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find Author "李俊" 38 results
  • 乙状结肠肠脂垂致嵌顿性闭孔疝1例报告

    患者,女,71岁。因反复左大腿前内侧胀痛1年,加重半月入院。疼痛放射至左膝部伴酸胀、麻木,持续时间不等,休息能自行缓解。左髋、膝关节疼痛,活动稍受限。近半月持续疼痛不能缓解,无腹胀、腹痛、恶心、呕吐、便秘。查体: 全腹平软,无压痛、反跳痛,肠鸣音正常。左腹股沟区未扪及明显肿块。直肠指检于左闭孔管内口处扪及一索状包块、压痛。伸髋关节及旋转运动时加重,即HR征(+)。考虑为左闭孔疝。在持续硬膜外麻醉下,取下腹正中切口,行剖腹探查,术中见左闭孔处有一直径约1.2 cm盆腹膜缺损,邻近乙状结肠壁上有三枚肠脂垂簇集,约1 cm×1.5 cm×1 cm大,其中两枚呈暗红色,略肿胀,肠脂垂中部有嵌顿迹象,一枚外观正常。探查乙状结肠、左附件、膀胱及小肠未见异常。考虑为此2枚肠脂垂嵌入左闭孔疝囊中所致。术中因麻醉后闭孔疝环松弛,故见肠脂垂自行还纳腹腔,未再嵌入。遂将此3枚肠脂垂切除送病检。然后探查闭孔疝囊,约1 cm×2 cm大,将疝囊切除,用丝线间断缝合修补闭孔环。检查无出血后关腹。

    Release date:2016-08-28 04:49 Export PDF Favorites Scan
  • The valuation of quantitative lung data of vibration response imaging in diagnosis of obstructive lung diseases

    Objective Vibration response imaging(VRI) is a new lung sound imaging technology.It provides quantitative lung data(QLD) of vibration in respiratory system.The study is to explore the value of QLD in diagnosis of obstructive lung diseases.Methods The QLD of 61 chronic obstructive pulmonary disease(COPD) patients,58 asthma patients and 64 healthy volunteers were reviewed.The QLD were transferred to abnormity and variation by a formulation and were analyzed.Results The mean QLD of healthy volunteers were 8.4,14.5,22.0,11.1,18.5,25.5 with mean abnormity as 10.0 and mean variation as 2.0.The mean QLD of the COPD patients were 11.6,16.7,21.9,12.6,17.2,20.1 with mean abnormity as 47.1 and mean variation as 10.9.The mean QLD of the asthma patients were 12.8,17.2,19.9,13.3,17.5,19.3 with mean abnormity as 58.1 and mean variation as 12.2.The abnormity and variation of the patients were different from those of volunteers(Plt;0.05).When abnormity≥20.0 or variation≥5.0 was define as threshold value,the specificity was 87.5%.The diagnosis sensitivity for COPD is 82.0% and sensitivity for asthma is 82.8%.Conclusion COPD and asthma patients can be detected by quantitative lung data from vibration response imaging.

    Release date:2016-09-14 11:56 Export PDF Favorites Scan
  • 星状神经阻滞致臂丛神经长时程阻滞一例

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • 结肠腺癌合并原发性肝癌骨转移1例

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 胆囊残株炎23例诊治体会

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • 外伤性气管、支气管断裂18例

    Release date:2016-08-30 05:59 Export PDF Favorites Scan
  • REPAIR THE PALMAR SOFT TISSUE DEFECT OF THE FINGER WITH CROSS-FINGER FLAP WITH CUTANEOUS BRANCH OF THE ULNAR DIGITAL FINGER

    Objective To discuss the clinical effect of cross-finger flap with cutaneous branch of the ulnar digital finger on repairing the palmar soft tissue defect of the finger. Methods From October 1996 to June 2004, crossfinger flaps were used to repair the palmar soft tissue defect of the finger in 25 cases( 32 fingers ) with tendon or bone exposed. There were 18 males and 7 females, and theirages ranged from 13 to 45 years. Among them, 6 cases were incised injury, 8 cases were impact and press injury, 11 cases were crush injury; and 2 cases were thumb, 8 cases were index, 5 cases were middle finger, 3 cases were ring finger, 2 cases were little finger, 2 cases were index and middle finger, 2 cases were middle and ring finger, and 1 cases were index, middle, ring and little finger. Thetime from injury to diagnosis was 30 min to 48 h, and the size of the tissue defect was 1.5 cm×1.0 cm to 4.1 cm×2.0 cm. All cases were treated with emergent operation, and the sense of the flap was recovered by anastomosing the cutaneous branch of the ulnar digital finger and the distal digital nerve of injured finger. The flap pedicle was dissected 3 weeks later. Results Followup was conducted for 6 to 26 months and it showed that the cross-finger flaps all survived with full digital fingertip, satisfactory appearance, good function, and normal sense. The discrimination of two points was 5-8 mm. Conclusion As it is easy to operate and with satisfactory appearance and good function restoration, cross-finger flap with cutaneous branch of the ulnar digital finger is effective in repairing the palmar soft tissue defect of the finger.

    Release date:2016-09-01 09:24 Export PDF Favorites Scan
  • 玻璃体切割术治疗儿童感染性眼内炎

    Release date:2016-09-02 06:03 Export PDF Favorites Scan
  • B SCAN ULTRASONIC EXAMINATION IN INFECTIOUS ENDOPHTHALMITIS IN CHILDREN

    PURPOSE:To evaluate the B sean ultrasonic examination in diagnosis and prognosis of infectious endophthalmitis in children. METHODS:The hospital records of 44 children with infectious endophthalmitis were retrospectively analysed. The correlation between the initial B scan eehographic findings and the initial vision and the vision at discharge were analysed by t-test. RESULTS :The average visual, acuity was hand moving on admission,and 0.04 at discharge. Both the final vision and the initial vision were associated with the severity of vitreous opacity. The ultrasonic findings including retinal detachment and choroidal detachment were associated with poor vision outcomes. CONCLUSION :The ocular B scan ultrasonic examination was effective to predict the final vision in infectious endophthalmitis in children. (Chin J Ocul Fundus Dis,1997,13: 134-135)

    Release date:2016-09-02 06:12 Export PDF Favorites Scan
  • CT Guided Transpedicular Biopsy in Diagnosing Vertebral Body Lesions

    【摘要】 目的 探讨CT引导下经椎弓根穿刺活检对椎体病变的诊断价值及可行性。 方法 回顾性分析2009年5月—2010年4月42例椎体病变患者经椎弓根穿刺活检的穿刺活检方法、病理结果、最终诊断及穿刺并发症。 结果 患者总穿刺准确率为95.2%(40/42)。其中恶性病变的穿刺准确率为94.3%(33/35),良性病变穿刺准确率为100%(7/7);所有患者均未发生严重穿刺并发症。 结论 CT引导下经椎弓根穿刺活检诊断椎体病变有安全可靠、准确性高等特点。【Abstract】 Objective To explore the value and the feasibility of CT guided transpedicular biopsy in diagnosing vertebral body lesions.  Methods From May 2009 to April 2010, 42 patients with vertebral body lesions underwent CT guided transpedicular biopsy. The clinical data including the puncture method, pahtological resutls, final diagnosis, and the pucture complications were retrospectively analyzed.  Results The total accuracy rate of the puncture was 95.2%(40/42). The accuracy rate of the puncture was 94.3% (33/35) for malignant lesions and 100.0% (7/7) for benign lesions. No complication occurred.  Conclusion CT guided transpedicular biopsy is very helpful in diagnosing vertebral body lesions with high accuracy and fewer complications.

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
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