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2型糖尿病并发肺结核的治疗效果
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作者 汪来水 《大医生》 2018年第5期102-104,共3页
目的探讨2型糖尿病并发肺结核的治疗效果。方法选取近年来本院收治的100例2型糖尿病并发肺结核患者,随机分为观察组和对照组,各50例。对照组予以常规西药治疗,观察组在此基础上予以个体化营养干预。比较两组患者治疗效果、血糖浓度以及... 目的探讨2型糖尿病并发肺结核的治疗效果。方法选取近年来本院收治的100例2型糖尿病并发肺结核患者,随机分为观察组和对照组,各50例。对照组予以常规西药治疗,观察组在此基础上予以个体化营养干预。比较两组患者治疗效果、血糖浓度以及痰菌转阴率。结果治疗后,观察组的临床治疗效果以及痰液转阴率显著优于对照组(P<0.05),观察组CD4+、CD4+/CD8+水平、餐后血糖、空腹血糖以及糖化血红蛋白浓度的改善情况显著优于对照组(P<0.05)。结论 2型糖尿病并肺结核患者采用个体化营养治疗的方法可以取得更好的临床治疗效果,改善患者血糖浓度以及痰液转阴率。 展开更多
关键词 2型糖尿病合并肺结核 临床治理效果 治疗方法
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Clinico-pathological study and treatment results of 1009 operable breast cancer cases:Experience of NCI Cairo University,Egypt
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作者 Magda El Mongy Hesham El Hossieny +1 位作者 Farouk Haggag Rania Fathy 《The Chinese-German Journal of Clinical Oncology》 CAS 2010年第7期409-415,共7页
Objective: This retrospective study was designed to evaluate ciinico-pathological data including stage, results of treatment, and prognostic factors which affect the overall survival & disease free survival. Methods... Objective: This retrospective study was designed to evaluate ciinico-pathological data including stage, results of treatment, and prognostic factors which affect the overall survival & disease free survival. Methods: This was a retrospective study carried out at the Radiotherapy Department, National Cancer Institute, Cairo University, Egypt on 1009 patients treated for primary breast cancer between 1999-2003. Results: The median follow-up was 68 months. Loco regional relapse occurred in 23 patients (2.3%) and distant relapse occurred in 203 patients (20.1%). Both Ioco regional and distant relapse were reported in 32 patients (3.2%). The disease free survival (DFS) at 3 and 5 years were 87% and 78% respectively, while OAS at 3 and 5 years were 96.4% and 91.4% respectively. Multivariate analysis of different prognostic factors showed that the independent bad prognostic factors in the study for disease relapse were positive lymph nodes (LNs, more than 10), tumor size T3, T4 with significance of 0.0001 for each, and pathologic grade with significance of 0.003. Conclusion: The most important independent bad prognostic factors for relapse are positive LNs more than 10, tumor size T3, T4 and pathologic grade. The timing of radiotherapy affects the disease free survival significantly also it is recommended to analyze the group of patients with LNs negative using well designed randomized trials. 展开更多
关键词 Clinico-pathological study breast cancer RETROSPECTIVE
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Microsurgical Resection of Pituitary Adenoma via Single-Nostril Transsphenoidal Approach
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作者 Hengzhu Zhang Xian Zhang Hongmei Du Yongkang Wu Lun Dun Lei She Xiaodong Wang Xueqiang Shi Cunlin Xu 《Clinical oncology and cancer researeh》 CAS CSCD 2009年第6期446-450,共5页
OBJECTIVE To explore the methods and experience of thesingle-nostril transsphenoidal approach for treating pituitaryadenomas.METHODS We retrospectively analyzed 46 patients whohad pituitary tumors and received surgery... OBJECTIVE To explore the methods and experience of thesingle-nostril transsphenoidal approach for treating pituitaryadenomas.METHODS We retrospectively analyzed 46 patients whohad pituitary tumors and received surgery via the singlenostriltranssphenoidal approach and observed the effects andcomplications of surgery. The specific surgical methods are: a nasalspeculum is inserted slowly through the right nostril towards theanterior wall of the sphenoid sinus. A 1.5 cm incision is made intothe nasal mucosa in the right nasal cavity at the level of the middlenasal turbinate. By fracturing the bony septum, a space is formedbetween the bilateral nasal mucosa and the bony septum of thesphenoid sinus. Then, the inside of the sphenoid sinus is exposed.The remaining part of the bony septum, the anterior sphenoidsinus wall, and the sphenoid mucosa are gradually removed. Theanterior sphenoidotomy is less than 1.5 cm wide. After confirmingthe tumor by dural puncture, a cross incision of the dura is made,and the tumor is slowly removed by curette. The sella is usuallycollapsed and visible after the total tumor removal. When thetumor is resected satisfactorily, gelatin sponges are placed into theoperative cavity to stop bleeding.RESULTS Postoperative MRI scans revealed that among the 46cases, total resection of the tumor was achieved in 34 cases andsubtotal in 12. No deaths or disability occurred, and the hormonelevels of almost all patients improved. Signs of diabetes insipidusoccurred in 17, electrolyte disturbances in 5, and there were noreports of postoperative cerebrospinal fluid rhinorrhea.CONCLUSION The direct single nostril transsphenoidalapproach of continuous improvement has the advantages ofa convenient approach, simplified operation, safety and highefficiency. 展开更多
关键词 single-nostril transsphenoid approach MICROSURGERY pituitary adenoma.
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