west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "阑尾" 77 results
  • Several Problems During The Experience of Laparoscopic Appendectomy (Report of 132 Cases)

    目的 总结腹腔镜阑尾切除术(laparoscopic appendectomy,LA)治疗阑尾炎的经验。方法 回顾性分析1999年8月至2006年8月我院行LA治疗的132例阑尾炎患者的临床资料,其中慢性阑尾炎急性发作19例,急性单纯性阑尾炎15例,急性化脓性阑尾炎93例,阑尾穿孔腹膜炎5例。结果 2例中转开腹。130例成功完成LA,手术时间22~55 min,平均30.5 min; 术中出血量2~10 ml; 住院2~12 d,平均3.4 d。术后出现早期炎性肠梗阻1例,经非手术治疗治愈。结论 LA操作简便可行,操作得当可在基层医院推广。

    Release date:2016-09-08 11:45 Export PDF Favorites Scan
  • Radiodiagnosis Children Perforating Pedia-appendicitis

    目的:分析X线对小儿穿孔性阑尾炎的诊断价值。方法:对经临床手术证实为穿孔性阑尾炎50例的腹部X线平片资料(含12例B超、7例CT资料)作回顾性分析。结果:X线表现为右侧胁腹脂线短缩及腹脂线髂段模糊41例,横结肠充气征43例,小肠积气(小肠环内径≤3 cm)12例、胀气(小肠环内径gt;3 cm)38例,小肠积液50例,小肠壁增厚32例,回盲部密度增高并小气泡影12例,右侧腹腔少量游离气体1例。结论:X线检查对穿孔性阑尾炎有一定诊断价值,结合超声检查和/或CT检查可提高诊断准确率。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • 妊娠合并急性阑尾炎的临床分析

    【摘要】 目的 总结妊娠合并急性阑尾炎的诊断及治疗方法。 方法 回顾性分析1999年2月-2008年6月入院的27例妊娠合并急性阑尾炎患者的临床资料。 结果 3例症状较轻者保守治疗成功;24例行阑尾切除术,流产2例,胎死宫内3例。 结论 妊娠合并急性阑尾炎的临床表现不典型,确诊后应及时手术治疗。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • Effect of Povidone Iodine for Preventing The Surgical Site Infections in Class Ⅲ Appendectomy Incision

    目的探讨碘伏原液浸泡对于预防阑尾Ⅲ类手术切口手术部位感染(SSI)的疗效。 方法回顾性分析笔者所在医院2012年5月至2013年5月期间施行阑尾切除术者中切口类型为Ⅲ类的92例患者的临床资料,比较以碘伏原液浸泡切口(浸泡组)和冲洗切口(常规组)处理后患者的切口愈合情况。 结果术后常规组57例患者中,有43例切口愈合等级为甲级,5例为乙级,9例为丙级,SSI发生率为24.56%(14/57)。浸泡组35例患者的切口愈合均良好,均为甲级愈合,SSI发生率为0,低于常规组(P<0.05)。 结论采用碘伏原液浸泡切口5 min能有效预防阑尾炎Ⅲ类切口SSI的发生,值得临床推广应用。

    Release date: Export PDF Favorites Scan
  • Further Exploring and Discussing Clinical Value of Laparoscopic Appendectomy

    ObjectiveTo further explore and discuss the value of laparoscopic appendectomy. MethodsThe clinical data of 200 patients underwent appendectomy in this hospital from April 2009 to December 2010 were collected. The operation time, postoperative hospital stay, cost of hospitalization, postoperative anal exhaust time, postoperative pain score, and surgical complications were compared between laparoscopic appendectomy and open appendectomy. ResultsThere were 8 cases conversion to the open approach in this series. The cost of laparoscopic appendectomy was higher than that of open appendectomy (Plt;0.05); the cases of chronic appendicitis, acute simple appendicitis, acute suppurative appendicitis within 36 h of onset treated by laparoscopic appendectomy had shorter operation time, shorter postoperative hospital stay, earlier postoperative anal exhaust time, and slighter postoperative pain than those treated by open appendectomy (Plt;0.05); the differences in postoperative hospital stay, postoperative anal exhaust time, postoperative pain of acute suppurative appendicitis more than 36 h of onset and acute gangrenous appendicitis treated by two types of surgery had no statistical significances (Pgt;0.05); the operation time of acute gangrenous appendicitis operated by laparoscopic surgery was longer than that by open appendectomy (Plt;0.05); incision infection rate of laparoscopic appendectomy was lower than that of open appendectomy (Plt;0.05). ConclusionsFor chronic appendicitis, acute simple appendicitis, and acute suppurative appendicitis within 36 h of onset, the outcome and advantages of laparoscopic appendectomy are outstanding, the value of application is clear; and for acute suppurative appendicitis more than 36 h of onset and acute gangrenous appendicitis, laparoscopic appendectomy is difficult and with high rate of conversion, no obvious advantages in recovery after surgery but an increase of medical costs, and the application value is not great.

    Release date:2016-09-08 10:42 Export PDF Favorites Scan
  • 应用彩色超声定位辅助异位阑尾切除术

    【摘要】目的 总结应用彩色超声辅助定位在异位阑尾切除术中的作用。方法 2005年4月-2009年8月行阑尾切除术380例,男223例,女157例;年龄10~71岁。根据术前是否行彩色超声定位分为实验组和对照组(n=190),分别施行彩色超声定位改良小切口阑尾切除术和传统切口阑尾切除术。术中共发现异位阑尾40例,分析异位阑尾切除术的术中及术后情况。结果 实验组手术时间、术中是否延长切口、术后切口感染率、住院时间等均明显优于对照组。结论 彩色超声在异位阑尾切除术中有很重要的临床意义。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • Clinical Analysis of Primary Appendiceal Myxedema (Report of 17 Cases)

    目的 探讨原发性阑尾粘液腺癌的诊断和治疗。 方法 对国内1980年以来报道的原发性阑尾粘液腺癌15例的文献资料及我院收治的2例患者的临床资料进行回顾性分析。 结果 该17例患者的主要临床表现为右下腹疼痛,右下腹近腹股沟处包块及腹痛、腹泻伴便血; 术前诊断为盲肠癌3例,急、慢性阑尾炎各4例,菌痢2例,阑尾脓肿、疝囊嵌顿、腹壁脓肿及肠梗阻各1例。 结论 原发性阑尾粘液腺癌是一种罕见疾病,诊断强调术中仔细鉴别,B超、胃肠X线钡餐和CT检查有助于诊断,病理组织学检查可确诊,治疗以手术为主,化疗为辅。

    Release date:2016-08-28 04:43 Export PDF Favorites Scan
  • 急性阑尾炎的高频超声表现

    目的:探讨高频超声对阑尾炎分型诊断的应用价值及临床指导意义。方法:回顾性分析2008年1~3月在华西医院行手术治疗的60例各型阑尾炎(包括急性单纯性阑尾炎、急性化脓性阑尾炎、坏疽及穿孔性阑尾炎、阑尾周围脓肿)的高频超声声像图特征。结果:高频超声根据60例各型阑尾炎, 在各个发病阶段显示阑尾的声像图特征分型诊断单纯性阑尾炎8例,急性化脓性阑尾炎40例,急性坏疽性阑尾炎8例,阑尾周围脓肿4例。结论:高频超声在急性阑尾炎分型诊断中具有重要的实用价值,并能对临床诊断起到重要的参考作用。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • 阑尾黏膜防御素5 mRNA的表达及意义

    Release date:2016-09-08 11:43 Export PDF Favorites Scan
  • Laparoscopic Appendectomy by Concealed Three Ports Technique (Report of 192 Cases)

    目的  探讨隐蔽三孔法腹腔镜阑尾切除术的应用。方法 患者取头低左侧卧位。在脐缘切口插入10 mm的套管,放入腹腔镜。在腹腔镜监视下分别于耻骨结节左、右侧阴毛生长区作10 mm、5 mm切口,两切口相距8~10 cm。术者通过耻骨上途径完成阑尾切除操作。结果 192例痊愈出院,无一例手术中转,平均手术时间(25±4.32) min,平均住院时间(5±0.79) d。切口甲级愈合,基本不留疤痕。无手术并发症发生。结论 隐蔽三孔法腹腔镜阑尾切除术具有美容效果好、创伤小、并发症少等优点。

    Release date:2016-09-08 11:53 Export PDF Favorites Scan
8 pages Previous 1 2 3 ... 8 Next

Format

Content