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        west china medical publishers
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        find Author "胡仁健" 3 results
        • 射頻消融行保脾手術治療體會(附24例報道)

          目的探討脾外傷行射頻消融保脾手術的適應證、手術特點及治療效果。 方法脾外傷患者24例中,行腔鏡下射頻消融治療9例,開腹對脾外傷裂口行射頻消融止血或脾部分切除術15例(包括7例合并肝外傷)。 結果24例患者均順利完成手術,手術時間(52±21)min(68~142)min。術后無明顯出血、漏膽,腹腔感染等并發癥發生,患者住院時間(5±2.1)d(4~16)d。 結論射頻消融下保脾安全、可行,術后患者恢復快,住院時間縮短,不適為保脾手術的又一選擇。

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        • Clinical Experience of Totally Laparoscopic Bile Duct Jejunum Roux En-Y Anastomosis for 67 Cases

          目的總結完全腹腔鏡下膽管空腸Roux-en-Y吻合的適應證、禁忌證、技術要點、安全性、并發癥的預防及治療效果。 方法回顧性分析2008年6月至2013年12月期間于筆者所在醫院科室接受腹腔鏡下膽管空腸Roux-en-Y吻合術的67例患者的臨床資料。 結果67例患者中,66例完全在腹腔鏡下完成手術,1例于放置藍蝶后在手助下完成。手術時間144~253 min,平均152 min;術中出血30~220 mL,平均70 mL;術后住院時間6~11 d,平均8.1 d;住院費用2.0~2.5萬元,平均2.1萬元。術后發生漏膽3例,均經引流后痊愈;術后無腸瘺、出血、腹腔感染、腸梗阻等發生。術后20例患者獲訪,隨訪時間5~20個月,中位數為13個月。隨訪期間發生膽管炎2例,無吻合口狹窄發生。 結論對膽總管囊腫、膽總管下端良性狹窄、膽總管結石伴膽管擴張、壺腹部周圍癌等需行膽腸吻合患者施行腹腔鏡膽總管空腸Roux-en-Y吻合術是可行的,其手術費用稍高,但患者術后恢復快,且具有微創優勢。

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        • Improve The Survival and Function of Islets by Combined Transplantation of Human Endothelial Cells in Peripheral Blood and Islet of Rats

          ObjectiveTo explore the endothelial cells from human peripheral blood and islet of rat co-transplantation under the renal capsule of diabetic nude mice to improve the survival and function of transplanted islet. MethodsThe endothelial cells from human peripheral blood(5×105)and freshly isolated rat islet cells were co-transplanted under the renal capsule of diabetic nude mice model, then the fasting blood glucose, body weight, peripheral blood C-peptide level, and intraperitoneal glucose tolerance test(IPGTT) were measured to evaluated the islet graft survival and function. ResultsCompared with the control group, the fasting blood glucose level significantly decreased(P < 0.01), peripheral blood C-peptide level rised(P < 0.01), and body weight increased(P < 0.01) of receptor nude mice in experience group, the IPGTT also improved. ConclusionThe endothelial cells from human peripheral blood and islet of rat co-transplan-tation can obviously improve the survival and function of transplanted islet of nude mice.

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