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find Author "陈勇吉" 2 results
  • 自发性气胸两种手术方式的对比观察

    【摘要】 目的 比较腋下小切口与常规后外侧切口手术治疗自发性气胸的临床疗效。 方法 将2006年5月-2010年1月收治的64例自发性气胸患者,按手术时间和患者自身对手术的选择性随机分为腋下小切口手术组(A组,34例)和常规后外侧切口手术组(B组,30例)。两组患者性别、年龄、单双侧、病程等一般资料比较差异无统计学意义(Pgt;0.05),具有可比性。两组均采用肺大疱切除修补术及壁层胸膜机械性摩擦。 结果 两组术后切口均Ⅰ期愈合,无切口感染等并发症发生。两组随访时间均为3~24个月,平均12.6个月;术后6个月时均无复发。A组手术时间、术中出血量、术后引流量、术后住院时间、住院费用方面均明显优于B组,差异有统计学意义(Plt;0.05)。 结论 两种手术方法均安全,但与常规后外侧切口比较,腋下小切口具有手术时间短、创伤小、恢复快、住院费用低等优点。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Diagnosis and Management for Foreign Body of the Lower Urinary Tract and Penis: A Retrospective Analysis of 20 Years' Experience

    ObjectiveTo explore the clinical treatment measures and etiology analysis of lower urinary tract and penile foreign bodies. MethodsWe retrospectively analyzed the etiology and diagnosis of 48 cases of lower urinary tract and penile foreign body in the Department of Urology of our hospital between 1993 and 2012. ResultsNine bladder foreign bodies were removed successfully by using cystoscopy; nine were removed through suprapubic cystotomy; urethral foreign bodies in 10 patients were successfully taken out by urethrascope; five foreign bodies were extracted by hand and forceps; rubber bands in 2 patients were cut off under local anesthesia; fretsaw was used to cut through the nested rings in 7 patients; dental drill was used to cut nesting materials in 3 patients; and 3 patients underwent penis skin circumcision overturn stripping ring extraction. No complications after urethral foreign body extraction occurred. ConclusionThe lower urinary tract and penile foreign bodies are easy to diagnose, but patients often conceal the etiology, so the natural history collection is very important in the diagnosis, and doctors should take appropriate methods to remove the foreign body after the diagnosis is confirmed.

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