Thirty one cases of the achalasia underwent myotomywith omentum covering and cardio-valvoplasty from 1983to 1988 at our hospital. Follow-up study, one to 4 yearspostoperatively, showed that 29 cases (93.5%) of themwit...Thirty one cases of the achalasia underwent myotomywith omentum covering and cardio-valvoplasty from 1983to 1988 at our hospital. Follow-up study, one to 4 yearspostoperatively, showed that 29 cases (93.5%) of themwith excellent results, only 2 cases(6.5%)showed slightdysphagia. The advantages of this procedure are as fol-lows: 1. relief of obstruction at lower end of esophagusand cardia preventing the recurrence of stenosis; 2. pre-vention of occurence of reflux esophagitis; 3. no altera-tion of normal anatomy of the esophagocardia region andno intervention of mucosa; 4. simplicity and safety ofthis procedure.展开更多
目的探讨严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植的临床疗效。方法选取沈阳医学院附属中心医院2014年7月至2016年8月收治的42例严重外伤性脾破裂患者,分为观察组(23例)与对照组(19例)。患者或其家属签署知情同意书,并获得...目的探讨严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植的临床疗效。方法选取沈阳医学院附属中心医院2014年7月至2016年8月收治的42例严重外伤性脾破裂患者,分为观察组(23例)与对照组(19例)。患者或其家属签署知情同意书,并获得我院医学伦理委员会批准。对照组行常规脾切除术,观察组在脾切除后行大网膜自体脾片种植。结果观察组的手术时间显著长于对照组(P<0.05),而术中出血量、术后进食时间及住院时间2组比较差异均无统计学意义(均P>0.05);观察组术后切口感染发生率显著低于对照组(P<0.05);观察组患者种植脾片全部显影良好;术后30 d内2组患者血小板均不同程度偏高,观察组增高程度显著低于对照组,术后3,7,14,30 d组间比较差异均有统计学意义(P<0.05);观察组术后28 d Ig G、Ig M、Ig A指标显著高于对照组(P<0.01);观察组术后14,28 d CD3+与CD4+/CD8+指标均较对照组显著增高(P<0.01)。结论严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植可取得良好的临床疗效,具有较高的可行性与必要性。展开更多
文摘Thirty one cases of the achalasia underwent myotomywith omentum covering and cardio-valvoplasty from 1983to 1988 at our hospital. Follow-up study, one to 4 yearspostoperatively, showed that 29 cases (93.5%) of themwith excellent results, only 2 cases(6.5%)showed slightdysphagia. The advantages of this procedure are as fol-lows: 1. relief of obstruction at lower end of esophagusand cardia preventing the recurrence of stenosis; 2. pre-vention of occurence of reflux esophagitis; 3. no altera-tion of normal anatomy of the esophagocardia region andno intervention of mucosa; 4. simplicity and safety ofthis procedure.
文摘目的探讨严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植的临床疗效。方法选取沈阳医学院附属中心医院2014年7月至2016年8月收治的42例严重外伤性脾破裂患者,分为观察组(23例)与对照组(19例)。患者或其家属签署知情同意书,并获得我院医学伦理委员会批准。对照组行常规脾切除术,观察组在脾切除后行大网膜自体脾片种植。结果观察组的手术时间显著长于对照组(P<0.05),而术中出血量、术后进食时间及住院时间2组比较差异均无统计学意义(均P>0.05);观察组术后切口感染发生率显著低于对照组(P<0.05);观察组患者种植脾片全部显影良好;术后30 d内2组患者血小板均不同程度偏高,观察组增高程度显著低于对照组,术后3,7,14,30 d组间比较差异均有统计学意义(P<0.05);观察组术后28 d Ig G、Ig M、Ig A指标显著高于对照组(P<0.01);观察组术后14,28 d CD3+与CD4+/CD8+指标均较对照组显著增高(P<0.01)。结论严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植可取得良好的临床疗效,具有较高的可行性与必要性。
