首页 > 文献资料
-
前列腺癌的手术治疗现况
前列腺癌治疗方法根据临床分期、细胞分化、年龄、全身情况、经济和家庭境况,以及个人心理状态而定.年轻(<70岁)、身体较好、临床分期B2期以下、分化较好者,做根治性前列腺切除术,能提高存活率.
-
腰椎管狭窄症手术前后体感诱发电位分析
腰椎管狭窄症(LSS)系椎管发生骨性或纤维性椎管腔狭窄而压迫马尾神经或神经根,从而导致体感诱发电位(SEP)异常[1~3].作者对1987年12月~1995年12月临床确诊为LSS的40例患者手术前后的SEP检查结果进行了总结,以期探讨在LSS中的应用价值.
-
Objective. To evaluate the results of operative treatment of spinal fracture-dislocation without neurologic deficits. Methods. Eighteen patients with spinal fracture-dislocation were neurologically intact at the time of injury, and all were treated operatively. The fracture sites were:8 cases in cervical spine, 3 cases in thoracic spine, and 7 cases in lumbar spine. Eight patients with cervical injuries had variant degrees of forward slide and kyphotic deformity. Of the 10 thoracic and lumbar fracttwes, one had lateral dislocation, 4 cases with kyphotic deformities, 5 cases with spinal canal compromise averaged 50% (ranging from 40% to 70%). Results. The average period of follow-up was 4.4 years with a range of 11 months to 13 years. All the patientsretumed to full-time work. No patient developed neurologic deterioration. Kyphotic deformity was corrected in the 4cases, and no progressive kyphosis was noted. There was no operation-related complication. The averaged post-opera-tive hospitalization time was 13 days. Conelusions. Despite the rare incidence of spinal fracture-dislocation without neumlogic deficits, we suggested that kind of fracture be considered unstable fracture because of its potential risk of delayed neurologic deterioration and kyphotic deformity, and be treated operatively to restore the sagittal ali~ment and the stability of the spine.
-
胆管损伤狭窄的诊断与手术
胆管损伤狭窄的诊断胆囊切除术中胆管损伤的病人可在术后早期出现胆汁性腹膜炎、胆漏、梗阻性黄疸等症状,大多数病人有肝功能改变、上腹部疼痛等,而后期出现狭窄者,以梗阻性黄疸或复发性胆管炎为主.
-
正常小儿与恶性实体瘤患儿外周血自然杀伤细胞活性
本文对17例正常小儿和16例恶性实体瘤患儿的外周血淋巴细胞中自然杀伤细胞活性进行了检测.结果表明恶性肿瘤患儿的自然杀伤细胞活性较正常小儿的明显降低(P<0.05).此外,作者还发现化疗和手术对患儿自然杀伤细胞活性影响不大.
-
儿童动脉导管未闭的手术结果及适应证(附1,016例报告)
本文收集本院1956年5月~1979年12月经手术治疗的先天性心脏病动脉导管未闭共1,016例(占同时期导管未闭手术总数1,616例的62.9%),着重从手术治疗结果,试行阐明手术病例选择及手术效果有关的某些问题.
-
CT对三踝骨折诊疗的指导作用
踝关节骨折在临床上很常见,X线片是其基本的检查手段,可以满足骨折脱位的筛查需要,但对于复杂的踝关节骨折X线片诊断的敏感性一般或较差.
-
老年桡骨远端骨折的治疗手术治疗与非手术治疗的比较
SummaryIt is not possible from two retrospective cohort studies to draw definitive conclusions on the most effective treatment (operative versus nonoperative) for distal radial fractures in the elderly.Despite having better radiographic alignment,patients receiving operative care have similar functional outcomes and overall range of motion compared with those receiving nonoperative care.Results are mixed with respect to residual pain and grip strength.Arthritic changes tended to occur less frequently in patients treated with surgery.However,one study reported a greater proportion of patients developed arthritis with operative treatment in those with extraarticular fractures.Complications were similar between groups.概要根据2项回顾性队列研究的结论,对于老年桡骨远端骨折,手术治疗与非手术治疗相比,哪一种疗效更优目前仍无定论.与非手术治疗相比,接受手术治疗的患者术后可以获得较好的影像学结果,而功能恢复和活动范围的改善情况则两者相当.对于术后疼痛和握力的恢复情况,各研究结论不一.关节炎的发生情况,手术组低于非手术组.但1项研究则报道,对于关节外骨折的老年患者,手术治疗会明显增加关节炎的发生率.两种治疗方法间并发症的发生率差异无统计学意义.
-
脊柱脊髓损伤手术治疗发展概述
人类医学的发展经历了三个主要阶段.第一阶段是医巫同源的阶段,在远古时期,人类对于自己身体的认识很少,觉得和大自然的一切一样神秘,认为是天神的创造,从事医疗的人和从事祭祀天神的神职人员经常是同一个人.
-
谈谈我们对《肩锁关节脱位合并喙突骨折的手术治疗》一文的一些看法
刊登在贵刊2009年第11卷第8期第780~781页的<肩锁关节脱位合并喙突骨折的手术治疗>一文,报告了一组针对肩锁关节脱位合并喙突骨折进行手术治疗的病例.作者在文中介绍经同一切口,先利用锁骨钩钢板纠正肩锁关节脱位再经喙突利用克氏针撬拔,在C型臂引导下间接复位移化的喙突和肩胛盂骨折后利用双枚空心拉力螺钉固定复化后的喙突骨折的手术方法.作者的尝试为治疗这种类型肩锁关节脱位提供了新方法.