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排序方式: 共有8785条查询结果,搜索用时 193 毫秒
81.
Comparison of CT-guided sclerotherapy with using 95% ethanol and 20% hypertonic saline for managing simple renal cyst. 总被引:1,自引:0,他引:1
Hulusi Egilmez Vedat Gok Ibrahim Oztoprak Mehmet Atalar Ali Cetin Mubeccel Arslan Yener Gultekin Orhan Solak 《Korean journal of radiology》2007,8(6):512-519
OBJECTIVE: We wanted to compare the efficacies of 95% ethanol and 20% hypertonic saline (HS) sclerotherapies that were performed in a single session under CT guidance for the management of simple renal cysts. MATERIALS AND METHODS: A prospective series of 74 consecutive patients (average age: 57.6 +/- 8.1 years) with simple renal cysts were enrolled in this study. They were randomized into two groups and 95% ethanol or 20% HS, respectively, corresponding to 25% of the aspiration volume, was injected. Treatment success was determined six months later with follow-up clinical evaluation and performing ultrasonography. RESULTS: The sclerotherapy was accepted as technically successful without major complications in all except two patients who were excluded because of a communication between the simple renal cyst and the pelvicalyceal collecting system. Thirty-six patients in the ethanol group received sclerotherapy with 95% ethanol and 36 patients in the HS group underwent sclerotherapy with 20% HS. The complete regression ratio of the ethanol group was significantly higher (94% versus 72%, respectively) than that of the HS group. There was one patient with partial regression in each group. The failure ratio of the ethanol group was significantly lower (3% versus 25%, respectively) than that of the HS group. CONCLUSION: Ethanol sclerotherapy under CT guidance is a successful and safe procedure and it can be used for the treatment of simple renal cysts. Sclerotherapy with 95% ethanol is more effective than 20% HS sclerotherapy. Sclerotherapy with HS may be an option for patients preferring to undergo a less painful treatment procedure. 相似文献
82.
T Ul Haq K Munir Z Haider J Yaqoob U Usman 《Journal of Medical Imaging and Radiation Oncology》2005,49(2):140-143
Budd–Chiari syndrome (BCS) is characterized by obstruction of the hepatic venous outflow tract. Therapeutic options for BCS are limited. We report a case of a 21-year-old woman with protein S and C deficiency with gross ascites. Treatment with transjugular intrahepatic portosystemic shunt (TIPS) was attempted, which revealed occluded hepatic veins, so transcaval TIPS was performed. No serious procedure-related complication occurred. After successful shunt creation, the patient's symptoms subsided and she was discharged and followed up for 6 months. 相似文献
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84.
影响原发性肝癌介入治疗生存因素的Cox模型分析 总被引:2,自引:0,他引:2
目的:了解三种介入治疗方法对原发肝癌生存因素的影响。方法:应用Cox回归模型对298例不能切除的原发性肝癌介入治疗后的预后进行多因素分析。结果:23项指标中筛选出对生存影响显著的6项因素。按其对生存影响的大小排列分别为:肿瘤大小、二步切除、肿瘤数目、动静脉瘘、门脉癌栓和介入次数。结论:二步切除和介入次数为保护因子,能延长生存期。其余4项为危险因子,可缩短生存期。 相似文献
85.
Philip Aylward 《Internal medicine journal》1997,27(4):501-503
Fibrinolytic therapy substantially reduces mortality from acute myocardial infarction. Patient selection is, however, important. The patient must present within 12 hours of the onset ofischaemic symptoms, have definite ECG changes of ST elevation or left bundle branch block and no contraindications. The major contraindications are those for risk of an intracerebral bleed, recent stroke, intracranial tumour or risk of a major systemic bleed. Age and hypertension are not contraindications but may modify the regimen used.
Heparin is required with recombinant tissue plasminogen activator but is optional with streptokinase.
The recent COBALT trial suggests that the accelerated weight related t-PA regimen given over 90 minutes is more satisfactory than double bolus t-PA. However, inpatients under 75 years of age, the two regimens were equivalent.
For patients suffering acute myocardial infarction, practitioners should now individualise choice of therapy, rather than give the same cocktail to all patients. The choice of regimen will depend on the cardiac risk, the stroke risk, the bleeding risk and the cost. 相似文献
Heparin is required with recombinant tissue plasminogen activator but is optional with streptokinase.
The recent COBALT trial suggests that the accelerated weight related t-PA regimen given over 90 minutes is more satisfactory than double bolus t-PA. However, inpatients under 75 years of age, the two regimens were equivalent.
For patients suffering acute myocardial infarction, practitioners should now individualise choice of therapy, rather than give the same cocktail to all patients. The choice of regimen will depend on the cardiac risk, the stroke risk, the bleeding risk and the cost. 相似文献
86.
Antonio Giorgio M.D. Luciano Tarantino Giampiero Francica Nicola Mariniello Antonio Nuzzo Luca del Viscovo Antonio Rotondo 《Cardiovascular and interventional radiology》1996,19(1):27-31
Purpose: To verify the efficacy of ultrasound (US)-guided injection of large amounts of ethanol into large or multiple liver lesions,
in a single session under general anesthesia (one-shot PEI) for percutaneous ablation of hepatic tumors.
Methods: Twenty-nine patients (27 with 51 hepatocellular carcinoma (HCC) nodules on cirrhosis, diameter range 1.0<+>–<+>9.0 cm; two
patients with a single metastasis from the gastroenteric tract, 5.0 and 9.0 cm, respectively, in diameter) were treated with
one-shot PEI.
Results: The total volume of alcohol delivered per patient ranged from 16 to 210 ml. Mean ethanol volume in all patients was 49 ml.
Dynamic computed tomography (CT) examination showed complete necrosis in 41 of 50 lesions. Two patients died of hypovolemic
shock due to massive upper gastrointestinal bleeding, 3 and 7 days, respectively, after the interventional procedure. All
the remaining patients are alive (follow-up 5<+>–<+>14 months) except one who died of liver failure 5 months after. New HCC
nodules occurred in six patients within 6 months and one intralesional relapse was recorded.
Conclusion: In this preliminary experience, one-shot PEI is as effective in inducing liver tumor necrosis as traditional PEI; its advantages
are shorter treatment time and the capability of treating larger and multiple liver lesions. 相似文献
87.
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89.
冠状动脉造影术,使冠心病的诊断、治疗水平明显提高。但床上排尿困难是术后常见的护理问题,采用常规的方法,效果不佳,常需导尿术解决,既增加了患者的痛苦,又增加了护理工作量。我科2003年3月~2006年10月采取开塞露肛注刺激直肠诱发排便-排尿反射,较好地解决了床上排尿困难的问题。并与常规诱导排尿的方法进行了比较,现报告如下。临床资料对象选择冠状动脉造影术后排尿困难者60例,其中男性42例,女性18例,年龄20~78岁,平均53岁,随机分为对照组和观察组各30例,两组年龄、性别差异无显著性,具有可比性。方法(1)观察组:给予开塞露肛注排便以诱导… 相似文献
90.
目的 探讨急性脑梗死患者血清补体C1q/肿瘤坏死因子相关蛋白3(CTRP-3)、D-二聚体、可溶性髓样细胞触发受体2(sTREM2)水平及相关临床特征与溶栓后出血性转化(HT)的关系。方法 回顾性分析2018年9月—2022年9月在青海省人民医院接受溶栓治疗的120例急性脑梗死患者的临床资料,根据患者溶栓后是否发生HT分为HT组(30例)、非HT组(90例)。比较两组患者的临床资料及血清CTRP-3、D-二聚体、sTREM2水平。采用多因素逐步Logistic回归分析急性脑梗死患者溶栓后发生HT的危险因素;绘制受试者工作特征(ROC)曲线,分析急性脑梗死患者溶栓后HT预测模型预测HT发生的价值。结果 HT组心房颤动(以下简称房颤)、大面积脑梗死、入院NIHSS评分≥ 15分占比高于非HT组(P <0.05),血清CTRP-3水平低于非HT组(P <0.05),D-二聚体、sTREM2水平高于非HT组(P <0.05)。血清CTRP-3、D-二聚体、sTREM2水平预测急性脑梗死患者溶栓后发生HT的敏感性分别为66.7%(95% CI:0.598,0.756)、70.0%(95% CI:0.607,0.812)、80.0%(95% CI:0.714,0.889),特异性分别为73.3%(95% CI:0.636,0.821)、86.7%(95% CI:0.778,0.923)、86.7%(95% CI:0.747,0.942)。多因素Logistic逐步回归分析结果显示,房颤[O^R=1.237(95% CI:1.103,1.387)]、大面积脑梗死[O^R=2.338(95% CI:1.292,4.231)]、入院NIHSS评分≥ 15分[O^R=2.087(95% CI:1.231,3.538)]、CTRP-3 ≤ 269.265 μg/L [O^R=3.006(95% CI:1.508,5.992)]、D-二聚体≥ 2.625 mg/L [O^R=2.649(95% CI:1.374,5.107)]、sTREM2 ≥ 314.675 ng/L [O^R=2.328(95% CI:1.411,3.841)]是急性脑梗死患者溶栓后发生HT的危险因素(P <0.05)。根据多因素Logistic逐步回归分析结果建立急性脑梗死患者溶栓后HT预测模型,Logit(P) = -33.887 + 0.213×房颤+ 0.849×大面积脑梗死+0.736×入院NIHSS评分+ 1.101×CTRP-3 + 0.974×D-二聚体+ 0.845×sTREM2;ROC曲线分析结果表明,预测模型预测HT发生的敏感性为93.3%(95% CI:0.841,0.991),特异性为87.8%(95% CI:0.808,0.976)。结论 血清CTRP-3、D-二聚体、sTREM2水平与急性脑梗死患者溶栓后HT有关,预测价值较高,且急性脑梗死患者溶栓后HT预测模型预测HT优于各项指标单独预测。 相似文献