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find Author "彭洋" 5 results
  • Treatment strategies for different types of pancreatic cancer

    ObjectiveTo explore the treatment strategies of different types of pancreatic cancer.MethodsBy reading the relevant literatures on the treatment of pancreatic cancer at home and abroad in recent years, the classification of pancreatic cancer and the progress of treatment measures were summarized.ResultsAccording to preoperative imaging evaluation, pancreatic cancer was divided into resectable pancreatic cancer, borderline resectable pancreatic cancer, locally advanced pancreatic cancer, and pancreatic cancer with distant metastasis. Resection of pancreatic cancer should be radical resection, supplemented with chemotherapy after surgery; patients with resected pancreatic cancer in the junction, if the patient with venous invasion could be resected and reconstructed, it was recommended to undergo surgery and postoperative adjuvant chemotherapy. Patients with unresectable reconstruction and arterial invasion should undergo neoadjuvant therapy, and then re-evaluate the resectability of the tumor to determine whether surgery was feasible. Patients with locally advanced or combined metastatic pancreatic cancer had lost the opportunity for surgery, for this kind of patient, advocated neoadjuvant chemoradiotherapy or second-line combined targeted therapy.ConclusionsMost patients with pancreatic cancer have progressed to the stage of clinical diagnosis. They are familiar with the treatment of different types of pancreatic cancer and take targeted treatment measures to improve the survival time of patients.

    Release date:2019-08-12 04:33 Export PDF Favorites Scan
  • Linezolid versus Teicoplanin for MRSA Pneumonia: A Meta-Analysis

    Objective To systematically review the effectiveness and safety of linezolid versus teicoplanin in patients with MRSA pneumonia. Methods Such databases as CBM, CNKI, WanFang Data, VIP, Science Direct, PubMed, Ovid, SciFinder, The Cochrane Library (Issue 3, 2013) and EMbase were electronically searched for published articles (randomized controlled trials or non-randomized prospective trials with comparable baseline between groups) at home and abroad on the clinical effectiveness and safety of linezolid versus teicoplanin in patients with MRSA pneumonia from January 2003 to March 2013. Using the Cochrane methods, two reviewers independently screened literature, extracted data, and assessed the methodological quality of included studies. Then, meta-analysis was performed using RevMan 5.2 software in clinical cure rates, clinical effective rates, microbiologic eradication rates, and adverse reaction incidences. Results Finally, 7 studies were included involving 637 patients. The results of meta-analysis were clinical effective rates (RR=1.17, 95%CI 1.04 to 1.32, P=0.009), clinical cure rates (RR=1.06, 95%CI 0.94 to 1.19, P=0.37), bacterial clearance rates (RR=1.32, 95%CI 1.03 to 1.68, P=0.03), and adverse events rates (RR=1.24, 95%CI 0.78 to 1.97, P=0.37). The results of Begg test and Egger test were not significant (Pgt;0.05). Conclusion Current evidence shows that, in treating MRSA pneumonia, linezolid is better than teicoplanin in clinical effective rates and bacterial clearance rates. However, they are alike in clinical cure rates and bacterial clearance rates.

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  • 桥本病背景下甲状腺乳头状癌与原发性甲状腺淋巴瘤共存 1 例报道

    Release date:2019-01-16 10:05 Export PDF Favorites Scan
  • 经脐单孔腹腔镜阑尾切除术治疗急性 阑尾炎的应用价值及经验总结

    目的 探讨经脐单孔腹腔镜阑尾切除术(SLA)在急性阑尾炎中的应用价值。 方法 回顾性分析笔者所在医院 2016 年 4 月至 2017 年 11 月期间收治的 70 例急诊入院且行经脐SLA的急性阑尾炎患者的临床资料。 结果 70 例患者顺利完成经脐SLA,无术中中转 3 孔或开腹患者。除 2 例患者手术时间超过 89 min 以外,其余患者平均手术时间 46 min;术中出血量平均 6 mL;术后进食时间平均 22 h;术后住院时间平均 2.8 d。出院后随访 3~22 个月,切口恢复较好,无脐部感染、阑尾残端瘘、阑尾残端周围脓肿形成、切口疝、肠梗阻等并发症发生。 结论 经脐SLA治疗急性阑尾炎安全、可靠,其具有疗效确切、创伤小、瘢痕隐秘、美观等优点。

    Release date:2018-11-16 01:55 Export PDF Favorites Scan
  • Progress in diagnosis and treatment of primary thyroid lymphoma

    ObjectiveTo investigate the diagnosis and treatment of primary thyroid lymphoma.MethodThrough reading of relevant literatures at home and abroad in recent years, the diagnosis and treatment progress of primary thyroid lymphoma were summarized.ResultsThe pathogenesis of primary thyroid lymphoma was associated with chronic inflammatory stimuli such as Hashimoto’s thyroiditis. Its preoperative diagnosis mainly relied on ultrasound-guided biopsy. The treatment depended mainly on its pathological type and tumor stage. Surgical resection was mainly used for pathological biopsy and relieving compression symptoms, and radiotherapy and chemotherapy were the main treatments.ConclusionsPrimary thyroid lymphoma is a rare thyroid malignancy. Being familiar with and understands its clinicopathological features have important guiding significance for preoperative diagnosis, clearing pathological type and staging, and selection of reasonable treatment measures.

    Release date:2019-03-18 05:29 Export PDF Favorites Scan
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