首页 > 文献资料
-
以卯榫接骨的外翻截骨术治疗先天性髋关节内翻
本文报道以卯榫端侧接骨的外翻截骨和术前通过计算,将平直钢板折成"Z"形作为固定物兼引导器,治疗小儿先天性髋关节内翻23例. 随访2~6年,23例全部恢复髋关节功能.与Borden氏等截骨术比较,本法具有接骨部位稳定性好、手术时间短、出血少以及不需X线监控矫正髋外翻角度等优点.
-
环钳斜吻合法治疗新生儿巨结肠
本院1978~1986年使用环钳斜吻合法作一期根治手术治疗新生儿巨结肠48例.本文主要介绍该方法的操作及手术中的注意事项.
-
儿童寰枢椎脱位合并颈脊髓压迫
寰枢椎由于先天发育不良、畸形、外伤或疾患引起不稳定者并非少见,此位置的关节不稳定比脊柱任何部位的关节不稳定更为危险,并有脊髓压迫症状时可导致四肢瘫痪或突然死亡~((1、2)),儿童期寰枢椎不稳定,保守治疗可能得到治愈,而需要行寰椎后弓切除减压及枕颈融合者极少.
-
幼儿期先天性髋脱位的有限制动治疗
先天性髋脱位的治疗近年来在切开复位手术方法上有许多新的发展并取得较前改善的治疗效果,但术后仍有种种不尽满意的结果,如关节活动受限甚至僵硬、半脱位或再脱位、以及股骨头骺缺血性坏死等,虽可再行补救治疗但效果仍不满意.故至今国内外对早期采用闭合复位治疗先天性髋脱位的方法仍极重视.
-
Objective:A meta-analysis of high-quality clinical studies was performed to compare LAG and open gastrectomy (OG) for AGC.Methods: Meta-analysis was performed using RevMan 5.0 software (Cochrane Library). Results:Twenty studies were included in final pooled analysis, 2RCTs and 17 NRCTs, compromising 3,409 patients (1,640 LAG, 1,709 OG). LAG was associated with longer operative time(P<0.001) and lower overall complications(P=0.001), estimated blood loss(P<0.001) and hospital stay(P<0.001). hTere were no signiifcant differences between two groups in number of lymph node dissection (P=0.65), overall complication (P=0.86), a 5-year overall survival rate (P=0.53) and 5-year recurrence-free survival (P=0.07).Conclusion:Despite a longer operation time, LAG is a safe technical alternative to OG for AGC with a lower complication rate and enhanced postoperative recovery. Moreover, the oncologic outcomes of LAG for AGC patients were comparable with open approach.
-
Objective:To evalte the efficiency,safety and complications of transcatheter closure of patent ductus arteriosus (PDA) or secundum atrial septal defects (ASD)using the Amplatzer occluder device.Methods:30 patients underwent transcatheter closure of PDA or ASD with the Amplatzer occluder.The lateral descending aortographies were performed to evaluate immediate results in the 20 patients of PDA.Hemodynamics was studied before and after the procedure.X-ray and echocardiography were performed in order to detect residual shunt and recanalization.Results:The device was successfully implanted in 28 patients.There was on clinical evidence of hemolysis andon incidence of device emboliszation.The median operation time waw 56min and median fluoroscopy time was 11min .The devices'positions were optmal and on residual shunt was found 24h and 1month after the procedure No complicatios were observed during the 3-month follow-up in 25 patients.Conclusions:The Amplatzer occluder device is a highly efficient prosthesis that can be safely applied in most patients with PDA or ASD.