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经胸壁入路微型腹腔镜甲状腺切除术并发症防治体会 总被引:7,自引:0,他引:7
目的探讨经胸入路微型腹腔镜甲状腺切除术并发症的预防和处理。方法对应用经胸入路微型腹腔镜甲状腺切除术的病人可能出现和已经出现的并发症进行预防和处理。结果经胸入路微型腹腔镜甲状腺切除术共33例,术中大出血、中转开放1例,头晕、呕吐2例,吞咽疼痛3例,一过性声音嘶哑1例,胸前皮肤红肿、淤斑1例。切口过度瘢痕增生1例,术中、后均无死亡病例。结论熟悉甲状腺的解剖结构,熟练细致的腹腔镜操作技术,显露喉返神经,良好的麻醉方式,是预防和减少各种并发症发生的有效途径。 相似文献
126.
Three‐Dimensional Study of the Facial Canal Using Microcomputed Tomography for Improved Anatomical Comprehension 下载免费PDF全文
Kang‐Jae Shin Young‐Chun Gil Ju‐Young Lee Jeong‐Nam Kim Wu‐Chul Song Ki‐Seok Koh 《Anatomical record (Hoboken, N.J. : 2007)》2014,297(10):1808-1816
The aims of this study were to determine the various dimensions of the normal facial canal and to identify the spatial relationships between the facial canal and its adjacent structures using microcomputed tomography (micro‐CT) imaging and three‐dimensional (3D) reconstruction. The petrous parts of 54 temporal bones were scanned using micro‐CT with a slice thickness of 35 μm. The serial micro‐CT images were used to reconstruct 3D volumes of the facial canal and the bony labyrinth with the aid of computer software. These volumes were used to measure 31 dimensions of the facial canal and its spatial relationships with adjacent structures. The length of the meatal segment, the tympanic segment, and the mastoid segment were significantly larger in males than in females (p < 0.05). The narrowest portions of the facial canal were immediately lateral to the meatal foramen in the labyrinthine segment and the midpoint of the tympanic segment. The distance between the origin of the canal for the chorda tympani nerve and midpoint of the stylomastoid foramen was 35.3% of the length of the mastoid segment, and the angle between the tympanic segment and the lateral semicircular canal was 16.3°. The angle between the mastoid segment and the canal for the chorda tympani nerve could be classified into two groups: <180° and >180°. These findings represent supplemental data for improving the detailed understanding of the facial canal anatomy. Anat Rec, 297:1808–1816, 2014. © 2014 Wiley Periodicals, Inc. 相似文献
127.
Distinct Patterns of Genetic Variations in Potential Functional Elements in Long Noncoding RNAs 下载免费PDF全文
Non‐protein‐coding RNAs have increasingly been shown to be an important class of regulatory RNAs having significant roles in regulation of gene expression. The long noncoding RNA (lncRNA) gene family presently constitutes a large number of noncoding RNA (ncRNA) loci almost equaling the number of protein‐coding genes. Nevertheless, the biological roles and mechanisms of the majority of lncRNAs are poorly understood, with exceptions of a very few well‐studied candidates. The availability of genome‐scale variation datasets, and increasing number of variant loci from genome‐wide association studies falling in lncRNA loci have motivated us to understand the patterns of genomic variations in lncRNA loci, their potential functional correlates, and selection in populations. In the present study, we have performed a comprehensive analysis of genomic variations in lncRNA loci. We analyzed for patterns and distributions of genomic variations with respect to potential functional domains in lncRNAs. The analysis reveals a distinct distribution of variations in subclasses of long ncRNAs and in potential functional domains of lncRNAs. We further examined signals of selections and allele frequencies of these prioritized set of lncRNAs. To the best of our knowledge, this is the first and comprehensive large‐scale analysis of genetic variations in long ncRNAs. 相似文献
128.
长链非编码RNA(lncRNA)是一系列广泛转录自人及其他哺乳动物基因组的长度超过200 nt的核苷酸片段,通常没有蛋白编码功能,一度被认为是基因组的转录“噪音”。近年来一些 lncRNA 被发现具有多种生物学功能,成为分子生物学领域研究的热点。已经在多种肿瘤中发现有lncRNA的异常表达,并且异常表达的 lncRNA 和肿瘤的复发、转移及预后有关。本文中将探讨近期发现的与消化系统肿瘤相关的lncRNA,部分着重于具有促癌作用的lncRNA,以期为消化系统肿瘤的诊断、预后及分子治疗提供线索。 相似文献
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Geutjes PJ Faraj KA Daamen WF van Kuppevelt TH 《Journal of tissue engineering and regenerative medicine》2011,5(8):665-667
Collagen scaffolds have been widely used as biomaterials for tissue engineering. In general, application of scaffolds requires surgery. In this study, we describe a new and simple technique to prepare porous micro-scaffolds from type I collagen fibrils which can be injected, thus preventing surgery. The size of the micro-scaffolds could be easily controlled using sieves with varying cut-offs. EDC-NHS crosslinking was essential to stabilize the collagen micro-scaffolds. Micro-scaffolds were highly porous and could be injected through small diameter needles (18-21 gauge). Collagen micro-scaffolds may be used as injectables for the local delivery of effector molecules and/or cells, thus creating specific niches to enhance local tissue regeneration. 相似文献
130.
D. Bharat Reddy T.C.M. ReddyG. Jyotsna Satish SharanNalini Priya V. LakshmipathiPallu Reddanna 《Journal of ethnopharmacology》2009