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The shortest time to operation was 8 months;the longest time was 56 months,averaging 24 months. The high risk factors of HJD included bad acetabular ecstrophy angle,and anteversion angle.The etiological factor and tendency of dislocation in operation are also risk factors.

结果:平均随访24个月(8~ 56个月),分析其中期疗效,髋臼外翻角和前倾角的异常是造成人工全髋关节置换术后脱位的高危因素,术前病因、术中脱位倾向是危险因素。

Methods:One hundred patients underwent pallidotomy and thalamotomy for Parkinson's disease by means of microelectrode recording used as intraoperative target localization between Oct. 1997 and Apr. 1998. The patients were assessed by means of UPDRS.

采用微电极细胞电生理记录技术进行术中靶点监测,对100例帕金森病患者行苍白球腹后部(96例)和丘脑腹外侧核(4例)毁损术,患者术前及术后评估采用UPDRS积分,术中靶点更换率为87%。

Conclusion\ merging chronic prostatitis preoperative,inappropriate procedures at surgery and nursing care,urinary infection are the main causes of urethral stricture after prostatectomy .Transurethral cold knife urethrotomy and ...

术前合并慢性前列腺炎、术中操作不当及术后护理不当、泌尿系感染是手术后发生尿道狭窄的主要原因,经尿道冷刀内切开术及电切术是主要治疗方法。

Methods:Preoperative angiography in all 12 veintype KTS patients showed that deep vein patency, no absent ,no obstruction in both lower extremity. Four of these patients which were simply lower limb extralateral varices were operated by varicotomy and varicosity branches ligation. Eight patients which diffuseexpansion type were applicated blood drive belt and tourniquet method and via high level ligation of great and small saphenous vein with varicose vein removal and ligation of perforating veins.

12例静脉型KTS患者术前均行双下肢静脉造影显示深静脉通畅,无缺如或阻塞,其中4例下肢外侧单纯静脉曲张行曲张静脉剥脱术及分支结扎术,8例静脉弥漫扩张者应用驱血带和止血带的方法行大小隐静脉高位结扎加曲张静脉切除及交通支结扎术。

Objective To investigate the feasibility of endoscopic nasal surgery for nasopharyngeal angiofibroma to avoid complications of routine surgeries.Methods Retrospective analysis was performed for six patients'clinical records from June2002to June2004.Endoscopic nasal surgery and other techniques such as CT,MRI,digital substract angiography,Controlled-hypotention anesthesia and preoperative feeding artery embolism had been used.Results No complication had occurred.

目的 避免常规手术的并发症,探讨经鼻内镜引导下鼻咽纤维血管瘤切除术的可行性方法回顾性分析从2002年6月~2004年6月收治的6例经鼻内镜手术治疗的鼻咽纤维血管瘤患者的临床资料,术均行CT或MRI检查,了解瘤体小及部位,行字减影血管造影了解瘤体血供,术前采用供血动脉栓塞,术中采用控制性低血压技术。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%(15/28),手术切除率为71.4%(20/28),单纯胆囊切除术6例(占21.4%),胆囊切除+总胆管探查4例(占14.3%),胆囊切除+区域淋巴结清扫2例(占7.1%),胆囊+肝楔状切除+区域淋巴结清扫6例(占21.4%),胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例(占3.6%),胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例(占3.6%),未切除率为28.6%,胃-空肠吻合术2例(占7.1%),胆囊造瘘1例(占3.6%),仅做剖腹探查术5例(占17.9%)。

Results: Of the 22 cases, the draining veins, which were observed through MR brain surface anatomy scanning, were highly coincidence with the findings in the operation. The myodynamia of the one case whose myodynamia was grade 0 preoperation was grade IV one month after operation, the one case whose myodynamia was grade II preoperation was grade IV two weeks after operation, the one case whose myodynamia was grade III preoperation was grade IV three months after operation, and the patient recovered normal eight months later, the two cases whose myodynamia was grade IV total recovery after 2 months .

结果:22例患者的术前磁共振脑表面成像中脑表面回流静脉与术中所见高度一致。1例肌力0级患者术1月恢复至 IV 级,1例 II 级患者术后2周恢复至 IV 级,1例 III 级患者术3月恢复至 IV 级,随访8月患者对侧肢体肌力恢复正常,2例 IV 级患者术后2月完全恢复。

Methods The clinical data of 30 cases receiving glaparoscopic renalcyst unroofing from February 2002 to March 2005 and 15 cases receiving open renalcyst unroofing from February 2002 to February 2004 were retrospectively analyzed.

回顾分析腹腔镜肾囊肿去顶术30例及开放性肾囊肿去顶术30例的临床资料,就两组术前抑郁与焦虑的心理评分、手术时间、术中出血量、术后肠功能恢复情况、术后下床活动时间、抗生素应用时间、止痛药应用次数、恢复正常工作时间、手术治疗费用、住院总费用、术后住院总天数等指标进行比较。

BACKGROUND: Prewarming and intraoperative warming with forced air-warming systems prevent perioperative hypothermia and shivering in patients undergoing elective cesarean delivery with epidural anesthesia.

背景:术前和术中使用充气式保温系统能预防硬膜外麻醉行择期剖宫产术患者的围术期低温及寒战。

MethodsFifty one patients with rheumatic heart disease were randomly divided into two groups: L arg group ( n =25) and control group ( n =26). For L arg group, L arg at 300mg/kg was given during operation.

术前将 5 1例拟行心瓣膜置换术的风湿性心脏病患者随机分成两组:L-精氨酸组(n=2 5 ),术中给予 30 0 mg/kgL -精氨酸治疗;对照组(n=2 6 ),术中给予等量的 5 %葡萄糖注射液。

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