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空芯针穿刺活组织检查与开放性手术活组织检查对乳腺癌手术及患者预后影响对照 被引量:2
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作者 许东兴 《黑龙江医药》 CAS 2017年第6期1365-1367,共3页
目的:对空芯针穿刺活组织检查(CNB)与开放性手术活组织检查(OSB)对乳腺癌手术及患者预后的影响进行研究。方法:将2012年3月-2013年3月到我院接受乳腺癌手术治疗的152例患者选取为研究对象,将她们随机分为对照组和观察组两组,每组均为76... 目的:对空芯针穿刺活组织检查(CNB)与开放性手术活组织检查(OSB)对乳腺癌手术及患者预后的影响进行研究。方法:将2012年3月-2013年3月到我院接受乳腺癌手术治疗的152例患者选取为研究对象,将她们随机分为对照组和观察组两组,每组均为76例患者,对照组采取传统开放性手术活组织检查,观察组则采取空芯针穿刺活组织检查。结果:对照组患者的手术次数显然多于观察组,差异有统计学意义(P<0.05);对照组患者的乳房保留率明显低于观察组,差异有统计学意义(P<0.05);两组患者的前哨淋巴结活检率无明显差异,无统计学意义(P>0.05);两种活组织检查方式对乳腺癌患者的预后均没有太大影响。结论:与传统开放性手术活组织检查方法相比,在进行乳腺癌手术前对患者采取空芯针穿刺活组织检查办法,可以更加准确诊断乳腺癌,并实施准确的分型,同时不会对患者的无瘤生存期造成太大的影响,有助于乳腺癌手术和术后辅助治疗方案的编制,而且可以使乳腺癌手术的质量实现显著的提升,值得在临床中推广应用。 展开更多
关键词 空芯针穿刺组织检查 开放性手术活组织检查 乳腺癌手术
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病理标本管理流程的建立与应用 被引量:6
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作者 朱彤 廖翠 +2 位作者 于泓 黄鹂鸣 韦拔雄 《中国医学装备》 2013年第8期57-59,共3页
目的:规范手术切除标本送检工作流程,防止样本错误,确保病理标本质量。方法:建立手术前、手术中和手术后标本全程管理流程,并应用于500例手术切除标本的跟踪处理过程。结果:手术切除标本管理流程合理、准确和高效,500例手术标本无一例... 目的:规范手术切除标本送检工作流程,防止样本错误,确保病理标本质量。方法:建立手术前、手术中和手术后标本全程管理流程,并应用于500例手术切除标本的跟踪处理过程。结果:手术切除标本管理流程合理、准确和高效,500例手术标本无一例送检差错,符合病理诊断要求。结论:建立和实施科学的手术切除标本管理流程,可保护患者利益,有助于提高工作质量和医疗水平。 展开更多
关键词 手术活组织检查 病理诊断 标本管理
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Primary tuberculous infection of breast:experiences of surgical resection for aged patients and review of literature 被引量:5
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作者 LUH Shi-ping HSU Jeng-dong LAI Yih-shyong 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第8期580-583,共4页
Primary mammary tuberculosis is a rare entity that usually occurs in female of reproductive age. Herein three such patients including two males with ages over 80 years, who underwent surgical resection, are reported. ... Primary mammary tuberculosis is a rare entity that usually occurs in female of reproductive age. Herein three such patients including two males with ages over 80 years, who underwent surgical resection, are reported. Fine needle biopsy failed to achieve specific diagnosis before surgical operation. All of their conditions got satisfactory improvement and anti-tuberculosis chemotherapy was administered postoperatively. Previous literature related to the epidemiology, diagnosis and treatment for mammary tuberculosis will be also reviewed. Mammary tuberculosis is usually related to breast feeding women and is extremely rare in aged man. The possible mechanisms resulting in this disease in our three patients, including direct extension, reactivation, or transmitted by staffs or peers of the nursing home, would also be discussed. 展开更多
关键词 TUBERCULOSIS BREAST BIOPSY RESECTION
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VAGINAL HYSTERECTOMY FOR PATIENTS WITH MODERATELY ENLARGED UTERUS OF BENIGN LESIONS 被引量:30
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作者 李志刚 冷金花 +1 位作者 郎景和 唐家龄 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第1期60-63,共4页
Objective To evaluate the possibility of vaginal hysterectomy for patients with moderately enlarged uterus of benign lesions. Methods One hundred and seventeen women with benign uterine diseases underwent vaginal hyst... Objective To evaluate the possibility of vaginal hysterectomy for patients with moderately enlarged uterus of benign lesions. Methods One hundred and seventeen women with benign uterine diseases underwent vaginal hysterectomy. These patients were divided into two groups according to uterine weight. Group Ⅰ contained 60 patients with uterine enlargement to a weight of 200 to 750 g, and group Ⅱ contained 57 patients with uterine weight of less than 200 g. Uterine morcellation was performed in some cases. The peri-operative data in both groups were analyzed. Results In group Ⅰ, 59 cases underwent transvaginal hysterectomy successfully, except 1 case con-verted to abdominal operation and the uterine morcellation was performed in 21 women. In group Ⅱ, all patients successfully underwent transvaginal hysterectomy without any assistance of special technique. The mean uterine weight of group Ⅰ was significantly heavier than that of group Ⅱ(280.18 ± 100.40 g vs 146.48 ± 35.19 g). The mean operating time was significantly longer for group Ⅰ than that for group Ⅱ(83.93 ± 26.26 minutes vs 35.22 ± 20.55 minutes). There were no significant differences in blood loss and complications between groupⅠ and group Ⅱ. There was no injury of urinary bladder or rectum, and no vaginal vault infection. Conclusions Vaginal hysterectomy of moderately enlarged uterus can be safely and effectively performed by experienced operators. In some cases, in order to reduce the uterine volume, uterine mor-cellation should be used to shorten operative time, reduce the bleeding, and lower the postoperative complications. 展开更多
关键词 HYSTERECTOMY VAGINAL uterine disease
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前哨淋巴结阴性的直肠癌患者在术中保留植物神经对预后的影响
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作者 杨林 周申康 罗优优 《实用医学杂志》 CAS 2007年第18期2896-2897,共2页
目的:探讨前哨淋巴结阴性的直肠癌患者在术中保留植物神经对预后的影响。方法:回顾性分析我院2000年1月至2001年1月收治的直肠癌患者31例的临床资料。结果:直肠癌患者如前哨淋巴结阴性,在术中是否保留植物神经对术后复发率无明显影响。... 目的:探讨前哨淋巴结阴性的直肠癌患者在术中保留植物神经对预后的影响。方法:回顾性分析我院2000年1月至2001年1月收治的直肠癌患者31例的临床资料。结果:直肠癌患者如前哨淋巴结阴性,在术中是否保留植物神经对术后复发率无明显影响。结论:前哨淋巴结阴性的直肠癌患者,手术方式首选保留植物神经的根治性手术,与非保留植物神经的直肠癌根治术比较,预后无明显差异。 展开更多
关键词 直肠肿瘤 前哨淋巴结 组织检查外科手术预后
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