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杂交手术治疗急性下肢动脉栓塞的临床疗效分析
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作者 蔡龙 《基层医学论坛》 2019年第19期2803-2804,共2页
目的分析杂交手术治疗急性下肢动脉栓塞的临床疗效。方法选取2018年2月-12月我院收治的急性下肢动脉栓塞患者64例,将其随机分为对照组(Fogarty导管取栓手术)和治疗组(杂交手术治疗),比较2组患者的临床疗效。结果相比对照组,治疗组患者... 目的分析杂交手术治疗急性下肢动脉栓塞的临床疗效。方法选取2018年2月-12月我院收治的急性下肢动脉栓塞患者64例,将其随机分为对照组(Fogarty导管取栓手术)和治疗组(杂交手术治疗),比较2组患者的临床疗效。结果相比对照组,治疗组患者治疗后的踝肱指数明显改善,截肢率低,并发症少,均有显著差异(P<0.05)。结论对急性下肢动脉栓塞患者采取杂交手术治疗,并发症发生少,患者截肢率低,踝肱指数明显改善。 展开更多
关键词 急性下肢动脉栓塞 杂交手术 临床疗效并发症
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糖尿病视网膜病变激光光凝治疗的疗效分析 被引量:2
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作者 樊保红 《基层医学论坛》 2016年第17期2444-2445,共2页
目的分析激光光凝疗法治疗糖尿病视网膜病变(DR)的临床疗效。方法以我院2012年1月—2015年6月期间收治的97例DR患者为研究对象,对其临床病历资料、激光光凝治疗过程进行回顾,运用荧光血管造影法统计其黄斑水肿以及玻璃体积血等指标,... 目的分析激光光凝疗法治疗糖尿病视网膜病变(DR)的临床疗效。方法以我院2012年1月—2015年6月期间收治的97例DR患者为研究对象,对其临床病历资料、激光光凝治疗过程进行回顾,运用荧光血管造影法统计其黄斑水肿以及玻璃体积血等指标,持续随访半年以上,并统计本组的临床疗效。结果本组97例(194只眼)患者的治疗有效率为91.3%。经6~8个月的随访观察,97例患者中,7只(3.6%)患眼出现黄斑水肿,经再次光凝治疗后水肿明显消退;9只(4.6%)患眼有玻璃体积血,经玻璃体切割术联合玻璃腔内曲安奈德注射治疗,并补充激光治疗后,9只患眼均成功治愈。随访期间内,本组患者中未发生青光眼、视网膜脱落等并发症。结论采用激光光凝疗法治疗DR的疗效好,可以有效阻止视力退化,减轻患者的身心负担,值得临床深入研究和应用。 展开更多
关键词 糖尿病视网膜病变 激光光凝 临床疗效并发症
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胸腰段脊柱骨折患者后路内固定融合术疗效分析 被引量:3
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作者 秦聪聪 《基层医学论坛》 2015年第6期730-731,共2页
目的探讨胸腰段脊柱骨折采用后路内固定融合术治疗的临床疗效。方法选取我院2011年6月—2013年6月收治的59例胸腰段脊柱骨折患者,根据手术治疗方法分为前路内固定融合术组28例与后路内固定融合术组31例,比较2组患者手术成功率及其并发... 目的探讨胸腰段脊柱骨折采用后路内固定融合术治疗的临床疗效。方法选取我院2011年6月—2013年6月收治的59例胸腰段脊柱骨折患者,根据手术治疗方法分为前路内固定融合术组28例与后路内固定融合术组31例,比较2组患者手术成功率及其并发症情况。结果后路内固定融合术组的各项手术指标均优于前路内固定融合术组,差异均具有统计学意义(P<0.05);后路内固定融合术组手术成功率83.87%,明显高于前路内固定融合术组的71.43%,差异有统计学意义(P<0.05);后路内固定融合术组并发症发生率9.68%,明显低于前路内固定融合术组的28.57%,差异具有统计学意义(P<0.05)。结论后路内固定融合术治疗胸腰段脊柱骨折疗效确切,并发症少,可提高生活质量,具有临床推广应用价值。 展开更多
关键词 胸腰段脊柱骨折 后路内固定融合术 并发症临床疗效
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前列腺电切除术临床分析
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作者 伍飞云 《中国医药指南》 2011年第11期83-84,共2页
目的探讨点切除术治疗良性前列腺增生的临床疗效。方法选取隆回县人民医院2006年7月至2009年9月收治的30例良性前列腺增生患者的临床资料,随机分为治疗组(15例)和对照组(15例),对照组患者采用传统的开放性手术,治疗组患者采用经尿道前... 目的探讨点切除术治疗良性前列腺增生的临床疗效。方法选取隆回县人民医院2006年7月至2009年9月收治的30例良性前列腺增生患者的临床资料,随机分为治疗组(15例)和对照组(15例),对照组患者采用传统的开放性手术,治疗组患者采用经尿道前列腺电切术治疗,比较两组患者的临床疗效及手术时间、术中出血量、术后留置导尿时间,总结治疗经验。结果两组患者术后疗效比较差异无统计学意义(P>0.05)。治疗组患者术中出血量少,术后留置导尿时间短,与治疗组患者比较差异有统计学意义(P<0.05);两组手术时间比较差异无统计学意义(P>0.05)。结论经尿道前列腺电切术治疗前列腺增生,手术操作简单,术中出血量少,术后恢复快,疗效满意值得在临床推广。 展开更多
关键词 经尿道前列腺电切术 良性前列腺增生 临床疗效并发症
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颈椎骨折采用侧块钢板内固定术临床治疗分析
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作者 胡建锋 《基层医学论坛》 2015年第21期2934-2935,共2页
目的探讨颈椎骨折采用侧块钢板内固定术的临床疗效。方法选取我院接收的84例颈椎骨折患者,所有患者均行侧块钢板内固定术治疗,对其临床资料进行回顾性分析。结果本组84例患者手术均获成功,术后X线摄片检查结果显示患者颈椎均复位完全。7... 目的探讨颈椎骨折采用侧块钢板内固定术的临床疗效。方法选取我院接收的84例颈椎骨折患者,所有患者均行侧块钢板内固定术治疗,对其临床资料进行回顾性分析。结果本组84例患者手术均获成功,术后X线摄片检查结果显示患者颈椎均复位完全。70例脊髓损伤患者中64例得到不同程度的改善,仅6例患者未恢复。本组84例患者中无1例发生椎动脉或神经根损伤、脊髓损伤或脊髓损伤加重等现象。术后随访6个月,所有患者均愈合良好。结论采用侧块钢板内固定术治疗颈椎骨折可取的良好的治疗效果,且该治疗方式还具有固定牢固、创伤小、节段短等多种优点,具有较高的临床应用价值。 展开更多
关键词 颈椎骨折 侧块钢板内固定术 临床疗效并发症
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重症脑卒中急性期患者实施整体护理的临床观察 被引量:2
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作者 宋向云 《基层医学论坛》 2014年第36期4988-4989,共2页
目的观察脑卒中急性期患者进行整体护理的临床疗效。方法选取我院收治的重度脑卒中急性期患者72例,随机分为观察组和对照组各36例,对照组患者进行常规护理,观察组患者在对照组基础上进行整体护理,观察2组患者出院时的临床疗效和治疗1个... 目的观察脑卒中急性期患者进行整体护理的临床疗效。方法选取我院收治的重度脑卒中急性期患者72例,随机分为观察组和对照组各36例,对照组患者进行常规护理,观察组患者在对照组基础上进行整体护理,观察2组患者出院时的临床疗效和治疗1个月后并发症发生情况。结果观察组临床治疗总有效率明显高于对照组患者(P<0.05),治疗后观察组患者并发症发生率明显低于对照组(P<0.05)。结论对重度脑卒中急性期患者进行整体护理能明显提高临床疗效和减少并发症发生,促进患者康复和提高生活质量,值得临床予以重视。 展开更多
关键词 重症脑卒中 急性期 整体护理 并发症临床疗效
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综合手术治疗剥脱综合征性白内障的效果及安全性分析 被引量:1
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作者 李玉勤 马利 张秀凤 《基层医学论坛》 2019年第19期2728-2729,共2页
目的探讨综合手术治疗剥脱综合征(XFS)性白内障的效果及安全性。方法选取2016年1月-2018年7月期间于我院确诊并接受治疗的47例剥脱综合征性白内障患者作为研究对象,全部患者均进行综合性手术治疗,对比治疗前后患者视力改变情况,记录术... 目的探讨综合手术治疗剥脱综合征(XFS)性白内障的效果及安全性。方法选取2016年1月-2018年7月期间于我院确诊并接受治疗的47例剥脱综合征性白内障患者作为研究对象,全部患者均进行综合性手术治疗,对比治疗前后患者视力改变情况,记录术中和术后发生并发症情况。结果患者术后视力显著高于术前,差异有统计学意义(P<0.05);47例患者62眼,术中后囊破裂2眼(3.2%),浅前房3眼(4.8%),小瞳孔12眼(19.4%),前房过深2眼(3.2%),前段玻璃体切除4眼(6.4%);术后出现后角膜水肿5眼(8.1%),前节色素膜反应3眼(4.8%),人工晶状体表面沉着物2眼(3.2%),黄斑囊样水肿1眼(1.6%),囊袋皱缩2眼(3.2%),后发性白内障1眼(1.6%)。结论综合手术治疗剥脱综合征(XFS)性白内障临床效果明显,可以有效提高患者的视力水平,但其手术难度较大,术中及术后并发症较多,在术前检查和术中处理需要更加完善,以减少并发症的发生。 展开更多
关键词 剥脱综合征性白内障 综合手术 临床疗效并发症
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ANALYSIS OF EFFECT AND COMPLICATION ON SURGICAL TREATMENT OF CAROTID BODY TUMORS IN 46 CASES 被引量:3
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作者 郑月宏 刘暴 +2 位作者 李拥军 刘昌伟 管珩 《Chinese Medical Sciences Journal》 CAS CSCD 2003年第3期172-174,共3页
Objective.To describe the effects of surgical treatment a nd complications in46patients with carotid body tumor.Method.Retrospe ctive study on surgical treatment and complications was carried out in46case s of CBT whi... Objective.To describe the effects of surgical treatment a nd complications in46patients with carotid body tumor.Method.Retrospe ctive study on surgical treatment and complications was carried out in46case s of CBT which were surgically treated with different kind of procedures.Resul t.All procedures performed successfully except that the CBT was not excised in 4cases.No operative mortality was observed.There were2postoperative hemiple gia,4hypoglossal nerve impairment ,2glossopharyngeal nerve impairment ,1va gus nerve impairment ,and1accessory nerve impairment.One patient presented p ostoperative cranial nerve impairment in glossopharyngeal,vagus and hypoglossa l nerves.Two patients developed local recurrence during the long-term follow-up.Conclusion.Complete surgical excision was possible in each patient if th e diagnosis had been cor-rectly made through selective preoperative angiography ,vessel ultrasound Doppler and other examinations.Reasonable surgical procedur e and Matas training were necessary to the successful surgical treatment and t hus decrease the complicative incidence rate of carotid chemodectomas. 展开更多
关键词 carotid body tumor surgical tr ea tment COMPLICATION
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Hemi-semi Laminectomy Approach for the Microsurgical Treatment of Spinal Schwannomas 被引量:11
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作者 Xing Su Wei Shi +2 位作者 Qing-feng Huang Jian-hong Shen Jian Chen 《Chinese Medical Sciences Journal》 CAS CSCD 2012年第2期96-100,共5页
Objective To evaluate the safety and efficiency of hemi-semi laminectomy approach for the micro- surgical treatment of spinal schwannomas. Methods A total of 22 patients underwent hemi-semi laminectomy for the micros... Objective To evaluate the safety and efficiency of hemi-semi laminectomy approach for the micro- surgical treatment of spinal schwannomas. Methods A total of 22 patients underwent hemi-semi laminectomy for the microsurgical removal of spinal schwannomas during a period of 2009 and 2011 in Affiliated Hospital of Nantong University. We ret- rospectively analyzed the clinical outcomes of these patients. Results Of them, 5 cases were diagnosed with cervical schwannomas, 9 with thoracic schwarmomas, and 8 with lumbar schwannomas. All the tumors including two dumbbell schwannomas were totally removed without major complications. Postoperatively, all patients were followed up from 6 to 36 months. The symp- toms and signs were obviously improved, and no tumor recurrence or spinal deformity occurred. Conclusion Hemi-semi laminectomy is a safe and effective method for resection of spinal schwan- nomas 展开更多
关键词 spinal tumor SCHWANNOMAS MICROSURGERY LAMINECTOMY
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Colonoscopic perforation:A report from World Gastroenterology Organization endoscopy training center in Thailand 被引量:6
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作者 Varut Lohsiriwat Sasithorn Sujarittanakarn +3 位作者 Thawatchai Akaraviputh Narong Lertakyamanee Darin Lohsiriwat Udom Kachinthorn 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第43期6722-6725,共4页
AIM: To determine the incidence of colonoscopic perforation (CP), and evaluate clinical findings, management and outcomes of patients with CP from the World Gastroenterology Organization (WGO) Endoscopy Training ... AIM: To determine the incidence of colonoscopic perforation (CP), and evaluate clinical findings, management and outcomes of patients with CP from the World Gastroenterology Organization (WGO) Endoscopy Training Center in Thailand. METHODS: All colonoscopies and sigmoidoscopies performed between 1999 and 2007 in the Endoscopic unit, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok were reviewed. Incidence of CP, patients' characteristics, endoscopic information, intraoperative findings, management and outcomes were analyzed. RESULTS: A total of 17357 endoscopic procedures of the colon (13 699 colonoscopies and 3658 flexible sigmoidoscopies) were performed in Siriraj hospital over a 9-year period. Fifteen patients (0.09%) had CP: 14 from colonoscopy and 1 from sigmoidoscopy. The most common site of perforation was in the sigmoid colon (80%), followed by the transverse colon (13%). Perforations were caused by direct trauma from either the shaft or the tip of the endoscope (n = 12,80%) and endoscopic polypectomy (n = 3, 20%). All patients with CP underwent surgical management: primary repair (27%) and bowel resection (73%). The mortality rate was 13% and postoperative complication rate was 53%. CONCLUSION: CP is a rare but serious complication following colonoscopy and sigmoidoscopy, with high rates of morbidity and mortality. Incidence of CP was 0.09%. Surgery is still the mainstay of CP management. 展开更多
关键词 Colonoscopic perforation COLONOSCOPY COMPLICATION INCIDENCE Endoscopy training center
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单纯性肝囊肿行经脐单孔腹腔镜肝囊肿去顶减压术的有效性与安全性 被引量:1
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作者 乔来春 《湖南中医药大学学报》 CAS 2016年第A01期415-416,共2页
目的探究单纯性肝囊肿行经脐单孔腹腔镜肝囊肿去顶减压术的有效性与安全性.方法基于本院自 2013 年 11月-2015 年11 月期间收治的60例单纯性肝囊肿患者的临床资料,按照临床治疗方式的不同,随机的将这60例患者分为对照组(行常规腹腔镜... 目的探究单纯性肝囊肿行经脐单孔腹腔镜肝囊肿去顶减压术的有效性与安全性.方法基于本院自 2013 年 11月-2015 年11 月期间收治的60例单纯性肝囊肿患者的临床资料,按照临床治疗方式的不同,随机的将这60例患者分为对照组(行常规腹腔镜肝囊肿去顶减压术)和观察组(行经脐单孔腹腔镜肝囊肿去顶减压术),两组各30例,观察比较两组患者的临床治疗效果以及术后并发症发生情况.结果观察组 30例患者的临床治疗总有效率 93.33%(包括11 例患者痊愈、17例患者临床治疗显效)明显的高于对照组30例患者的临床治疗总有效率76.67%(包括8例患者痊愈、15例患者临床治疗显效)(P〈0.05),具有统计学意义;观察组30例患者的术后并发症发生率20.00%(共6例患者发生并发症,如:复发、切口感染、愈合不良等)明显的低于对照组30例患者的术后并发症发生率46.67%(共14例患者发生并发症)(P〈0.05),具有统计学意义.结论经脐单孔腹腔镜肝囊肿去顶减压术治疗单纯性肝囊肿其疗效显著,且该治疗手段具有创伤小、康复快、并发症少等应有优势,值得推荐. 展开更多
关键词 单纯性肝囊肿、经脐单孔腹腔镜肝囊肿去顶减压术、临床疗效、术后并发症
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Comparative Analysis of Intractable Postpartum Hemorrhage Intervention Treatments
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作者 Kai Ding Jin'E Xu 《International Journal of Technology Management》 2014年第10期88-90,共3页
Abstract: Objective: To explore the clinical efficacy of different treatment methods of intervention for intractable postpartum hemorrhage. Methods: From the accept and treat patients with intractable postpartum he... Abstract: Objective: To explore the clinical efficacy of different treatment methods of intervention for intractable postpartum hemorrhage. Methods: From the accept and treat patients with intractable postpartum hemorrhage in our hospital from June 2013 to March 2014, 86 cases were chosen to be retrospectively analyzed, randomly divided into observation group and control group with 43 cases in each group. The control group was underwent gauze packing while observation group were packing gauze joint with improved uterine suture Cho, the two groups were observed therapeutic effects and complications. Results: The total efficiency of observation group is 93.02%, and the total efficiency of the control group is 62.79%, there is a significant better treatment effect for observed group than the control group (P 〈0.05), and complication rate of observation group is significantly lower than the control group (P 〈0.05). Conclusions: In refractory postpartum hemorrhage intervention therapy, the use of gauze packing combined with modified suture uterus Cho has better clinical treatment effect with high security, so it is worthy of clinical application. 展开更多
关键词 Intervention therapy Intractable postpartum hemorrhage Comparative analysis
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Comparative Analysis of Intractable Postpartum Hemorrhage Intervention Treatments
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作者 Kai Ding Jin'E Xu 《International Journal of Technology Management》 2014年第11期101-103,共3页
Objective: To explore the clinical efficacy of different treatment methods of intervention for intractable postpartum hemorrhage. Methods: From the accept and treat patients with intractable postpartum hemorrhage in... Objective: To explore the clinical efficacy of different treatment methods of intervention for intractable postpartum hemorrhage. Methods: From the accept and treat patients with intractable postpartum hemorrhage in our hospital from June 2013 to March 2014, 86 cases were chosen to be retrospectively analyzed, randomly divided into observation group and control group with 43 cases in each group. The control group was underwent gauze packing while observation group were packing gauze joint with improved uterine suture Cho, the two groups were observed therapeutic effects and complications. Results: The total efficiency of observation group is 93.02%, and the total efficiency of the control group is 62.79%, there is a significant better treatment effect for observed group than the control group (P 〈0.05), and complication rate of observation group is significantly lower than the control group (P 〈0.05). Conclusions: In refractory postpartum hemorrhage intervention therapy, the use of gauze packing combined with modified suture uterus Cho has better clinical treatment effect with high security, so it is worthy of clinical application. 展开更多
关键词 Intervention therapy Intractable postpartum hemorrhage Comparative analysis
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Evaluation of three-incision esophagectomy:Review of 1226 patients
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作者 Yusheng Shu Qianbing Miao Weiping Shi Hongcan Shi Shichun Lu Kang Wang 《The Chinese-German Journal of Clinical Oncology》 CAS 2010年第9期507-510,共4页
Objective:The aim of our study was to evaluate the clinical effect and the prospect of the three-incision (right thoracotomy, midline laparotomy and left cervical incisions) esophagectomy for the treatment of esophage... Objective:The aim of our study was to evaluate the clinical effect and the prospect of the three-incision (right thoracotomy, midline laparotomy and left cervical incisions) esophagectomy for the treatment of esophageal carcinoma.Meth-ods:We reviewed our experience with 1226 patients undergoing three-incision esophagectomy for middle and upper esopha-geal carcinoma.Results:Anastomotic leak rates were determined for the entire group.The overall leak rate was 8.5% (104 patients).Overall hospital mortality was 0.24% (3 patients).No patient died as a result of anastomotic leakage.Conclusion:The three-incision technique can radically remove carcinoma and perform a complete lymphadenectomy.Although the cervical anastomotic leak rate is slightly high, the management of this complication is relatively easy and the satisfactory results can be achieved. 展开更多
关键词 esophageal carcinoma three-incision esophagectomy cervical anastomosis
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Fixation of complex proximal humeral fractures in elderly patients with a locking plate: A retrospective analysis of radiographic and clinical outcome and complications 被引量:10
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作者 Fabio Rodia Emmanouil Theodorakis +1 位作者 Georgios Touloupakis Angelo Ventura 《Chinese Journal of Traumatology》 CAS CSCD 2016年第3期156-159,共4页
Purpose: The optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as... Purpose: The optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as a high rate of complications. Our retrospective study aims to evaluate clinical recovery and complications using the S3 locking plate in elderly patients. Methods: Fifty-one patients older than 65 years of age, with a complex proximal humeral fracture type B or C (AO classification system), were included. Patients have been followed up for a minimum of 12 months. We assessed callus formation, radiological results, clinical outcome (according to the Constant Shoulder Score System) and complications. Any difference in the clinical recovery among the 2 types of fracture pattern (B and C) was investigated. Results: The mean time of fracture healing was 12.4 weeks. The mean Constant score at 3, 6 and 12 months was 68, 73 and 75 respectively. No statistically significant difference in the clinical outcome was observed between the 13 and C fracture patterns (p 〉 0.05). We noticed an overall of 5 complications (9.8%). There was no need to revision any of the implants. Conclusion: Anatomic reduction and proper plate positioning are essential for minimizing implant- related complications. In our experience the S3 angular stability system offers a proper osteosyntesis and a ~ood clinical recovery with a low rate of complications. 展开更多
关键词 Shoulder fracturesBone platesHumerusAged
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Clinical effects of three types of silicone intubations in repairing lacerations of canaliculus 被引量:16
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作者 潘晓晶 Alex Mao +2 位作者 赵桂秋 孟旭霞 杨珊珊 《Chinese Journal of Traumatology》 CAS 2009年第3期173-176,共4页
Objective: To evaluate the clinical effects of onepassage, double-passage and circular canalicular intubations in repairing lacerations of canaliculus. Methods: Atotal of 109 eyes in 109 cases ofcanalicular lacerat... Objective: To evaluate the clinical effects of onepassage, double-passage and circular canalicular intubations in repairing lacerations of canaliculus. Methods: Atotal of 109 eyes in 109 cases ofcanalicular laceration were repaired with three types of silicone intubations, among which 23 with one-passage canalicular intubation, 51 with double-passage canalicular intubation, and 35 with circular canalicular intubation. The average follow-up period was 12-15 months. Results: The wound/junction of the lacrimal canaliculi was ruptured in 5 cases (9.80%) of the double-passage group, 3 cases (8.57%) of the circular group, and 8 cases (34.78%) of the one-passage group. The rupture incidence of the one-passage group was significantly higher than that of the other two groups ( χ^2=9.416, P〈0.01). During the inmbation, canaliculitis was observed in 12 cases (23.53%) of the double-passage group, while only 3 cases (8.57%) in the circular group and 8 cases (34.78%) in the one-passage group. The circular group had significantly lower incidence of canaliculitis than the other two groups ( χ^2=6.095, P〈0.05). After extubation 6 months after laceration repair, the lacrimal passage remained patent with canalicular irrigation in 46 cases (90.20%) in the double-passage group, 30 cases (85.71%) in the circular group and 15 cases (65.22%) in the one-passage group. Six months after surgery, the canalicular patency in the one-passage group was significantly lower than that of the other two groups ( χ^2=7.390, P〈0.05). Conclusions: Circular canalicular intubation is more stable and has less surgical complications than the doublepassage and one-passage canalicular intubations. It is also more effective clinically 12-15 months after laceration surgery. 展开更多
关键词 Lacrimal apparatus INTUBATION Wounds and injuries
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