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排序方式: 共有4567条查询结果,搜索用时 15 毫秒
1.
YOSHINORI MORITA NOBUO AOYAMA DAISUKE SHIRASAKA MASATERU FUKUDA MASATO KASUGA 《Digestive endoscopy》2003,15(Z1):S12-S14
In Kobe University Hospital, a new method for endoscopic mucosal resection (EMR) using insulated‐tip electrosurgical knife (IT‐EMR) for early gastric cancer (EGC) was introduced from November 2001. To achieve an effective and safe IT‐EMR procedure, we use a high‐frequency surgical unit for cutting and coagulation (ERBOTOM ICC 200) with automatically controlled cutting mode (ENDOCUT). In this study, we show not only our results of IT‐EMR for EGC in comparison with those of the conventional strip biopsy method, but also the optimal conditions for the apparatus of a high‐frequency surgical unit to prevent complications such as bleeding and perforation. 相似文献
2.
A. K. Singh M. Gujar S. Shiral R. M. Raizada 《Indian journal of otolaryngology and head and neck surgery》2004,56(4):297-298
A case of rhinolith in a 60 years old male prsenting with palatal performation is, presented alongwith a brief discussion
on the pathogenesis and treatment. 相似文献
3.
目的 通过TMJ上腔造影,结合关节腔冲洗、注药及术后下颌磨牙区牙合垫治疗不可复性盘前移位。方法 根据病史结合临床症状选取38例患者,其中单纯性不可复性盘前移位患者15例,合并滑膜炎表现23例。按常规进行关节上腔造影术后拍摄数字化TMJ开闭口断层片、开口度检查,部分患者使用生理盐水进行关节腔冲洗。冲洗后根据病情,关节腔内注入强地松龙或透明质酸钠,注药后再次测量开口度。结果 不可复关节盘移位开口度及髁突侧向运动度明显增加。合并滑膜炎者疼痛症状减轻。结论 TMJ关节上腔造影结合关节腔冲洗注药及He垫治疗,可明显增加开口度、髁突运动度。减轻关节疼痛。因此,是一种治疗早期不可复性盘前移位的有效方法。 相似文献
4.
目的:探讨急诊外伤性胃肠穿孔的CT征象及诊断价值。方法:收集18例经手术证实的外伤性胃肠道穿孔的临床资料及CT征象,分析与总结胃肠道破裂穿孔CT扫描的各种有价值的表现。结果:18例外伤急诊患者中,胃、十二指肠、空回肠与结肠穿孔各1,2,12,3例,其中空回肠为多处破裂,CT主要征象为腹腔散在积液征、游离气腹征、肠系膜与肠壁增厚模糊征、造影剂外溢征。结论:CT扫描在外伤性胃肠道穿孔急诊患者的检查中有定性诊断价值,综合分析各种征象,会明显提高CT的诊断正确率。 相似文献
5.
S. A. R. Nouraei C. B. Singh M. S. Ferguson K. Young D. Roy J. M. Philpott 《European journal of plastic surgery》2007,30(4):153-157
The objective of this study is to assess the results of repairing septal perforations with a vascularized pedicled alar cartilage
island flap. Using the external rhinoplasty approach, a vascularized flap of alar cartilage, harvested as a cephalic trim
and pedicled on the ascending columellar branches of the superior labial artery was raised. Bilateral mucoperichondrial septal
flaps were elevated and the alar flap was transposed and secured within the defect and bilaterally overlaid with temporalis
fascia. Silastic sheets were placed and remained in situ until the grafts were revascularized from the peripheries of the
defect as well as centrally from the alar flap. The revascularized temporalis fascia acted as a scaffold for nasal remucosalization.
The alar flap also increased the long-term structural robustness of the repair. Between 1999 and 2003, 14 patients with septal
perforations ranging from 10 to 31 mm underwent septal reconstruction using this technique. There were nine males and five
females. The flap was successfully raised in all cases and long-term closure was maintained in 12 patients (86%). The alar
cartilage flap is an effective technique for repairing septal perforations in selected patients. It provides vascularized
tissue which nourishes the grafts during remucosalization, and a cartilaginous framework, which affords long-term structural
support to the repair. It also obviates the need to transpose nasal mucosa and create a secondary defect. The rhinoplasty
approach furthermore permits additional nasal deformities to be corrected at the same time.
Presented at the British Association of Plastic Surgeons Summer Scientific Meeting, Sheffield, UK (12 July 2006). 相似文献
6.
A 50 year old man with a two month history of upper abdominal pain and a one month history of anorexia and weight loss, presented
with icterus and evidence of peritonitis. Laparotomy revealed biliary peritonitis which had been caused by a rupture of the
fundus of the gallbladder. The common bile duct was dilated and there was a large growth in the head of the pancreas with
multiple hepatic metastases. A cholecysto-jejunostomy and gastrojejunostomy were done and the patient had an uneventful recovery. 相似文献
7.
选择32颗新近拔除的磨牙,3号球钻由冠方进入造成髓底穿孔,分为4个实验组,分别充以氧化锌丁香油糊剂、氢氧化钙糊剂、磷酸锌水门汀及玻璃离子粘固粉,丁氧膏密封牙合面。各牙表面涂指甲油后,浸入1%中性红染液,10天后取出,测各牙穿孔处染液渗入高度。结果显示:实验组染液渗入高度1组<2组<3组<4组,提示4种材料相比,氧化锌丁香油糊剂用于底穿修复的密封性能最好。 相似文献
8.
9.
Yutaka Saito Takahisa Matsuda Tsuyoshi Kikuchi Hisatomo Ikehara Toshio Uraoka 《Digestive endoscopy》2007,19(Z1):S34-S39
Endoscopic submucosal dissection (ESD) for colorectal cancer is not widely accepted because of its technical difficulty and the risk of perforation. In addition, the risk of peritonitis cannot be completely eliminated even if a perforation is closed successfully. Reported here are two cases of early colon cancer in which the patients sustained iatrogenic perforations of the ascending colon during conventional endoscopic mucosal resection and of the sigmoid colon during ESD, respectively, requiring abdominal decompression with an 18 G Medicut needle. Both of these perforations were successfully treated by endoscopic clipping. In conclusion, conservative medical management may be possible in patients who have undergone successful closure of colonic perforations using endoscopic clipping. In order to perform immediate endoscopic closure, abdominal decompression has been useful to decrease patient discomfort and colonic lumen collapse. Now, CO2 insufflation is being used effectively for the prevention of pneumoperitoneum. 相似文献
10.
报道7例自发性食管穿孔治疗经验,并对诊断和治疗和治疗新方法进行了讨论,自发性食管穿孔早期诊断的重要依据是迅速获得完整,详细的发病史。可疑时通过食道造影,胸腔穿刺刺液的分析而确诊。一经确诊应急取早期食管修补,对发病时间长,全身情况差的病人,经积极准备后仍应急取食管修补,对不宜手术者给予食管冲洗促进穿孔愈合。同时给予有效的食管腔内外引流。 相似文献