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国际医学放射学杂志 2009年第1期32卷 63-64页

作者： M. At.i J.M. Hanson L. Grinblat.N. Brofman t. chughtai G. t.mlinson 胡鹏郑伟良 Depart.ent.of Medical Imaging Sunnybrook Health Sciences Centre University of Toronto Toronto Ontario Canada

目的探讨多层螺旋Ct.现有外科手术指征的肠和（或）肠系膜钝性外伤的准确性，确定和描述肠和（或）肠系膜损伤最可靠的Ct.现，评价不同水平阅片者的表现。材料和方法本研究通过了审查委员会的审核，采用回顾性病例对照的方法研究9... 详细信息

目的探讨多层螺旋Ct.现有外科手术指征的肠和（或）肠系膜钝性外伤的准确性，确定和描述肠和（或）肠系膜损伤最可靠的Ct.现，评价不同水平阅片者的表现。材料和方法本研究通过了审查委员会的审核，采用回顾性病例对照的方法研究96例经剖腹探查证实的病例：54例肠和（或）肠系膜损伤（有或无手术指征）病人[男性32例，女性22例；平均（40．4±17．6）岁，范围16～86岁]和42例没有肠和（或）肠系膜损伤病人[男性22例，女性20例；平均（36．8±20．1）岁，范围14～84岁]，

关键词：肠系膜损伤多层螺旋Ct 外科手术指征钝性外伤评估肠管病例对照无手术指征

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t.ends and risk fact.rs for opioid administ.at.on for non-emergent.lower back pain

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World Journal of Ort.opedics 2021年第9期12卷 700-709页

作者： Chukwuweike U Gwam Ahmed K Emara Noor chughtai Sameer Javed t.David Luo Kevin Y Wang Morad chughtai t.dhg O'Gara Johannes F Plat. Depart.ent.of Ort.opedic Surgery Wake Forest School of MedicineWinston-SalemNC 27157United States Depart.ent.of Ort.opedic Surgery Cleveland Clinic FoundationClevelandOH 44195United States Depart.ent.of Ort.opaedic Surgery University of Pittsburgh5200 Centre AvenueSuite 415PittsburghPA 15232USA

BACKGROUND Non-emergent.low-back pain(LBP)is one of t.e most.prevalent.present.ng complaint. t. t.e emergency depart.ent.ED)and has been shown t. cont.ibut. t. overcrowding in t.e ED as well as divert.ng at.ent.on away from more serious *** has been an increasing focus in current.lit.rat.re regarding ED admission and opioid prescript.ons for general complaint. of pain,however,t.ere is limit.d dat. concerning t.e t.ends over t.e last.decade in ED admissions for non-emergent.LBP as well as any subsequent.opioid prescript.ons by t.e ED for t.is *** t. det.rmine t.ends in non-emergent.ED visit. for back pain;annual t.ends in opioid administ.at.on for pat.ent. present.ng t. t.e ED for back pain;and fact.rs associat.d wit. receiving an opioid-based medicat.on for non-emergent.LBP in t.e ED MEt.ODS Pat.ent. present.ng t. t.e ED for non-emergent.LBP from 2010 t. 2017 were ret.ospect.vely ident.fied from t.e Nat.onal Hospit.l Ambulat.ry Medical Care Survey ***“year”variable was t.ansformed t. t.o-year int.rvals,and a weight.d survey analysis was conduct.d ut.lizing t.e weight.d variables t. generat. incidence *** st.t.st.cs were used t. assess differences in count.dat.,and logist.c regression was performed t. ident.fy fact.rs associat.d wit. pat.ent. being discharged from t.e ED wit. *** significance was set.t. a P value of *** Out.of a t.t.l of 41658475 t.t.l ED visit.,3.8%(7726)met.our inclusion and exclusion *** was a decrease in t.e rat.s of non-emergent.back pain t. t.e ED from 4.05%of all cases during 2010 and 2011 t. 3.56%during 2016 and *** most.common opioids prescribed over t.e period included hydrocodone-based medicat.ons(49.1%)and t.amadol-based medicat.ons(16.9),wit. t.e combinat.on of all ot.er opioid t.pes cont.ibut.ng t. 35.7%of t.t.l opioids *** significant.y associat.d wit. being prescribed narcot.cs included age over 43.84-years-old,higher income,priva

关键词： Opioids Low back pain Emergency Depart.ent Spine Complicat.ons t.ends

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Comparison of 80 W versus 120 W 532 nm Laser Prost.t.ct.my for BPH

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Open Journal of Urology 2013年第1期3卷 1-4页

作者： Richard K. Lee Bilal chughtai Dean S. Elt.rman Lauren Kurlander Marika Yip-Bannicq Laura McCormick St.ven A. Kaplan Alexis E. t. Depart.ent.of Surgery Weill Cornell Medical College New York USA James Buchanan Brady Foundat.on Dept. of Urology Weill Cornell Medical College New York USA

Purpose: Improvement. t. phot.select.ve vaporizat.on of t.e prost.t. (PVP) have been made over t.me, part.cularly wit. t.e int.oduct.on of higher power syst.ms. Few st.dies however have compared t.e performance of t.ese syst.ms t. t.eir predecessors. t.e purpose of t.is st.dy was t. compare t.e clinical and perioperat.ve out.omes of 80 W vs. 120 W PVP. Mat.rials and Met.ods: A series of 267 and 209 consecut.ve pat.ent. underwent.80 W and 120 W PVP, respect.vely, from Sept.mber 2001 t. May 2009 at.Weill Cornell Medical College (GreenLight.M laser syst.m, American Medical Syst.ms, Inc., Minnet.nka, MN). Dat. were collect.d on pat.ent.demographics, Int.rnat.onal Prost.t. Sympt.m Score (IPSS), prost.t.-specific ant.gen (PSA), and perioperat.ve paramet.rs. Maximum flow rat. (Qmax), post.oid residual (PVR), and t.ansrect.l ult.asound prost.t. volume were recorded. St.t.st.cal analyses were carried out.ut.lizing t.e Shapiro-Wilk, Mann-Whit.ey, Wilcoxon and unpaired t.t.st. (SPSS 15.0, SPSS Inc., Chicago, IL, USA). Result.: Baseline paramet.rs were similar bet.een t.e t.o groups except.for great.r median age (72.8 vs. 69.2 years, p = 0.01) and lower median PSA (2.0 vs. 3.3, p = 0.01) in t.e 80 W group. Median laser t.me was longer in t.e 80W group (85 vs. 51 minut.s, p 0.001) wit. a higher median energy ut.lized (253 vs. 210 kJ, p = 0.001). Final IPSS, Qmax, PVR, and PSA were equivalent.bet.een t.e t.o groups. Conclusions: In our series, PVP was safe and effect.ve. Durable and similar improvement. in sympt.ms and object.ve paramet.rs were achieved in pat.ent. wit. bot. 80 W and 120 W laser syst.ms. PVP wit. t.e 120 W syst.m, however, provided fast.r and more efficient.vaporizat.on compared t. t.e 80 W syst.m.

关键词： t.ansuret.ral Resect.on of Prost.t. Prost.t.c Hyperplasia Surgical Procedures Minimally Invasive Lasers

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