目的探讨胸腹腔镜联合微创Ivor-Lewis手术(MIILE)治疗中下段食管癌患者的临床疗效.方法将95例中下段食管癌患者分为行胸腹腔镜+MIILE的MIILE组(43例)和行微创McKeown术(MIME)的MIME组(52例),对比两组围手术期指标、术后并发症、术后疼...目的探讨胸腹腔镜联合微创Ivor-Lewis手术(MIILE)治疗中下段食管癌患者的临床疗效.方法将95例中下段食管癌患者分为行胸腹腔镜+MIILE的MIILE组(43例)和行微创McKeown术(MIME)的MIME组(52例),对比两组围手术期指标、术后并发症、术后疼痛和术后生存率.结果 MIILE组手术时间、术中出血量、术后进食时间、术后住院时间均低于MIME组(P<0.05);两组清扫淋巴结数、淋巴结转移率、R0切除率、术后拔胸管时间比较差异无统计学意义(P>0.05);MIILE组术后并发症总发生率低于MIME组(P<0.05);MIILE组术后1,7d视觉模拟评分法(VAS)均低于MIME组(P<0.05);两组术后14 d VAS评分差异无统计学意义(P>0.05);MIILE组术后1个月生活质量核心量表(QLQ-30)评分高于MIME组(P<0.05),两组复发或转移率、生存率及术后6个月QLQ-30评分差异无统计学意义(P>0.05).结论胸腹腔镜联合MIILE是治疗中下段食管癌安全有效的微创手术,可减少术后并发症,提高患者早期的生活质量.展开更多
Objective: To investigate the diagnostic value of multidetector spiral CT (MSCT) in acute thoracolumbar spinal fracture and fracture-dislocation. Methods: CT imaging files of 152 consecutive traumatic patients with th...Objective: To investigate the diagnostic value of multidetector spiral CT (MSCT) in acute thoracolumbar spinal fracture and fracture-dislocation. Methods: CT imaging files of 152 consecutive traumatic patients with thoracolumbar fractures were retrospectively reviewed. MSCT scannings were performed with a collimation of 3-5 mm and a pitch of (5.5). The postprocessing included sagittal and coronal multiplannar reconstruction, and 3-D reconstruction.Results: There were 88 cases of compression fracture, 54 cases of burst fracture and 10 cases of fracture-dislocation. Transverse images of MSCT could visualize all fractures directly and determine whether spinal canal was intact. Postprocessing image was helpful in depicting the displacement of fragment and orientation of dislocation.Conclusions: MSCT plays an important role in diagnosis and management of acute thoracolumbar spinal fracture and fracture-dislocation.展开更多
文摘目的探讨胸腹腔镜联合微创Ivor-Lewis手术(MIILE)治疗中下段食管癌患者的临床疗效.方法将95例中下段食管癌患者分为行胸腹腔镜+MIILE的MIILE组(43例)和行微创McKeown术(MIME)的MIME组(52例),对比两组围手术期指标、术后并发症、术后疼痛和术后生存率.结果 MIILE组手术时间、术中出血量、术后进食时间、术后住院时间均低于MIME组(P<0.05);两组清扫淋巴结数、淋巴结转移率、R0切除率、术后拔胸管时间比较差异无统计学意义(P>0.05);MIILE组术后并发症总发生率低于MIME组(P<0.05);MIILE组术后1,7d视觉模拟评分法(VAS)均低于MIME组(P<0.05);两组术后14 d VAS评分差异无统计学意义(P>0.05);MIILE组术后1个月生活质量核心量表(QLQ-30)评分高于MIME组(P<0.05),两组复发或转移率、生存率及术后6个月QLQ-30评分差异无统计学意义(P>0.05).结论胸腹腔镜联合MIILE是治疗中下段食管癌安全有效的微创手术,可减少术后并发症,提高患者早期的生活质量.
文摘Objective: To investigate the diagnostic value of multidetector spiral CT (MSCT) in acute thoracolumbar spinal fracture and fracture-dislocation. Methods: CT imaging files of 152 consecutive traumatic patients with thoracolumbar fractures were retrospectively reviewed. MSCT scannings were performed with a collimation of 3-5 mm and a pitch of (5.5). The postprocessing included sagittal and coronal multiplannar reconstruction, and 3-D reconstruction.Results: There were 88 cases of compression fracture, 54 cases of burst fracture and 10 cases of fracture-dislocation. Transverse images of MSCT could visualize all fractures directly and determine whether spinal canal was intact. Postprocessing image was helpful in depicting the displacement of fragment and orientation of dislocation.Conclusions: MSCT plays an important role in diagnosis and management of acute thoracolumbar spinal fracture and fracture-dislocation.
