共查询到20条相似文献,搜索用时 46 毫秒
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1985年始,我们在瘘口内翻缝合的基础上,采用横向旋转皮瓣覆盖、带蒂阴囊皮瓣转移等方法,在显微镜下修复阴茎尿道下裂术后尿道皮肤瘘37例,效果满意。1临床资料1.1一般情况本组年龄3~24岁,平均9.4岁。术中发现瘘口 49个,其中 1个瘘口 28例,2个瘘口 6例,3个瘘口 3例。瘘口直径0. 1~2 cm。伴有尿道狭窄 6例,狭窄均在瘘口远端。 瘘口位于阴茎体 29个,阴茎根部16个,冠状沟4个。本组有7例在外院肉眼下行瘘口修补失败,入院后均在显微镜下修复,其中瘘口内翻间断缝合23例,横向旋转皮瓣覆盖1… 相似文献
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目的:总结双皮瓣法尿道成形一期手术治疗先天性尿道下裂的体会。方法:对28例1—12岁,尿道缺损长度2—7cm的患儿用双皮瓣法行尿道成形一期矫治,探讨手术要点及并发症的预防。结果:术后3例发生尿道外口狭窄,经尿道扩张治愈,无尿瘘发生。均一期治愈。所有病例术后随访0.5—7年,恢复良好。结论:该方法成功率高,适用于各种不同类型的尿道下裂,明显减少了多次手术的痛苦。 相似文献
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我院近年来应用阴囊带蒂皮瓣与阴茎皮瓣共同行尿道成形术,治疗阴茎型与阴茎阴囊型尿道下裂, 取得了满意效果,报告如下。 相似文献
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男性,41岁,自述1岁时被发现阴茎根部有一"肿物",伴排尿时漏尿,未经治疗,肿物逐渐增大,于2003年3月12日入我院治疗. 相似文献
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目的总结尿道下裂手术治疗经验,探讨带蒂睾丸鞘膜尿道成形治疗尿道下裂效果。方法采用带蒂睾丸鞘膜一期成形术治疗尿道下裂34例,并对尿道成形材料的选择进行讨论。结果术后32例一次成功,成功率94.7%,2例出现尿道瘘,随访3~7年,无尿道狭窄。结论带蒂睾丸鞘膜尿道成形成功率高,效果满意,取材方便,是治疗尿道下裂的理想方法之一。 相似文献
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尿道下裂手术后尿瘘的发生率达 15 %~ 30 % [1] ,现将我院 2 7例包皮内板一期尿道成形术后发生尿瘘的 6例相关因素及对策总结如下。1 临床资料本组 2 7例 ,均为男性 ,其中冠状沟型 3例 ,阴茎体型12例 ,阴茎阴囊型 8例 ,会阴型 4例 ,年龄 3~ 14岁。均行包皮内板一期尿道成形术 ,同时做阴茎矫直术。术后发生尿瘘 6例 ,其中 2例瘘孔甚小 ,经延长膀胱造瘘时间 ,促进愈合 ,出院时瘘孔已有缩小 ,分别于出院 1个月及 2个月自行愈合 ,其余 4例均在术后 1年行尿瘘修补一次成功。2 尿瘘发生的相关因素分析术后发生 6例尿瘘的原因 :阴茎皮肤坏死 3… 相似文献
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An esophagorespiratory fistula (ERF) is an often fatal consequence of esophageal or bronchogenic carcinomas. The preferred treatment is placement of esophageal and/or airway stents. Stent placement must be performed as quickly as possible since patients with ERFs are at a high risk for aspiration pneumonia. In this review, choice of stents and stenting area, fistula reopening and its management, and the long-term outcome in the interventional management of malignant ERFs are considered. Lastly, a review of esophagopulmonary fistulas will also be provided. 相似文献
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Narayanan G Mohin G Barbery K Lamus D Nanavati K Yrizarry JM 《Cardiovascular and interventional radiology》2008,31(6):1239-1243
The uncommon presentation of an arterioportal fistula (APF) involving the superior mesenteric artery (SMA) associated with
a pseudoaneurysm represents a therapeutic challenge. We present the case of a 24-year-old female admitted to the hospital
after multiple gunshot wounds to the abdomen; the patient underwent multiple surgeries and, in the process, developed a SMA
pseudoaneurysm and fistula. The vascular interventional radiology team was consulted for treatment of the pseudoaneurysm and
fistula. A covered stent was inserted percutaneously to exclude the APF and the pseudoaneurysm in a single procedure. The
patient returned to our service after 21 months for a follow-up CT scan, which demonstrated the stent and the distal vasculature
to be patent. 相似文献
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Dok Hyun Yoon Ju Hyun Shim Wook Jin Lee Pyo Nyun Kim Ji Hoon Shin Kang Mo Kim 《Korean journal of radiology》2009,10(4):411-415
Radiofrequency ablation (RFA) is a minimally invasive, image-guided procedure for the treatment of hepatic tumors. While RFA is associated with relatively low morbidity, sporadic bronchobiliary fistulae due to thermal damage may occur after RFA, although the incidence is rare. We describe a patient with a bronchobiliary fistula complicated by a liver abscess that occurred after RFA. This fistula was obliterated after placement of an external drainage catheter into the liver abscess for eight weeks. 相似文献
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胆囊、十二指肠瘘的超声图表现 总被引:1,自引:0,他引:1
目的:探讨胆囊、十二指肠瘘超声图表现的病理基础。材料和方法:回顾分析7例经病理证实的胆囊、十二指肠瘘术前超声表现,并与手术所见对照。结果:7例胆囊、十二指肠瘘的超声检查表现:胆管和胆囊内积气;胆囊结构消失和原有胆囊内结石消失;小肠梗阻。结论:胆囊、十二指肠瘘的超声表现具有一定的特征,有助于临床诊断。 相似文献
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Piffaretti G Tozzi M Lomazzi C Rivolta N Laganà D Carrafiello G Caronno R Castelli P 《Cardiovascular and interventional radiology》2007,30(1):133-135
Arteriovenous fistulas (AVFs) are infrequently seen in the civilian health-care system; traditionally, these lesions have
been treated with ligation, or direct surgical repair with concomitant revascularization. We describe a rare case of a peroneal
AVF treated with a stent-graft. 相似文献
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设计不同形状覆膜支架封堵食管-胃吻合瘘及食管化学灼伤后瘘 总被引:1,自引:0,他引:1
目的探讨不同形状可取式覆膜支架封堵各类食管瘘的治疗方法及临床价值。方法本组共50例,其中外科手术后食管-胃吻合口瘘43例,食管化学灼伤后瘘7例。瘘口直径0.5~2cm。瘘口部位:食管-胃颈部吻合口瘘7例,食管-胃胸腔内吻合口瘘23例,食管-胃膈下吻合口瘘13例;食管化学灼伤后上段瘘2例,中段瘘3例,下段瘘2例。均在DSA透视下经口腔植入支架,依据残胃大小及瘘口位置,选定下端为大喇叭口径可取式覆膜支架,全覆硅胶膜长管状“Z”型支架或覆膜记忆合金网状长管状支架。结果50例患者共植入支架56枚。支架植入后分别于2、7、12、17、22、30d,口服碘水透视检查,所有病例均堵瘘成功,且无并发症出现。结论设计不同形状可取式覆膜支架封堵各类食管瘘的临床疗效肯定。 相似文献
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徐帆 《中国烧伤创疡杂志》2019,31(6):434-437
目的对比观察括约肌间瘘管结扎术治疗高位复杂性肛瘘的临床疗效。方法选取2016年5月至2018年4月娄底市中心医院肛肠外科收治的66例高位复杂性肛瘘患者作为研究对象,并按照随机数表法将其随机分为观察组(33例)与对照组(33例),其中观察组患者采用括约肌间瘘管结扎术治疗,对照组患者采用切开挂线术治疗,对比观察两组患者的手术时间、术中出血量、术后创面面积、创面愈合时间、住院时间、肛门控便功能、并发症发生率及1年内的复发率。结果观察组患者手术时间显著长于对照组(t=2.483,P=0.016)、术中出血量显著少于对照组(t=8.190,P=0.000)、术后创面面积显著小于对照组(t=24.696,P=0.000)、创面愈合时间与住院时间显著短于对照组(t=3.280、2.369,P=0.002、0.021)。术后1周、1个月、3个月与6个月观察组患者Wexner评分均明显低于对照组(t=5.292、3.248、6.330、7.031,P=0.000、0.002、0.000、0.000),术后并发症发生率及复发率亦均显著低于对照组(χ~2=4.694、5.121,P=0.030、0.024)(结论与切开挂线术相比,括约肌间瘘管结扎术治疗高位复杂性肛瘘可有效减少术中出血量,缩短术后创面愈合时间,保护肛门括约肌功能,降低并发症发生率及复发率,值得临床推广应用。 相似文献
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Chen Q Tack C Morcos M Ruggiero M Schlossberg P Fogel J Weng LJ Farkas J 《Cardiovascular and interventional radiology》2007,30(5):1047-1051
We present a complex case of a splanchnic arterioportal vein fistula in a patient who presented with weight loss, abdominal
pain, diarrhea, and pancreatitis. We report successful use of the Guglielmi Detachable Coil (GDC) and N-butyl cyanoacrylate glue for the therapeutic embolization of the fistula between the superior mesenteric artery, the common
hepatic artery, and the portal vein. On the day following the procedure, the patient reported total remission of the abdominal
pain and diarrhea. These results were maintained at 3 months follow-up. 相似文献