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胆道手术后继发性硬化性胆管炎诊治体会 被引量:8
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作者 孙文郁 姜晓峰 +1 位作者 姜洪磊 梁健 《中国普通外科杂志》 CAS CSCD 北大核心 2010年第2期169-171,共3页
目的探讨胆道手术后继发性硬化性胆管炎(SSC)的诊断和治疗。方法回顾性分析2000年1月—2008年6月行胆道手术后出现的7例继发性硬化性胆管炎患者的临床资料。结果患者既往均有反复发作的胆管炎病史,均有胆道手术治疗史。确诊SSC后手术治... 目的探讨胆道手术后继发性硬化性胆管炎(SSC)的诊断和治疗。方法回顾性分析2000年1月—2008年6月行胆道手术后出现的7例继发性硬化性胆管炎患者的临床资料。结果患者既往均有反复发作的胆管炎病史,均有胆道手术治疗史。确诊SSC后手术治疗2例,保守治疗5例,其中1例行内窥镜下十二指肠乳头括约肌切开治疗,1例行肝移植治疗。治愈2例(2/7),死亡2例(2/7),3例尚在治疗中。结论胆道手术后继发性硬化性胆管炎的预后较差,预防是关键,早期诊断及合理治疗有一定的疗效。 展开更多
关键词 胆道外科手术/副作用 胆管炎 硬化性/并发症 胆管炎 硬化性/治疗
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肺硬化性血管瘤伴炎性假瘤样增生1例分析
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作者 孙少勤 穆英利 《中国误诊学杂志》 CAS 2009年第9期2251-2252,共2页
关键词 硬化性血管瘤/并发症 肉芽肿 浆细胞/并发症 病例报告[文献类型] 人类
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Is osteoporosis a peculiar association with primary biliary cirrhosis? 被引量:7
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作者 Annarosa Floreani Andrea Mega +4 位作者 Valentina Camozzi Vincenzo Baldo Mario Plebani Patrizia Burra Giovanni Luisetto 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第34期5347-5350,共4页
AIM: (1) To compare the prevalence of osteoporosis (t-score ≤-2.5 SD) between stage IV PBC patients, and two groups of age- and sex-matched controls: one with hepatitis C virus (HCV)-related cirrhosis, and th... AIM: (1) To compare the prevalence of osteoporosis (t-score ≤-2.5 SD) between stage IV PBC patients, and two groups of age- and sex-matched controls: one with hepatitis C virus (HCV)-related cirrhosis, and the other one consisting of a group of healthy subjects from the general population, (2) to identify the main risk factors for the development of bone loss. METHODS: Thirty-five stage IV PBC patients (mean age 52.5±10 years), 49 females with HCV-related cirrhosis (mean age 52.9±5.8 years) and 33 healthy females (mean age 51.8±2.22 years) were enrolled in the study. Bone metabolism was evaluated by measuring serum calcium corrected for serum albumin (Ca corr.), 25-hydroxy vitamin D (25-OH vit D), parathyroid hormone, osteocaldn. Bone mineral density (BMD) was assessed at the lumbar spine by dual-photon X-ray absorptiometry. RESULTS: Osteoporosis was present in 5/35 PBC patients (14.2%) and in 7/49 HCV-related drrhotic patients (14.3%), without any statistical difference between the two groups. Among healthy control subjects, none had osteoporosis. No difference was found between the three groups in serum parameters of bone metabolism. Univariate analysis showed that menopausal state and low BMI were significantly correlated with osteoporosis. Multivariate regression analysis showed that menopausal status, BMI〈23, and old age were independent variables significantly correlated with osteoporosis. CONCLUSION: PBC in itself has no negative influence on BMD. End-stage liver disease patients carry a disease-specific risk for osteoporosis, but have an effective risk of bone loss in relation to individual potential risk for each patient. A practical message should be taken into account, that is, every effort should be made to prevent osteoporosis when a patient has simple osteopenia, or if it is a woman in or near menopausal age. 展开更多
关键词 OSTEOPOROSIS Primary biliary cirrhosis HCV infection
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