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find Author "许建荣" 4 results
  • 36例耐多药肺结核患者的外科治疗及围术期处理

    Release date:2016-08-30 06:02 Export PDF Favorites Scan
  • 肺切除术联合化疗治疗耐多药肺结核51例

    摘要: 目的 探讨肺切除联合化疗治疗耐多药肺结核的临床应用价值,总结治疗经验。 方法 1999年1月至2007年1月,我科共收治51例主病灶局限于肺叶或单侧全肺的耐多药肺结核患者,男38例,女13例;年龄18~56岁,平均年龄36.5岁。施行肺叶切除术30例,肺叶加同侧肺段切除术或同侧双肺叶切除术11例,全肺切除术10例;分析术后继续抗结核化疗18~24个月的疗效。 结果 51例患者均手术成功,46例完成化疗(18~24个月)后治愈;治疗失败5例,其中3例在疗程最后6个月痰菌仍为阳性,2例于围手术期内死于术后并发症。术后发生并发症12例,其中术后1个月内发生9例:呼吸功能衰竭3例,均经呼吸机辅助呼吸治愈;脓胸3例,2例经胸腔闭式引流治愈,1例术后3周死于多器官功能衰竭;支气管胸膜瘘1例,经留置胸腔引流管3个月后瘘口逐渐闭合治愈;暂时性视力障碍1例,未作特殊处理,1个月后视力恢复正常,急性肺水肿1例,治疗无效死亡。1个月后发生并发症3例:切口感染2例,经开放引流每日换药,行二期缝合伤口Ⅲ/丙愈合;支气管胸膜瘘1例,行胸部肌瓣填塞+胸廓成形术后支气管胸膜瘘再度复发,给予胸壁开放式引流,长期未愈,72个月后因大咯血窒息死亡。 结论 对主病灶局限的耐多药肺结核患者施行肺切除联合抗结核化疗,治愈率高,并发症发生率及病死率均在可接受范围内。

    Release date:2016-08-30 06:02 Export PDF Favorites Scan
  • Texture filtering based unsupervised registration methods and its application in liver computed tomography images

    Image registration is of great clinical importance in computer aided diagnosis and surgical planning of liver diseases. Deep learning-based registration methods endow liver computed tomography (CT) image registration with characteristics of real-time and high accuracy. However, existing methods in registering images with large displacement and deformation are faced with the challenge of the texture information variation of the registered image, resulting in subsequent erroneous image processing and clinical diagnosis. To this end, a novel unsupervised registration method based on the texture filtering is proposed in this paper to realize liver CT image registration. Firstly, the texture filtering algorithm based on L0 gradient minimization eliminates the texture information of liver surface in CT images, so that the registration process can only refer to the spatial structure information of two images for registration, thus solving the problem of texture variation. Then, we adopt the cascaded network to register images with large displacement and large deformation, and progressively align the fixed image with the moving one in the spatial structure. In addition, a new registration metric, the histogram correlation coefficient, is proposed to measure the degree of texture variation after registration. Experimental results show that our proposed method achieves high registration accuracy, effectively solves the problem of texture variation in the cascaded network, and improves the registration performance in terms of spatial structure correspondence and anti-folding capability. Therefore, our method helps to improve the performance of medical image registration, and make the registration safely and reliably applied in the computer-aided diagnosis and surgical planning of liver diseases.

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  • 支气管内膜结核致肺不张外科治疗28例

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