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And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果:①术后一过性发热62例(84.9%),腹痛腹胀48例(65.8%)是介入断流术常见的并发症,未发生严重并发症;②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%;显示食管静脉曲张主要由胃冠状静脉供血,胃静脉曲张主要由胃短静脉和胃后静脉供血;胃冠状静脉大多数为单支,少数为双支,其双支的出现率分别为30.57%;胃冠状静脉开口于门静脉主干的为52.06%,开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%;③发现胃肾分流3例,脾肾分流7例、腹膜后门腔静脉分流2例,以及CTA检查发现脐静脉开放者2例;④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa,前后比较存在显著性差异;11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ,前后比较发现首次术前与术后存在显著性差异,首次术前和复发出血术前门静脉压力比较无显著性差异;⑤介入术后复查曲张静脉转归基本消失54例,轻度19例;⑥Spearman相关分析和Logistic多因素回归分析,肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响;Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响;⑦COX回归分析,门体分流和曲张静脉转归两个因素对术后生存有影响;⑧术后随访6-70月,1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%;结论:介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点,可以快速直接控制曲张静脉出血而门静脉压力无显著增高,保证了肝脏灌注;与外科分流术相比适应证广、损伤轻、术后恢复快,不易遗漏曲张静脉;肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响;门脉高压性胃病对复发出血时间有影响;门体分流和曲张静脉转归对生存时间有影响。

Results: Malignant transformation of MCT amounted to 1.4% of all MCT. Of the 11 cases, 7(7/11) were squamous cell carcinoma, 3(3/11) adenocarcinoma, and 1 (1/11) malignant struma ovarii.

结果:卵巢成熟囊性畸胎瘤恶变占良性畸胎瘤的1.4%,其中鳞癌变7例(7/11),腺癌变3例(3/11),卵巢甲状腺肿恶变1例(1/11)。5年平均生存率80%,Ⅰ期为100%,Ⅱ~Ⅲ期为0。

This technique could reduce the rate of complications and enhance long-term survivorship.

该技术能能减少并发症以及增加假体长期生存率

No revisions were required for aseptic loosening. Survivorship free of additional surgical procedures was 97% at 5 years.

与其他外科医生设计的系列病例组相比,假体有优良的生存率但是有较高的外侧松解率。

It uses a defined endpoint and is useful to assess and compare survivorship of different types of implants.

其依靠自己定义随访终点,对比较不同类型假体生存率非常有效。

There was no difference in the survival rates between HCC patients treated with operation and TAC.

HCC手术与TAE的长期生存率无统计学差异(P>0.05)。

In this model of a bupivacaine-induced cardiacarrest, the vasopressor combination of vasopressin and epinephrinecompared with lipid emulsion resulted in higher coronary perfusionpressure during CPR and survival rates.

在这个布比卡因导致的心跳骤停的模型中,加压素复合肾上腺素的升压药与脂肪乳剂比较,在心肺复苏中能产生更加高的冠状动脉灌注压并提高生存率

Hydrocortisone is widely used in patients with septic shock even though a survival benefit has been reported only in patients who remained hypotensive after fluid and vasopressor resuscitation and whose plasma cortisol levels did not rise appropriately after the administration of corticotropin.

1月10日《新英格兰医学杂志》报道,Hadassah希伯来大学医学中心等地的研究人员证实,无论是对所有的脓毒性休克患者还是只针对那些对促肾上腺皮质激素无反应的患者,氢化可的松都不能改善生存率或逆转休克症状;但是,对于已经逆转了休克进程的患者来说,氢化可的松可以加快休克的恢复。

To explore the effect of the technology in combining with CT grade and CT volumetry, comparisons were made for the CT grade indicated above, to the Child-Pugh grade, and to therapy result and to prognosis of these 50 patients.

将术前非肿瘤区肝实质的保留肝容积率和肝硬化分级,与术后切除容积、病理肝纤维化分级、临床肝功能分级、术前术后生化指标变化曲线和生存率进行对比研究。

Results:We followed up 58 cases for 3 years,41 case for 5 yeats.

结果:随访满3年58例,5年41例。3、5年生存率分别为72.4%(42/58)和68.3%(28/41)。

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如果有任何问题,你可以随时联系我。

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