目的分析胆总管结石(common bile duct stone,CBDS)应用自动脱落内支架管的临床效果和对肝功能的影响。方法临床选择东莞康华医院肝胆胰外科收入院的CBDS患者76例,收入院时间为2017年1月—2021年3月,按不同的治疗方式分为试验组、对照组...目的分析胆总管结石(common bile duct stone,CBDS)应用自动脱落内支架管的临床效果和对肝功能的影响。方法临床选择东莞康华医院肝胆胰外科收入院的CBDS患者76例,收入院时间为2017年1月—2021年3月,按不同的治疗方式分为试验组、对照组,各38例,试验组予以内支架管,对照组予以T管,分析两组术中出血量、住院时间、术后通气时间、手术时间以及白蛋白(albumin,ALB)、天门冬氨酸转氨酶(aspartate aminotransferase,AST)、总胆红素(total bilirubin,TB)水平。结果试验组术中出血量明显少于对照组,且试验组住院时间、术后通气时间、手术时间明显短于对照组,差异有统计学意义(P<0.05);两组治疗前、治疗后肝功能指标ALB、AST、TB比较差异无统计学意义(P>0.05);治疗后试验组生活质量评分明显高于对照组,差异有统计学意义(P<0.05);试验组不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论CBDS患者实施自动脱落内支架管可获得显著价值,不仅能够有效缩短住院时间,减少术中出血量,还能够有效缩短手术时间以及术后通气时间,因此值得临床应用及推广。展开更多
The East Asian stone sheds and dolmens called in the present paper are distrlbuted in the Liaodong Peninsula of China，the Korean Peninsula，and Kyushu of Japan．According to studies，dolmens in Kyushu made their firs...The East Asian stone sheds and dolmens called in the present paper are distrlbuted in the Liaodong Peninsula of China，the Korean Peninsula，and Kyushu of Japan．According to studies，dolmens in Kyushu made their first appearance in the second half of the final stage of Jomon period．As commonly recognized in international academic circles，the Kyushu dolmens of Japan are the latest in date among the East Asian stone sheds and dolmens．Recently，based on“C dating，the National Museum of Japanese History antedated the beginning stage of Yayoi period to about 1000 BC，and the second half of the final stage of Jomon period，correspondingly，to more than 1000 BC．As a result，the first appearance of dolmens in Kyushu will be dated much earlier than that in the southern Korean Peninsula，which，obviously，would be an error．展开更多
文摘The East Asian stone sheds and dolmens called in the present paper are distrlbuted in the Liaodong Peninsula of China，the Korean Peninsula，and Kyushu of Japan．According to studies，dolmens in Kyushu made their first appearance in the second half of the final stage of Jomon period．As commonly recognized in international academic circles，the Kyushu dolmens of Japan are the latest in date among the East Asian stone sheds and dolmens．Recently，based on“C dating，the National Museum of Japanese History antedated the beginning stage of Yayoi period to about 1000 BC，and the second half of the final stage of Jomon period，correspondingly，to more than 1000 BC．As a result，the first appearance of dolmens in Kyushu will be dated much earlier than that in the southern Korean Peninsula，which，obviously，would be an error．
