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腹腔镜Miles手术与腹腔镜切除经肛门吻合术治疗超低位直肠癌的效果 被引量:1
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作者 裴成明 汪浩洋 +3 位作者 王志亮 王彦生 马燕娇 姚海英 《中外医学研究》 2024年第6期22-25,共4页
目的:比较腹腔镜Miles手术与腹腔镜切除经肛门吻合术治疗超低位直肠癌的效果。方法:回顾性选取2018年6月—2021年12月甘肃中医药大学第四附属医院收治的80例超低位直肠癌患者。根据手术方式的不同将其分为对照组(40例)和观察组(40例)。... 目的:比较腹腔镜Miles手术与腹腔镜切除经肛门吻合术治疗超低位直肠癌的效果。方法:回顾性选取2018年6月—2021年12月甘肃中医药大学第四附属医院收治的80例超低位直肠癌患者。根据手术方式的不同将其分为对照组(40例)和观察组(40例)。对照组给予腹腔镜Miles手术,观察组给予腹腔镜切除经肛门吻合术。比较两组胃肠道功能恢复时间及止痛时间,围手术期指标,并发症,恢复情况,排便满意度。结果:观察组胃肠道功能恢复时间、止痛时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组手术时间短于对照组,术中出血量及术后引流量均明显少于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。观察组术后排气时间及住院时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组排便满意度优良率显著优于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜切除经肛门吻合术手术创伤较小,患者恢复较快,没有严重的并发症,术后排便功能也明显较优。 展开更多
关键词 超低位直肠癌 腹腔镜Miles手术 经肛门吻合术
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Simulation-based assessment for the emergency medicine milestones: a national survey of simulation experts and program directors
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作者 Afrah A Ali Ashley Crimmins +1 位作者 Hegang Chen Danya Khoujah 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第4期301-305,共5页
The focus of outcome-based education has shifted from the process of training to the end“product”of education.This has necessitated a reframing of the teaching,learning,and assessment.Therefore,in 2013,the Accredita... The focus of outcome-based education has shifted from the process of training to the end“product”of education.This has necessitated a reframing of the teaching,learning,and assessment.Therefore,in 2013,the Accreditation Council for Graduate Medical Education(ACGME)implemented the educational milestones for all accredited residencies and fellowship programs.[1]The milestones have been described as“developmentally based,specialty-specific achievements that residents are expected to demonstrate at established intervals as they progress through training.”[1]Milestones are based on the six core competencies established by the ACGME and American Board of Medical Specialties(ABMS),which consist of medical knowledge(MK),patient care(PC),interpersonal and communication skills(ICS),practice-based learning and improvement(PBLI),professionalism(PROF),and systems-based practice(SBP).[2,3]ACGME,in conjunction with the American Board of Emergency Medicine(ABEM),drafted 23 detailed subcompetencies relevant to emergency medicine(EM).[4] 展开更多
关键词 MILES milestone EDUCATION
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保肛手术治疗低位直肠癌的临床疗效
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作者 程巩 曹岩 冯亚光 《深圳中西医结合杂志》 2024年第10期72-75,共4页
目的:探讨低位直肠癌治疗中保肛手术的效果和对患者心理状态的影响。方法:回顾性选取2021年12月至2023年12月商丘市第一人民医院胃肠外科低位直肠癌患者80例,依据手术方法分为保肛手术组、Miles手术组,各40例。比较两组患者围手术期指... 目的:探讨低位直肠癌治疗中保肛手术的效果和对患者心理状态的影响。方法:回顾性选取2021年12月至2023年12月商丘市第一人民医院胃肠外科低位直肠癌患者80例,依据手术方法分为保肛手术组、Miles手术组,各40例。比较两组患者围手术期指标、肛肠动力学指标、氧化应激指标、炎症因子水平、免疫功能、心理状态、术后并发症发生情况、肿瘤转移、复发情况。结果:保肛手术组患者的手术时间、肠功能恢复时间、住院时间均短于Miles手术组,术中出血量、术后2周、6个月排便次数均少于Miles手术组,差异具有统计学意义(P<0.05);手术后保肛手术组患者的直肠肛管抑制反应阈值(AIRT)、直肠静息压(RRP)均低于Miles手术组,肛管最大收缩压(MSP)、肛管静息压(ARP)、直肠最大耐受容量(MTV)、高压区长度(HPZ)均高于Miles手术组,差异具有统计学意义(P<0.05);手术后保肛手术组患者的血清超氧化物歧化酶(SOD)水平高于Miles手术组,血清丙二醛(MDA)水平低于Miles手术组,差异具有统计学意义(P<0.05);手术后保肛手术组患者的血清淀粉样蛋白(SAA)、血清C反应蛋白(CRP)、白细胞介素(IL)-6、IL-8、基质金属蛋白酶-9(MMP-9)、肿瘤坏死因-α(TNF-α)水平均低于Miles手术组,差异具有统计学意义(P<0.05);手术后保肛手术组患者的血清血管内皮生长因子(VEGF)水平低于Miles手术组,差异具有统计学意义(P<0.05);手术后保肛手术组患者的外周血分化簇(CD)4^(+)水平、CD4^(+)/CD8^(+)比值高于Miles手术组,CD8^(+)水平低于Miles手术组,差异具有统计学意义(P<0.05);手术后保肛手术组患者的焦虑评分、抑郁评分均低于Miles手术组,差异具有统计学意义(P<0.05);保肛手术组患者的术后并发症发生率、肿瘤转移率均低于Miles手术组,差异具有统计学意义(P<0.05);两组患者复发率比较,差异无统计学意义(P>0.05)。结论:低位直肠癌治疗中保肛手术的效果较Miles手术好,更能对患者心理状态进行改善。 展开更多
关键词 低位直肠癌 保肛手术 MILES手术
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The "Black Myth" Marks a New Milestone for China-Made Games in Overseas Market
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作者 Joyce Lee 《China's Foreign Trade》 2024年第5期41-42,共2页
Since its first launch on August 20th,the game"Black Myth:Wukong"has broken many previous records for domestic single-player games,and also provides a chance for global game players to see Chinese games as a... Since its first launch on August 20th,the game"Black Myth:Wukong"has broken many previous records for domestic single-player games,and also provides a chance for global game players to see Chinese games as among the world's best games.The number of online users on the entire platform exceeded3 million at its most,and more than10 million copies of the games were sold within the first four days after the launch.It has received more than 270thousand reviews in total and 96%positive reviews on the Steam platform,providing a chance for global game players to enjoy the best of Chinese games。 展开更多
关键词 MILES GAMES MARKET
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China's New Proposal of Returning Lost Cultural Objects Earns International Support Milestone in New Era
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作者 Chen Xi 《China & The World Cultural Exchange》 2024年第7期22-26,共5页
China launched a recommendation for the protection and return of cultural objects removed from colonial contexts or acquired by other unjustifiable or unethical means,winning a big applause from many countries which a... China launched a recommendation for the protection and return of cultural objects removed from colonial contexts or acquired by other unjustifiable or unethical means,winning a big applause from many countries which are seeking for more cooperation in solving this serious problem. 展开更多
关键词 MILES RETURN removed
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A Milestone on the Road to Chinese Modernizationn
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作者 STEPHAN OSSENKOPP 《China Today》 2024年第9期44-46,共3页
Both the plenary session resolution and the statements made at the press conference are enormously significant.They are a benchmark for global confidence in China’s future path.THE Communist Party of China(CPC)holds ... Both the plenary session resolution and the statements made at the press conference are enormously significant.They are a benchmark for global confidence in China’s future path.THE Communist Party of China(CPC)holds its National Congress every five years.The CPC Central Committee,the highest body of the party convenes up to seven plenary sessions between congresses.The third plenum traditionally deals with economic issues. 展开更多
关键词 MILES holds ROAD
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基于微信的同伴教育应用于直肠癌Miles术后造口患者中对其希望水平、生活质量的影响
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作者 谢倩芸 李晓慧 陈惠敏 《当代医药论丛》 2024年第3期119-121,共3页
目的:探讨基于微信的同伴教育应用于直肠癌Miles术后造口患者中对其希望水平、生活质量的影响。方法:选取2021年2月—2023年2月南京医科大学附属无锡人民医院收治的138例直肠癌Miles术后造口患者,分为对照组和研究组。对照组应用常规护... 目的:探讨基于微信的同伴教育应用于直肠癌Miles术后造口患者中对其希望水平、生活质量的影响。方法:选取2021年2月—2023年2月南京医科大学附属无锡人民医院收治的138例直肠癌Miles术后造口患者,分为对照组和研究组。对照组应用常规护理干预,研究组应用基于微信的同伴教育干预。观察分析两组并发症、HHI评分、生活质量、社会心理适应评分。结果:与对照组相比,研究组并发症发生率较低(P<0.05);与对照组相比,干预后研究组HHI评分及生活质量评分较高(P<0.05);与对照组相比,干预后研究组ESCA评分较高(P<0.05);与对照组相比,干预后研究组社会心理适应评分较高(P<0.05)。结论:在直肠癌Miles术后造口患者中实施基于微信的同伴教育能够显著减少并发症的发生,提升其希望水平,改善生活质量,值得应用。 展开更多
关键词 微信 同伴教育 直肠癌MILES术 希望水平 生活质量
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A Year of Milestones
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《ChinAfrica》 2024年第1期28-30,共3页
Highlights of key developments in China-Africa relations in 2023.Africa CDC Headquarters Phase I Completed On 11 January,the China-aided Africa Centres for Disease Control and Prevention(Africa CDC)Headquarters Buildi... Highlights of key developments in China-Africa relations in 2023.Africa CDC Headquarters Phase I Completed On 11 January,the China-aided Africa Centres for Disease Control and Prevention(Africa CDC)Headquarters Building Project(Phase I)was officially inaugurated in Addis Ababa,Ethiopia.(XINHUA). 展开更多
关键词 MILES AFRICA QUARTERS
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The Price of Engineering Ethics, a Personal Story
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作者 Robert A.Leishear 《Philosophy Study》 2024年第1期22-29,共8页
There are costs for doing the right thing,but regret is not one of those costs.I learned this lesson the hard way throughout a 42-year engineering career.As a young engineer,raising a family,I was more adaptable to ma... There are costs for doing the right thing,but regret is not one of those costs.I learned this lesson the hard way throughout a 42-year engineering career.As a young engineer,raising a family,I was more adaptable to management mandates,i.e.,I was more willing to be unethical to keep my job to make money and have health insurance for my family.As I grew in age,experience,and stamina,I was less adaptable,i.e.,I was more ethical.This article tells this story through events at various times in my engineering career1.Ethics define how we do the right thing. 展开更多
关键词 Engineering Ethics Fukushima explosions Three Mile Island explosions Piper Alpha explosions San Bruno explosion Hamaoka explosion I-40 bridge crack nuclear waste
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强化护理模式对直肠癌Miles术后结肠造口患者自主护理能力及生活质量的影响 被引量:3
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作者 郭云 王妮 白丽敏 《甘肃医药》 2023年第3期276-279,共4页
目的:分析强化护理模式对直肠癌Miles术后结肠造口患者自主护理能力及生活质量的影响。方法:选择2019年2月至2021年12月于我院接受直肠癌经腹会阴联合直肠癌根治术(Miles)后结肠造口患者的资料,筛选出其中符合入组标准共140例作为研究对... 目的:分析强化护理模式对直肠癌Miles术后结肠造口患者自主护理能力及生活质量的影响。方法:选择2019年2月至2021年12月于我院接受直肠癌经腹会阴联合直肠癌根治术(Miles)后结肠造口患者的资料,筛选出其中符合入组标准共140例作为研究对象,将其随机分为对照组(70例)和观察组(70例)。其中对照组患者给予常规护理干预,观察组患者给予强化护理模式干预,评估并对比两组患者的治疗依从性、自主护理能力、生活质量及情绪状态,并记录两组患者的护理满意度及并发症发生情况。结果:干预后,观察组的治疗依从性为95.71%,高于对照组的78.57%(P<0.05);观察组的护理满意度为100.00%,高于对照组的82.86%(P<0.05)。干预后,两组的健康知识水平、自我概念、自我责任感、自我护理技能及总评分较干预前升高,且观察组高于对照组(P<0.05)。干预后,两组的认知功能、躯体功能、情绪功能、角色功能、社会功能及总体健康评分较干预前升高,且观察组高于对照组(P<0.05)。干预后,两组的汉密顿焦虑量表(HAMA)评分和汉密顿抑郁量表(HAMD)评分均较干预前升高,且观察组低于对照组(P<0.05)。观察组的并发症发生率为7.14%,低于对照组的17.14%(P<0.05)。结论:强化护理模式在干预直肠癌Miles术后结肠造口方面有着较高的应用价值,可有效提高患者的治疗依从性、自主护理能力,且患者满意度高,生活质量及预后良好,可在临床上推广应用。 展开更多
关键词 强化护理模式 直肠癌 MILES术 结肠造口 生活质量 情绪状况
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“知信行”理念延续健康教育应用于直肠癌Miles术肠造口患者临床研究
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作者 张珊珊 《河南外科学杂志》 2023年第6期62-65,共4页
目的总结“知信行”理念延续健康教育应用于直肠癌Miles术肠造口患者的临床效果。方法回顾性分析2020-01—2022-06平顶山市第一人民医院行直肠癌Miles术的76例患者的临床资料,根据对肠造口的延续健康教育方式,分为知信行组和对照组,各3... 目的总结“知信行”理念延续健康教育应用于直肠癌Miles术肠造口患者的临床效果。方法回顾性分析2020-01—2022-06平顶山市第一人民医院行直肠癌Miles术的76例患者的临床资料,根据对肠造口的延续健康教育方式,分为知信行组和对照组,各38例。采用中文版造口患者社会心理适应量表(OAI-20)、肠造口患者自我管理问卷评估表、造口患者生活质量问卷(COH-QOL-OQ)评估表,比较干预前后2组患者的社会心理适应水平、自我管理能力、生活质量,以及造口相关并发症发生率。结果干预前2组患者的OAI-20、自我管理能力、COH-QOL-OQ评分差异均无统计学意义(P>0.05)。干预3个月后2组患者的上述指标评分均较干预前显著改善,且知信行组患者的改善效果均优于对照组,差异有统计学意义(P<0.05)。知信行组患者术后造口相关并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对行Miles术的直肠癌患者实施“知信行”肠造口延续健康教育,能够有效提高其社会心理适应水平、自我管理能力,并可减少术后造口相关并发症发生率和改善患者的生活质量。 展开更多
关键词 直肠癌 MILES术 肠造口延续健康教育 社会心理适应水平 自我管理能力
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直肠癌Miles术应用腹膜外造口对造口旁疝的预防效果分析
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作者 王东 王玉 石运振 《当代医学》 2023年第8期153-155,共3页
目的探究直肠癌Miles术应用腹膜外造口对造口旁疝的预防效果。方法选取2017年1月至2020年6月本院收治的行直肠癌Miles术患者73例作为研究对象,根据造口方式不同分为研究组(n=37)与对照组(n=36)。研究组实施腹膜外造口,对照组实施腹膜内... 目的探究直肠癌Miles术应用腹膜外造口对造口旁疝的预防效果。方法选取2017年1月至2020年6月本院收治的行直肠癌Miles术患者73例作为研究对象,根据造口方式不同分为研究组(n=37)与对照组(n=36)。研究组实施腹膜外造口,对照组实施腹膜内造口,比较两组住院时间、首次排便时间、首次排气时间、日常生活能力量表(ADL)评分、造口旁疝等并发症发生情况。结果两组住院时间、首次排便时间、首次排气时间比较差异均无统计学意义。术前,两组ADL评分比较差异无统计学意义;术后6个月,两组ADL评分低于术前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组造口旁疝发生率低于对照组,差异有统计学意义(P<0.05),两组造口回缩、狭窄,造口坏死,出血、感染发生率比较差异无统计学意义。结论通过对直肠癌Miles术患者应用腹膜外造口可减少造口旁疝,对住院时间等术后恢复指标无影响,可提高患者术后生命质量,值得临床推广应用。 展开更多
关键词 直肠癌MILES术 腹膜外造口 造口旁疝 预防效果
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改良截石位对患者腹腔镜Miles术后体位并发症及舒适度的影响
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作者 贺春华 王璐 +1 位作者 李健 罗顺红 《湘南学院学报(医学版)》 2023年第1期40-42,共3页
目的评价传统与改良截石位在腹腔镜直肠癌Miles根治术对患者体位并发症及舒适度的影响。方法将80例直肠癌需腹腔镜Miles根治术的患者分成2组,传统截石位组与改良截石位组各40例,术后48 h观察传统与改良截石位对患者体位并发症(下肢麻木... 目的评价传统与改良截石位在腹腔镜直肠癌Miles根治术对患者体位并发症及舒适度的影响。方法将80例直肠癌需腹腔镜Miles根治术的患者分成2组,传统截石位组与改良截石位组各40例,术后48 h观察传统与改良截石位对患者体位并发症(下肢麻木疼痛、结膜水肿、肩背压迫情况及腓神经损伤)及舒适度的影响。结果改良截石位患者术后体位并发症总发生率(12.50%)较传统组(45.00%)低(χ2=10.313,P<0.01),患者舒适度明显优于传统截石位组(P<0.05)。结论直肠癌腹腔镜Miles根治术患者采用改良截石位可明显降低术后体位并发症发生率,提高患者舒适度。 展开更多
关键词 改良截石位 舒适度 并发症 腹腔镜Miles术
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Traffic Flow Characteristics in Work Zone and Non-Work Zone Environment and Its Impact on Road Crashes at the Segment Level
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作者 Dorcas O. Okaidjah Christopher M. Day 《Journal of Transportation Technologies》 2023年第4期615-631,共17页
This study investigates relationships between congestion and travel time performance metrics and crashes on road segments. The study focuses on work zone routes in Iowa, utilizing 2021 commercially-available probe veh... This study investigates relationships between congestion and travel time performance metrics and crashes on road segments. The study focuses on work zone routes in Iowa, utilizing 2021 commercially-available probe vehicle data and crash data. Travel time performance metrics were derived from the probe vehicle data, and crash counts were obtained from the crash data. Additional variables included road characteristics (traffic volume, road type, segment length) and a categorical variable for the presence of a work zone. A mixed effect linear regression model was employed to identify relationships between road segment crash counts and the selected performance metrics. This was accomplished for two sets of models that include congestion performance measures at different defining threshold values, along with travel time performance measures. The study results indicate that the congestion indicators, certain travel time performance measures, and traffic counts were statistically significant and positively correlated with crash counts. Indicator variables for rural interstate locations and non-active work zones have a stronger influence on crash count than those for municipal interstate locations and active work zones. These findings can inform decision-makers on work zone safety strategies and crash mitigation planning, especially in high traffic volume areas prone to congestion and queues. 展开更多
关键词 Probe Data Congestion Mile Hours Queue Mile Hours Speed Deficit Crashes Work Zones
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Strategies for Promoting Ethnic Unity through Hubei Border Tea
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作者 Jiandong LAI Yi SHENG 《Asian Agricultural Research》 2023年第11期20-23,共4页
Based on a questionnaire survey and on-site research on the overview of the border tea industry,the importance of the development of border tea for ethnic unity work is analyzed,and improvement suggestions and impleme... Based on a questionnaire survey and on-site research on the overview of the border tea industry,the importance of the development of border tea for ethnic unity work is analyzed,and improvement suggestions and implementation strategies are proposed. 展开更多
关键词 Border tea NATIONALITY Tea Road of Ten Thousand Miles
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An Epoch-Making Milestone
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作者 CHINA TODAY 《China Today》 2023年第1期14-17,共4页
The first China-Arab States Summit ushered in a new era for the relationship between China and the Arab world.CHINA and the Arab world,though geographically far apart,have enjoyed friendship that goes back millennia.T... The first China-Arab States Summit ushered in a new era for the relationship between China and the Arab world.CHINA and the Arab world,though geographically far apart,have enjoyed friendship that goes back millennia.The Silk Road and the maritime Spice Route have witnessed the two ancient civilizations learn from each other and inspire each other,jointly promoting the prosperity of human society.In modern times. 展开更多
关键词 MILES jointly witnessed
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New Milestone:China-funded hospital marks milestone in healthcare infrastructure development in Rwanda
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作者 ALAFATI MUGABO 《ChinAfrica》 2023年第5期42-43,共2页
Rwanda has inaugurated the$42-million expansion and renovation project of Masaka District Hospital,located in the Kigali suburbs of Masaka sector in Kicukiro District.“After the project completes,it will emerge as a ... Rwanda has inaugurated the$42-million expansion and renovation project of Masaka District Hospital,located in the Kigali suburbs of Masaka sector in Kicukiro District.“After the project completes,it will emerge as a vital medical centre in the Great Lakes region and the biggest general and university teaching hospital funded by the Chinese government,”said Rwanda’s Prime Minister Edouard Ngirente. 展开更多
关键词 MILES CENTRE DISTRICT
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BRICS Summit 2023: A New Milestone for China-Africa Cooperation
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《ChinAfrica》 2023年第10期60-61,共2页
The 15th BRICS Summit held in Johannesburg,South Africa,on 22-24 August,with the theme of BRICS in Africa:Collaboration for Inclusive Growth and Shared Prosperity in the Fourth Industrial Revolution,was an important p... The 15th BRICS Summit held in Johannesburg,South Africa,on 22-24 August,with the theme of BRICS in Africa:Collaboration for Inclusive Growth and Shared Prosperity in the Fourth Industrial Revolution,was an important platform for enhancing China-Africa relations.The summit witnessed the expansion of the BRICS group to include six new members:Argentina,Egypt,Ethiopia,Iran,Saudi Arabia,and United Arab Emirates. 展开更多
关键词 BRICS MILES AFRICA
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对低位直肠癌患者实施保肛手术治疗临床效果的评价
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作者 刘进波 《中国科技期刊数据库 医药》 2023年第8期43-45,共3页
就直肠癌患者采用保肛手术的临床结果加以研究。方法 本次共选择42例直肠癌患者作为研究对象,根据治疗方法不同划分出观察组(保肛术),另选择32例作为对照组(行MILES术),对比灵族患者各项临床治疗指标。结果 结果按照近期和远期两个方面... 就直肠癌患者采用保肛手术的临床结果加以研究。方法 本次共选择42例直肠癌患者作为研究对象,根据治疗方法不同划分出观察组(保肛术),另选择32例作为对照组(行MILES术),对比灵族患者各项临床治疗指标。结果 结果按照近期和远期两个方面。其中,两组患者近期治疗效果差异不明显,无统计学意义(P>0.05)。从远期疗效来看,无论是1年,还是3年,疗效对比差异均不明显(P>0.05)。另外,对比两组患者治疗住院时长,差异相对较大(P<0.05)。结论 给予直肠癌患者实施地位直肠癌保肛术,效果显著,有助于提升患者生活质量,具有重要的临床价值。 展开更多
关键词 低位直肠癌 保肛手术 MILES术 远期疗效 临床价值
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1例经腹会阴联合直肠癌根治术后会阴部切口感染伴急迫性尿失禁患者的护理
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作者 汤雨佳 方方 +1 位作者 潘婷 汪刘华 《临床普外科电子杂志》 2023年第4期46-50,共5页
直肠癌是消化系统最常见的恶性肿瘤之一,其中低位直肠癌占70%~80%^([1-2]),经腹会阴联合直肠癌根治术(Miles手术)是治疗低位直肠癌的有效手段^([3])。Miles手术为污染手术,术中会阴部皮肤强行缝合、术后骶前间隙有较多渗液,易导致会阴... 直肠癌是消化系统最常见的恶性肿瘤之一,其中低位直肠癌占70%~80%^([1-2]),经腹会阴联合直肠癌根治术(Miles手术)是治疗低位直肠癌的有效手段^([3])。Miles手术为污染手术,术中会阴部皮肤强行缝合、术后骶前间隙有较多渗液,易导致会阴部切口感染^([4])。此外,Miles手术方式需大范围清扫盆腔内淋巴结及广泛切除直肠系膜. 展开更多
关键词 Miles手术 会阴部皮肤 中低位直肠癌 会阴部切口 直肠系膜 急迫性尿失禁 污染手术 广泛切除
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