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find Author "李保庆" 2 results
  • 肺隔离症的诊断与外科治疗

    目的 总结肺隔离症的诊断及外科治疗经验,以提高治疗效果。 方法 1958年1月至2007年12月共手术治疗肺隔离症患者63例,男36例,女27例;年龄2个月~69岁。63例隔离肺位于左肺39例,右肺24例;肺内型48例,肺外型15例。行左肺下叶切除术28例及并行胸膜纤维板剥脱术1例,右肺下叶切除术19例,左肺楔形切除术7例,右肺楔形切除术3例,右双肺叶切除术2例,左全肺切除术2例,左侧肺段切除术1例。异常血管来源于胸主动脉36例,腹主动脉25例,肋间动脉2例,血管直径1.5~15.0 mm。 结果 围术期死于术后呼吸衰竭1例。发生脓胸1例,经相应的治疗治愈,其余患者均痊愈出院。随访24例,随访时间2个月~5年,其中1例食管癌患者于术后1年因癌肿复发死亡,其余患者恢复正常生活或工作。 结论 CT增强扫描血管成像术等检查能较好地显示肺隔离症的病变特征,其治疗方法以外科手术为主。

    Release date:2016-08-30 06:06 Export PDF Favorites Scan
  • Multivariate Analysis of Prognostic Risk Factors of Esophageal Squamous Cell Carcinoma after Esophagectomy

    Objective To investigate the prognostic factors of esophageal squamous cell carcinoma(ESCC) by multivariate analysis of clinicopathologic features of ESCC between long-term and short-term survivals after esophagectomy. Methods The clinicopathologic features of randomly selected 126 cases with ESCC were analyzed with binary logistic regression, 48 cases of which was divided into long-term survival group(≥5 years) and 78 cases into short-term survival group(≤1 year) according to the follow-up. Results Under univariate analysis, the differences between two groups on tumor pathologic grading, metastasis to lymph node, depth of tumor invasion and length of tumor were significant (Plt;0.01), however, that on age, gender, location of tumor and status of residues were not (Pgt;0. 05). Multivariate analysis showed that tumor pathologic grading, metastasis to lymph node, depth of tumor invasion and length of tumor correlated with the prognosis of ESCC (Plt;0. 05). Their risk coefficient were 2. 943, 2. 641, 2. 126 and 1. 728, respectively. Age, gender, location of tumor and status of residues did not correlated with the prognosis of ESCC (Pgt;0. 05). Correlation analysis indicated that depth of tumor invasion was positively related to the length of tumor (r=0. 488, Plt;0. 001), metastasis to lymph node was positively related with depth of tumor invasion and tumor pathologic grading (r=0. 216, P=0. 014; r=0. 238, P=0. 007). Conclusions The main prognostic factors of ESCC are tumor pathologic grading, metastasis to lymph nodes, depth of tumor invasion and length of tumor,Tumor pathologic grading is high risk factor for prognosis of ESCC,while length of tumor is low risk factor. Age and gender of patients, location of tumor and status of esophageal residues are non-risk factors.

    Release date:2016-08-30 06:26 Export PDF Favorites Scan
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