary arrest (CPA) and was brought to our hospital by ambulance. Comp... Case: A 55-year-old man without past medical histories suffering from back pain for two weeks was successfully resuscitated from an 8-min cardiopulmonary arrest (CPA) and was brought to our hospital by ambulance. Computed tomography demonstrated type A acute aortic dissection (AAAD) with brachiocephalic artery occlusion. After admission, Glasgow Coma Scale score improved to E1VTM4, and voluntary movement was noted only in the right limbs. Outcome: The patient underwent emergency grafting of the ascending aorta and innominate artery under deep hypothermic circulatory arrest. After surgery, the patient recovered with mild disorientation and left hemiplegia. Magnetic resonance imaging of the head revealed no large infarction but revealed multiple acute ischemic changes. One year later, the patient demonstrated independent walk and successfully returned to work life. Conclusions: Immediate resuscitation and surgery resulted in good recovery from CPA after AAAD. 展开更多
关键词 Aortic Branch Artery Occlusion Cerebral Ischemia MALPERFUSION PROGNOSIS surgical Indication
下载PDF
Clinical outcome of ileal pouch-anal anastomosis for chronic ulcerative colitis in China 被引量:7
9
作者 Liu Gang Han Hongqiu Liu Tong Fu Qiang Lyu Yongcheng 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第8期1497-1503,共7页
Background The incidence of chronic ulcerative colitis (CUC) in China is remarkably increasing, while little information on surgical treatment has been reported. This study aimed to completely describe and analyze t... Background The incidence of chronic ulcerative colitis (CUC) in China is remarkably increasing, while little information on surgical treatment has been reported. This study aimed to completely describe and analyze the clinical outcome of restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA)for CUC in China. Methods Ninety-five consecutive patients, who suffered CUC and had surgical indications, were carefully selected. All patients underwent IPAA. Data on patient characteristics, surgical indications, surgical details, postoperative complications, functional outcome, and quality of life were collected. Results The mean patient age at the time of the operation was 32 years. Twenty-nine (31%) patients underwent an emergency operation, and 66 (69%) underwent elective procedures. Four patients with severe dysplasia underwent operations, but no carcinoma was histologically confirmed. A two-stage operation was performed in 87 (92%) patients, and a hand-sewn technique was applied in 88 (93%) patients. Sixteen patients (17.0%) experienced early complications, and there was a significant difference between the emergency surgery group and the elective group (31.0% vs. 10.6%, respectively; P 〈0.01). Five (5.3%) patients developed pouchitis as a late complication. The mean stool frequency after the operation was 4.6 (2-11) during the first 24 hours and 1.5 (0-4) overnight. According to the Kirwan grading scale, 87 (91.8%) patients showed satisfactory anal continence function. The quality of life improved significantly from a preoperative mean value of 0.28-0.61 before ileostomy closure to 0.78 after ileostomy closure (P 〈0.01) according to the Cleveland Global Quality of Life index. Conclusions IPAA is an effective and safe surgical procedure for patients with CUC in China. However, some characteristics, such as the low incidence of pouchitis, require further study. 展开更多
关键词 chronic ulcerative colitis ileal pouch-anal anastomosis surgical indication postoperative complication CHINESE
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部