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胃内镜黏膜下剥离术围术期指南
Gastric cancer has become one of the important public health issues endangering people's health in China. Currently, endoscopic submucosal dissection (ESD) has been used as the curative procedure of early gastric cancer without lymph node metastasis. Endoscopic resection has several advantages, including less invasiveness, permitting en bloc, histologically completed resection, accurate pathological diagnosis, lower recurrent rate and rapid recovery. The perioperative period of ESD is the time of a patient's endoscopic operative procedure; more specifically, it includes ward admission, indication, contraindication, preoperative preparation, endoscopic operation, postoperative complications, recovery and the disposal of specimen. The aim of this guideline is to assist endoscopists in providing standardized operation to patients, as well as managing perioperative complications.
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浅谈中国关节置换外科的现状与未来
人工关节置换术经过近百年的发展,已经成为治疗各类中晚期关节疾病的标准手术之一。随着人工关节技术及医疗水平的发展,关节置换的质量也迅速提高,能够有效地缓解疼痛,重建关节功能。我国人工关节置换已经有30多年的历史,在广大骨科医师的努力下,取得相当大的成果。本文从假体材料、围手术期管理、数字化技术及存在的问题和发展趋势5个方面简要综述了关节外科近年来的研究进展和我国关节外科的现状及未来方向。
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加强围手术期处理,提高我国器官移植的整体水平
许多医学史家都认为器官移植的出现和发展是20世纪人类生物医学领域里重要的进展之一,并被称为"二十一世纪医学之巅",已成为治疗完全丧失了功能的脏器的唯一有效措施.与国外相比,我国器官移植工作起步约晚了10年,但近些年来我国的器官移植发展迅速,国际上所有类型的器官移植,我国都能够施行,在肾移植、肝移植等腹部主要脏器移植方面已积累了相当丰富的经验,手术技术日趋成熟,但移植成功率与国外还有一定的差距,这虽然与供体质量有一定的关系,但更与缺乏对围手术期管理的重视有关.