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971.
Sigmoid diverticular abscesses: percutaneous drainage as an adjunct to surgical resection in 24 cases 总被引:6,自引:0,他引:6
Mueller PR; Saini S; Wittenburg J; Simeone J; Hahn PF; Steiner E; Dawson SL; Butch RJ; Stark DD; Ottinger LW 《Radiology》1987,164(2):321-325
Twenty-four patients with acute sigmoid diverticulitis and associated pelvic fluid collections seen on computed tomographic scans underwent percutaneous catheter drainage as an adjunct to surgical therapy. Fourteen of the 24 underwent a single-stage surgical procedure within 10 days of drainage. Five patients required two-stage surgical procedures because localized inflammatory changes precluded a primary resection despite the absence of a residual abscess at surgery. Two of the three remaining patients initially had no surgery, but they had recrudescences of their symptoms that required surgical drainage within 8 months. One patient in whom surgical resection was deferred remained asymptomatic 10 months after percutaneous drainage. A retrospective review of 87 patients undergoing surgery for diverticulitis suggested that the percentage of two-stage surgical procedures has decreased in the last 5-10 years, but there remains a substantial number of patients who might benefit from percutaneous catheter drainage of diverticular abscess of the sigmoid colon. 相似文献
972.
973.
In a consecutive series of 200 neonates having undergone surgery for open myelomeningocele, 24 of the 106 survivors at 10 to 12 years of age proved to be continent of urine. These figures included 11 children who had considerable neurological involvement. 4 children did not acquire urinary control until after the age of 5 years. Therefore, we consider early urinary diversion in children with myelomeningocele, even in the presence of neurological deficit, to be indicated only for the prevention of progressive deterioration in renal function. Incontinence of urine itself is not an indication for urinary diversion in the first decade of life. 相似文献
974.
975.
976.
The aim of this study was to assess prospectively the relationship of a hiatal hernia to gastro-oesophageal reflux. Ninety five children with symptoms of gastro-oesophageal reflux in whom reflux was demonstrated radiologically were investigated. Oesophageal pH monitoring for 18 hours and endoscopy were performed in all patients. On the basis of radiology, patients were divided into those with hiatal hernia (n = 37) and those without (n = 58). Both groups had the same number of reflux episodes on pH monitoring. However, the median duration of the longest episode was significantly greater in the hiatal hernia group (30 min v 19 min), as was the number of reflux episodes longer than five minutes (5 v 4). The percentage with a pH < 4 just failed to be significantly different (13% v 8%). Hiatal hernia was also found to correlate with the presence of oesophagitis. The presence of a hiatal hernia delays the clearance of acid from the oesophagus and is associated with an increased incidence of oesophagitis. 相似文献
977.
Salmon calcitonin nasal spray in the prevention of corticosteroid- induced osteoporosis 总被引:5,自引:0,他引:5
Adachi JD; Bensen WG; Bell MJ; Bianchi FA; Cividino AA; Craig GL; Sturtridge WC; Sebaldt RJ; Steele M; Gordon M; Themeles E; Tugwell P; Roberts R; Gent M 《Rheumatology (Oxford, England)》1997,36(2):255-259
The objectives were to determine the efficacy and safety of nasal salmon
calcitonin 200 IU daily in the prevention of corticosteroid- induced
osteoporosis. A minimized, double-blind, placebo-controlled trial was
carried out in corticosteroid-treated patients with polymyalgia rheumatica.
The setting was a tertiary care university- affiliated hospital and a total
of 31 patients were enrolled. The primary outcome measure was the
percentage change in bone mineral density of the lumbar spine in the two
treatment groups from baseline to 1 yr of follow-up. The mean +/- S.D. bone
mineral density of the lumbar spine in the calcitonin-treated group
decreased by 1.29 +/- 6.76% and in the placebo group by 4.95 +/- 3.50%
after 12 months. The observed difference of 3.65 +/- 2.10% between groups
is statistically significant (P < 0.05). Nasal salmon calcitonin
prevented loss of bone in the lumbar spine as measured by dual-energy X-ray
absorptiometry.
相似文献
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979.