检索结果-南通市图书馆

Uret.roscopic Management.of Uret.ral Calculi: Pneumat.c versus Holmium: YAG Laser Lit.ot.ipsy

Open Journal of Urology 2016年第3期6卷 36-42页

作者： Sarwar Noori Mahmood diar Hameed Bajalan Depart.ent.of Surgery School of Medicine University of Sulaimania Iraq

Background: Among various int.acorporeal lit.ot.ipt.rs, pneumat.c lit.ot.ipt.r has become t.e widely used t.ol for t.e t.eat.ent.of urinary st.nes. Recent.y t.e holmium: YAG laser has been used wit. a wide range of pot.nt.al urological applicat.ons, including int.acorporeal lit.ot.ipsy of urinary calculi. Purpose: Compare t.e effect.veness and complicat.ons of t.eat.ent.for uret.ric st.nes bet.een holmium laser lit.ot.ipsy and pneumat.c lit.ot.ipsy. Mat.rial and Met.ods: Comparison of 100 pat.ent. present.d wit. uret.ric st.nes, group one (50) of whom were t.eat.d wit. pneumat.c lit.ot.ipsy and group t.o (50) wit. holmium laser was done and t.e effect.veness and complicat.ons of bot. were analyzed. Result.: t.ere was no difference in pat.ent.age, sex, st.ne size and locat.on of st.nes bet.een t.e t.o groups. t.e immediat. st.ne free rat.s were 88% in t.e holmium: YAG group and 66% in t.e pneumat.c lit.ot.ipsy group (p t.e four weeks st.ne free rat.s were 98% and 94% respect.vely (p = 0.07). t.e mean ± SD operat.ve t.me in t.e holmium: YAG group (40 ± 26 min) was short.r t.an t.ose wit. pneumat.c lit.ot.ipsy group (60 ± 40 min). Post.perat.ve st.y in hospit.l was less t.an 24 hours in holmium: YAG group (70.4%) and short.r t.an t.ose for pneumat.c group (29.6%) (p t.t.eat.ent.complicat.ons such as uret.ral perforat.on were encount.red in only t.o pat.ent. who underwent.pneumat.c lit.ot.ipsy. Ot.er complicat.ons, such as mucosal injury, uret.ral perforat.on and post.perat.ve fever;t.ere was no st.t.st.cally significant.difference bet.een t.e t.o groups. While light.hemat.ria was found more frequent.y in t.e pneumat.c group (14%) in comparison t. laser group (12%) (p = 0.02). On t.e ot.er hand, t.e overall complicat.on rat.s bet.een t.e t.o groups was st.t.st.cally significant.(8%) laser group vs. (32%) pneumat.c group (p = 0.003). Conclusions: Holmium: YAG laser lit.ot.ipsy was associat.d wit. short.r operat.on t.me and post.perat.ve hospit.lizat

关键词： Uret.ral Calculus Uret.roscopy Lit.ot.ipsy Laser

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Carot.d Body t.mour: t.e Second Case Series from Baghdad, Iraq

引用

Int.rnat.onal Journal of Clinical Medicine 2015年第3期6卷 144-153页

作者： Waleed M. Hussen Abdulsalam Y. t.ha diar S. Hama-Kareem Depart.ent.of Cardiot.oracic and Vascular Surgery College of Medicine University of Baghdad and Baghdad Medical City Teaching Hospital Baghdad Iraq Depart.ent.of Cardiot.oracic and Vascular Surgery School of Medicine Faculty of Medical Sciences University of Sulaimaniyah and Sulaimaniyah Teaching Hospital Sulaimaniyah Iraq Ibn Al-Bet.r Cent.r for Cardiac Surgery Baghdad Iraq

Background: Carot.d body t.mour (CBt. is a rare neoplasm, yet.it.is t.e commonest.head and neck paraganglioma. In Iraq, relevant.lit.rat.re is sparse. Herein, we present.our second case series. Met.odology: Pat.ent. wit. CBt. t.at.were operat.d upon in t.e Depart.ent.of t.oracic and Vascular Surgery, Baghdad Medical Cit. from 2010 t. 2014 were enrolled. Hist.ry and examinat.on were followed by a workup of duplex ult.asonography, Ct.scan, magnet.c resonance imaging, Ct.or convent.onal carot.d angiography. Surgical explorat.on via a st.ndard ant.rolat.ral cervical incision and subadvent.t.al dissect.on was used t. resect.t.e t.mours wit. preservat.on of carot.d art.ries. Int.a-luminal carot.d shunt. and vein graft. were prepared t. be used if necessary. Result.: t.ere were 5 males and 2 females aging 17 - 46 wit. a mean of 32.9 ± 9.8 year. All pat.ent. had slowly growing painless pulsat.le swelling below mandiblular angle for long durat.ons (1 - 25 years) and a posit.ve Font.ine’s sign. All t.mours were benign, unilat.ral (right.n = 4, left.n = 3) and ranging in size from 3 × 3 cm t. 6.4 × 3.2 cm. Beside US neck exam, carot.d angiography was done in 5 pat.ent.. According t. Shamblin classificat.on, 4 were class II, 2 class I and 1 class III. All t.mours were successfully resect.d wit. preservat.on of ICA. However, t.e ECA was safely ligat.d t.ice due t. severe involvement. t.ngue deviat.on occurred once (14.3%) but.no pat.ent.died and none had st.oke or recurrence. Conclusions: Our result. of surgery for CBt.compare very well wit. t.e int.rnat.onal st.ndards.

关键词： Carot.d Body t.mour Paraganglioma Chemodect.ma St.oke Cranial Nerve Deficit.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

t.e Addit.onal Value of Cyst.scopy wit. Urodynamic St.dy in t.e Assessment.of Pat.ent. wit. Urinary Incont.nence

引用

Open Journal of Urology 2016年第7期6卷 109-113页

作者： diar Hameed Bajalan Sarwar Noori Mahmood Ismaeel Hama Ameen Zhino Noori Hussain Depart.ent.of Surgery School of Medicine University of Sulaimania Sulaymaniyah Iraq Depart.ent.of Urology Sulaymaniyah Surgical Teaching Hospital Sulaymaniyah Iraq

Background: Urinary incont.nence (UI) is generally defined as t.e involunt.ry loss of urine from t.e bladder t.rough t.e uret.ral meat.s. Filling cyst.met.y is t.e met.od by which t.e pressure/ volume relat.onship of t.e bladder is measured during bladder filling. Purpose: t. det.rmine t.e value of diagnost.c cyst.scopy in addit.on t. Urodynamic st.dy (UDS) in pat.ent. wit. primary urinary incont.nence. Mat.rial and Met.ods: 200 pat.ent. wit. primary incont.nence st.died prospect.vely from January 2013 t. June 2014. t.eir age ranges from (14 - 93 years), 86.5% were female, and 13.5% of t.em were male. In addit.on t. physical, neurological examinat.on and bio-chemical invest.gat.ons, urine analysis and urine cult.re wit. Ult.a-sound and Post.void residual volume (PVRV), all pat.ent. underwent.diagnost.cflexible cyst.scopy under local anest.esia, and urodynamic st.dy. Result. 43.5% of pat.ent. age were bet.een (34 - 53 years), (39%) bet.een (54 - 73 years), (9%) bet.een (14 - 33 years) and (8.5%) were bet.een (74 - 93 years). At.nic bladder on UDS were (40.5%), Det.usor over act.vit. (29%), pat.ent. wit. normal UDS were (22%) and pat.ent. t.at.had DSD (Det.usor Sphinct.r Dyssynergia) were (8.5%). Eight.-four cases (42%) were found t. have normal cyst.scopy, t.ose wit. grade-I-II bladder wall t.abeculat.ons were (49%) and pat.ent. wit. grade-III were (8.5%). Sixt.-one pat.ent. (30.5%) wit. normal diagnost.c cyst.scopy have abnormal UDS (At.nic bladder, over-act.ve bladder and DSD) while t.ent.-one (10.5%) pat.ent. wit. normal UDS had bladder wall t.abeculat.ons (grade-I-III) on diagnost.c cyst.scopy. Conclusion: Diagnost.c cyst.scopy in addit.on t. urodynamic st.dy will put.in furt.er knowledge in t.e assessment.of pat.ent. wit. urinary incont.nence. t. some ext.nt. it.can predict.t.e diagnosis.

关键词： Urodynamic St.dy Diagnost.c Cyst.scopy Incont.nence

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

黄金分割点睛之笔

引用

美与时代（创意）（上） 2002年第9期 13-13页

作者：周萍 diar

大自然的妙笔生花,将人的身体巧妙地进行了黄金分割,腰带的选配成为点睛之笔。其实,早在中国古代,腰中的配饰在人们的穿着中就占有相当重要的地位,或配玉、配剑、配荷包……全然成了身份的一种象征。延伸至今,腰带的作用仍不能忽视。腰... 详细信息

大自然的妙笔生花,将人的身体巧妙地进行了黄金分割,腰带的选配成为点睛之笔。其实,早在中国古代,腰中的配饰在人们的穿着中就占有相当重要的地位,或配玉、配剑、配荷包……全然成了身份的一种象征。延伸至今,腰带的作用仍不能忽视。腰带从质地上分为皮革、纤维(棉麻、丝、绸、毛等)、金属、塑料和木珠等。不同腰带从系法、色彩和质地上,都有一个最佳效果的选择。腰带的系法皮革腰带和其它腰带一样可宽可窄,造型色彩多样。一般情况,宽窄适中的腰带应系在中腰,适合配职业装和造型简单的淑女装。

关键词：腰带黄金分割点色彩中国古代造型皮革体型选配职业装质地

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

钬激光技术治疗后尿道瓣膜疾病的疗效观察

引用

临床小儿外科杂志 2017年第4期16卷 399-402页

作者：李佳威力江.赛买提帕洛克.迪力木拉提迪亚尔.地里木拉提阿衣丁.西热亚孜旦王玉杰新疆医科大学第一附属医院小儿外科二病区新疆乌鲁木齐市830054

目的探讨钬激光治疗后尿道瓣膜疾病的疗效,总结临床经验,推广钬激光在后尿道瓣膜疾病中的应用。方法 29例后尿道瓣膜症患者,均为男性,行膀胱尿道造影、静脉尿路造影、经尿道输尿管镜检查诊断。均采用全麻,取膀胱截石位,运用钬激光电视... 详细信息

目的探讨钬激光治疗后尿道瓣膜疾病的疗效,总结临床经验,推广钬激光在后尿道瓣膜疾病中的应用。方法 29例后尿道瓣膜症患者,均为男性,行膀胱尿道造影、静脉尿路造影、经尿道输尿管镜检查诊断。均采用全麻,取膀胱截石位,运用钬激光电视监视下将后尿道瓣膜逐个点烧灼切除,再次检查后尿道,后尿道通畅,撤镜。挤压耻骨上膀胱体表处,见冲水样尿液从尿道流出,尿线较前明显增粗。术后给予抗炎、补液及对症处理。留置导尿管2 d^1周不等,并留置膀胱造瘘管。结果行钬激光后尿道瓣膜切除术,术中诊断后尿道瓣膜类型均为I型,手术几乎无出血,手术时间短,操作方便。术后随访3个月至2年,24例行经尿道膀胱输尿管镜钬激光手术治疗1次后,排尿费力症状缓解,延缓上尿路扩张损害。表现为:双肾积水改善,B超随访双肾及输尿管扩张情况均不同程度好转,残余尿均较小,术后半年随访尿流率,最大尿流率、平均尿流率均明显高于术前,排尿时间较术前明显缩短。5例症状无改善,行二次钬激光后尿道瓣膜切除术,术后尿流率在7~18 mL/s范围。本组病例术后尿动力学检查结果示:29例中,16例(占94.1%)存在不同程度膀胱功能损害,尿动力学检查表现为顺应性降低,逼尿肌不稳定(占37.9%),10例(占34.5%)残余尿增多。结论经尿道钬激光治疗后尿道瓣膜是一种安全、微创、有效治疗后尿道瓣膜的手段,值得推广。

关键词：尿道梗阻激光手术麻醉治疗结果

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：