find
Author
"叶永强" 3 results
-
ObjectiveTo summarize the experience of microsurgery in primary hospital for the posterior communicating artery aneurysms (PCOAan).
MethodsThe clinical data of 48 patients with PCOAan who underwent microsurgery from January 2008 to December 2012 were retrospectively analyzed.
ResultsAll the necks of aneurysms of 48 cases were successfully clipped, Acording to the Glasgow outcome score (GOS), the early curative effects were good in 36 cases (75.0%, GOS 4-5) poor in 10 cases (20.8%, GOS 2-3) and death in 3 cases (2.1%, GOS 1). After the operation was carried out, the operation time was shorten, aneurysm intraoperative rupture rate was lower, postoperative complications were lower, and the average medical expense was reduced; the difference was significant in 24 cases before and after the operation (P<0.05).
ConclusionMicrosurgery for PCOAan is an effective method which should be popularized in primary hospitals.
-
目的
探讨颅内后交通动脉瘤夹闭术中动脉瘤破裂出血的预防及处理。
方法
收集 2010 年 6 月—2015 年 6 月收治的 40 例采用开颅显微镜下动脉瘤夹闭术治疗颅内后交通动脉瘤患者的临床资料并进行分析。
结果
40 例患者中，14 例发生动脉瘤夹闭术中动脉瘤破裂，发生率为35%。发生动脉瘤破裂出血的部位分别为：动脉瘤颈 2 例，动脉瘤体 4 例，动脉瘤顶 8 例。14 例发生动脉瘤夹闭术中动脉瘤破裂的患者经过相应处理后均成功夹闭。术后随访 6 个月，采用格拉斯哥预后评分进行评价，恢复良好 4 例，轻度残疾 3 例，重度残疾 4 例，植物生存 2 例，死亡 1 例。
结论
开颅夹闭后交通动脉瘤时不仅要妥善处置好瘤体，还要做好预防夹闭动脉瘤破裂出血的准备，细心操作及综合处置，才能减少术中出血、利于患者良好恢复。
Release date：2017-01-18 08:50
Export
PDF
Favorites
Scan
-
目的总结梯形推进真皮脂肪瓣技术行乳腺癌整形保乳术的临床效果。方法2016 年 1 月—2018 年 6 月，采用梯形推进真皮脂肪瓣技术为 20 例女性中小乳房乳腺癌患者施行整形保乳术。患者年龄 30～55 岁，平均 42 岁。浸润性导管癌 17 例，浸润性小叶癌 1 例，黏液癌 1 例，导管原位癌 1 例。肿瘤最长径 2.0～3.3 cm，平均 2.6 cm。术前临床分期：0 期 1 例，Ⅰ期 7 例，ⅡA 期 12 例。结果1 例患者术后乳房切口小部分皮缘坏死，经换药后痂下愈合；其余患者切口均Ⅰ期愈合。20 例患者均获随访，随访时间 12～42 个月，平均 28 个月。所有患者乳房术区及皮瓣供区无积液、血肿、感染，无移植皮瓣坏死发生。随访期间无肿瘤复发转移。放疗结束后 6 个月乳房美容效果评价，客观满意度获优良 18 例、一般 2 例，优良率 90%；主观满意度获满意 18 例、一般 2 例，满意度 90%。结论梯形推进真皮脂肪瓣整形保乳术简便易行，损伤小，外观较好。
Release date：2021-01-07 04:59
Export
PDF
Favorites
Scan
