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目的探讨包皮过长程度的分度及其手术适应证。方法对636例高三男生包皮过长者,按其过长程度和20个月随访资料,区分成Ⅰ°、Ⅱ°、3组,即:Ⅰ°包皮过长不手术随访组285例;Ⅱ°包皮过长接受环切术和随访的199例,称为Ⅱ°过长手术随访组;Ⅱ°包皮过长未经手术担接受随访的98例,称为Ⅱ°过长不手术随访组。然后将3组进行比较、分析。结果Ⅱ°过长手术随访组发生疾病者仅3例(3/199,1.51%),Ⅱ°过长未手术随访组发生疾病者有39例(39/98,39.80%),2组间发病率有显著差异(P〈0.01)。而Ⅱ°过长手术随访组和Ⅰ°过长未手术随访组(6/285,2.11%)之间无差异P〉0.05。结论Ⅱ°包皮过长必须作环切(或环扎)手术治疗,而Ⅰ°包皮过长可以由患者自愿选择,但必须强调包皮保洁,否则亦难免罹病。提倡学龄(6岁)前施行包皮环切(环扎)术,有其深远好处,值得磋商。 相似文献
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Tamietto M Latini Corazzini L de Gelder B Geminiani G 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》2006,171(3):389-404
The present study used the redundant target paradigm on healthy subjects to investigate functional hemispheric asymmetries and interhemispheric cooperation in the perception of emotions from faces. In Experiment 1 participants responded to checkerboards presented either unilaterally to the left (LVF) or right visual half field (RVF), or simultaneously to both hemifields (BVF), while performing a pointing task for the control of eye movements. As previously reported (Miniussi et al. in J Cogn Neurosci 10:216-230, 1998), redundant stimulation led to shorter latencies for stimulus detection (bilateral gain or redundant target effect, RTE) that exceeded the limit for a probabilistic interpretation, thereby validating the pointing procedure and supporting interhemispheric cooperation. In Experiment 2 the same pointing procedure was used in a go/no-go task requiring subjects to respond when seeing a target emotional expression (happy or fearful, counterbalanced between blocks). Faster reaction times to unilateral LVF than RVF emotions, regardless of valence, indicate that the perception of positive and negative emotional faces is lateralized toward the right hemisphere. Simultaneous presentation of two congruent emotional faces, either happy or fearful, produced an RTE that cannot be explained by probability summation and suggests interhemispheric cooperation and neural summation. No such effect was present with BVF incongruent facial expressions. In Experiment 3 we studied whether the RTE for emotional faces depends on the physical identity between BVF stimuli, and we set a second BVF congruent condition in which there was only emotional but not physical or gender identity between stimuli (i.e. two different faces expressing the same emotion). The RTE and interhemispheric cooperation were present also in this second BVF congruent condition. This shows that emotional congruency is the sufficient condition for the RTE to take place in the intact brain and that the cerebral hemispheres can interact in spite of physical differences between stimuli. 相似文献
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Victor Torres Nicholas Martinez Gabriel Lee Jose Almeda Glenn Gross Sandeep Patel Laura Rosenkranz 《World journal of gastroenterology : WJG》2013,19(16):2501-2506
AIM: To address endoscopic outcomes of post-Orthotopic liver transplantation (OLT) patients diagnosed with a "redundant bile duct" (RBD). METHODS: Medical records of patients who underwent OLT at the Liver Transplant Center, University Texas Health Science Center at San Antonio Texas were retrospectively analyzed. Patients with suspected biliary tract complications (BTC) underwent endoscopic retrograde cholangiopancreatography (ERCP). All ERCP were performed by experienced biliary endoscopist. RBD was defined as a looped, sigmoid-shaped bile duct on cholangiogram with associated cholestatic liver biomarkers. Patients with biliary T-tube placement, biliary anastomotic strictures, bile leaks, bile-duct stonessludge and suspected sphincter of oddi dysfunction were excluded. Therapy included single or multiple biliary stents with or without sphincterotomy. The incidence of RBD, the number of ERCP corrective sessions, and the type of endoscopic interventions were recorded. Successful response to endoscopic therapy was defined as resolution of RBD with normalization of associated cholestasis. Laboratory data and pertinent radiographic imaging noted included the pre-ERCP period and a follow up period of 6-12 mo after the last ERCP intervention. RESULTS: One thousand two hundred and eighty-two patient records who received OLT from 1992 through 2011 were reviewed. Two hundred and twenty-four patients underwent ERCP for suspected BTC. RBD was reported in each of the initial cholangiograms. Twentyone out of 1282 (1.6%) were identified as having RBD. There were 12 men and 9 women, average age of 59.6 years. Primary indication for ERCP was cholestatic pattern of liver associated biomarkers. Nineteen out of 21 patients underwent endoscopic therapy and 2/21 required immediate surgical intervention. In the endoscopically managed group: 65 ERCP procedures were performed with an average of 3.4 per patient and 1.1 stent per session. Fifteen out of 19 (78.9%) patients were successfully managed with biliary stenting. All stents were 相似文献
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目的:探讨一次性包皮环切缝合器与吻合器治疗包皮过长和包茎的治疗效果。方法:将2013年2月至2015年10月就诊我院的包茎和包皮过长患者,按手术方法分为一次性包皮环切缝合器组与吻合器组,对比一次性包皮环切缝合器与吻合器治疗包茎与包皮过长的疗效,并对两组临床资料进行对比。结果:两组患者手术时疼痛评分无明显差异(P均0.05);手术时间、术中出血、术后疼痛评分、手术并发症、伤口愈合时间、术后包皮外观满意度及治疗费用的差异有统计学意义;包皮环切缝合器治疗包茎与包皮过长手术在术后疼痛评分、手术并发症、伤口愈合、术后外观满意度方面优于吻合器,而包皮吻合器在手术时间、手术中出血、手术费用方面优于缝合器(P均0.05)。结论:包皮环切缝合器治疗包茎与包皮过长手术在术后疼痛评分、手术并发症、伤口愈合、术后外观满意度方面优于吻合器,而包皮吻合器在手术时间、手术中出血、手术费用方面优于缝合器。术前可依据患者的需要及经济条件等充分的解释并选择个性化的手术方式。 相似文献
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目的:观察改良型一次性包皮切割缝合器的临床应用效果。方法:220例包皮过长患者,其中112例采用改良型一次性包皮切割缝合器进行手术(改良组),108例采用改良前一次性包皮切割缝合器进行手术(传统组)。对比两组手术时间,术中出血量,补缝率,20d内脱钉率,术后并发症情况。结果:改良组患者术后出血量为(1.15±0.62)m L,补缝率为0.89%,20d内脱钉率为99.11%,术后并发症发生率为30.36%,传统组患者术后出血量为(3.21±1.62)m L,补缝率为8.33%,20d内脱钉率和术后并发症发生率为89.81%和38.88%。两组比较均有显著性差异(P0.05),手术时间两组无显著性差异(P0.05)。结论:采用改良型一次性包皮环切缝合器手术可明显降低术中出血和术后并发症及增加脱钉率,值得推广。 相似文献
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目的:探讨改良包皮环切术的方法与效果。方法:采用改良包皮环切术对60例包皮过长及包茎患者施行手术,观察总结手术效果。结果:手术时间平均25min;术中几乎无出血;所有患者均无继发出血、血肿、感染。术后1~3个月随访,测量包皮保留部分,切缘平整美观。成人组性生活状况满意度提高。结论:改良法包皮环切术是对传统包皮环切术的改进,应用简便、效果满意,是一种值得推广的包皮切除方法。 相似文献
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