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Surgical treatment ofpatients with severe non-flail chest rib fractures 被引量:6
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作者 Jian-Peng Zhang Lin Sun +3 位作者 Wei-Qiang Li Yan-Yu Wang Xin-Zhen Li Yang Liu 《World Journal of Clinical Cases》 SCIE 2019年第22期3718-3727,共10页
BACKGROUND Many patients have inadequate long-term analgesia,respiratory distress,and hypoxemia due to a long-standing substantial smoking history or the presence of primary pulmonary diseases;analgesic treatment is n... BACKGROUND Many patients have inadequate long-term analgesia,respiratory distress,and hypoxemia due to a long-standing substantial smoking history or the presence of primary pulmonary diseases;analgesic treatment is not valid in these patients.Even if the imaging findings of rib fractures are relatively mild,rib fractures may cause severe position limitation,respiratory distress,and hypoxemia.AIM To investigate the curative effect of surgical treatment for patients with severe non-flail chest rib fractures.METHODS A total of 78 patients from our hospital with severe noncontinuous thoracic rib fractures from September 2016 to September 2018 were enrolled in our study.Thirty-nine patients underwent surgical treatment,and 39 underwent conservative treatment.The surgical treatment group received surgery performed with titanium plates,and the screws were inserted with open reduction and internal fixation.The conservative treatment group received analgesia and symptomatic treatment.The pain scores at 72 h,1 wk,2 wk,4 wk,6 wk,3 mo,and 6 mo were compared,and the SF-36 quality of life scores were compared atthe 3rd and 6th months.RESULTS Pain relief in the surgical group was significantly better than that in the conservative group at each time point(72 h,1 wk,2 wk,4 wk,6 wk,3 mo,and 6 mo after surgery,P<0.001).The SF-36 scores were significantly higher in the surgical group than in the conservative group at 1 mo and 6 mo(P<0.05).CONCLUSION Patients with severe non-flail chest rib fractures have a better quality of life following surgical treatment than following conservative treatment,and surgical treatment is also useful for relieving pain.We should pay more attention to the physiological functions and clinical manifestations of patients with severe rib fractures.In patients with non-flail chest rib fractures,surgical treatment is feasible and effective. 展开更多
关键词 SEVERE Non-flail chest rib fractures treatment CONSERVATIVE surgery Internal fixation Quality of life
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SURGICAL TREATMENT OF METASTATIC SPINAL TUMOR 被引量:1
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作者 徐宏光 王以朋 +2 位作者 邱贵兴 叶启彬 张嘉 《Chinese Medical Sciences Journal》 CAS CSCD 2002年第3期183-188,共6页
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关键词 metastatic cancer spinal pain neurologic deficit surgery Objectives. To evaluate the effect of surgical treatment on metastatic spinal tumor.Methods. The results of surgical intervention for metastatic spinal tumor of 31 consecutive
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A Resection of the Giant First Left Rib Tumor and Chest Wall Reconstruction by Transmanubrial Osteomuscular Sparing Approach
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作者 Takanori Ayabe Masaki Tomita +2 位作者 Hiroki Mori Eiichi Chosa Kunihide Nakamura 《Open Journal of Thoracic Surgery》 2015年第3期35-42,共8页
A 64-year-old female had noticed an 11 × 6 cm mass growing on her left first rib. We performed a resection of the first and second ribs and a reconstruction of the chest wall. A thoracotomy was performed at the a... A 64-year-old female had noticed an 11 × 6 cm mass growing on her left first rib. We performed a resection of the first and second ribs and a reconstruction of the chest wall. A thoracotomy was performed at the anterolateral second intercostal space. The second rib cartilage was divided at the left parasternum. Based on a transmanubrial osteomuscular sparing approach, the left-upper part of the sternum and the first rib cartilage were both cut at the left clavicular-sternum joint. The posterior parts of the two ribs involving the tumor were resected at the transverse process of the vertebral bone by tearing off the anterior, middle, and posterior scalene muscles, subclavicular artery and vein. The defect size of the thorax was 15 × 9 cm, which was reconstructed by covering with a polytetrafluoroethylene dual mesh (Dual mesh, Gore tex, 2 mm). The major pectoral muscle flap was used to cover the mesh. The postoperative pathological examination diagnosed a poorly differentiated fibrosarcoma. Eventually, she had palliative therapy for the postoperative metastatic chest wall. She died 14 months after the operation. 展开更多
关键词 surgery Transmanubrial Osteomuscular Sparing APPROACH FIBROSARCOMA The FIRST RIB tumor chest Wall Reconstruction
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Gastric carcinoma originating from the heterotopic submucosal gastric gland treated by laparoscopy and endoscopy cooperative surgery 被引量:2
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作者 Taisuke Imamura Shuhei Komatsu +15 位作者 Daisuke Ichikawa Hiroki Kobayashi Mahito Miyamae Shoji Hirajima Tsutomu Kawaguchi Takeshi Kubota Toshiyuki Kosuga Kazuma Okamoto Hirotaka Konishi Atsushi Shiozaki Hitoshi Fujiwara Kiyoshi Ogiso Nobuaki Yagi Akio Yanagisawa Takashi Ando Eigo Otsuji 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2015年第8期118-122,共5页
Gastric carcinoma is derived from epithelial cells in the gastric mucosa. We reported an extremely rare case of submucosal gastric carcinoma originating from the heterotopic submucosal gastric gland(HSG) that was safe... Gastric carcinoma is derived from epithelial cells in the gastric mucosa. We reported an extremely rare case of submucosal gastric carcinoma originating from the heterotopic submucosal gastric gland(HSG) that was safely diagnosed by laparoscopy and endoscopy cooperative surgery(LECS). A 66-year-old man underwent gastrointestinal endoscopy, which detected a submucosal tumor(SMT) of 1.5 cm in diameter on the lesser-anterior wall of the upper gastric body. The tumor could not be diagnosed histologically, even by endoscopic ultrasound-guided fine-needle aspiration biopsy. Local resection by LECS was performed to confirm a diagnosis. Pathologically, the tumor was an intra-submucosal well differentiated adenocarcinoma invading 5000 μm intothe submucosal layer. The resected tumor had negative lateral and vertical margins. Based on the Japanese treatment guidelines, additional laparoscopic proximal gastrectomy was curatively performed. LECS is a less invasive and safer approach for the diagnosis of SMT, even in submucosal gastric carcinoma originating from the HSG. 展开更多
关键词 HETEROTOPIC SUBMUCOSAL gland Laparoscopyand ENDOSCOPY cooperative surgery GASTRIC carcinoma GASTRIC SUBMUCOSAL tumor Less invasive treatment
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Neoadjuvant peptide receptor radionuclide therapy for an inoperable neuroendocrine pancreatic tumor 被引量:2
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作者 Daniel Kaemmerer Vikas Prasad +4 位作者 Wolfgang Daffner Dieter Hrsch Günter Klppel Merten Hommann Richard P Baum 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第46期5867-5870,共4页
Pancreatic endocrine tumors are rare but are among the most common neuroendocrine neoplasms of the abdomen.At diagnosis many of them are already advanced and diff icult to treat.We report on an initially inoperable ma... Pancreatic endocrine tumors are rare but are among the most common neuroendocrine neoplasms of the abdomen.At diagnosis many of them are already advanced and diff icult to treat.We report on an initially inoperable malignant pancreatic endocrine tumor in a 33-year-old woman,who received neoadjuvant peptide receptor radionuclide therapy(PRRT)as firstline treatment.This resulted in a signif icant downstaging of the tumor and allowed its subsequent complete surgical removal.Follow-up for eighteen months revealed a complete remission.This is the first report on neoadjuvant PRRT in a neuroendocrine neoplasm with subsequent successful complete resection. 展开更多
关键词 Endocrine pancreatic carcinoma Peptidereceptor radionuclide therapy Neodjuvant treatment Pancreatic surgery Molecular imaging Receptor pan-creatic endocrine tumor Computed tomography
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Surgical chest complications after liver transplantation 被引量:1
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作者 Apostolos C Agrafiotis Konstantina-Eleni Karakasi +3 位作者 Mathilde Poras Stavros Neiros Stella Vasileiadou Georgios Katsanos 《World Journal of Transplantation》 2022年第11期359-364,共6页
Liver transplantation is a major abdominal operation and the intimate anatomic relation of the liver with the right hemidiaphragm predisposes the patient to various manifestations in the chest cavity.Furthermore,chron... Liver transplantation is a major abdominal operation and the intimate anatomic relation of the liver with the right hemidiaphragm predisposes the patient to various manifestations in the chest cavity.Furthermore,chronic liver disease affects pulmonary function before and after liver transplantation resulting in a considerable percentage of patients presenting with morbidity related to chest complications.This review aims to identify the potential chest complications of surgical interest during or after liver transplantation.Complications of surgical interest are defined as those conditions that necessitate an invasive procedure(such as thoracocentesis or a chest tube placement)in the chest or a surgical intervention performed by a thoracic surgeon.These complications will be classified as perioperative and postoperative;the latter will be categorized as early and late.Although thoracocentesis or a chest tube placement is usually sufficient when invasive measures are deemed necessary,in some patients,thoracic surgical interventions are warranted.A high index of suspicion is needed to recognize and treat these conditions promptly.A close collaboration between abdominal surgeons,intensive care unit physicians and thoracic surgeons is of paramount importance. 展开更多
关键词 Surgical chest complications Liver transplantation chest related morbidity Multidisciplinary treatment surgery
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Robot-assisted retroperitoneal laparoscopic excision of perirenal vascular tumor: A case report
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作者 Cheng Zhang Bin Fu +4 位作者 Song Xu Xiao-Chen Zhou Xiao-Feng Cheng Wen-Qing Fu Gong-Xian Wang 《World Journal of Clinical Cases》 SCIE 2020年第10期2050-2055,共6页
BACKGROUND A vascular tumor is a benign tumor with unique clinical and pathological features.Perirenal vascular tumor is extremely rare and has not yet been reported.Clinically,it manifests as soreness and swelling.Co... BACKGROUND A vascular tumor is a benign tumor with unique clinical and pathological features.Perirenal vascular tumor is extremely rare and has not yet been reported.Clinically,it manifests as soreness and swelling.Color ultrasound and renal angiography illustrated the perirenal mass,which was closely connected with the kidney and the surrounding tissues and organs.Histology showed extensive embedded perirenal fat,and thin-walled vascular tissue displayed a pink stain due to red blood cells.CASE SUMMARY Herein,a case of robot-assisted retroperitoneal laparoscopic excision of a perirenal vascular tumor is reported.Analysis of the clinical,biological,and histological features of the perirenal vascular tumor can provide an in-depth understanding of the disease,which provides a theoretical and practical basis for better diagnosis and treatment.CONCLUSION This study contributes to a practical basis for the diagnosis and treatment of perirenal hemangiom. 展开更多
关键词 KIDNEY Vascular tumor treatment Robot-assisted surgery
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Esophagogastric junctional neuroendocrine tumor with adenocarcinoma:A case report
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作者 Zhen-Zhen Kong Lu Zhang 《World Journal of Clinical Cases》 SCIE 2022年第18期6241-6246,共6页
BACKGROUND At present,cases of esophageal neuroendocrine tumors combined with cardia adenocarcinoma are extremely rare worldwide,and there are no clinical reports.Herein,we describe such a case for clinical reference.... BACKGROUND At present,cases of esophageal neuroendocrine tumors combined with cardia adenocarcinoma are extremely rare worldwide,and there are no clinical reports.Herein,we describe such a case for clinical reference.CASE SUMMARY The presence of cardia cancer and esophageal neuroendocrine tumors in a single patient has not yet been reported.The patient in this case underwent prompt endoscopic treatment and additional surgical resection.Pathology revealed the following:The distance between the cardia cancer and the esophageal neuroendocrine tumors was small,approximately 3 mm.Vascular invasion was observed.The esophageal neuroendocrine tumor was determined to be grade G3.According to the treatment guidelines,after the patient received an explanation of their condition,additional surgical procedures were provided in a timely manner.Early detection and early treatment can successfully prolong survival and improve the quality of life of patients.CONCLUSION Early detection and early treatment can successfully prolong survival and improve the quality of life of such patients. 展开更多
关键词 Esophageal neuroendocrine tumor Cardia moderately differentiated adenocarcinoma Endoscopic treatment surgery PATHOLOGY Case report
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Clinicopathological study of malignant peripheral nerve sheath tumors in the head and neck:Case reports and review of literature
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作者 Long Li Xiao-Kun Ma +4 位作者 Yan Gao Dian-Can Wang Rong-Fang Dong Jing Yan Ran Zhang 《World Journal of Clinical Cases》 SCIE 2023年第25期5910-5918,共9页
BACKGROUND Malignant peripheral nerve sheath tumor(MPNST)is a rare and aggressive soft tissue sarcoma that poses a major diagnostic and therapeutic challenge.CASE SUMMARY We retrospectively reviewed patients with head... BACKGROUND Malignant peripheral nerve sheath tumor(MPNST)is a rare and aggressive soft tissue sarcoma that poses a major diagnostic and therapeutic challenge.CASE SUMMARY We retrospectively reviewed patients with head and neck MPNSTs treated in our hospital from 2000 to 2021.The clinical features,pathological manifestations,treatments,and prognoses were summarized.We also reviewed the literature,focusing on MPNST in the mandible and maxilla.The study population consisted of five women and five men aged 22–75 years(mean age,49 years).Of the 10 patients,7 were initial cases and 3 were recurrent cases.All lesions were sporadic.The most common site was the mandible.The most frequently encountered symptoms were a progressive mass and local swelling.Complete or partial loss of trimethylation at lysine 27 of histone H3(H3K27me3)was evident on staining in four of nine cases(one case was excluded due to lack of tissue for evaluation of loss of H3K27me3).The 2-and 5-year disease-specific survival rates were 86%a nd 43%,respectively.The average survival time was 64 mo.CONCLUSION MPNST is a highly malignant tumor with a poor prognosis,prone to a high risk of recurrence and distant metastasis.Complete surgical resection is the main treatment. 展开更多
关键词 Malignant peripheral nerve sheath tumor Head and neck treatment INTRAOSSEOUS surgery Case report
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改良型胸带对甲状腺肿瘤患者术后舒适度的影响
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作者 曾安娜 许倩倩 +1 位作者 蒋倩 张仑 《河北医药》 CAS 2024年第19期2985-2988,共4页
目的分析甲状腺肿瘤患者术后应用改良胸带对患者术后舒适度的影响,为患者术后症状改善和舒适度提升提供一定指导。方法选取2020年4月至2022年7月140例接受手术治疗的甲状腺肿瘤患者,按照患者术后胸带使用情况将其分成2组,其中常规组60例... 目的分析甲状腺肿瘤患者术后应用改良胸带对患者术后舒适度的影响,为患者术后症状改善和舒适度提升提供一定指导。方法选取2020年4月至2022年7月140例接受手术治疗的甲状腺肿瘤患者,按照患者术后胸带使用情况将其分成2组,其中常规组60例,术后采用的是传统胸带,改良组80例,采用的是改良胸带,对比2组患者手术前后舒适度评分、疼痛以及抑郁和焦虑评分,并观察记录2组术后不良反应发生情况。结果2组手术前的舒适度评分、疼痛评分以及抑郁和焦虑评分组间对比均无明显差异(P>0.05);手术后2组的生理、心理、社会文化、环境及GCQ总分均较同组手术前下降,改良组各维度评分及舒适度总分均高出常规组(P<0.05);手术后2组的NRS评分较同组手术前明显升高,改良组低于常规组(P<0.05),手术后2组的SAS和SDS评分均较同组手术前下降,且改良组低于常规组(P<0.05);改良组的术后不良反应发生率明显低于常规组(P<0.05)。结论在甲状腺肿瘤患者围术期护理干预中,相较于传统胸带,冰袋组件可固定的改良胸带能够促进患者术后舒适度提升,并且有助于改善患者不良身体状况和负性情绪,同时能够降低术后不良反应发生风险,对于患者术后恢复具有重要意义。 展开更多
关键词 甲状腺肿瘤 手术治疗 改良型胸带 冰袋组件 舒适度
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妇科恶性肿瘤术后下肢淋巴水肿患者CDT治疗依从性的质性研究
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作者 俞晓燕 晁玥畦 +1 位作者 谢群 陈玲 《中国医药指南》 2024年第34期13-16,共4页
目的探究妇科恶性肿瘤术后下肢淋巴水肿患者行淋巴水肿综合消肿治疗(CDT)的依从性。方法采用质性研究中Colaizzi七步法对2023年3月至2024年3月于福建省妇幼保健院确诊为妇科恶性肿瘤者且术后出现下肢淋巴水肿的15例患者进行深入观察与访... 目的探究妇科恶性肿瘤术后下肢淋巴水肿患者行淋巴水肿综合消肿治疗(CDT)的依从性。方法采用质性研究中Colaizzi七步法对2023年3月至2024年3月于福建省妇幼保健院确诊为妇科恶性肿瘤者且术后出现下肢淋巴水肿的15例患者进行深入观察与访谈,归类整理其访谈内容,找出其回答中各要素的共性,对反映出的现象做出讨论。结果由访谈得知患者在认知方面存在信息缺乏和认知误区;心理存在一定变化,常有不确定感和复发恐惧、对疾病和疼痛常保持忍耐心态;在治疗过程中渴望家庭与社会的支持,社交层面变狭窄。结论CDT可提高患者对疾病、治疗方面的认知;让患者处于积极、乐观心态;通过加强家庭、社区和专业机构之间的合作来提高患者治疗依从性。 展开更多
关键词 妇科恶性肿瘤术后 下肢淋巴水肿 治疗依从性 质性研究
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中枢神经系统多层菊花团的胚胎性肿瘤诊疗研究进展
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作者 李洁 邓吉云 《中国卫生标准管理》 2024年第9期195-198,共4页
近年随着脑肿瘤分子生物学的发展,具有不同组织形态的富含神经毡和真菊形团的胚胎性肿瘤、髓上皮瘤及室管膜母细胞瘤归属于同一分子实体,统称为多层菊花团的胚胎性肿瘤(embryonal tumor with multilayered rosettes,ETMR)。这些肿瘤的... 近年随着脑肿瘤分子生物学的发展,具有不同组织形态的富含神经毡和真菊形团的胚胎性肿瘤、髓上皮瘤及室管膜母细胞瘤归属于同一分子实体,统称为多层菊花团的胚胎性肿瘤(embryonal tumor with multilayered rosettes,ETMR)。这些肿瘤的罕见性和更新给诊断和治疗带来了挑战。文章主要对ETMR的临床表现、影像特点、诊断及临床研究情况进行回顾分析,以期为临床管理提供指导帮助。对ETMR的临床特点及诊断治疗的研究情况进行文献综述。典型的组织学特点联合分子生物学改变,可以更好地诊断ETMR。目前ETMR的治疗建议主要基于小型、主要是回顾性患者队列的数据。普遍推荐最大安全切除,适应年龄和风险的放疗、化疗为ETMR主要治疗手段,早期放疗可能改善预后。 展开更多
关键词 多层菊花团的胚胎性肿瘤 诊断 治疗 手术 放射治疗 化疗
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微创旋切术与开放手术治疗乳腺良性肿瘤的临床效果分析
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作者 邢潇潇 《医学研究前沿》 2024年第6期33-35,共3页
目的分析微创旋切术与开放手术治疗乳腺良性肿瘤的临床效果。方法研究样本选自我院收治的乳腺良性肿瘤患者,共有90例,其选取时间为2023.01-2024.07。将纳入样本以手术治疗方式进行分组,参考组(n=45)施行开放手术治疗,观察组(n=45)施行... 目的分析微创旋切术与开放手术治疗乳腺良性肿瘤的临床效果。方法研究样本选自我院收治的乳腺良性肿瘤患者,共有90例,其选取时间为2023.01-2024.07。将纳入样本以手术治疗方式进行分组,参考组(n=45)施行开放手术治疗,观察组(n=45)施行微创旋切术治疗。对比分析二组的治疗有效性、并发症发生率。结果对比治疗有效性,治疗后观察组高于参考组(P<0.05)。对比并发症发生率,治疗后观察组低于参考组(P<0.05)。结论相较于开放手术而言,对乳腺良性肿瘤患者施行微创旋切术的效果更佳,减少并发症发生,值得借鉴。 展开更多
关键词 微创旋切术 开放手术 乳腺良性肿瘤 应激指标 治疗有效性
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21世纪以来胃癌治疗进展及未来展望 被引量:4
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作者 许永虎 徐大志 《中国癌症杂志》 CAS CSCD 北大核心 2024年第3期239-250,共12页
胃癌作为中国发病率及死亡率均位居前列的恶性肿瘤,具有异质性高、预后差等特点。进入21世纪,随着基因组学、腹腔镜微创技术、靶向治疗及免疫治疗的迅速发展,胃癌诊疗水平取得了长足进步。本文总结21世纪以来胃癌防治领域中的重要研究进... 胃癌作为中国发病率及死亡率均位居前列的恶性肿瘤,具有异质性高、预后差等特点。进入21世纪,随着基因组学、腹腔镜微创技术、靶向治疗及免疫治疗的迅速发展,胃癌诊疗水平取得了长足进步。本文总结21世纪以来胃癌防治领域中的重要研究进展,并对未来进行展望,期待在胃癌早期筛查、诊断和精准治疗方面取得更大进步和突破,进一步提高患者的总生存率,将胃癌转变为可以控制的“慢性病”。 展开更多
关键词 胃癌 微创治疗 肿瘤分期 D2根治术 围手术期治疗 靶向治疗 免疫治疗 进展 展望
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李忠教授运用中医外科理论辨证论治肿瘤
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作者 王羽嘉 付蔷 +3 位作者 孙可意 王俊霏 朱雪莹 李忠 《中国医药导报》 CAS 2024年第12期124-127,共4页
传统上,临床大部分肿瘤均属于中医外科疾病范畴。中医外科众多医家详细探讨了其病因病机及治疗,许多外科方药治疗肿瘤效果确切,在文献中均有载明。中医外科疾病致病因素包括外因与内因,疾病的发展与“气”“血”关系密切;其基本病机为... 传统上,临床大部分肿瘤均属于中医外科疾病范畴。中医外科众多医家详细探讨了其病因病机及治疗,许多外科方药治疗肿瘤效果确切,在文献中均有载明。中医外科疾病致病因素包括外因与内因,疾病的发展与“气”“血”关系密切;其基本病机为“营气不从,经络阻塞”;在诊疗中形成独特“护场”理论;以“消”“托”“补”为三大临床治疗法则。李忠教授在肿瘤临床诊治中证明:灵活运用中医外科理论辨证论治肿瘤,可收获意想不到的疗效。本文通过梳理中医外科辨证论治肿瘤的脉络及理论,并结合李忠教授学术思想及临床经验,以期为肿瘤临床治疗提供新思路。 展开更多
关键词 肿瘤 中医外科 理论 治疗 临床经验
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重症胸外伤急诊救治经验及临床效果分析
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作者 丁凯 《临床医药实践》 2024年第7期502-505,共4页
目的:总结并分析重症胸外伤的急诊救治经验及临床效果。方法:回顾性分析2022年11月-2023年11月收治的重症胸外伤37例患者的临床资料及救治经验和效果。结果:37例患者中致伤原因多为车祸伤,其次为高处坠落和重物砸伤。闭合性胸外伤32例,... 目的:总结并分析重症胸外伤的急诊救治经验及临床效果。方法:回顾性分析2022年11月-2023年11月收治的重症胸外伤37例患者的临床资料及救治经验和效果。结果:37例患者中致伤原因多为车祸伤,其次为高处坠落和重物砸伤。闭合性胸外伤32例,开放性胸外伤5例;合并颅脑损伤21例,合并腹部损伤8例,合并四肢、骨盆及脊柱骨折13例;急诊手术26例,择期手术12例;治愈31例,自动出院3例(均合并颅脑损伤,家属放弃治疗),死亡3例,治愈率83.8%。结论:重症胸外伤发病突然,起病急,伤情重,且多为合并其他脏器损伤的复合伤,病死率高,救治难度大,一旦接诊,应开通绿色救命通道,尽快完成液体复苏,有手术指证者尽早手术,同时注意多学科协作,提高救治成功率。 展开更多
关键词 胸部损伤 重症胸外伤 急诊手术 治疗效果
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腔镜下甲状腺手术的疗效与方法学
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作者 傅朝春 徐安书 +3 位作者 侯勇 杨晓宾 周莉花 陈永伦 《云南医药》 CAS 2024年第1期15-19,共5页
目的对比经胸乳途径腔镜下甲状腺手术与传统甲状腺手术的疗效,观察患者对两种术式的认可度。方法回顾本院2019年9月-2021年1月收治的74例甲状腺良性肿瘤患者的临床资料,按手术入路分传统组(30例)和经胸乳组(44例),传统组均按传统术式完... 目的对比经胸乳途径腔镜下甲状腺手术与传统甲状腺手术的疗效,观察患者对两种术式的认可度。方法回顾本院2019年9月-2021年1月收治的74例甲状腺良性肿瘤患者的临床资料,按手术入路分传统组(30例)和经胸乳组(44例),传统组均按传统术式完成甲状腺切除,经胸乳组均经胸乳入路行腔镜下甲状腺切除。比较2组手术耗时、术中出血量、术后引流量、住院天数、疼痛程度、并发症发生情况和手术满意度。结果2组患者均顺利完成既定手术,除术后引流量2组间无统计学差异外,经胸乳组患者的手术耗时、术中出血量、住院天数、VAS评分均优于传统组,差异有统计学意义(74.40±9.35min VS 112.20±12.45min,35±5mL VS 70±9mL,4.75±1.23d VS 10.20±1.78d,3.25±0.56 VS 6.42±1.22,P均<0.05)。传统组并发症发生率高于经胸乳组,差异有统计学意义(20.00%VS 4.55%,P<0.05)。经胸乳组患者的满意度明显高于传统组,差异有统计学意义(72.73%VS 60.00%,P<0.05)。结论与传统甲状腺切除手术比较,经胸乳组胸乳入路腔镜下甲状腺切除术式具有手术时间短、出血量少、患者恢复快、切口美观、患者满意度高等优点,值得推广应用。 展开更多
关键词 甲状腺良性肿瘤 胸乳途径 腔镜甲状腺手术 患者满意度
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基于ERAS理念探讨妇科肿瘤围手术期中医药治疗
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作者 韩娜娜 《中国民族民间医药》 2024年第9期8-12,共5页
加速康复外科以循证医学为证据,优化并改进治疗措施,减少手术创伤,改善围手术期应激反应,以加快术后康复。中医药防治妇科肿瘤,对不同肿瘤治疗阶段采取相应干预措施,其指导思想与加速康复外科理念高度契合。文章基于加速康复外科理念从... 加速康复外科以循证医学为证据,优化并改进治疗措施,减少手术创伤,改善围手术期应激反应,以加快术后康复。中医药防治妇科肿瘤,对不同肿瘤治疗阶段采取相应干预措施,其指导思想与加速康复外科理念高度契合。文章基于加速康复外科理念从术前、术中、术后三个时间段探讨中医药治疗在妇科肿瘤围手术期的应用,为其临床应用推广提供科学的理论依据。 展开更多
关键词 中医药治疗 围手术期 妇科肿瘤术后 加速康复外科
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纤维支气管镜在胸部肿瘤术后肺不张治疗中的应用 被引量:9
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作者 王卫杰 郭海周 +1 位作者 宋清荣 黄天臣 《中国内镜杂志》 CSCD 北大核心 2010年第4期424-426,429,共4页
目的探讨床边纤维支管气镜吸痰和支气管肺泡灌洗治疗胸部肿瘤术后肺不张的临床应用价值及安全性。方法对225例胸部肿瘤术后肺不张患者在心电监护,经皮血氧饱和度监测下,床边表面麻醉后经纤维支气管镜吸痰和支气管肺泡灌洗治疗,观察对比... 目的探讨床边纤维支管气镜吸痰和支气管肺泡灌洗治疗胸部肿瘤术后肺不张的临床应用价值及安全性。方法对225例胸部肿瘤术后肺不张患者在心电监护,经皮血氧饱和度监测下,床边表面麻醉后经纤维支气管镜吸痰和支气管肺泡灌洗治疗,观察对比治疗前后的胸片、临床表现、经皮血氧饱和度等指标。结果 225例胸部肿瘤术后肺不张患者经纤维支气管镜吸痰和支气管肺泡灌洗治疗效果明显,且无严重并发症发生。1次吸痰灌洗后临床症状和胸片明显改善,血氧饱和度升高,并在24h内肺复张者187例,经2次吸痰灌洗后肺复张者28例,经3次反复吸痰灌洗的9例,仅1例年老体弱者是在4次反复冲洗吸痰并注入有效抗菌素后肺复张。结论纤维支气管镜吸痰和支气管肺泡灌洗治疗胸部肿瘤术后肺不张是一种较为安全有效的方法,但应考虑到各种不利因素,做好必要的抢救准备。 展开更多
关键词 纤维支管气镜 支气管肺泡灌洗 胸部肿瘤/外科治疗 肺不张
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胸部炎性肌纤维母细胞瘤的诊断与治疗 被引量:9
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作者 张竞 王云喜 +1 位作者 初向阳 刘毅 《南方医科大学学报》 CAS CSCD 北大核心 2012年第1期135-138,共4页
目的探讨胸部炎性肌纤维母细胞瘤(IMT)的病因、临床诊断、治疗方法及预后,以进一步提高对本病的认识。方法回顾性分析2005年4月~2011年7月我院收治的12例胸部炎性肌纤维母细胞瘤患者的临床资料,其中男性9例,女性3例;年龄36~81岁,平均... 目的探讨胸部炎性肌纤维母细胞瘤(IMT)的病因、临床诊断、治疗方法及预后,以进一步提高对本病的认识。方法回顾性分析2005年4月~2011年7月我院收治的12例胸部炎性肌纤维母细胞瘤患者的临床资料,其中男性9例,女性3例;年龄36~81岁,平均年龄60.08岁。5例行肺叶切除+纵膈淋巴结清扫术,2例行肺叶切除术,肺叶局部切除术、纵隔肿物切除术及肋骨切除术各1例,行保守治疗2例。结果手术患者术后均平稳恢复,病理检查均未发现淋巴结转移;所有患者均随访,随访时间2月~5年,无肿瘤复发或转移征象。保守治疗患者1例随访3月肿瘤无明显变化,另1例患者病变基本消失。结论胸部炎性肌纤维母细胞瘤是少见的良性肿瘤,但少数具有复发倾向及恶变潜能,明确诊断主要依靠病理检查结果。治疗以手术切除为主,可辅以其它治疗。所有IMT患者治疗后应密切随访。 展开更多
关键词 炎性肌纤维母细胞瘤 胸部肿瘤 外科手术
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