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51.
AIMS: To assess the long term morbidity and quality of life in survivors of gastroschisis. DESIGN: All babies born with gastroschisis between 1972 and 1984 and who survived more than one year were identified. Those who could be traced were questioned about their general health, growth, abdominal symptoms, cosmetic concerns, education, employment, and fertility. RESULTS: Of the 35 patients, two have died, seven could not be traced, and three declined to be interviewed. Twenty three subjects (70% of survivors) with a median age of 16 years (range 12-23 years) responded. Twenty two (96%) were in good health and overall growth was within normal limits. Eight subjects (35%) have had further surgery related to gastroschisis, including two for adhesive small bowel obstruction and three for scar complications. In 13 (57%), absence of an umbilicus caused distress during childhood. CONCLUSION: Most gastroschisis survivors can eventually expect normal growth and good health. Adhesive bowel obstruction is an uncommon, but potentially late, complication. The umbilicus should be conserved during gastroschisis repair. 相似文献
52.
Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion 总被引:5,自引:1,他引:5
This prospective study assesses the prevalence of intrauterine adhesions
among women undergoing secondary removal of placental remnants after
delivery, or a repeat curettage for incomplete abortions, and evaluates
risk factors associated with the presence of intrauterine adhesions. In 50
women, undergoing either a secondary removal of placental remnants more
than 24 h after delivery, or a repeat curettage for incomplete abortions,
ambulatory hysteroscopy was performed 3 months after the intervention.
Intrauterine adhesions were found in 20 of the women (40%): five patients
had Asherman's syndrome grade I, six had grade II, six had grade III and
three had grade IV. In women with menstrual disorders a statistically
significant 12-fold increased risk for Asherman's syndrome grade II-IV was
found. Previous abortion as well as infection during surgery were
associated with a mildly but non-significant increased risk. Based on our
findings, hysteroscopy is recommended only in those patients who develop
menstrual disorders, either after secondary intervention for placental
remnants after delivery or after a repeat curettage.
相似文献
53.
54.
可变误差多面体法用于多种维生素的同时测定 总被引:11,自引:0,他引:11
本文基于对多元校正分析模型的简要讨论,探索了应用可变误差多面体法同时测定维生索B1,B2,B6和烟酰胺的可行性。其结果准确度和精密度均较满意。维生素B1,B2,B6及烟酰胺的回收率分别是99.8±0.9%(CV),100.1±0.8%(CV),100.2±2.1%,100.1±0.7%(CV)。结果表明,通过公式KS=ASCST(CSCST)-1计算校正系数矩阵KS,并结合可变误差多面体法这一直接求解方法,能有效地提高分析结果的准确度,克服组分间的交互作用及病态,是多元校正分析的较佳策略之一。 相似文献
55.
Localization of hyperfunctioning parathyroid glands by selective venous sampling in reoperation for primary or secondary hyperparathyroidism 总被引:9,自引:0,他引:9
Reidel MA Schilling T Graf S Hinz U Nawroth P Büchler MW Weber T 《Surgery》2006,140(6):907-13; discussion 913
BACKGROUND: Localization of hyperfunctioning parathyroid glands in patients with previous cervical operations is not always successful with noninvasive methods such as ultrasound, sestamibi scan, or magnetic resonance imaging. The aim of our study was to evaluate the results of selective venous sampling (SVS) of intact parathyroid hormone (PTH) in patients undergoing surgery for primary (75%) or secondary (25%) hyperparathyroidism (HPT). METHODS: Between January 2000 and January 2006, SVS for PTH was performed in 51 consecutive patients with persistent or recurrent HPT or patients with previous cervical explorations. The results of SVS were compared with those of noninvasive localization studies. RESULTS: Successful surgical treatment was achieved in 47 of 51 patients (92%). SVS had a sensitivity of 83.3% for the correct localization of a parathyroid adenoma (79.5%) or hyperplastic parathyroid glands (91.6%). False-positive or indeterminate results of SVS were found in 6% and 2%, respectively, of the patients. Ultrasound detected enlarged parathyroid glands with a sensitivity of 33.3%, and sestamibi scan with a sensitivity of 57.1%. CONCLUSIONS: Compared with noninvasive localization studies, SVS for PTH yielded the best results for recurrent or persistent HPT and for patients with previous neck explorations. SVS is strongly recommended in reoperative surgery for HPT with indeterminate results of noninvasive methods. 相似文献
56.
H.-P. Knaebel M. H. Kirschner M. A. Reidel M. W. Büchler Dr. C. M. Seiler 《Der Chirurg》2006,77(3):267-272
BACKGROUND: INSECT is an internationally registered, three-armed, multicentre, intraoperatively randomised model trial of the Study Centre of the German Surgical Society. The interventions being compared are running suture technique with slowly absorbable monofilament suture material (PDS vs MonoPlus) and interrupted technique with a braided, rapidly absorbable suture material (Vicryl). The primary endpoint is the rate of incisional hernias 1 year postoperatively. MATERIAL AND METHODS: A total of 25 surgeons from 24 different institutions at all levels of care evaluated the theoretical and practical sessions of the surgical investigator meeting using 25 criteria, including course organisation, content, and speaker evaluation, and a categorical grading system from 1 (very good) to 6 (insufficient). RESULTS: Distribution of the 625 grades was: very good (1) n=367, good (2) n=207, satisfactory (3) n=39, adequate (4) n=2, and "No statement" n=10. The average score for the investigator meeting was 1.5. CONCLUSION: The participants felt they were successfully prepared theoretically and practically for trial interventions and conduct by attending the meeting. Clear explanation of the measures for treatment equivalence before and during trials is mandatory in randomised controlled surgical trials. 相似文献
57.
58.
59.
An investigation of red blood cell concentrate quality during storage in paediatric‐sized polyvinylchloride bags plasticized with alternatives to di‐2‐ethylhexyl phthalate (DEHP) 下载免费PDF全文
K. Serrano E. Levin D. Chen A. Hansen T. R. Turner J. Kurach A. Reidel W. F. Boecker J. P. Acker D. V. Devine 《Vox sanguinis》2016,110(3):227-235
60.
Measurement of myocardial fatty acid metabolism: kinetics of iodine-123 heptadecanoic acid in normal dog hearts 总被引:2,自引:0,他引:2
H R Sch?n R Senekowitsch D Berg M Schneidereit G Reidel H Kriegel H W Pabst H Bl?mer 《Journal of nuclear medicine》1986,27(9):1449-1455
To define the potential of iodine-123 heptadecanoic acid (IHA) for the noninvasive assessment of myocardial fatty acid metabolism with gamma camera imaging, the influence of myocardial oxygen consumption (MVO2) and blood flow (MBF) on extraction and half-times of IHA were investigated in dogs. Following IHA injection into the left circumflex coronary artery, extraction fraction and half-times were derived from the peak and slope of the IHA time activity curve, which consisted of a vascular, early, and late phase. Single-pass extraction fraction of IHA averaged 0.53 +/- 0.11 s.d. at control and was not influenced by MVO2 and MBF. The half-time of the early phase (T = 9.3 min +/- 2.8 s.d. in controls) as well as the ratio between the size of the early and late phase increased with MVO2 (r = 0.82, r = 0.87, respectively). Thus, early phase intracellular turnover of IHA increased, yet clearance of 123I activity was slowed by augmented cardiac work. Preliminary data of HPLC and electrophoretic analysis of myocardial arterial and venous blood samples over time indicate that the early phase is characterized by a decreasing washout of IHA and a relative increase of radioiodine washout. The half-time of the late phase (T = 245 min +/- 156 s.d. at control) was not related to MVO2 and MBF. In conclusion, myocardial fatty acid metabolism cannot be measured from the half-time of the early phase but might be analyzed from the ratio between the size of the early and late phase when using IHA. 相似文献