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find Keyword "外科" 1929 results
  • Vitreous surgery for severe ocular trauma

    Objective To summarize the visual outcome of patients with severe ocular trauma treated with vitreous surgery. Methods Clinical data of 188(191 eyes) with severe ocular trauma treated with vitreous surgery in a period from November 1996 to April 1998 were analysed retrospectively. Results The study included penetrating injury in 56 eyes, foreign bodies in the posterior segment in 70 eyes, blunt injury in 41 eyes , and globe rupture in 24 eyes. Main complications included endophthalmitis in 35 eyes, choroidal bleeding in 20 eyes, retinal detachment in 60 eyes, and vitreous hemorrhage in 97 eyes. Post-opera-tively, out of 188 eyes, except for 3 of patients too young to examine, visual acuity improved in 133(70.7%), including 85(45.2%) with visal acuity 0.02-1.0, 46(24.5%) remained unchanged; and 9(4.8%) had worse vision. Among 34 with no-light-perception, 12 had light-perception or over. Conclusion A majority of severe trauma eyes can be salvaged with considerable visual recovery after adequate and timely vitreous surgery. (Chin J Ocul Fundus Dis,1999,15:4-6)

    Release date:2016-09-02 06:08 Export PDF Favorites Scan
  • Surgical Treatment of Cholecystitis in the Old Age (Report of 100 Cases)

    目的:探讨高龄胆囊炎的外科手术治疗。方法:回顾分析1999年1月至2008年10月100例高龄胆囊炎患者的临床资料。结果:手术治疗治愈99例,平均住院12天。结论:高龄胆囊炎患者合并症多,病情进展快,治疗难度大,风险高,要重视围手术期处理和手术时机、方法的选择,才能保证外科手术的成功。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 糖尿病足伤的外科治疗

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  • 四肢骨折合并周围神经损伤的显微修复

    我院1980年~1994年收治的四肢骨折合并周围神经损伤58例,对其中45例采用显微外科技术修复。经1~5年随访25例28条神经。总的优良率为71.42%,桡神经的优良率为86.7%,尺神经为33.3%。讨论了骨折合并周围神经损伤的特殊性,以及影响功能恢复的因素等。

    Release date:2016-09-01 11:16 Export PDF Favorites Scan
  • 睫状体复位手术联合玻璃体腔注射曲安奈德治疗睫状体分离合并黄斑水肿的疗效观察

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  • 老年胆囊炎胆囊结石88例外科治疗体会

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  • Clinical observation on diode laser choroidotomy for drainage of subretinal fluid

    Purpose To evaluate the safety and efficacy of draining subretinal fluid with transchoroidal probing by using the traditional needling and diode endolaser probing. Methods The investigation included 70 consecutive patients(74 eyes) with rhegmatogenous retinal detachment undergoing scleral buckling surgery.Seventy cases were randomly divided into 2 groups,group A 34 cases(36 eyes)with the needle drainage procedure and group B 36 cases(38 eyes) with the diode probe respectively.The safety and efficacy were compared in between the 2 groups. Results No operative failure was found in these 2 groups.In group A,subretinal hemorrhage occurred in 3 eyes,and retinal incarceration,retinal preforation in one eye. No significant complication occurred in group B. Conclusion Diode laser drainage has the advantage in that it may reduce the incidence of operative complication with drainage.This technique might be used in any case requiring drainage of subretinal fluid especially of rhegmat ogenous retinal detachment in cases of shallow retinal detachment. (Chin J Ocul Fundus Dis,1998,14:202-203)

    Release date:2016-09-02 06:11 Export PDF Favorites Scan
  • 胫后动脉穿支蒂隐神经营养血管皮瓣的临床应用

    【摘要】 目的 探讨应用胫后动脉穿支为蒂的隐神经营养血管皮瓣逆行转位修复小腿远1/3内侧软组织缺损的手术方法临床效果。 方法 2003年8月-2009年8月对48例小腿远1/3内侧软组织缺损患者,在小腿内侧区沿大隐静脉设计以胫后动脉穿支为蒂隐神经营养血管皮瓣,切取面积5 cm×8 cm~15 cm×20 cm。 结果 术后3例皮瓣远端静脉回流不畅出现10%~20%坏死,经换药后痊愈,其余45例皮瓣一期完全成活,供区一期愈合,全部患者获得6~72个月随访,所有患者皮瓣外形及功能满意。 结论 以胫后动脉穿支为蒂隐神经营养血管皮瓣逆行转位修复小腿远1/3内侧软组织缺损具有不损伤主要血管、血供可靠、皮瓣切取范围大、隐蔽等优点,临床效果满意。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • Surgical treatment for 30 patients with tracheal and main bronchial tumors

    Objective To study the surgical treatment of tracheal and main bronchial tumors. Methods We retrospectively analyzed the clinical data of 30 patients with tracheal and main bronchial tumors treated in Shengjing Hospital of China Medical University from January 2000 to December 2015. There were 12 males and 18 females with the age ranging from 22 to 80 years. Results Ten patients were treated with enucleation, 12 patients tracheal tumor resection and end-to-end anastomosis, 1 patient window resection, 1 patient wedge resection, 5 patients tumor resection and tracheal reconstruction by using pulmonary tissue flap with alloy stent and 1 patient left pneumonectomy. One patient died of sudden massive hemoptysis 26 d after operation. Intraoperative complications were found in 2 patients. Others had a good recovery after operation. Patients were followed up for 11 months to 14 years. Eight patients were followed up less than 5 years postoperatively, one patient died of sudden massive hemoptysis 14 months after operation, while others survived; 21 patients were followed up more than 5 years and 5 patients were lost to follow-up. Conclusion Surgical resection is recommended for tracheal and main bronchial tumors. Patients with small benign tumor may choose local tracheal resection; tracheal segmental resection and end-to-end anastomosis is the most common surgical treatment. Patients with more than half of the whole length of tracheal defects or in the risk of anastomotic ischemic necrosis may be suggested to receive tracheal reconstruction.

    Release date:2017-08-01 09:37 Export PDF Favorites Scan
  • SEVERAL ADVANCES IN PLASTIC SURGICAL TECHNIQUES IN THE TREATMENT OF POSTBUEN DEFORMITY

    Abstract Postburn deformities, including hypertrophic scars, scar contracture and defect or deformity of tissue or organ, are the commonest disorders in plastic surgery. It is also difficult to deal with. If the diformity involved multiple organs, oftentimes the teatmentis very difficult because the material for repair is limited and the donorsite usually could not provide adequate amount of skin for repair. Since 1978,2496 cases of various postburn deformities were admitted. In this article, theoptimal time to operate was discussed. The use of flap transfer and soft tissueexpander was described. Prolonged traction in the treatment of severe contracture of large joint was also described.

    Release date:2016-09-01 11:11 Export PDF Favorites Scan
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