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find Author "高彬" 3 results
  • 光动力疗法联合胆道支架与125I粒子支架在不可切除肝外胆管癌的疗效对比研究

    目的对比分析光动力疗法(photodynamic therapy,PDT)联合胆道支架和125I粒子支架治疗晚期肝外胆管癌患者的疗效。 方法回顾性收集2015年1月1日至2023年12月31日期间新疆医科大学第一附属医院收治的32例肝门部胆管癌(Bisnmuth Ⅰ ~Ⅱ型)或胆总管中下段癌患者的临床资料,根据治疗方法的不同分为PDT联合胆道支架组(简称PDT+支架组,9例)和125I粒子支架组(23例),比较2组患者在手术时间、总住院时间、术后并发症发生率、支架通畅时间和生存时间方面的差异。 结果PDT+支架组的手术时间为(83.00±38.40)min,125I粒子支架组的手术时间为(73.70±30.12)min,PDT+支架组的手术时间略长于125I粒子支架组,但差异无统计学意义(P=0.471); PDT+支架组的总住院时间长于125I粒子支架组 [15.0(11.5,17.5)d 比 9.0(7.0,12.0)d],2组间的差异有统计学意义(P=0.038)。PDT+支架组术后出现并发症2例(22.2%),125I粒子支架组术后出现并发症3例(13.0%),2组间的差异无统计学意义(P=0.604)。PDT+支架组的中位支架通畅时间和中位生存时间均长于125I粒子支架组 [8.0(4.5,10.0)个月比 7.0(4.0,11.0)个月;10.0(7.3,13.5)个月比 8.0(5.0,12.0)个月],但2组间的差异均无统计学意义(P>0.05)。结论单次PDT联合胆道支架治疗晚期胆管癌在延长支架通畅时间和生存时间方面具有一定优势,但其有效性和安全性与125I粒子支架治疗差异并不显著。

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  • Intraoperative Monitor and Modulation of Portal Vein Hemodynamics During Living Donor Liver Transplantation to Prevent Small-for-Size-Syndrome 

    Objective To analyze the effect of monitoring and modulating the portal vein pressure and blood flow during living donor liver transplantation (LDLT) on preventing small-for-size-syndrome (SFSS). Methods Data of forty-four LDLT recipients between Oct.2007 and Oct.2008 were reviewed. Actual graft-to-recipient weight ratio(GRWR), portal vein flow and pressure during operation and syndrome of SFSS after operation were recorded. The patients received splenectomy or splenic artery ligation according to actual GRWR, portal vein flow and pressure and WBC. Relationships between patients’ GRWR, portal vein flow, portal vein pressure and occurrence of SFSS were analyzed. Results Six patients received splenectomy and 7 patients received splenic artery ligation to decrease the portal vein flow and pressure during the operation. The portal vein flow and pressure decreased after splenectomy (Plt;0.05). The portal vein pressure decreased (Plt;0.05) and the portal vein flow had no significant change after splenic artery ligation (P>0.05). No SFSS occurred after operation. Conclusion Modulation of portal vein flow and pressure by splenectomy or splenic artery ligation during LDLT operation can decrease the portal vein flow and pressure, and which can prevent the incidence of SFSS.

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
  • Impact of family nursing intervention on the quality of life in postoperative patients with benign prostatic hyperplasia

    ObjectiesTo investigate the impact of family nursing intervention on the quality of life in postoperative patients with benign prostatic hyperplasia (BPH). MethodsIn total, 60 consecutive patients who underwent BPH surgeries between December 2012 and January 2014 were enrolled and randomly assigned to receive either timely outpatient follow-ups and routine rechecks (control group) or nursing intervention of telephone call follow-ups and family visits by professional nurses (intervention group). Quality of life was assessed by international prostate symptom score (IPSS) and generic quality of life inventory-74 (GQOLI-74), and was compared before and after intervention between the two groups. ResultsThere were no statistically significant differences in GQOLI-74 scores of all dimensions at discharge between the intervention group and the control group (P>0.05). However, six months after discharge, GQOLI-74 scores of all dimensions were significantly different between the two groups (P<0.05), and were also significantly different from the scores at discharge in both groups (P<0.05). At discharge, IPSS scores were not significantly different between the two groups (P>0.05). Six months after discharge, IPSS scores of the intervention group (6.33±1.03) and the control group (7.83±0.94) were significantly different (P<0.05), and were also significantly different from the scores at discharge in the intervention group (7.93±1.31) and the control group (8.10±1.06) (P<0.05). Three patients in the control group (10.0%) were admitted into the hospital again due to bleeding, while there was no bleeding case in the intervention group. No such complications as urethrostenosis or urinary incontinence occurred in both groups. Conclusion Family nursing intervention improves effectively the quality of life in postoperative patients after surgeries for benign prostatic hyperplasia.

    Release date:2017-02-22 03:47 Export PDF Favorites Scan
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