期刊文献+
共找到836篇文章
< 1 2 42 >
每页显示 20 50 100
Modified Generalized Degree Distance of Some Graph Operations
1
作者 Shengmei Lv 《Advances in Pure Mathematics》 2018年第6期548-558,共11页
The modified generality degree distance, is defined as: ,?which is a modification of the generality degree distance. In this paper, we give some computing formulas of the modified generality degree distance of some gr... The modified generality degree distance, is defined as: ,?which is a modification of the generality degree distance. In this paper, we give some computing formulas of the modified generality degree distance of some graph operations, such as, composition, join, etc. 展开更多
关键词 DEGREE DISTANCE modified GENERALIZED DEGREE DISTANCE GRAPH operations
下载PDF
Extracorporeal membrane oxygenation in curing a young man after modified Fontan operation:A case report
2
作者 He-Bing Guo Jian-Bo Tan +11 位作者 Yong-Chao Cui Hao-Feng Xiong Chuan-Sheng Li Yu-Feng Liu Yao Sun Lin Pu Pan Xiang Ming Zhang Jing-Jing Hao Ning-Ning Yin Xiao-Tong Hou Jing-Yuan Liu 《World Journal of Clinical Cases》 SCIE 2022年第29期10614-10621,共8页
BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in g... BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in general physical activity.As a better ventilatory strategy,extracorporeal membrane oxygenation(ECMO) provides gas exchange via an extracorporeal circuit,and is increasingly being used to improve respiratory and circulatory function.After the modified Fontan operation,circulation is different from that of patients who are not subjected to the procedure.This paper describe a successful case using ECMO in curing influenza A infection in a young man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The special cardiac structure and circulatory characteristics are explored in this case.CASE SUMMARY We report a successful case using ECMO in curing influenza A infection in a 23-year-old man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The man was admitted to the intensive care unit with severe acute respiratory distress syndrome as a result of influenza A infection.He was initially treated by veno-venous(VV) ECMO,which was switched to veno-venous-arterial ECMO(VVA ECMO) 5 d later.As circulation and respiratory function gradually improved,the VVA ECMO equipment was removed on May 1,2018.The patient was successfully withdrawn from artificial ventilation on May 28,2018 and then discharged from hospital on May 30,2018.CONCLUSION After the modified Fontan operation,circulation is different compared with that of patients who are not subjected to the procedure.There are certainly many differences between them when they receive the treatment of ECMO.Due to the special cardiac structure and circulatory characteristics,an individualized liquid management strategy is necessary and it might be better for them to choose an active circulation support earlier. 展开更多
关键词 Acute respiratory distress syndrome Extracorporeal membrane oxygenation modified Fontan operation Tausing-Bing syndrome Case report
下载PDF
Modified Appleby operation for carcinoma of the pancreatic body and tail
3
作者 Dongfang Huang 《Oncology and Translational Medicine》 2020年第4期182-184,共3页
This is a case of a pancreatic tumor with invasion of the celiac stem treated using the modified Appleby operation.Preoperatively,routine B-ultrasound,computed tomography,and magnetic resonance imaging were performed.... This is a case of a pancreatic tumor with invasion of the celiac stem treated using the modified Appleby operation.Preoperatively,routine B-ultrasound,computed tomography,and magnetic resonance imaging were performed.In the perioperative period,the combined gallbladder was excised;the duration of the operation was 5 h and volume of blood loss was approximately 500 ml.Postoperatively,the liver function temporarily returned and after a liver protection treatment,it returned to normal within 2 weeks.The liver had normal arterial blood supply,and the postoperative course was uneventful.It is safe and feasible to resect the whole pancreatic body and tail tumor combined with celiac stem resection.It can improve the resection rate of tumor and relieve pain. 展开更多
关键词 modified Appleby operation pancreas cancer
下载PDF
Modified Foerster-Dandy 's operation for treatment of spasmodic torticollis under endoscope-assisting
4
作者 刘江 《外科研究与新技术》 2011年第3期218-218,共1页
Objective To study microsurgical effectiveness Foerster-Dandy’s endoscope-assisted operation for treatment of spasmodic torticollis. Methods 183 cases of spasmodic torticollis patients were treated by microsurgical m... Objective To study microsurgical effectiveness Foerster-Dandy’s endoscope-assisted operation for treatment of spasmodic torticollis. Methods 183 cases of spasmodic torticollis patients were treated by microsurgical modified Foerster-Dandy’s operation from July 2001 to June 2009,which was randomly 展开更多
关键词 modified Foerster-Dandy s operation for treatment of spasmodic torticollis under endoscope-assisting
下载PDF
A NOTE ON MODIFIED BASKAKOV TYPE OPERATORS 被引量:7
5
作者 Vijay Gupta 《Analysis in Theory and Applications》 1994年第3期74-78,共5页
In the present paper, we define a new kind of positive linear operators and study the rate of convergence in simultaneous approximation. This operator being capable of providing better approxima- tion than modified Ba... In the present paper, we define a new kind of positive linear operators and study the rate of convergence in simultaneous approximation. This operator being capable of providing better approxima- tion than modified Baskakov operators. 展开更多
关键词 A NOTE ON modified BASKAKOV TYPE operATORS THAN
下载PDF
ON THE CONVERGENCE OF THE MODIFIED SZASZ-MIRAKJAN OPERATOR 被引量:3
6
作者 Sun Xiehua China Institute of Metrology, Hangzhou 《Analysis in Theory and Applications》 1994年第1期20-25,共6页
A necessary and sufficient condition of convergence for the modified Szasz-Mirakjan operator is estab- lished.
关键词 TH MATH ON THE CONVERGENCE OF THE modified SZASZ-MIRAKJAN operATOR LIM
下载PDF
MODIFIED APPROXIMATE PROXIMAL POINT ALGORITHMS FOR FINDING ROOTS OF MAXIMAL MONOTONE OPERATORS
7
作者 曾六川 《Applied Mathematics(A Journal of Chinese Universities)》 SCIE CSCD 2004年第3期293-301,共9页
In order to find roots of maximal monotone operators, this paper introduces and studies the modified approximate proximal point algorithm with an error sequence {e k} such that || ek || \leqslant hk || xk - [(x)\tilde... In order to find roots of maximal monotone operators, this paper introduces and studies the modified approximate proximal point algorithm with an error sequence {e k} such that || ek || \leqslant hk || xk - [(x)\tilde]k ||\left\| { e^k } \right\| \leqslant \eta _k \left\| { x^k - \tilde x^k } \right\| with ?k = 0¥ ( hk - 1 ) < + ¥\sum\limits_{k = 0}^\infty {\left( {\eta _k - 1} \right)} and infk \geqslant 0 hk = m\geqslant 1\mathop {\inf }\limits_{k \geqslant 0} \eta _k = \mu \geqslant 1 . Here, the restrictions on {η k} are very different from the ones on {η k}, given by He et al (Science in China Ser. A, 2002, 32 (11): 1026–1032.) that supk \geqslant 0 hk = v < 1\mathop {\sup }\limits_{k \geqslant 0} \eta _k = v . Moreover, the characteristic conditions of the convergence of the modified approximate proximal point algorithm are presented by virtue of the new technique very different from the ones given by He et al. 展开更多
关键词 modified approximate proximal point algorithm maximal monotone operator CONVERGENCE
下载PDF
On Weighted Approximation by Modified Bernstein Operators for Functions with Singularities
8
作者 Meiling Wang Dansheng Yu 《Analysis in Theory and Applications》 2014年第4期405-416,共12页
Della Vecchia et al. (see [2]) introduced a kind of modified Bernstein operators which can be used to approximate functions with singularities at endpoints on [0,1]. In the present paper, we obtain a kind of pointwi... Della Vecchia et al. (see [2]) introduced a kind of modified Bernstein operators which can be used to approximate functions with singularities at endpoints on [0,1]. In the present paper, we obtain a kind of pointwise Stechkin-type inequalities for weighted approximation by the modified Bemsetin operators. 展开更多
关键词 modified Bernstein operators weighted approximation Stechkin inequality.
下载PDF
Multiplication and Translation Operators on the Fock Spaces for the q-Modified Bessel Function
9
作者 Fethi Soltani 《Advances in Pure Mathematics》 2011年第4期221-227,共7页
We study the multiplication operator M by z2 and the q-Bessel operator Δq,αon a Hilbert spaces Fq,α of entire functions on the disk D( o, ) , 0qq,α into itself. Next, we study a generalized translation operators o... We study the multiplication operator M by z2 and the q-Bessel operator Δq,αon a Hilbert spaces Fq,α of entire functions on the disk D( o, ) , 0qq,α into itself. Next, we study a generalized translation operators on Fq,α . 展开更多
关键词 Generalized q-Fock Spaces q-Iα modified BESSEL Function q-Bessel operATOR MULTIPLICATION operATOR q-Translation operators
下载PDF
SOME APPROXIMATION THEOREMS FOR MODIFIED BERNSTEIN-DURRMEYER OPERATORS
10
作者 Li Song (Zhejiang University,China) 《Analysis in Theory and Applications》 1994年第4期1-12,共12页
The modified Bernstein-Durrmeyer operators discussed in this paper are given by M_nf≡M_n(f,x)=(n+2)P_(n,k)∫_0~1p_n+1.k(t)f(t)dt, where We will show,for 0<α<1 and 1≤p≤∞ M,f-f_p=O(n^-a)ω_Φ~2(f,t)_p=O(t^(2a... The modified Bernstein-Durrmeyer operators discussed in this paper are given by M_nf≡M_n(f,x)=(n+2)P_(n,k)∫_0~1p_n+1.k(t)f(t)dt, where We will show,for 0<α<1 and 1≤p≤∞ M,f-f_p=O(n^-a)ω_Φ~2(f,t)_p=O(t^(2a)), |M_n f-f(x)|≤M(x(1-x)/n+1/_n2)~a/2ω(f,t)=O(t^a), where otherwise. 展开更多
关键词 WILL SOME APPROXIMATION THEOREMS FOR modified BERNSTEIN-DURRMEYER operATORS IIM 气刀 show
下载PDF
Modified Double Zeta Function and Its Properties
11
作者 Arif M. Khan 《Advances in Pure Mathematics》 2016年第3期159-167,共9页
The present paper aims at introducing and investigating a new class of generalized double zeta function i.e. modified double zeta function which involves the Riemann, Hurwitz, Hurwitz-Lerch, Barnes double zeta functio... The present paper aims at introducing and investigating a new class of generalized double zeta function i.e. modified double zeta function which involves the Riemann, Hurwitz, Hurwitz-Lerch, Barnes double zeta function and Bin-Saad generalized double zeta function as particular cases. The results are obtained by suitably applying Riemann-Liouville type and Tremblay fractional integral and differential operators. We derive the expansion formula for the proposed function with some of its properties via fractional operators and discuss the link with known results. 展开更多
关键词 modified Zeta Function Riemann-Liouville operator Tremblay Fractional operators Hypergeometric Function
下载PDF
Modified Wide-angle Beam Propagation Method Using Douglas Operators
12
作者 JU Zhenle,FU Junmei,FENG Enxin (Lab. of Microwave Eng. and Opt. Commun.Tech.,Xi’an Jiaotong University,Xi’an 710049,CHN) 《Semiconductor Photonics and Technology》 CAS 1997年第4期269-273,共5页
A modified wide-angle beam propagation based on the Douglas operators is presented.The truncation error in the modified wide-angle beam propagation is reduced to o (Δ x ) 4 in the transverse direction nearly wi... A modified wide-angle beam propagation based on the Douglas operators is presented.The truncation error in the modified wide-angle beam propagation is reduced to o (Δ x ) 4 in the transverse direction nearly without any increase of the computation time,whereas the error in the ordinary wide-angle beam propagation method is typically o (Δ x ) 2.With trivial programming changes,the accuracy is higher,especially in wide-angle propagation. 展开更多
关键词 Douglas operators Guidewave Photonic Devices modified Wide Beam Propagation Method
下载PDF
Modified Kugel补片在腹股沟嵌顿疝修补术中的应用28例 被引量:1
13
作者 曾荻洵 任波 +1 位作者 向君华 陈建军 《中国医药导报》 CAS 2011年第12期151-152,共2页
目的:探讨Modified Kugel补片治疗腹股沟嵌顿疝的技术要点,评价其效果。方法:回顾性分析国防科大医院2005年4月~2010年1月应用Modified Kugel补片手术治疗腹股沟嵌顿疝28例患者临床资料。结果:平均手术时间为58 min,术后平均住院日为7.... 目的:探讨Modified Kugel补片治疗腹股沟嵌顿疝的技术要点,评价其效果。方法:回顾性分析国防科大医院2005年4月~2010年1月应用Modified Kugel补片手术治疗腹股沟嵌顿疝28例患者临床资料。结果:平均手术时间为58 min,术后平均住院日为7.5 d,术后恢复快,并发症少、轻,随访6~48个月,无复发。结论:Modified Kugel补片治疗腹股沟嵌顿疝是一种安全可靠、并发症少、复发率低的修补方式,尤其适宜于腹横筋膜薄弱或缺损较重的患者。 展开更多
关键词 modified KUGEL补片 腹股沟嵌顿疝 手术
下载PDF
Modeling on a Modified Feeding Mode of Simulated Moving Bed for Improving Productivity 被引量:4
14
作者 危凤 沈波 +2 位作者 陈明杰 赵迎宪 邵立平 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2010年第2期239-243,共5页
A new feeding mode for a simulated moving bed(SMB) is proposed.The outlet stream from zone II is collected at regular intervals.The concentration of the solution is increased by dissolving raw materials and then fed t... A new feeding mode for a simulated moving bed(SMB) is proposed.The outlet stream from zone II is collected at regular intervals.The concentration of the solution is increased by dissolving raw materials and then fed to zone III as the feed stream during the next collection interval.In this feeding mode,the concentration of the stream fed to zone III is identical to that of original feed,while in a conventional SMB,the feed is diluted by mix-ing with the outlet stream of zone II before feeding to zone III.The new feeding mode increases the inlet concentra-tion of zone III.A modeling investigation shows that higher inlet concentration of zone III increases the height of concentration band in SMB,improving the separation performance significantly.In comparison with the traditonal feeding mode,the new feeding mode increases the productivity by 23.52%and decreases the solvent consumption by 22.56%,so as to increase the raffinate and extract concentrations by 53.17%and 20.38%,respectively.The col-lection interval for the outlet stream from zone II has no effect on the separation performance after reaching the steady state,so that the collection interval can be increased to make the operation more convenient. 展开更多
关键词 simulated moving bed feeding mode modified operation SIMULATION
下载PDF
The applied value of modified POSSUM score in evaluating lung cancer surgery’s risk
15
作者 Dongmin Lu Kaibo Han +3 位作者 Yuan Zhou Gang Xu Hong Liu Dong Wang 《The Chinese-German Journal of Clinical Oncology》 CAS 2013年第7期315-318,共4页
Objective: The aim of this study was to explore the modified physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) scoring system and the relationship between predicted dat... Objective: The aim of this study was to explore the modified physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) scoring system and the relationship between predicted data and actual data of complication and surgical mortality of lung cancer radical surgery made by such score system. Methods: Retrospective analysis on the 86 cases of the clinical materials of patients with primary lung cancer radical surgery for thoracic surgery of line lung cancer in the 81st Hospital of PLA from October 2010 to October 2011 and using the POSSUM scoring system to predict the cases of postoperative complication and death toll, then making a comparison with the actual cases. Results: The POSSUM scoring system predicting 29 cases of postoperative complications, but 32 cases of practical complications, the difference between them has no statistical significance (P﹥0.05), 8 cases of predicted postoperative deaths, 2 cases of practical deaths, by comparison, there was statistical significance (P﹤0.05). Conclusion: The modified POSSUM scoring system can be used to predict the postoperative complication of lung surgery patients, but sometimes overestimates the postoperative death cases. 展开更多
关键词 the modified physiological and operative severity score for the enumeration of mortality and morbidity (POS-SUM) score lung cancer radical surgery complications FATALITY
下载PDF
带立方非线性修正Camassa-Holm方程的初值问题
16
作者 张欣 吴兴龙 《数学物理学报(A辑)》 CSCD 北大核心 2024年第2期376-383,共8页
该文利用Kato半群理论和耗散算子的定义,研究了带立方非线性修正Camassa-Holm方程的初值问题,并在Sobolev空间H^(s,p)(R)(s≥1,p∈(1,∞))中建立了其解的存在唯一性,推广了Fu等在Besov空间B_(p,r)^(s)(R)(p,r≥1,s>max{2+1/p,5/2})... 该文利用Kato半群理论和耗散算子的定义,研究了带立方非线性修正Camassa-Holm方程的初值问题,并在Sobolev空间H^(s,p)(R)(s≥1,p∈(1,∞))中建立了其解的存在唯一性,推广了Fu等在Besov空间B_(p,r)^(s)(R)(p,r≥1,s>max{2+1/p,5/2})中所得到的适定性结果(J Differ Equations,2013,255:1905-1938). 展开更多
关键词 修正Camassa-Holm方程 适定性 耗散算子 Kato半群理论
下载PDF
腹腔镜改良Soave短肌鞘术式治疗小儿先天性巨结肠的疗效、安全性及对排便功能的影响
17
作者 邓富强 李艺域 方志伟 《临床外科杂志》 2024年第6期616-619,共4页
目的 观察腹腔镜改良Soave短肌鞘术式治疗小儿先天性巨结肠(HD)的临床疗效、安全性及对排便功能的影响。方法 我院2018年1月~2023年5月收治的HD患儿91例,按照随机数字表法分为观察组(腹腔镜改良Soave短肌鞘术式,41例)和对照组(传统腹腔... 目的 观察腹腔镜改良Soave短肌鞘术式治疗小儿先天性巨结肠(HD)的临床疗效、安全性及对排便功能的影响。方法 我院2018年1月~2023年5月收治的HD患儿91例,按照随机数字表法分为观察组(腹腔镜改良Soave短肌鞘术式,41例)和对照组(传统腹腔镜Soave巨结肠根治术,50例)。比较两组患儿的手术时间、术中出血量、术后排便时间、术后住院时间、切除肠管长度以及术前灌肠时间,比较两组患儿手术前后白细胞计数(WBC)和C反应蛋白(CRP)水平,比较两组患儿术后12小时、24小时、36小时、48小时的疼痛评分,比较两组患儿术后排便功能和术后并发症发生情况。结果 观察组患儿手术时间(134.07±22.08)分钟、术中出血量(5.17±0.87)ml、术后排便时间(2.10±0.32)天、术后住院时间(7.59±1.25)天、切除肠管长度(15.24±2.25)厘米以及术前灌肠时间(13.61±2.14)分钟均少于短于对照组[(159.78±25.44)分钟、(7.61±1.41)ml、(2.46±0.53)天、(10.59±1.84)天、(16.67±2.54)厘米、(16.44±2.57)分钟],差异有统计学意义(P<0.05);手术后两组患儿血清WBC、CRP水平均上升,但观察组血清WBC、CRP水平低于对照组,差异有统计学意义(P<0.05);观察组患儿在术后12小时、24小时、36小时、48小时的疼痛评分(3.42±0.69、3.17±0.64、2.52±0.58、2.06±0.53)均低于对照组(4.47±0.76、3.78±0.72、3.31±0.66、2.83±0.64),差异有统计学意义(P<0.05);两组患儿术后排便功能比较,差异无统计学意义(P>0.05);观察组患儿术后并发症总发生率为17.07%,低于对照组的34.00%,差异有统计学意义(P<0.05)。结论 应用腹腔镜改良Soave短肌鞘术治疗HD,可改善各临床指标和排便功能,缓解术后疼痛,降低感染程度,减少术后并发症,安全性更高。 展开更多
关键词 腹腔镜改良Soave短肌鞘术式 先天性巨结肠 传统腹腔镜Soave巨结肠根治术 排便功能 并发症
下载PDF
基于复剪切波变换与VGG19模型的医学图像融合方法 被引量:1
18
作者 王钰帏 王雷 +1 位作者 郭新萍 程天琪 《山东理工大学学报(自然科学版)》 CAS 2024年第4期53-60,共8页
针对传统医学图像融合方法存在的细节信息不够清晰、边缘信息易丢失和图像失真等缺点,以及深度学习网络缺乏足够的训练数据集等问题,提出了一种基于复剪切波变换和预训练网络模型VGG19的多模态医学图像融合方法。首先,利用复剪切波变换... 针对传统医学图像融合方法存在的细节信息不够清晰、边缘信息易丢失和图像失真等缺点,以及深度学习网络缺乏足够的训练数据集等问题,提出了一种基于复剪切波变换和预训练网络模型VGG19的多模态医学图像融合方法。首先,利用复剪切波变换提取医学图像边缘和纹理信息,并得到多尺度、多方向的子带系数。然后,使用加权局部能量和修正的拉普拉斯算子对低频子带系数进行融合;引入预训练的VGG19提取多层特征图,结合加权评估规则来获取高频子带的融合结果。最后,对融合的高频和低频子带,施加复剪切波逆变换重构融合图像。实验表明,该方法得到的融合图像,不仅可以清晰地显示图像的细节信息和边缘信息,而且能够有效抑制伪影和失真现象的产生,在主观视觉比较和6种客观评价指标下能够达到更佳融合效果。 展开更多
关键词 医学图像 图像融合 复剪切波变换 VGG19模型 修正的拉普拉斯算子
下载PDF
81例改良Bacon术后外置肠管缺血坏死发生情况及对策分析
19
作者 王玉行 胡军红 +2 位作者 李国宾 常远 张振飞 《中国临床新医学》 2024年第5期496-500,共5页
目的探讨改良Bacon术后外置肠管缺血坏死发生情况和相关因素以及处理措施。方法回顾性分析2018年11月至2024年3月郑州大学第一附属医院收治的81例低位直肠癌患者的临床资料。81例患者中伴外置肠管缺血坏死8例,不伴外置肠管缺血坏死73例... 目的探讨改良Bacon术后外置肠管缺血坏死发生情况和相关因素以及处理措施。方法回顾性分析2018年11月至2024年3月郑州大学第一附属医院收治的81例低位直肠癌患者的临床资料。81例患者中伴外置肠管缺血坏死8例,不伴外置肠管缺血坏死73例。记录改良Bacon术后外置肠管缺血坏死发生情况及处理措施,分析影响改良Bacon术外置肠管缺血坏死的相关因素。结果术后发生并发症20例(24.69%),外置肠管缺血坏死8例中,3例出现腹膜炎急诊行乙状结肠造口术,5例患者外置肠管坏死在肛缘附近,无局部和全身症状,保守治疗成功;吻合口狭窄12例均行扩肛治疗。无切口感染、吻合口漏及术后30 d内死亡病例。年龄、体质量指数(BMI)、括约肌张力状态和直肠系膜张力状态与外置肠管缺血坏死具有关联性(P<0.05)。结论改良Bacon术后外置肠管缺血坏死的相关因素包括年龄、BMI、括约肌张力状态和直肠系膜张力状态。患者的选择、术前充分扩肛以及肉毒素注射、术后定期观察是预防外置肠管缺血坏死的有效措施。 展开更多
关键词 低位直肠癌 改良BACON术 外置肠管缺血坏死
下载PDF
腹腔镜外翻拖出式经括约肌间切除联合改良Bacon术在低位直肠癌超低位保肛中的应用(附6例报道)
20
作者 李佳泽 王五艺 +5 位作者 芮元祎 易波 陈超 冯晓沛 张竞博 郑阳春 《中国临床新医学》 2024年第5期491-495,共5页
目的探讨腹腔镜外翻拖出式经括约肌间切除(ISR)联合改良Bacon术在低位直肠癌超低位保肛中的应用。方法回顾性分析2023年3月至12月四川省肿瘤医院大肠外科采用外翻拖出式ISR联合改良Bacon术进行腹腔镜根治性切除、超低位保肛的6例低位直... 目的探讨腹腔镜外翻拖出式经括约肌间切除(ISR)联合改良Bacon术在低位直肠癌超低位保肛中的应用。方法回顾性分析2023年3月至12月四川省肿瘤医院大肠外科采用外翻拖出式ISR联合改良Bacon术进行腹腔镜根治性切除、超低位保肛的6例低位直肠癌患者的临床资料,探讨近期临床效果,总结手术技巧。结果6例患者均顺利完成手术,手术时间200~320 min,平均256.7 min;术中失血量20~100 mL,平均48.3 mL。术后1例患者出现外置肠段脱垂,行再次手术切除;2例患者出现外置肠段系膜局部缺血,行保守治疗后好转。所有患者均顺利恢复,术后6~11 d出院,平均术后住院时间8.2 d。所有患者均于术后21 d施行二期外置肠段切除和肛门成形术,术后3~6 d好转出院,平均术后住院时间4.3 d。随访至2024年3月,所有患者无肿瘤复发或转移,二期术后3个月Wexner肛门失禁评分1~5分,平均3.2分,肛门控便功能满意。结论腹腔镜外翻拖出式ISR联合改良Bacon术有助于实现肿瘤远端的精准切除,能极大降低经肛切除的操作难度,而且避免了预防性肠造口,术后肛门功能满意,有望成为低位直肠癌行超低位保肛手术的新选择。 展开更多
关键词 低位直肠癌 腹腔镜 经括约肌间切除 改良BACON术 超低位保肛
下载PDF
上一页 1 2 42 下一页 到第
使用帮助 返回顶部