共查询到19条相似文献,搜索用时 125 毫秒
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下颌阻生智齿拔除是口腔门诊常见手术之一 ,只要术式适当 ,一般均能顺利完成。现将 8例低位畸形阻生智齿行口内与口外进路拔除术的选择及利弊分析如下。临床资料 :本组 8例中 ,男 5例 ,女 3例 ,年龄 2 5~ 37岁。手术经口内法成功拔除 5例 ,另 3例口内进路拔除未成功 ,后经口外 相似文献
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目的探讨超声骨刀与高速涡轮钻联合拔除下颌阻生智齿的临床效果及安全性。方法将120例下颌阻生智齿患者随机分为三组,各40例,涡轮组采用高速涡轮钻法、骨刀组采用超声骨刀法治疗,联合组采用上述两种方法治疗。结果骨刀组和联合组手术时间明显短于涡轮组;联合组术中出血量明显少于另两组,术后疼痛、肿胀及张口受限程度均明显轻于另两组;手术并发症发生率明显少于另两组。结论超声骨刀与高速涡轮钻联合拔除下颌阻生智齿具有快速、微创、安全性高等优点,效果优于单纯高速涡轮钻和超声骨刀法。 相似文献
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目的研究微创技术在拔除下颌阻生第三磨牙中的应用价值和安全性。方法将94例进行拔除下颌阻生第三磨牙治疗的患者随机分为观察组和对照组,各47例。对照组采用常规拔牙方法进行治疗,观察组采用微创拔牙技术进行治疗。比较两组患者拔牙时间、拔牙后2h视觉模拟评分法(VAS)评分及并发症发生率。结果观察组手术时间和术后2h VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为4.26%,对照组并发症发生率为10.64%,两组比较差异有统计学意义(P<0.05)。结论微创拔牙术应用于拔除下颌阻生第三磨牙可有效缩短手术时间,降低患者疼痛度及并发症发生率,值得临床继续研究推广。 相似文献
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下颌阻生智齿拔除术中滑入咽旁间隙是比较严重和少见的并发症,2000年6月~2010年5月,我们共遇6例。现分析如下。资料分析:下颌阻生智齿拔除术中滑入咽旁间隙的6例患者均来自东营市东营区人民医院,男4例、女2例,年龄20~40岁。 相似文献
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2002年4月至2004年8月,我们对51例因下颌智齿近中阻生所致第2磨牙松动进行治疗,并探讨其所致第2磨牙远中面破坏位置、程度与阻生齿类型的关系,及其保存第2磨牙的方法。 相似文献
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《中国老年学杂志》2015,(23)
目的探讨地塞米松对老年下颌阻生智齿拔除术后面部反应性肿胀的影响。方法选取2011年12月至2014年12月在该院就诊的老年下颌阻生智齿患者60例,随机分为观察组和对照组各30例。对照组:术前给予口服安慰剂胶囊。观察组:在智齿拔出后注射地塞米松。对比两组在术后1、3、5 d的肿胀程度、肿胀厚度、肿胀体积以及开口度,并且分析两组在术后1、3 d的疼痛强度情况。结果术后1、3、5 d,观察组肿胀度、肿胀厚度、肿胀体积等都低于对照组(P0.01~0.05),两组开口度比较无统计学差异(P0.05)。术后1、3 d,观察组的疼痛强度评分与对照组比较,无统计学差异(P0.05)。结论地塞米松用于老年下颌阻生智齿拔除术,能够有效抑制面部局部肿胀,减轻术后软组织肿胀度。 相似文献
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不同微创技术在继发孔房间隔缺损治疗中的应用 总被引:1,自引:0,他引:1
目的对比不同微创技术在继发孔房间隔缺损治疗中的应用结果,分析其优缺点,探讨最佳手术适应证。方法 2005年1月到2010年11月我院采用微创技术治疗继发孔房间隔缺损患者140例,年龄0.3~50岁,其中经皮导管封堵术60例,非体外循环下经胸封堵术30例,常温体外循环心脏不停跳腋下小切口修补术50例。观察和比较三种微创技术治疗房间隔缺损的手术成功率、切口长度、费用等。结果经皮导管封堵术、非体外循环下经胸封堵术、腋下小切口修补术的成功率分别为95、96.7及100,三组间无显著差别(P〉0.05),无住院死亡。三组手术切口长度分别为(0.25±0.06)cm、(4.53±1.32)cm和(10.43±2.57)cm,差异有统计学意义(P〈0.01);手术费用分别为(24146±3073)元,(24811±3255)元,(23300±4799)元,差异无统计学意义(P〉0.05)。结论三种手术方式均是继发孔型房间隔缺损安全有效和小创伤的治疗方法。 相似文献
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目的 探讨应用神经内镜微创手术治疗脑囊尾蚴病的手术方法和治疗效果.方法 回顾分析11例行神经内镜微创手术治疗颅内脑囊尾蚴病患者的临床资料,分析总结应用神经内镜微创手术治疗脑囊尾蚴的手术方法和治疗效果.11例患者中有9例脑室内囊尾蚴,1例外侧裂池内脑囊尾蚴,1例脑实质囊尾蚴,其中l例行脑室腹腔分流,1例行三脑室底脚尖池造漏术,1例行立体定向辅助.结果 11例脑囊尾蚴病患者均取得较满意的疗效,无明显并发症.术后随访2~12个月,10例颅内压增高症状明显缓解,3例癫痫患者控制良好,有共济失调症的1例患者症状明显减轻,MRI复查未见囊尾蚴复发.结论 神经内镜微创手术治疗脑囊尾蚴病恢复快,并发症少,有较好的疗效. 相似文献
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Simone Sibio Francesca La Rovere Sara Di Carlo 《World journal of gastroenterology : WJG》2022,28(30):4227-4230
We read with great interest the article that retrospectively analyzed 814 patients with primary gastric cancer, who underwent minimally invasive R0 gastrectomy between 2009 and 2014 by grouping them in laparoscopic vs robotic procedures. The results of the study highlighted that age, American Society of Anesthesiologists status, gastrectomy type and pathological T and N status were the main prognostic factors of minimally invasive gastrectomy and showed how the robotic approach may improve long-term outcomes of advanced gastric cancer. According to most of the current literature, robotic surgery is associated with a statistically longer operating time when compared to open and laparoscopic surgery; however, looking at the adequacy of resection, defined by negative surgical margins and number of lymph nodes removed, it seems that robotic surgery gives better results in terms of the 5-year overall survival and recurrence-free survival. The robotic approach to gastric cancer surgery aims to overcome the difficulties and technical limitations of laparoscopy in major surgery. The three-dimensional vision, articulation of the instruments and good ergonomics for the surgeon allow for accurate and precise movements which facilitate the complex steps of surgery such as lymph node dissection, esophagus-jejunal anastomosis packaging and reproducing the technical accuracy of open surgery. If the literature, as well as the analyzed study, offers us countless data regarding the short-term oncological results of robotic surgery in the treatment of gastric cancer, satisfactory data on long-term follow-up are lacking, so future studies are necessary. 相似文献
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目的探讨微创洽疗肝内胆管结石的方法、可行性及疗效。方法总结2006年5月至2012年11月采用完全腹腔镜治疗肝内胆管结石15例。手术方式包括腹腔镜单纯肝脏切除、腹腔镜单纯胆道探查取石,或者联合保留Oddi括约肌的皮下通道胆囊或游离空肠肝胆管成形术。结果所有患者均成功完成手术,无围手术期死亡,术后残留结石率26%(4/15)。所有患者均获得随访,随访率100%。平均随访29个月(2~80个月),术后吻合口狭窄l例,未见结石复发。结论认真掌握手术适应证,仔细操作,合理利用胆道镜及皮下通道,可实现肝内胆管结石的微创治疗。 相似文献
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New approaches to the minimally invasive treatment of lung cancer 总被引:15,自引:0,他引:15
PURPOSE OF REVIEW: The momentum for minimally invasive thoracic surgery has been growing. Thousands of video-assisted thoracoscopic surgery lobectomies have been performed since the first video-assisted thoracoscopic surgery lobectomy was performed in 1992, but currently most lobectomies are still performed via a thoracotomy. Although most lobectomies could be performed with video-assisted thoracoscopic surgery, less than 5% are currently performed that way. Compared with a thoracotomy, video-assisted thoracoscopic surgery offers patients a shorter length of stay, less pain, and a quicker recovery, without compromising the adequacy of the operation. The purpose of this review is to identify the current uses for minimally invasive procedures in thoracic surgery and to present the current data regarding these procedures. RECENT FINDINGS: Complete anatomic resections and node dissections are routinely being performed at several centers internationally. The median length of stay after video-assisted thoracoscopic surgery lobectomy is 3 days, and 84.7% of patients had no complications. Studies comparing video-assisted thoracoscopic surgery and thoracotomy suggest that minimally invasive surgery causes less pain, has a smaller impact on postoperative pulmonary function, and provides a quicker return to regular activity, with at least comparable survival for cancer patients. SUMMARY: Current data suggest that, compared with a thoracotomy, video-assisted thoracoscopic surgery has advantages for anatomic pulmonary resections. 相似文献
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随着现代高科技的发展及对电视胸腔镜(video assisted thoracoscopic surgery,VATS)的研究,微创手术已应用于胸外科肺癌的根治及淋巴结的清扫。其不仅提高了手术的安全性及扩大了手术的适应症,对于不能行肺癌根治术的患者也可以行VATS(电视辅助胸腔镜手术)下姑息性手术及明确诊断。 相似文献