肝中央叶段肝癌的治疗体会

目的探讨肝中央叶段肝癌的外科治疗方法。方法回顾性分析我们于2004年1月～2006年1月收治的肝中央叶段肝癌21例的临床资料。结果本组21例肝中央叶段肝癌均成功切除,无围手术期死亡病例,术后未发生严重并发症。结论肝中央叶段肝癌手术难度大,只要重视术前评估、严格掌握手术适应证和加强围手术期处理,仍可取得较好的治疗效果。     

Surgical treatment of bronchial asthma

Methods of surgical treatment of bronchial asthma (BA) are classified as first generation (glomectomy, gangliectomy, vagotomy, pulmonary roots denervation), second generation (implantation of neurostimulators of sinocarotid, diaphragmal nerves, vagus, sympathic trunks), third generation (implants of programmed microchips). 7-year experience of surgical treatment with second generation methods in 125 patients with BA and experience of third generation methods use are summarized. Methods of second and third generations are most promising, permit to prevent and to cure asphyxia attack without drugs--with electrostimulation of vegetative system structures by impulse current (30-150 Hz, 0.01-0.1 ms, 0.5-2.0 V). New methods increase remission period more than 2 times, reduce drug daily requirement not less than 2 times. New methods can be used with traditional drug therapy and don't lead to dangerous for life complications. From first generation methods of BA's surgical treatment, only glomectomy and pulmonary roots denervation can be performed on serious demand.