west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "成丽娅" 4 results
  • Clinical Study of Laparoscope Combined with Choledochoscope in Treatment of Patients with Cholecystolithiasis and Choledocholithiasis

    Objective To study the clinical effects of laparoscope combined with choledochoscope in patients with cholecystolithiasis and choledocholithiasis. Methods Clinical data of 74 patients with cholecystolithiasis and choledocholithiasis between Mar. 2009 and Feb. 2011 in our hospital were retrospectively analyzed. Among them, 37 cases underwent the laparoscope combined with choledochoscope operation (referred to as the double mirror operation group) and 37 cases underwent the conventional open operation (open operation group). The intraoperative conditions, therapeutic effect, and complications of patients in 2 groups were compared. Results The stone clearance rates of the two groups were 100%. The recurrence rate of 2 groups in the follow-up process was no significantly difference (P>0.05). In the double mirror operation group, the operative time was significantly longer than that open operation group (P<0.01);the intraoperative bleeding was significantly less than that open operation group (P<0.01);the anal exhaust time after operation, get out of bed time after operation, and total duration of hospitalization were significantly shorter than that open operation group (P<0.01);and the incidence of postoperative complications was significantly lower than that open oper-ation group(P<0.01). Conclusion Laparoscope combined with choledochoscope in treatment of cholecystolithiasis and choledocholithiasis patients has exact effects, with minor trauma, quicker recovery, and fewer complications, and it’s worthy of promotion.

    Release date:2016-09-08 10:35 Export PDF Favorites Scan
  • Influence on Liver Function and Immune Function of Laparoscopic and Open Cholecystectomy

    目的探讨腹腔镜与开腹胆囊切除术对患者肝功能及免疫功能的影响。 方法根据手术方式将84例胆囊良性病变患者分为腹腔镜胆囊切除术组(LC组,50例)及开腹胆囊切除术组(OC组,34例),比较2组患者手术前后肝功能及免疫功能指标的变化。 结果2组患者肝功能在手术前后不同时间点的差异均无统计学意义(P>0.05);LC组患者术后免疫功能各指标与术前比较无明显变化(P>0.05),OC组CD3+、CD4+及CD4+/CD8+在术后1 d及3 d均较术前明显降低(P<0.05),术后7 d恢复至术前水平(P>0.05)。 结论LC术可引起患者术后肝功能短暂异常,但对免疫功能无明显影响,可作为胆囊切除的首选术式。

    Release date: Export PDF Favorites Scan
  • Clinical Features and Surgical Treatment Experience of Gastric Stump Cancer in 60 Cases

    目的总结残胃癌的临床特点、治疗及预后情况。 方法回顾性分析笔者所在医院科室2003年1月至2008年1月期间收治的60例残胃癌患者的临床资料。 结果60例残胃癌发生于远端胃大部分切除+BillrothⅡ式重建后48例(80.0%),发生于远端胃大部分切除+BillrothⅠ式重建后9例(15.0%),发生于近端胃大部分切除术后3例(5.0%)。42例患者行根治性切除,其术后1、3及5年生存率分别为90.5%、57.1%及13.3%;18例行姑息性手术治疗,其术后1、3及5年生存率分别为16.7%、0及0。根治组患者的中位生存时间为36.7个月,姑息组为7.2个月,根治组的生存情况较好(χ2=76.98,P<0.001)。 结论残胃癌不易早期诊断,对于高发人群需定期复查胃镜,积极的外科治疗可以提高患者的生存率及生活质量。

    Release date: Export PDF Favorites Scan
  • nalysis on Clinical Effects of Different Operations for Treating Gallbladder and Bile Duct Stones

    目的探讨腹腔镜联合胆道镜治疗胆囊及胆总管结石的临床疗效。 方法回顾性分析2010年1月至2013年1月期间收治于笔者所在科室的96例胆囊及胆总管结石患者的临床资料,根据手术方式分为开腹组、腹腔镜联合胆道镜+T管引流术组和腹腔镜联合胆道镜+放置鼻胆管一期缝合组3组。对3组患者的手术时间、术中出血量、肛门排气时间、住院时间、残石率、复发率、并发症发生率、手术有效率及术后淀粉酶和肝功能指标水平进行对比分析。 结果微创手术组与开腹组比较,患者的出血量、肛门排气时间、住院时间、残石率、复发率及并发症发生率均减少、缩短或降低,同时手术的有效率提高(P<0.05);腹腔镜联合胆道镜+放置鼻胆管一期缝合组术后淀粉酶和肝功能指标的水平较其他2组明显降低(P<0.05)。 结论微创手术创伤小,残石率及复发率低,并发症少,患者术后恢复快,是一种安全有效的治疗方式,值得临床推广应用。

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content