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        west china medical publishers
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        find Author "于健" 7 results
        • nalysis on Clinical Effects of Different Operations for Treating Gallbladder and Bile Duct Stones

          目的探討腹腔鏡聯合膽道鏡治療膽囊及膽總管結石的臨床療效。 方法回顧性分析2010年1月至2013年1月期間收治于筆者所在科室的96例膽囊及膽總管結石患者的臨床資料,根據手術方式分為開腹組、腹腔鏡聯合膽道鏡+T管引流術組和腹腔鏡聯合膽道鏡+放置鼻膽管一期縫合組3組。對3組患者的手術時間、術中出血量、肛門排氣時間、住院時間、殘石率、復發率、并發癥發生率、手術有效率及術后淀粉酶和肝功能指標水平進行對比分析。 結果微創手術組與開腹組比較,患者的出血量、肛門排氣時間、住院時間、殘石率、復發率及并發癥發生率均減少、縮短或降低,同時手術的有效率提高(P<0.05);腹腔鏡聯合膽道鏡+放置鼻膽管一期縫合組術后淀粉酶和肝功能指標的水平較其他2組明顯降低(P<0.05)。 結論微創手術創傷小,殘石率及復發率低,并發癥少,患者術后恢復快,是一種安全有效的治療方式,值得臨床推廣應用。

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        • Short-Term Clinical Effect of Composite Digestive Enzyme Capsule in Treatment of Digestive Hypofunction after Cholecystectomy

          目的 探討復合消化酶膠囊治療膽囊切除術后消化功能減退癥的臨床療效。方法 將84例膽囊切除術后出現消化功能減退的患者按住院日單雙號原則分為對照組(n=41),給予抑酸藥奧美拉唑腸溶膠囊與促胃腸道動力藥多潘立酮片;觀察組(n=43)加用復合消化酶膠囊。比較2組患者的臨床療效。結果 觀察組顯效14例,有效21例,好轉7例,無效1例,總有效率為97.7%(42/43);對照組顯效10例,有效15例,好轉10例,無效6例,總有效率為85.4%(35/41)。觀察組的臨床療效較優(P<0.05)。用藥過程中均未發生不良反應。結論 復合消化酶膠囊對膽囊切除術后因膽汁分泌障礙而引起的消化功能減退癥具有確切療效。

          Release date:2016-09-08 10:34 Export PDF Favorites Scan
        • Influence on Liver Function and Immune Function of Laparoscopic and Open Cholecystectomy

          目的探討腹腔鏡與開腹膽囊切除術對患者肝功能及免疫功能的影響。 方法根據手術方式將84例膽囊良性病變患者分為腹腔鏡膽囊切除術組(LC組,50例)及開腹膽囊切除術組(OC組,34例),比較2組患者手術前后肝功能及免疫功能指標的變化。 結果2組患者肝功能在手術前后不同時間點的差異均無統計學意義(P>0.05);LC組患者術后免疫功能各指標與術前比較無明顯變化(P>0.05),OC組CD3+、CD4+及CD4+/CD8+在術后1 d及3 d均較術前明顯降低(P<0.05),術后7 d恢復至術前水平(P>0.05)。 結論LC術可引起患者術后肝功能短暫異常,但對免疫功能無明顯影響,可作為膽囊切除的首選術式。

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        • The analysis of mitochondrial DNA point mutation at position 3243 in age-related macular degeneration

          Purpose To detect whether a 3243 point mutation existed in age-related macular degeneration (AMD). MethodsTwenty-six cases of wet form AMD patients, ten cases of dry form AMD patients were selected,and compared with twenty nomal controls. After collecting anti-coagulated blood samples, total cellular DNA were extracted and purified. Using polymerase chain reaction and restriction fragment long polymorphism techniques, the mtDNA Ararr;G point mutation at position 3243 were detected. Results After cleaveded by restriction endonuclease Apa I, a 294 bp fragment remained only in all detected DNA samples including twenty-six wet form AMD, and ten dry form AMD. No any other fragment appeared. The result showed that there was no Ararr;G mutation at position 3243 found in AMD. Conclusion It is suggested that mtDNA 3243 point mutation due to maternal inheritance might be not concerned with both wet form AMD and dry form AMD. (Chin J Ocul Fundus Dis,2000,16:231-232)

          Release date:2016-09-02 06:05 Export PDF Favorites Scan
        • Clinical Features and Surgical Treatment Experience of Gastric Stump Cancer in 60 Cases

          目的總結殘胃癌的臨床特點、治療及預后情況。 方法回顧性分析筆者所在醫院科室2003年1月至2008年1月期間收治的60例殘胃癌患者的臨床資料。 結果60例殘胃癌發生于遠端胃大部分切除+BillrothⅡ式重建后48例(80.0%),發生于遠端胃大部分切除+BillrothⅠ式重建后9例(15.0%),發生于近端胃大部分切除術后3例(5.0%)。42例患者行根治性切除,其術后1、3及5年生存率分別為90.5%、57.1%及13.3%;18例行姑息性手術治療,其術后1、3及5年生存率分別為16.7%、0及0。根治組患者的中位生存時間為36.7個月,姑息組為7.2個月,根治組的生存情況較好(χ2=76.98,P<0.001)。 結論殘胃癌不易早期診斷,對于高發人群需定期復查胃鏡,積極的外科治療可以提高患者的生存率及生活質量。

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        • The prognostic value of plasma sTREM-1 in predicting 28-day mortality in sepsis: a systematic review

          ObjectivesTo systematically review the prognostic value of plasma soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) level in predicting 28-day mortality in sepsis.MethodsPubMed, The Cochrane Library, EMbase, Web of Science, CBM, CNKI, VIP and WanFang Data databases were electronically searched to collect studies about the prognostic value of plasma sTREM-1 in early 28-day mortality in sepsis from inception to April 16th, 2018. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies, then, meta-analysis was performed by using Stata 14.0 software.ResultsA total of 13 studies involving 1 115 patients were included. The results of meta-analysis showed that the sensitivity and specificity were 79% and 77%, respectively. The positive likelihood ratio and the negative likelihood ratio were 3.4 and 0.28, respectively. The diagnostic ratio was 12. The overall area under the summary receiver operator characteristic (SROC) curve was 0.80.ConclusionsCurrent evidence shows that plasma sTREM-1, as a single index, may play a prognostic role in the early 28-day mortality of sepsis in patients. Due to limited quality and quantity of the included studies, more high quality studies are needed to verify the above conclusion.

          Release date:2019-09-10 02:02 Export PDF Favorites Scan
        • 甲狀腺神經鞘瘤伴囊內出血1例報道

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