Pub Date : 2001-03-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2001.03.009
L. Ying
Objective:To explore the timing and indications of preventive antibiotics-using cholecystectomy.Methods:304 cases of cholecystectomied patients were divided into 4 groups and compared.Results:Compare wound infection rate of preventive group with that of control group,χ 2=8.5,P0.01,with that of group having more infectious chance,χ 2= 7.1 ,P0.01,with that of group having less infectious chance,χ 2=0.4,P0.05.Compare wound infection rate of all patients that have different preventive medicine-using time,χ 2=0.02,P0.05.Conclusion:preventive antibiotics-using in group having more infectious chance can decrease postoperative wound infection rate apparently.Medicine should be used from anesthesia induction period,and using time shouldn't excess 2 days.Of all medicines,gentamicin and metronidazole are preferable medicines to choose.
{"title":"THE EXPLORATION OF PREVENTION OF WOUND INFECTION IN CHOLECYSTECTOMY","authors":"L. Ying","doi":"10.3760/CMA.J.ISSN.1673-4904.2001.03.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2001.03.009","url":null,"abstract":"Objective:To explore the timing and indications of preventive antibiotics-using cholecystectomy.Methods:304 cases of cholecystectomied patients were divided into 4 groups and compared.Results:Compare wound infection rate of preventive group with that of control group,χ 2=8.5,P0.01,with that of group having more infectious chance,χ 2= 7.1 ,P0.01,with that of group having less infectious chance,χ 2=0.4,P0.05.Compare wound infection rate of all patients that have different preventive medicine-using time,χ 2=0.02,P0.05.Conclusion:preventive antibiotics-using in group having more infectious chance can decrease postoperative wound infection rate apparently.Medicine should be used from anesthesia induction period,and using time shouldn't excess 2 days.Of all medicines,gentamicin and metronidazole are preferable medicines to choose.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"80 1","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2001-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73910208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-03-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2001.03.010
Zeng Dacai, W. Ping, L. Guanghua, Cai Yunfeng, L. Weimin
Objective:Cholangioduodenal reflux is still an unresolved problem in interposed jejunal choledochoduodenostomy (IJC) yet.To settle this problem,we designed IJC with distal suspending (IJCDS).Methods:IJCDS is to insert and suspend the distal end of the 25 cm-ling interposed jejunum to the duodenal cavity,which is about 2.5 cm long.The pressure of the biliary tract and the biochemical composition or the bile were measured during and after the operation and the results were compared.Barium meal and cholangiography through T tube were performed after the operation.Follow-up surveys were also done.Results:The pressure or the biliary tract decreased distinctively after the operation.Barium meals found no cholangioduodenal reflux although the patients had changed many postures.Cholangiography through T tube showed parisaltic or the interposed jejunum and the contrast medium was continuously pushed into the duodenum.Noreflux cholangitis and stone recurrence were found in the follow-up survey in 14 patients.Conclusion:IJCDS has the powerful function on preventing cholangioduodenal reflux.On the other hand,it avods the shortcomings of other reflux-preventing operative pattern.So it had the good prospect to extend its clinical usage.
{"title":"BASAL AND CLINICAL RESEARCH ON INTERPOSED JEJUNAL CHOLEDOCHODUODENOSTOMY WITH DISTAL SUSPENDING:15 PATIEWTS REPORT","authors":"Zeng Dacai, W. Ping, L. Guanghua, Cai Yunfeng, L. Weimin","doi":"10.3760/CMA.J.ISSN.1673-4904.2001.03.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2001.03.010","url":null,"abstract":"Objective:Cholangioduodenal reflux is still an unresolved problem in interposed jejunal choledochoduodenostomy (IJC) yet.To settle this problem,we designed IJC with distal suspending (IJCDS).Methods:IJCDS is to insert and suspend the distal end of the 25 cm-ling interposed jejunum to the duodenal cavity,which is about 2.5 cm long.The pressure of the biliary tract and the biochemical composition or the bile were measured during and after the operation and the results were compared.Barium meal and cholangiography through T tube were performed after the operation.Follow-up surveys were also done.Results:The pressure or the biliary tract decreased distinctively after the operation.Barium meals found no cholangioduodenal reflux although the patients had changed many postures.Cholangiography through T tube showed parisaltic or the interposed jejunum and the contrast medium was continuously pushed into the duodenum.Noreflux cholangitis and stone recurrence were found in the follow-up survey in 14 patients.Conclusion:IJCDS has the powerful function on preventing cholangioduodenal reflux.On the other hand,it avods the shortcomings of other reflux-preventing operative pattern.So it had the good prospect to extend its clinical usage.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"24 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"2001-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75438285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-03-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2001.03.008
Song Hongli, Zhu Yinghua, Liu Guimei
Objective:We clarify the relationship between dysfunction of gastric motility and the plasma motilin,in order to study the pathogenesis,diagnosis and therapy of the hepatocirrhosis with dyspepsia.Methods:The liquid gastric emptying (GE),electrogastrograpgy(EGG) and plasma motilin were examined in 51 patients with hepatocirrhosis.Results:The dysfunction of gastric motility is associated with the liver function,gastric rhythm and upper gastrointestinal symptom.The plasma motilin concentration increased significantly in patients with hepatocirrhosis as compared with that of controls (P<0.01).The sorbefacient prokinetic drug (prepulsid) can improve the function of gastric power,but the lever of motilin no change.Conclusion:The patients with hepatocirrhosis have the dysfunction of gastric motility,and gastric emptying delayed,and there is a relation between GE and the liver function.We evaluate that this disorder is associated with the low sensitivity about stomach to the plasma molitin in this case.We can judge the degree of the liver damage,gastric emptying delayed.gastric rhythm by testing the gastric motilin.Drug can deal it.
{"title":"A STUDY ON THE RELATIONSHIP BETWEEN GASTRIC MOTILITY AND PLASMA MOTILIN IN THE PATIENTS WITH HEPATOCIRRHOSIS","authors":"Song Hongli, Zhu Yinghua, Liu Guimei","doi":"10.3760/CMA.J.ISSN.1673-4904.2001.03.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2001.03.008","url":null,"abstract":"Objective:We clarify the relationship between dysfunction of gastric motility and the plasma motilin,in order to study the pathogenesis,diagnosis and therapy of the hepatocirrhosis with dyspepsia.Methods:The liquid gastric emptying (GE),electrogastrograpgy(EGG) and plasma motilin were examined in 51 patients with hepatocirrhosis.Results:The dysfunction of gastric motility is associated with the liver function,gastric rhythm and upper gastrointestinal symptom.The plasma motilin concentration increased significantly in patients with hepatocirrhosis as compared with that of controls (P<0.01).The sorbefacient prokinetic drug (prepulsid) can improve the function of gastric power,but the lever of motilin no change.Conclusion:The patients with hepatocirrhosis have the dysfunction of gastric motility,and gastric emptying delayed,and there is a relation between GE and the liver function.We evaluate that this disorder is associated with the low sensitivity about stomach to the plasma molitin in this case.We can judge the degree of the liver damage,gastric emptying delayed.gastric rhythm by testing the gastric motilin.Drug can deal it.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"104 1","pages":"14-15"},"PeriodicalIF":0.0,"publicationDate":"2001-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80853507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2001.01.011
Sun Shu-ming, Xu Jian-heng, M. Tao, Wu Li-biao, Li Wan-xiu
Objective:To explore and sum up diagnostic features and therapy for colorectal carcinoma with hepatic metastasis.Methods:48 cases of colorectal carcinoma with hepatic metastasis treated from Oct.1989 to Oct.1997.Results:The accuracy rates of ultrasound and CT were 18.2%,53.3% respectively.Of the 48 cases,10 cases underwent hepatectomies,10 cases ethanol injected to lives metastatic,8 cases chemotherapy via portal vein synchronously,8 cases intercurrent X-ray,12 cases abandon treatment.Conclusions:Colorectal carcinoma with hepatic metastasis is very difficult to diagnosis before operation,ultrasound and accuracy found on operation were the secure methods for diagnosis of colorectal carcinoma with hepatic metastasis.Hepatectoming is the first way for treating colorectal carcinoma with hepatic metastasis,others way are ethanol inject,chemotherapy via portal vein synchronously,interventional radiotogy,et al.
{"title":"EVALUATION OF 48 CASES HEPATIC METASTASES FROM COLORECTAL CARCINOMA","authors":"Sun Shu-ming, Xu Jian-heng, M. Tao, Wu Li-biao, Li Wan-xiu","doi":"10.3760/CMA.J.ISSN.1673-4904.2001.01.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2001.01.011","url":null,"abstract":"Objective:To explore and sum up diagnostic features and therapy for colorectal carcinoma with hepatic metastasis.Methods:48 cases of colorectal carcinoma with hepatic metastasis treated from Oct.1989 to Oct.1997.Results:The accuracy rates of ultrasound and CT were 18.2%,53.3% respectively.Of the 48 cases,10 cases underwent hepatectomies,10 cases ethanol injected to lives metastatic,8 cases chemotherapy via portal vein synchronously,8 cases intercurrent X-ray,12 cases abandon treatment.Conclusions:Colorectal carcinoma with hepatic metastasis is very difficult to diagnosis before operation,ultrasound and accuracy found on operation were the secure methods for diagnosis of colorectal carcinoma with hepatic metastasis.Hepatectoming is the first way for treating colorectal carcinoma with hepatic metastasis,others way are ethanol inject,chemotherapy via portal vein synchronously,interventional radiotogy,et al.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"24 1","pages":"21-22"},"PeriodicalIF":0.0,"publicationDate":"2001-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69928682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-01-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2001.01.009
J. Hou, L. Dai
Objective:Use ligustrazin and salvia miltiorrhiza to treat idiopathic pulmonary fibrosis,for the experimental result was perfect in animal modal.Method:These two drugs combined with prednisone in 15 patients as treated group,prednisone in 10 patients as control group.Result:At 1,6 months followed up,the dyspnea and cough improved markedly.Chest radiograph and pulmonary function improved slightly.There were no differences between two groups.After 24 month the combined group 13(73%) stabilized,4(27%) relapse or deterioration,no death.Control group 6(60%) stabilized,3(30%) relapse or deterioration,1(10%) death,Conclusion:Combined group was better then control group.Ligustrazin and salvia miltorrhiza could decrease alveolitis and inhibit the formation of procollagen.It also improve the patient's immunity.
{"title":"TO EVALUATE THE EFFICACY OF LIGUSTRAZIN AND SALVIA MILTIORRHIZA COMBINED PREDNISONE TO TREAT IDIOPATHIC PULMONARY FIBROSIS","authors":"J. Hou, L. Dai","doi":"10.3760/CMA.J.ISSN.1673-4904.2001.01.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2001.01.009","url":null,"abstract":"Objective:Use ligustrazin and salvia miltiorrhiza to treat idiopathic pulmonary fibrosis,for the experimental result was perfect in animal modal.Method:These two drugs combined with prednisone in 15 patients as treated group,prednisone in 10 patients as control group.Result:At 1,6 months followed up,the dyspnea and cough improved markedly.Chest radiograph and pulmonary function improved slightly.There were no differences between two groups.After 24 month the combined group 13(73%) stabilized,4(27%) relapse or deterioration,no death.Control group 6(60%) stabilized,3(30%) relapse or deterioration,1(10%) death,Conclusion:Combined group was better then control group.Ligustrazin and salvia miltorrhiza could decrease alveolitis and inhibit the formation of procollagen.It also improve the patient's immunity.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"14 1","pages":"17-18"},"PeriodicalIF":0.0,"publicationDate":"2001-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90256449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-12-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.12.008
Geng Zhao, Xianen Fa, De-guang Feng, S. Zhuang, David Zhang, Peiling Chu
Objective:To review the clinical experience of sole transmyocardial laser revascularization (TMLR) in treatment of coronary heart disease (CHD).Material and Methods:Three cases were all unstable angina,age was between 45～64 yearsold.Past medical history included 100% hypertension,prior AMI 33.3%.Left ventricular ejection fraction was between 0.57～0.62,FS 0.28～0.30,ECG and SPECT ( 99m Tc-MiBi) showed anterior and inferior wall ischemia.TMLR was performed on the beating heart via a left anterolaterial thoracotomy in the fifth intercoseal space.CO 2 laser mashine (Meiman HL-100) was used.Transmyocardial penetration number was between 8～14 in ischemic zone.Results:The perioperative mortality was.There was not post-operative complication,such as AMI,left ventricular failure.Angina were all not existence.Mean recovery time was two weeks.Conclusion:Sole TMLR is a safe and effective procedure for treatment of end stage CHD especially for not amenable to PTCA or CABG.The indication for TMLR should be extended in our country.
{"title":"CLINICAL STUDY OF TRANSMYOCARDIAL LASER REVASCULARIZATION TREATING CORONARY ARTERY DISEASE","authors":"Geng Zhao, Xianen Fa, De-guang Feng, S. Zhuang, David Zhang, Peiling Chu","doi":"10.3760/CMA.J.ISSN.1673-4904.2000.12.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.12.008","url":null,"abstract":"Objective:To review the clinical experience of sole transmyocardial laser revascularization (TMLR) in treatment of coronary heart disease (CHD).Material and Methods:Three cases were all unstable angina,age was between 45～64 yearsold.Past medical history included 100% hypertension,prior AMI 33.3%.Left ventricular ejection fraction was between 0.57～0.62,FS 0.28～0.30,ECG and SPECT ( 99m Tc-MiBi) showed anterior and inferior wall ischemia.TMLR was performed on the beating heart via a left anterolaterial thoracotomy in the fifth intercoseal space.CO 2 laser mashine (Meiman HL-100) was used.Transmyocardial penetration number was between 8～14 in ischemic zone.Results:The perioperative mortality was.There was not post-operative complication,such as AMI,left ventricular failure.Angina were all not existence.Mean recovery time was two weeks.Conclusion:Sole TMLR is a safe and effective procedure for treatment of end stage CHD especially for not amenable to PTCA or CABG.The indication for TMLR should be extended in our country.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"1 1","pages":"17-18"},"PeriodicalIF":0.0,"publicationDate":"2000-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78927481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-11-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.11.011
Yue Wang, Jiansong Gao
Objective:To summarize the experience of the hypospadias treated by midline scrotal raphe tube with vascula-rized pedicel urethroplasty and evaluate the curative effect.Methods:44 cases of them,31 cases were penoscrotal type and 13 cases scrotal type.One stage urethroplasty was carried out for 41 cases and second stage for 3 cases.Results:The successful rate in one stage surgical repair was 93%.Two cases were complicated with urethrocutaneous fistula (4.5%) and one of them combined urethral stricture,one was of penis rotation.The successful rate in second stage surgical repair was 100%.Conclusion:The method of scrotal raphe tube with vascula-ruzed pedical was more ideal in treating hypospadias with penoscrotal and scrotal type.The advantages of the method were high successful rate and less complications.
{"title":"HYPOSPADIAS TREATED BY MIDLINE SCROTAL RAPHE TUBE WITH VASCULARIZED PEDICEL URETHROPLASTY","authors":"Yue Wang, Jiansong Gao","doi":"10.3760/CMA.J.ISSN.1673-4904.2000.11.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.11.011","url":null,"abstract":"Objective:To summarize the experience of the hypospadias treated by midline scrotal raphe tube with vascula-rized pedicel urethroplasty and evaluate the curative effect.Methods:44 cases of them,31 cases were penoscrotal type and 13 cases scrotal type.One stage urethroplasty was carried out for 41 cases and second stage for 3 cases.Results:The successful rate in one stage surgical repair was 93%.Two cases were complicated with urethrocutaneous fistula (4.5%) and one of them combined urethral stricture,one was of penis rotation.The successful rate in second stage surgical repair was 100%.Conclusion:The method of scrotal raphe tube with vascula-ruzed pedical was more ideal in treating hypospadias with penoscrotal and scrotal type.The advantages of the method were high successful rate and less complications.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"385 ","pages":"25-26"},"PeriodicalIF":0.0,"publicationDate":"2000-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72427169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-11-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.11.007
B. Jin, Xinghui Yang, Meijian Liao, Wei-na Bo
Objective: To review the diagnosis and treatment of giant lymph node hyperplasia (GLNH). Method:Two cases of GLNH confirmed by surgery and pathology were presented and relevant literatures were reviewed, its aetiology, clinical presentation, pathology, diagnosis, differential diagnosis, treatment and prognosis were reviewed. Result: GLNH is a heterogeneous, uncommon lymphoproliferative benign disorder. GLNH is classified into hyaline-vascular (HV) and plasma-cell (PC) subtypes by histomorphologic criteria. The HV GLNH is commonly mediastinal lesion. The PC GLNH often involves mesenteric and retroperitoneal lymph nodes. Conclusion: GLNH is rare. The aetiology is unknown, most patients were asymptomatic, surgical resection is the first choice, the prognosis is good.
{"title":"GIANT LYMPH NODE HYPERPLASIA CLINICAL ANALYSIS","authors":"B. Jin, Xinghui Yang, Meijian Liao, Wei-na Bo","doi":"10.3760/CMA.J.ISSN.1673-4904.2000.11.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.11.007","url":null,"abstract":"Objective: To review the diagnosis and treatment of giant lymph node hyperplasia (GLNH). Method:Two cases of GLNH confirmed by surgery and pathology were presented and relevant literatures were reviewed, its aetiology, clinical presentation, pathology, diagnosis, differential diagnosis, treatment and prognosis were reviewed. Result: GLNH is a heterogeneous, uncommon lymphoproliferative benign disorder. GLNH is classified into hyaline-vascular (HV) and plasma-cell (PC) subtypes by histomorphologic criteria. The HV GLNH is commonly mediastinal lesion. The PC GLNH often involves mesenteric and retroperitoneal lymph nodes. Conclusion: GLNH is rare. The aetiology is unknown, most patients were asymptomatic, surgical resection is the first choice, the prognosis is good.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"66 3-4 1","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2000-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78186194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-11-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.11.013
Ji-ye Zhao, Zhong-zhou He, Ze-qiang Luan, M. Yan
Objective:To improve the diagnosis and treatment of pyelic neoplasms.Methods:14 cases of primary pyelic transitional cell carcinoma verified through operation and pathology from 1983 to 1999 were reviewed.The clinical features and the choice of methods for examination were analyzed.And the causes of misdiagnosis were discussed.Results:12 cases were diagnosed definitely before operation (85.71%).14 cases were verified to be pyelic transitional cell papilloma through pathology.2 cases were in G 1,9 cases were in G 2,3 cases were in G 3,3 cases were in stage Ⅰ,7 cases were in stage Ⅱ,2 cases were in stage Ⅲ,2 cases were in stage Ⅳ.And 12 cases were given postoperative follows up.The disease-free interval were 11 months to 14 years.Conclusions:Hematuria,flank pain and hydronephrosis were the main presentations of these patients.The combined application of examinations such as IVU,ultrasonography,retrograde pyelography,CT scanning,cystourethroscope,urine cytology etc before operation may improve the rate of correct diagnosis of pyelic carcinoma.The radical sleeve resection of kidney,ureter and bladder was the effective method for the treatment of pyelic carcinoma.
{"title":"DIAGNOSIS AND TREATMENT ANALYSIS OF 14 CASES CARCINOMA OF REN AL PELVIS","authors":"Ji-ye Zhao, Zhong-zhou He, Ze-qiang Luan, M. Yan","doi":"10.3760/CMA.J.ISSN.1673-4904.2000.11.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.11.013","url":null,"abstract":"Objective:To improve the diagnosis and treatment of pyelic neoplasms.Methods:14 cases of primary pyelic transitional cell carcinoma verified through operation and pathology from 1983 to 1999 were reviewed.The clinical features and the choice of methods for examination were analyzed.And the causes of misdiagnosis were discussed.Results:12 cases were diagnosed definitely before operation (85.71%).14 cases were verified to be pyelic transitional cell papilloma through pathology.2 cases were in G 1,9 cases were in G 2,3 cases were in G 3,3 cases were in stage Ⅰ,7 cases were in stage Ⅱ,2 cases were in stage Ⅲ,2 cases were in stage Ⅳ.And 12 cases were given postoperative follows up.The disease-free interval were 11 months to 14 years.Conclusions:Hematuria,flank pain and hydronephrosis were the main presentations of these patients.The combined application of examinations such as IVU,ultrasonography,retrograde pyelography,CT scanning,cystourethroscope,urine cytology etc before operation may improve the rate of correct diagnosis of pyelic carcinoma.The radical sleeve resection of kidney,ureter and bladder was the effective method for the treatment of pyelic carcinoma.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"91 8 1","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2000-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89852758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-10-15DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.10.013
Qiling Huang
Objective:Approach the cause,development and treatment of paraduodenal hernia and to improve the standard of diagnosis and treatment for paraduodenal hernia.Method:Analyse 12 cases of paraduodenal hernia treated from 1982 to 1998.Find out its pattern of development and the method of treatment.Result:Complete intestinal obstructions are found in operations for emergency treatment for 10 cases of paraduodenal hernia.Uncomplete intestinal obstructions are found in defer examinations of 2 cases of paraduodenal hernia.Forward curative effect 4 cases of complicated adhesive intestinal obstructions are related to critical condition before operations.Conclusion:Paraduodenal hernia is difficult to diagnose before operation.Once it is doubted,earliest exploratory laparotomy is needed for examination so that the curative effects can be improved.
{"title":"DIAGNOSIS AND TREATMENT OF PARADUODENAL HERNIA:PEPORT OF 12 CASES","authors":"Qiling Huang","doi":"10.3760/CMA.J.ISSN.1673-4904.2000.10.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4904.2000.10.013","url":null,"abstract":"Objective:Approach the cause,development and treatment of paraduodenal hernia and to improve the standard of diagnosis and treatment for paraduodenal hernia.Method:Analyse 12 cases of paraduodenal hernia treated from 1982 to 1998.Find out its pattern of development and the method of treatment.Result:Complete intestinal obstructions are found in operations for emergency treatment for 10 cases of paraduodenal hernia.Uncomplete intestinal obstructions are found in defer examinations of 2 cases of paraduodenal hernia.Forward curative effect 4 cases of complicated adhesive intestinal obstructions are related to critical condition before operations.Conclusion:Paraduodenal hernia is difficult to diagnose before operation.Once it is doubted,earliest exploratory laparotomy is needed for examination so that the curative effects can be improved.","PeriodicalId":10229,"journal":{"name":"Chinese Journal of Postgraduates of Medicine","volume":"1 1","pages":"29-30"},"PeriodicalIF":0.0,"publicationDate":"2000-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83081592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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