检索结果-内蒙古大学图书馆

南京医科大学学报（自然科学版） 2009年第9期 1320-1321页

作者：金一琦陈磊沈利明黄献琛南京医科大学附属苏州市立医院本部介入血管科江苏苏州215002

目的:探讨经胆道外引流管向胆管狭窄病变处植入I^125粒子对恶性疾病引起的胆管狭窄进行腔内近距离放疗的效果.方法:恶性胆管狭窄31例从胆道外引流管向胆管狭窄病变处植入I^125粒子对恶性疾病引起的胆管狭窄进行腔内近距离放疗,观察时间... 详细信息

目的:探讨经胆道外引流管向胆管狭窄病变处植入I^125粒子对恶性疾病引起的胆管狭窄进行腔内近距离放疗的效果.方法:恶性胆管狭窄31例从胆道外引流管向胆管狭窄病变处植入I^125粒子对恶性疾病引起的胆管狭窄进行腔内近距离放疗,观察时间为12个月.结果:所有病例在生存期内均未再发生阻塞性黄疸,平均缓解时间5.4个月,所有病例平均生存时间5.4个月.23例出现WBC下降低于正常;未发生急性肝肾功能损害;术后7例患者发生不同程度的胆管炎.结论:从胆道外引流管向胆管狭窄病变处植入I^125粒子对恶性疾病引起的胆管狭窄进行腔内近距离放疗是有效和安全的.

关键词：存活率胆道外科手术胆管疾病胆管炎肝功能衰竭近距离放射疗法肾功能不全引流术/仪器和设备人类

来源：评论

学校读者我要写书评

暂无评论

胸腔闭式引流袋在小儿心胸外科的应用

引用

中华小儿外科杂志 1989年第1期10卷 56-57页

作者：王人荣张善通曹金红陈张根李歌丰上海医科大学儿科医院外科心胸组

来源：评论

学校读者我要写书评

暂无评论

A comparison of ultraflex diamond stents and wallstents for palliation of distal malignant biliary strictures

引用

AMERICAN JOURNAL OF GASTROENTEROLOGY 2000年第3期95卷 670-676页

作者： Dumonceau, JM Cremer, M Auroux, J Delhaye, M Devière, J Erasme Univ Hosp Dept Gastroenterol & Hepatopancreatol B-1070 Brussels Belgium

OBJECTIVE: The objective of this study was to compare the effectiveness of the Ultraflex Diamond stent and the Wallstent for the drainage of distal malignant biliary strictures. METHODS: The results obtained in 23 consecutive patients in whom the insertion of a Ultraflex Diamond stent had been attempted were compared with those obtained in 23 patients matched for age, gender, serum bilirubin, and diagnosis who had been treated with Wallstents. RESULTS: Biliary drainage was obtained in 100% of cases. More than one stent was required in 4% and 12% of patients treated with Ultraflex Diamond stents and Wallstents, respectively (p > 0.05). The first stent inserted did not provide adequate biliary drainage in four patients, because of the impaction of the proximal end of Wallstents into the bile duct wall (n = 2) and obstruction of the stent lumen by tumor tissue (one in each group). Procedure-related morbidity and mortality were 4%. Patients were followed-up for a mean of 228 days (range, 1 to 1262 days). During follow-up, bile duct obstruction relapsed in 5/22 and 6/21 patients treated with Ultraflex Diamond stents and Wallstents, respectively. Life table analysis of bile duct patency was similar with both stent models. CONCLUSIONS: Ultraflex Diamond stents are easy to insert and provide a high success rate of biliary drainage with minimal complication. Although long-term patency rates obtained with this stent were similar to those observed with Wallstents, no firm conclusion can be drawn in this regard due to the relatively small number of patients studied. (Am J Gastroenterol 2000;95:670-676. (C) 2000 by Am. Coll. of Gastroenterology).

关键词：胆红素/血液胆汁淤积肝外/放射摄影术胆汁淤积肝外/治疗胆总管肿瘤/放射摄影术胆总管肿瘤/治疗引流术/仪器和设备设备失效分析随访研究假体设计复发支架成年人老年人老年人 80以上女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Potential utility of magnetic resonance cholangiography in the management of endoscopic biliary drainage tubes

引用

AMERICAN JOURNAL OF GASTROENTEROLOGY 1999年第9期94卷 2531-2533页

作者： Naiki, T Shiratori, Y Kanematsu, M Nagaki, M Murakami, N Kato, T Hoshi, H Moriwaki, H Gifu Univ Sch Med Dept Internal Med 1 Gifu 5008705 Japan Gifu Univ Sch Med Dept Radiol Gifu 5008705 Japan

An 80-yr-old woman with advanced hilar cholangiocarcinoma underwent a placement of endoscopic biliary drainage (EBD) tube from the common hepatic to common bile duct through the stricture. Magnetic resonance cholangiography clearly demonstrated the later dislocation and obstruction of the EBD tube. The present case suggests that magnetic resonance cholangiography may be a potentially useful tool in the management of EBD tubes. (Am J Gastroenterol 1999;94:2531-2533. (C) 1999 by Am. Coll. of Gastroenterology).

关键词：胆管肿瘤/并发症胆管造影术胆汁淤积/诊断胆汁淤积/病因学胆汁淤积/外科学引流术/仪器和设备内窥镜检查消化系统磁共振成像老年人老年人 80以上女(雌)性人类

来源：评论

学校读者我要写书评

暂无评论

A new portable chest drainage device

引用

ANNALS OF THORACIC SURGERY 2000年第4期69卷 998-1001页

作者： Lodi, R Stefani, A Univ Modena Dept Cardiothorac Surg I-41100 Modena Italy

Background. persistent air leak is a frequent complication in lung operation. The Heimlich valve is the standard system for venting the pleural cavity. The device achieves good results and is well tolerated, but the main problem is when air leak is associated with fluid leakage. Methods. In order to improve the outpatient management of persistent air and fluid drainage after resectional procedures, we developed an original device. It is a portable system provided with a one-way valve connected to the chest tube for drainage of air and fluid, a reservoir for collecting fluid, and a one-way exhaust valve to evacuate air from the bag. Results. We analyze the advantages of our device versus the Heimlich valve in the first series of 18 selected patients. Our system is drier and cleaner, easier to manage, and ambulatory visits are seldom needed. There is also a cost savings. Conclusions. Our device enhances ambulation, independence, and the quality of life of the patients, and decreases the need for hospital and outpatient care. (C) 2000 by The Society of Thoracic Surgeons.

关键词：门诊医疗引流术/仪器和设备设备设计胸腔积液/病因学胸腔积液/预防和控制气胸/病因学气胸/预防和控制成年人老年人女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Tube loop (seton) drainage treatment of recurrent extrasphincteric perianal fistulae

引用

AMERICAN JOURNAL OF SURGERY 1999年第2期177卷 147-149页

作者： Balogh, G Kaposi Mor Cty Hosp Dept Surg & Thorac Surg 2 H-7400 Kaposvar Hungary

Tube loop seton drainage treatment of multiply recurring high-spreading extrasphincteric perianal fistulae in 19 patients is reported in this study. The drainage loop setons make possible the rinsing of the wound following fistulectomy and also the bidirectional drainage of the wound discharge. Strangulation of the wound and an early closure of the fistula and hence the development of recurrence is prevented by means of controlled formation of scarred tissue. The sphincteral musculature of the anus is also protected from damage. Thirty-five recurring fistulae of 19 patients included in the present study were treated successfully by this method. Two fistula recurred. None of these patients developed incontinence. The use of tube loop setons was found to have advantages over the pull-out method in cases of high-spreading multiply recurring extrasphincteric or suprasphincteric perianal fistulae. (C) 1999 by Excerpta Medica, Inc.

关键词：引流术/仪器和设备设备设计直肠瘘/治疗复发成年人老年人女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Cavernosal spongiosium shunt in the management of priapism in Zaria, Nigeria

引用

TROPICAL DOCTOR 2000年第1期30卷 31-32页

作者： Dawam, D Kalayi, G Nmadu, PN ABU Teaching Hosp Dept Surg Urol Unit Zaria Nigeria

Between 1982 and 1994 13 patients have needed surgery for priapism persisting after conservative measures using the technique described by Quackel(1).

关键词：引流术/仪器和设备引流术/方法随访研究尼日利亚苯福林/治疗应用阴茎异常勃起/药物疗法阴茎异常勃起/病因学阴茎异常勃起/外科学治疗结果血管收缩药/治疗应用青少年成年人儿童人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

A single-institution experience with fistulojejunostomy for external pancreatic fistulas

引用

AMERICAN JOURNAL OF SURGERY 2000年第3期179卷 203-206页

作者： Bassi, C Butturini, G Salvia, R Contro, C Valerio, A Falconi, M Pederzoli, P Univ Verona Surg & Gastroenterol Dept I-37134 Verona Italy

External pancreatic fistulas resistant to medical treatment ave an indication for surgery. Over the period from May 1986 to March 1999, we operated on 17 patients suffering from a stabilized external pancreatic fistula as a result of surgical treatment for severe acute pancreatitis in 12 cases, chronic pancreatitis in 3, duodenopancreatectomy in 1, and islet cell tumor enucleation in 1, The surgical repair consisted of precise identification of the fistula tract around the drainage tube and its anastomosis with a Rouxen-Y jejunal loop (fistulojejunostomy). The surgical mortality was nil, and the postoperative outcome was uneventful in 12 patients. Four patients experienced surgical complications, all of which were treated conservatively. After a median follow-up of 93 months, 14 patients are still alive and healthy, 1 had died of neoplastic cachexia, and 2 were lost to follow-up. In our experience, fistulojejunostomy appears to be safe, easy to perform, and curative. (C) 2000 by Excerpta Medica, Inc.

关键词：急性病腺瘤胰岛细胞/外科学吻合术 Roux-en-Y 吻合术外科/方法慢性病引流术/仪器和设备随访研究空肠/外科学胰腺瘘/病因学胰腺瘘/外科学胰腺肿瘤/外科学胰腺炎/外科学手术后并发症安全存活率治疗结果成年人老年人女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Pericardial effusion: Subxiphoid pericardiostomy versus percutaneous catheter drainage

引用

ANNALS OF THORACIC SURGERY 1999年第2期67卷 437-440页

作者： Allen, KB Faber, LP Warren, WH Shaar, CJ Rush Presbyterian St Lukes Med Ctr Dept Cardiovasc & Thorac Surg Chicago IL 60612 USA

Background. Optimal management of cardiac tamponade resulting from pericardial effusion remains controversial. Methods. Cardiac tamponade in 117 patients was treated with either subxiphoid pericardiostomy (n = 94) or percutaneous catheter drainage (n = 23). Percutaneous catheter drainage was used for patients with hemodynamic instability that precluded subxiphoid pericardiostomy. Effusions were malignant in 75 (64%) of 117 patients and benign in 42 (36%) of 117. Results. Subxiphoid pericardiostomy had no operative deaths and a complication rate of 1.1% (1 of 94). In contrast, percutaneous drainage had significantly (p < 0.05) higher mortality and complication rates of 4% (1 of 23) and 17% (4 of 23), respectively. Patients with an underlying malignancy had a median survival of 2.2 months, with a 1-year actuarial survival rate of 13.8%. In comparison, patients with benign disease had a median survival of 42.8 months and a 1-, 2-, and 4-year actuarial survival rate of 79%, 73%, and 49%, respectively (p < 0.05). Effusions recurred in 1 (1.1%) of 94 patients after subxiphoid pericardiostomy compared with 7 (30.4%) of 23 patients with percutaneous drainage (p < 0.0001). Conclusions. Benign and malignant pericardial tamponade can be safely and effectively managed with subxiphoid pericardiostomy. Percutaneous catheter drainage should be reserved for patients with hemodynamic instability. (C) 1999 by The Society of Thoracic Surgeons.

关键词：心脏压塞/病因学心脏压塞/死亡率心脏压塞/外科学导管留置引流术/仪器和设备心包积液/病因学心包积液/死亡率心包积液/外科学心包切开术/仪器和设备手术后并发症/病因学手术后并发症/死亡率存活率治疗结果人类

来源：评论

学校读者我要写书评

暂无评论

Palliative transhepatic biliary drainage and enteral nutrition

引用

AMERICAN JOURNAL OF GASTROENTEROLOGY 1999年第12期94卷 3629-3631页

作者： Lerch, MM Moser, C Stallmach, A von Blohn, G Zeitz, M Univ Hosp Saarland Cent Endoscopy Unit Homburg Germany Univ Hosp Saarland Dept Med 2 Homburg Germany

Simultaneous intestinal and biliary obstruction is a rare but agonizing complication of metastatic abdominal cancer. Although endoscopic procedures exist that relieve jaundice or restore enteral nutrition, they can be impossible to perform for technical or anatomical reasons. We propose a palliative approach for these patients that includes transcutaneous common bile duct drainage, progressive dilation of the transhepatic channel over 1 wk, and, finally, insertion of a permanent silicon catheter that drains bile into the duodenum and is combined with an enteral feeding line. We report three patients whose metastatic abdominal tumors had led to simultaneous jaundice and gastric outlet obstruction, neither of which could be treated endoscopically. In all patients, the transcutaneous bile drainage catheter combined with the enteral feeding line was inserted and tumor symptoms resolved rapidly. As a result, the patients chose to return to home care with enteral nutrition and pain medication. The creation of a transhepatic access for simultaneous enteral bile drainage and nutrition is a technically simple procedure that causes little discomfort to a terminally ill patient. It relieves the symptoms of tumor obstruction, and the option of enteral nutrition and medication can obviate the need for intravenous infusions. (Am J Gastroenterol 1999;94:3629-3631. (C) 1999 by Am. Coll. of Gastroenterology).

关键词：胆道肿瘤/继发性胆道肿瘤/治疗胆汁淤积/治疗引流术/仪器和设备十二指肠肿瘤/继发性十二指肠肿瘤/治疗十二指肠梗阻/治疗肠道营养/仪器和设备姑息疗法支架老年人老年人 80以上女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：