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find Author "陶友江" 3 results
  • 射频消融在脾脏外伤后保脾手术中的临床应用

    目的 探讨射频消融在保脾手术治疗脾脏外伤中的临床应用效果。 方法 回顾性分析笔者所在医院科室于 2010 年 7 月至 2015 年 3 月期间行保脾手术治疗的 23 例脾脏外伤患者的临床资料,术中均利用了射频消融技术。 结果 23 例患者均保脾成功,其中 11 例行射频消融止血修补术,12 例行射频消融联合部分脾脏切除术。手术时间为 75~150 min,平均 117 min;术中出血量为 40~500 mL,平均 223 mL;术中见腹腔出血量 800~2 000 mL,平均 1 452 mL,均行自体血回输;术中见脾脏裂伤程度:Ⅰ 度 10 例,Ⅱ 度 11 例,Ⅲ 度 2 例;拔除引流管时间为术后 2~5 d,平均 2.8 d;术后住院时间为 6~15 d,平均 8.5 d。术后出现发热 3 例,腹腔再次出血 1 例,血小板计数升高 7 例。术后获访 16 例,随访时间 8~26 个月,中位数为 11 个月。随访期间患者健康情况良好,未见血小板计数异常、脾脓肿等情况。 结论 射频消融在保脾手术治疗脾脏外伤中的应用是可行的。

    Release date:2017-10-17 01:39 Export PDF Favorites Scan
  • Clinical Analysis of Trans-umbilical Single-port Laparoscopic Cholecystectomy

    【摘要】 目的 探讨经脐单孔腹腔镜胆囊切除术的临床可行性及其优缺点。 方法 回顾分析2010年7-9月行经脐单孔腹腔镜胆囊切除术34例患者临床资料。 结果 患者均顺利完成单孔腹腔镜胆囊切除术,手术平均时间为65 min,术后平均住院时间为3 d,术后未发生出血、感染、胆瘘等并发症。 结论 单孔腹腔镜胆囊切除术是安全可行的,术后腹部无明显瘢痕,美容效果明显。【Abstract】 Objective To evaluate the feasibility and value of the trans-umbilical single-port laparoscopic cholecystectomy. Methods The clinical data of 34 patients who underwent trans-umbilical single-port laparoscopic cholecystectomy from July to September 2010 were retrospectively analyzed. Results The operations of 34 patients were successfully performed. The mean operative duration was 65 minutes, and the mean duration in hospital after the operation was 3 days. No infection, postoperative bleeding, and biliary leakage occurred postoperatively. Conclusion Trans-umbilical single-port laparoscopic cholecystectomy is safe and feasible with good cosmetic effect.

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • Contrastive Study on Different Palliation for Elderly Patients with Unresectable Pancreatic Head Cancer

    Objective To determine the safety and efficacy of surgical biliary bypass on the elderly patients with unresectable pancreatic head cancer. Methods The clinical data of 55 cases with unresectable pancreatic head cancer treated with palliation methods from July 2002 to June 2009 in our hospital were retrospectively analyzed. The patients were divided into three groups according to different age and therapeutic program: Nineteen patients, 65 years of age or older, were managed with surgical biliary bypass (group A), 19 patients under 65 years of age were treated by surgical biliary bypass (group B) and 17 patients with the age of 65 years or older received percutaneous transhepatic biliary drainage (group C). Then the therapeutic results were compared.Results With respect to the postoperative level of serum bilirubin, the incidence of early complications, postoperative hospitalization and mean survival time, no statistically significant difference was found between group A and B (Pgt;0.05). There was one case of recurrent jaundice and one case of gastric output obstruction in group B, while no one suffered postoperative complication in group A, and the difference was statistically significant (Plt;0.01). Compared with group A, the postoperative level of serum bilirubin, the number of patient readmitted, the rate of recurrent jaundice and gastric output obstruction were higher in group C (Plt;0.05 or Plt;0.01). The mean postoperative hospitalization and overall survival time were significantly shorter in group C than group A (Plt;0.05 or Plt;0.01, respectively). Conclusion Surgical palliation does not increase the morbidity rate, but it does improve the quality of life in elderly patients with unresectable pancreatic head cancer.

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
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