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find Author "何刚" 4 results
  • 间接喉镜下杓状软骨拨动术临床分析

    目的 总结间接喉镜下的环杓关节脱位治疗方法和经验。 方法 复习2001年1月-2012年1月治疗的23例环杓关节脱位患者的临床资料,总结采用间接喉镜下喉息肉钳杓状软骨拨动术复位的疗效。 结果 23例患者经过间接喉镜下复位治疗,声嘶明显好转或痊愈,总有效率达95.7%。 结论 发病7d内治疗,间接喉镜下杓状软骨拨动术复位疗效明显,发病>1周者往往需要多次杓状软骨拨动治疗。

    Release date:2016-09-08 09:17 Export PDF Favorites Scan
  • A computed tomography image segmentation algorithm for improving the diagnostic accuracy of rectal cancer based on U-net and residual block

    As an important basis for lesion determination and diagnosis, medical image segmentation has become one of the most important and hot research fields in the biomedical field, among which medical image segmentation algorithms based on full convolutional neural network and U-Net neural network have attracted more and more attention by researchers. At present, there are few reports on the application of medical image segmentation algorithms in the diagnosis of rectal cancer, and the accuracy of the segmentation results of rectal cancer is not high. In this paper, a convolutional network model of encoding and decoding combined with image clipping and pre-processing is proposed. On the basis of U-Net, this model replaced the traditional convolution block with the residual block, which effectively avoided the problem of gradient disappearance. In addition, the image enlargement method is also used to improve the generalization ability of the model. The test results on the data set provided by the "Teddy Cup" Data Mining Challenge showed that the residual block-based improved U-Net model proposed in this paper, combined with image clipping and preprocessing, could greatly improve the segmentation accuracy of rectal cancer, and the Dice coefficient obtained reached 0.97 on the verification set.

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  • 微创小切口肋骨内固定术治疗多根多处肋骨骨折及连枷胸

    目的 总结微创小切口肋骨内固定术治疗多根多处肋骨骨折及连枷胸的临床经验。 方法 回顾性分析2009年1月至2010年1月上海交通大学附属第六人民医院奉贤分院54例胸部创伤患者行爪型钛板微创小切口肋骨内固定术的临床资料,其中男39例,女15例;平均年龄48.7 (19~75)岁。4例患者入院即刻手术,50例于入院1~9 d内手术。手术方式:行单纯肋骨内固定手术34例,同期固定胸骨2例,行肺修补手术6例,膈肌修补术1例,肺叶切除术1例,心包开窗手术1例,骨科手术9例。经肩胛骨下、内侧切口手术16例,侧胸壁切口手术31例,前胸壁切口手术7例。切口长度4~20 cm,肋骨骨折固定范围第2~12肋骨。 结果 本组患者无死亡,均在术后1~3 d内拔除气管内插管,全部治愈出院。术后发生肺部感染4例,气管切开1例,精神障碍1例,经相应的处理治愈。平均住院时间20.6 (12.0~38.0) d。术后随访47例。随访时间3~6个月,骨折全部愈合,无肋间神经压迫症状,患者恢复正常生活和工作;失访7例。 结论 采用爪型钛板进行肋骨内固定,不苟于传统,根据骨折部位采用微创小切口,钛板不接触骨折处,不破坏骨折处局部血运,不影响骨折愈合,可对包括第2肋骨在内的所有部位的肋骨骨折进行内固定。如骨折处位于胸骨或胸椎体结合部,则不宜用钛板固定。

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • Multi-Centre Randomized Controlled Trial of Bi Yuan Shu Liquid on Patients with Chronic Nasal Sinusitis or Nasal Polyp after Endosoopic Sinus Surgery

    Objective To study the effect of Bi Yuan Shu Liquid on melioration of clinical symptoms and signs of chronic nasal sinusitis or nasal polyp patients after Functional Endosoopic Sinus Surgery (FESS), and discuss the effectiveness of Chinese composite medicine in the overall treatment after FESS. Methods A total of 340 patients were randomly allocated to treatment group (n =170) and control group (n =170) according to simple randomization procedure. Patients in treatment group were administrated with quinolone, steroid, and Bi Yuan Shu Liquid, which were compared with those in control group who were given quinolone and steroid. Results The apparent effect of treatment group and control group were 30.6% and 42.4% of 42.4% of ITT. Results by Wilcoxon signed rank test indicated that there was a statistically significant difference. Conclusions Bi Yuan Shu Liquid may improve the effectiveness of sinus surgery, reduce the time course of antibiotics and hormones, and with out toxicity and side-effect.

    Release date:2016-09-07 02:28 Export PDF Favorites Scan
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