肝外胆管结石作为临床常见胆道疾病,其定义、分类、临床表现及诊断方法为本研究提供了基础背景。当前,西医治疗以外科手术为主,辅以围手术期管理,但单一疗法存在局限。中医以其独特理论体系,对肝外胆管结石有深入认识,并发展出多种治疗...肝外胆管结石作为临床常见胆道疾病,其定义、分类、临床表现及诊断方法为本研究提供了基础背景。当前,西医治疗以外科手术为主,辅以围手术期管理,但单一疗法存在局限。中医以其独特理论体系,对肝外胆管结石有深入认识,并发展出多种治疗方法,临床案例显示其独特疗效。本文综述了中西医结合治疗肝外胆管结石的最新进展,强调其结合双方优势,促进患者恢复的优势。然而,治疗过程中仍面临诸多挑战与瓶颈,需进一步优化策略以提高疗效。最后,总结当前进展,并对未来研究方向与发展趋势提出展望。Extrahepatic cholelithiasis is a common clinical biliary tract disease. Its definition, classification, clinical manifestations and diagnostic methods provide the basic background for this study. At present, Western medical treatment is mainly surgical, supplemented by perioperative management, but there are limitations of monotherapy. With its unique theoretical system, Chinese medicine has a deep understanding of extrahepatic bile duct stones, and has developed a variety of treatment methods, and clinical cases show its unique curative effect. This article reviews the latest progress of the treatment of extrahepatic bile duct stones by the combination of traditional Chinese and Western medicine, emphasizing the advantages of the combination of both sides and promoting the recovery of patients. However, there are still many challenges and bottlenecks in the treatment process, and further optimization strategies are needed to improve the efficacy. Finally, the current progress is summarized, and the future research direction and development trend are prospected.展开更多
目的：探讨颅内动静脉畸形（AVM）显微外科手术治疗方法和临床效果。方法选取手术治疗的90例颅内动静脉畸形患者，随机将其分为两组。对照组患者实行显微开颅切除手术，实验组患者实行显微下开颅切除手术联合术前栓塞术。比较两组患者...目的：探讨颅内动静脉畸形（AVM）显微外科手术治疗方法和临床效果。方法选取手术治疗的90例颅内动静脉畸形患者，随机将其分为两组。对照组患者实行显微开颅切除手术，实验组患者实行显微下开颅切除手术联合术前栓塞术。比较两组患者的临床疗效、术后不良反应以及生活质量改善情况。结果实验组Ⅲ-Ⅴ级患者出血量显著低于对照组，Ⅲ级和Ⅳ级患者的完全切除率分别为90.00%、72.73%显著高于对照组的52.38%、45.45%，实验组Ⅲ-Ⅴ级 GOS评分显著高于对照组；实验组患者术后偏瘫（8.89%）、偏盲（4.45%）、脑神经功能障碍（2.22%）、癫痫（4.45%）的发生率显著低于对照组患者术后偏瘫（33.33%）、偏盲（28.89%）、脑神经功能障碍（22.22%）、癫痫（4.45%）的发生率；实验组患者的躯体功能、生理职能、身体疼痛以及总体健康评分显著高于对照组患者，差异均具有统计学意义（ P 〈0.05）。结论显微开颅手术与栓塞术的联合治疗颅内动静脉畸形可以有效改善临床效果，降低不良反应的发生，提高患者的生活质量。展开更多
文摘肝外胆管结石作为临床常见胆道疾病,其定义、分类、临床表现及诊断方法为本研究提供了基础背景。当前,西医治疗以外科手术为主,辅以围手术期管理,但单一疗法存在局限。中医以其独特理论体系,对肝外胆管结石有深入认识,并发展出多种治疗方法,临床案例显示其独特疗效。本文综述了中西医结合治疗肝外胆管结石的最新进展,强调其结合双方优势,促进患者恢复的优势。然而,治疗过程中仍面临诸多挑战与瓶颈,需进一步优化策略以提高疗效。最后,总结当前进展,并对未来研究方向与发展趋势提出展望。Extrahepatic cholelithiasis is a common clinical biliary tract disease. Its definition, classification, clinical manifestations and diagnostic methods provide the basic background for this study. At present, Western medical treatment is mainly surgical, supplemented by perioperative management, but there are limitations of monotherapy. With its unique theoretical system, Chinese medicine has a deep understanding of extrahepatic bile duct stones, and has developed a variety of treatment methods, and clinical cases show its unique curative effect. This article reviews the latest progress of the treatment of extrahepatic bile duct stones by the combination of traditional Chinese and Western medicine, emphasizing the advantages of the combination of both sides and promoting the recovery of patients. However, there are still many challenges and bottlenecks in the treatment process, and further optimization strategies are needed to improve the efficacy. Finally, the current progress is summarized, and the future research direction and development trend are prospected.
文摘目的：探讨颅内动静脉畸形（AVM）显微外科手术治疗方法和临床效果。方法选取手术治疗的90例颅内动静脉畸形患者，随机将其分为两组。对照组患者实行显微开颅切除手术，实验组患者实行显微下开颅切除手术联合术前栓塞术。比较两组患者的临床疗效、术后不良反应以及生活质量改善情况。结果实验组Ⅲ-Ⅴ级患者出血量显著低于对照组，Ⅲ级和Ⅳ级患者的完全切除率分别为90.00%、72.73%显著高于对照组的52.38%、45.45%，实验组Ⅲ-Ⅴ级 GOS评分显著高于对照组；实验组患者术后偏瘫（8.89%）、偏盲（4.45%）、脑神经功能障碍（2.22%）、癫痫（4.45%）的发生率显著低于对照组患者术后偏瘫（33.33%）、偏盲（28.89%）、脑神经功能障碍（22.22%）、癫痫（4.45%）的发生率；实验组患者的躯体功能、生理职能、身体疼痛以及总体健康评分显著高于对照组患者，差异均具有统计学意义（ P 〈0.05）。结论显微开颅手术与栓塞术的联合治疗颅内动静脉畸形可以有效改善临床效果，降低不良反应的发生，提高患者的生活质量。
