共查询到19条相似文献，搜索用时 200 毫秒
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肖继荣 《荆门职业技术学院学报》2007,22(9):78-79
目的:探讨腹腔镜下十二指肠溃疡穿孔修补术的围手术期护理。方法:对8例腹腔镜下十二指肠溃疡穿孔修补术患者的护理进行回顾性总结。结果:术前注重心理护理及腹腔镜恢复操的指导,术后加强饮食、引流管护理及并发症的观察,患者均痊愈出院,无护理并发症的发生。结论:腹腔镜下十二指肠溃疡穿孔修补术具有损伤少、痛苦小且恢复快等优点,围手术期护理对其疗效起着重要作用。 相似文献
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对11例球部溃疡急性穿孔的病例,我们采用单纯修补(简称修补)加高选择性迷走神经切断术(简称高选迷切术)。此种手术简便、安全、并发症少、康复早、费用低、近期效果好、值得推广。为避免胃大部切除术后所引起的各种并发症。我们在81年3月～82年6月对11例球部溃疡急性穿孔的患者行修补加高选择性迷走神经切断术;介绍如下: 相似文献
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我科自1988年—1992年共收治溃疡病穿孔患者95例,其中十二指肠球部溃疡穿孔60例,采用修补加H_2受体阻滞剂治疗45例,现将治疗结果及体会报告如下: 相似文献
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目的观察腹腔镜下上消化道穿孔修补术的效果。方法将64例上消化道穿孔患者按照不同治疗方法分为观察组(n=32例)和对照组(n=32例)2组,比较2组手术时间、术后下床活动时间、术中出血量、术后并发症等治疗情况。结果观察组术后下床活动时间、住院时间、术后并发症等指标显著优于对照组,2组比较,差异有统计学意义(P<0.05)。2组手术时间对比,差异无统计学意义(P>0.05)。结论腹腔镜上消化道穿孔修补术创伤小、患者术后恢复快、并发症少,效果肯定。 相似文献
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胃十二指肠溃疡穿孔是外科常见的急腹症,1986年至1994年5月,我院外科治疗胃十二指肠溃疡穿孔128例,总结如下: 临床资料 1.1 一般资料:本组128例,其中十二指肠溃疡穿孔70例,男66例,女4例,年龄14～56岁,十二指肠球部前壁,距幽门1cm处穿孔68例,降部外侧壁穿孔2例。胃溃疡穿孔58例,男53例,女5例,年龄28～69岁, 相似文献
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陈曦 《泰州职业技术学院学报》2008,8(1):42-43
目的探讨十二指肠外伤的早期诊断、手术方式及并发症的预防。方法回顾性分析我院1995年1月～2007年1月16例十二指肠外伤病例,对其外伤史、手术方式及预后情况加以分析总结。结果14例治愈,其中6例出现并发症,1例行十二指肠修补,术后因霉菌性败血症感染性休克抢救无效死亡,1例行胰头十二指肠切除术,术后因多脏器功能不全死亡。结论十二指肠损伤易造成漏诊,力争早期发现、早期手术,合理手术治疗直接影响患者的预后,同时术后需预防各种并发症的发生。 相似文献
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妇科电视腹腔镜手术中转开腹的分析 总被引：2，自引：0，他引：2
目的 分析必要的中转开腹在妇科腹腔镜手术中对减少并发症的临床应用价值。方法 对296例采用电视腹腔镜手术技术的妇科手术进行总结分析，探讨其中转开腹的原因。结果 296例患者中有287例在电视腹腔镜下顺利完成，9例因各种原因术中转为开腹完成手术，中转开腹率3．1％。结论 妇科腹腔镜手术中遇到严重的盆腔粘连，内出血止血困难，泌尿道损伤，未预计的恶性肿瘤，尝试新手术失败，及时中转开腹是明智的选择。 相似文献
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吕辉生 《中山大学学报论丛》2001,21(1):304-305
胃十二指肠溃疡穿孔是比较常见外科急腹症之一。对于这类病例如何选择恰当的处理方式是值得重视和探讨的问题，总结了1986－1999年间收治胃十二指肠溃疡穿孔一期胃大部分切除手术适当证和手术方式选择。 相似文献
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目的：探索腹腔镜在普外科急腹症诊治过程中的应用价值。方法：回顾性分析2007年3月~2008年9月38例急腹症应用腹腔镜进行诊治的临床资料。其中急性阑尾炎18例,急性胆囊炎8例,腹部闭合性外伤5例,胃十二指肠溃疡穿孔4例,粘连性肠梗阻3例。结果：34例（89.5%）在腹腔镜下完成诊断和治疗,其中术前不明确诊断6例;4例（10.5%）转开腹手术。并发症的发生率为2.9%,无手术死亡病例。结论：腹腔镜技术在急腹诊断及治疗中具有安全、可靠、微创的特点,尤其在鉴别诊断中具有很高的价值,虽在某些方面有不足之处,且费用高,但随着现代医学的进一步发展,腹腔镜将会得到更广泛的应用。 相似文献
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Objective: The diagnoses of patients with duodenal protruding lesions are difficult when using conventional examinations such as computed tomography (CT) and conventional endoscope etc. Thus, we investigated the clinical value of endoscopic ultrasonography (EUS) with miniature ultrasonic probes on the diagnosis and treatment of duodenal protruding lesions. Methods: Patients with duodenal protruding lesions who were indicated for EUS were examined by EUS with 12-15 MHz miniature ultrasonic probes and double-cavity electronic endoscope. According to diagnosis of EUS, those patients were indicated for biopsy and treatment received biopsy, endoscopic resection or surgical excision. The postoperative histological results were compared with the preoperative diagnosis of EUS. Those patients without endoscopic resection or surgical excision were periodically followed up with EUS. Results: A total of 169 patients with duodenal protruding lesions were examined by EUS, of which 40 were diagnosed with cysts, 36 with inflammatory protruding or polyp, 25 with Brunner's gland adenoma, 19 with ectopic pancreas, 17 with gastrointestinal stromal tumor, 12 with extrinsic compression, 12 with minor papilla, 6 with lipoma, 1 with adenocarcinoma and 1 with lymphoma. After EUS examinations, 75 patients received biopsy, endoscopic resection or surgical excision respectively. The postoperative histological results of 70 patients were completely consistent with the preoperative diagnosis of EUS, with 93.33% diagnostic accuracy. The results of follow-up with EUS indicated that duodenal cyst, Brunner's gland adenoma, ectopic pancreas, gastrointestinal stromal tumor and lipoma remained unchanged within 1-3 years. No related complications occurred among all patients that received EUS examinations. Conclusion: EUS is an effective and reliable diagnostic method for duodenal protruding lesions. 相似文献
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应用真彩色医学图象分析仪,对15例DU、GU和Con组患者的胃窦粘膜肉眼下非病变区30张切片,随机选择,经免疫组化双重染色的G和D细胞300个,进行形态定量分析。每个细胞检测12个参数,各项参数都行统计学t检验两两相比处理。在三组中,G细胞的周长、面积、长径、短径、比表面、平均截距、平均体积、平均表面积、圆球度、平均直径和D细胞的长径、短径、形状因子、平均轴比的显著差异率均在60％以上,这些结果,建立了溃疡病非病变区胃窦粘膜幽门腺G和D细胞的体视学形态参数数据库,并为它们参与内分泌调节提供了客观依据。 相似文献
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本文作者应用第二代H_2受体拮抗剂雷尼替丁对144例十二指肠球部溃疡患者进行治疗，获得良好的疗效，6周末治愈率为85．42％。其副作用极为轻微。 相似文献
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总结分析我院自2002年11月至2005年6月对48例10—14岁儿童上消化系统疾病进行纤维胃镜检查的资料。结果表明:儿童上消化系统疾病以慢性浅表性胃炎和十二指肠球部溃疡最常见,对有疑诊者应早期作胃镜检查,及时治疗。 相似文献
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Gao Min Zhou Wen Shi Jian-ming Hong De-fei Mu Yi-ping Wang Jian-guo Wang Yao-dong 《浙江大学学报(A卷英文版)》2000,1(4):456-458
Objective: To evaluate the benefit of intraoperative ERCP and endoscopic sphincterotomy (EST) combined with laparoscopic cholecystectomy
(LC) in the treatment of cholelithiasis with choledocholithiasis. Methods: Fifty-two patients with cholelithiasis and choledocholithiasis
(as determined by intraoperative cholangiography) were randomly divided into 2 groups during LC. In group A (27 patients),
common bile duct stones were extracted by intraoperative EST during LC. In group B(25 patients), common bile duct (CBD) stones
were extracted by conversion to open CBD exploration and cholecyctectomy. Results: The success rate was 26/27 (96.3%) in group
A and 25/25 (100%) in group B (0.25<P<0.5); The mean postoperative hospitalization was 3.32±0.56 days in group A and 17.5±4.61 days in group B (P<0.001). In group A, two cases were complicated transient hyperamylasemia after the combined procedure. In group B, one case
of bile leakage and one case of duodenal ulcer occurred after conversion to open cholecystectomy with CBD exploration. There
were no retained stones in group A but 2 cases in group B. Conclusion: Intraoperative ERCP and endoscopic sphincterotomy combined
with LC for treatment of cholelithiasis and chiledochlithiasis is safe, effective and results in shorter hospitalization and
fewer complications than traditional open cholecystectomy with CBD exploration. 相似文献
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本文对近五年来经手术证实的217例十二指肠溃疡穿孔,行术中腹腔灌洗(IOPL)治疗情况进行临床分析。灌洗液通常采用生理盐水或林格氏液,总量为1000～2000ml。其中选择30例,应用每1000ml 灌洗液中加入0.5%灭滴灵100ml 和庆大霉索24万 u 进行灌洗;术后与对照组比较观察并发症减少,并降低残死亡率。 相似文献
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目的:对消化道穿孔并发症进行讨论。方法:对4例消化道穿孔合并麻痹性肠梗阻的患者进行透视,摄片定期检查。结果:保守治疗X线征象消失,但复查可见征象再现,再复查又可消失。结论:消化道穿孔合并麻痹性肠梗阻,保守治疗,其X线征象全部消失,不是临床治愈标准。 相似文献