检索结果-南通市图书馆

Asian Journal of Andrology 2018年第6期20卷 621-625页

作者： Rui Zhi Xue Zheng-Yan Tang Zhi Chen Liang Huang Department of Urology Xiangya Hospital of Central South University Changsha 410000 China Provincial Laboratory for Diagnosis and Treatment of Genitourinary System Disease Changsha 410000 China

Symptomatic seminal vesicle cysts （SVCs）, especially those of a large size, can be removed by surgical treatments. Currently, open surgeries for SVC are rarely performed due to their extensive surgical trauma, and minimally invasive surgical therapies for treating seminal vesicle cysts are still in the early stages. In addition, relevant studies are mostly confined to case reports. In this study, we retrospectively reviewed 53 patients who had received transperitoneal laparoscopic unroofing or fenestration under seminal vesiculoscopy for SVC in our institution. Both surgeries decreased the cyst volume to a significant extent; however, according to the remnant lesion size after rechecking images, seminal vesiculoscopic fenestration tended to have a higher recurrence than laparoscopic unroofing. Regarding complications, two individuals in the laparoscopic unroofing group experienced ureteral injury and rectal injury, while patients in the fenestration group only had temporary hemospermia, which indicates that fenestration surgery tends to have less severe complications than laparoscopic unroofing. There was no solid evidence confirming semen improvement after these surgical therapies in our study. Future studies with a prospective design, larger sample size, and longer follow-up period are required to verify and further explore our findings.

关键词： cyst fenestration laparoscopy seminal vesicle unroofing vesiculoscopy

fenestration of the anterior cerebral artery detected by magnetic resonance angiography

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2009年第10期122卷 1139-1142页

作者： ZHAO Hong-wei FU Jie LU Zhong-lie LV Hai-juan Department of Radiliology Second Affiliated Hospital of Jiaxing College Jiaxing Zhejiang 314000 China Department of Radiation Oncology Sixth Affiliated People's Hospital Shanghai Jiao Tong University Shanghai 200233 China

Background fenestration of the proximal anterior cerebral artery （ACA） A1 segment is a rare anatomic variation. The purpose of the this study was to report the incidence of fenestration in the proximal segment of the anterior cerebral artery and to delineate its configurations on cranial MR angiography.Methods Magnetic resonance angiography （MRA） was performed in 762 patients using 1.5T imagers during the period July 2007 through September 2008. All images were obtained by the three-dimensional time-of-flight （3D TOF） technique Volume rendering （VR） images in the horizontal rotation view were displayed stereoscopically. The presence of fenestration in the proximal segment of the anterior cerebral artery was identified and evaluated retrospectively by MRA. Results Six patients （four men and two women, 15 to 63 years of age, median age 50 years） had proximal ACA fenestration. The appearance rate of ACA fenestration was 0.8% （6/762）. All 6 fenestrations were located at the A1 segment： three of them were with a slit-like shape and three were with a convex-lens-like shape, 5 of the right A1 segment, 1 of the left A1 segment.Conclusion Recognizing ACA fenestration is important to interpret cranial MR angiographys and helpful to make a plan for neurosurgical procedures or neurological intervention.

关键词： anterior cerebral artery variation fenestration magnetic resonance angiography

Treatment of polycystic liver disease with resection-fenestration and a new classification

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2008年第32期14卷 5066-5072页

作者： Tuan-Jie Li Hai-Bin Zhang Jun-Hua Lu Jun Zhao Ning Yang Guang-Shun Yang Eastern Hepatobiliary Hospital Second Military Medical University Shanghai 200438 China

AIM: To evaluate outcomes in patients with autosomal dominant polycyst liver disease (APLD) treated by combined hepatic resection and fenestration. A new classification was recommended to presume postoperative complications and long outcome of patients. METHODS: Twenty-one patients with APLD were treated by a combined hepatic resection and fenestration technique. All patients were reviewed retrospectively, and clinical symptoms, performance status and morbidity were recorded. A new classifi cation of APLD is recommended here. RESULTS: All patients were discharged when free of symptoms. The mean follow-up time was 55.7 mo and three patients had a recurrence of symptoms at 81, 68 and 43 mo after operation, respectively. The overall morbidity rate was 76.2%. Two patients with Type B-Ⅱ and Type B-Ⅰ developed biliary leakage. Four patients had severe ascites, including three with Type B-Ⅲ and one with Type B-Ⅱ, Nine patients had pleural effusion, including one with Type A-Ⅰ; one with Type B-Ⅰ; fi ve with Type B-Ⅱ; one with Type A-Ⅲ and one with Type B-Ⅲ. Three patients with Type B had recurrence of symptoms, while none with Type A had severe complications. CONCLUSION: Combined hepatic resection and fenestration is an acceptable procedure for treatment of APLD. According to our classifi cation, postoperative complications and long outcome can be predicted before surgery.

关键词： Autosomal dominant polycyst liverdisease Autosomal dominant polycyst kidney disease fenestration

A novel flexible endoscope-based transumbilical fenestration of liver cyst

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2008年第23期121卷 2461-2462页

作者： CAI Xiu-jun DAI Yi WANG Jian-guo YU Hong LIANG Xiao ZHENG Xue-yong WANG Yi-fan Department of General Surgery Sir Run Run Shaw Hospital Affiliated with School of Medicine Zhejiang University Hangzhou Zhejiang 310016 China

Laparoscopic procedure as a minimally invasive surgery had been introduced into many abdominal surgery. Smaller incisions of the abdominal wall reduce postoperative pain and the risk of wound complications, and provide an excellent cosmetic result compared with open surgery. Flexible endoscope-based transgastric, transcolonic, or transvaginal surgery for abdominal exploration, cholecystectomy, appendectomy, and tubal ligation may further reduce the surgical invasion.

关键词： liver cyst fenestration flexible endoscope, transumbilical

维普期刊数据库

Fontan extracardiac tunnel connection： fenestration or not？

在线全文

学校读者我要写书评

暂无评论

Chinese Medical Journal 2009年第19期122卷 2335-2338页

作者： Fu Song Valeske Klaus Akinturk Hakan Schranz Dietmar Department of Childrens' Heart Center BAYI Children's Hospital General Hospital of Beijing Military Command Beijing 100700 China Department of Children's Heart Center Justus-Liebig-University Giessen 35385 Germany

Background The fenestration function is by allowing a right-to-left shunt resulting in an increased cardiac index, associated with mild arterial oxygen desaturation. Subsequent transcatheter fenestration closure can be performed after haemodynamic assessment. The purpose of this study was to compare the outcomes of extracardiac connection （EC） with or without fenestration. Methods Ninety-five consecutive patients diagnosed with univentricular heart disease underwent EC using Gore-Tax conduits at the Department of Children＇s Heart Center, Justus-Liebig-University Giessen Germany from June 1996 to July 2007. According to EC with or without fenestration, the patients were assigned to two groups （group A with fenestration and group B without fenestration）. Mortality, effusions, postoperative mean pulmonary artery pressure, postoperative oxygen saturation, postoperative thrombosis, postoperative neurological problems, and the postoperative loss of sinus rhythm were compared. In group A, 23 patients had fenestration closed interventionally after a mean time of 20-22 months. Results Mortality and postoperative mean pulmonary artery pressure in group B （3 and （15.1±3.4） mmHg, respectively） were significantly higher than group A （0 and （13.2±2.8） mmHg, respectively）. Postoperative oxygen saturation, postoperative thrombosis, postoperative neurological problems, and the postoperative loss of sinus rhythm did not differ between cohorts. Conclusions Fenestrating an extracardiac tunnel seems to improve acute postoperative mortality by rising cardiac output. The induced right-to-left shunt shows no morbidity postoperatively. If a stabilized chronic hemodynamic situation is achieved, an interventional closure of the fenestration can be performed to advance the arterial saturation and improve the exercise tolerance of the patients.

关键词： Fontan tunnel extracardiac connection univentricular heart fenestration

维普期刊数据库

Endoscopic Assisted Microscopic fenestration of Inner Membrane in Cases of Chronic Subdural Hematoma

在线全文

学校读者我要写书评

暂无评论

Open Journal of Modern Neurosurgery 2019年第2期9卷 172-183页

作者： Mohamed Gaber Abdel Tawab Mohamed Reda Ahmed El-Fiki Department of Neurosurgery Fayoum University Fayoum Egypt Department of Neurosurgery Cairo University Giza Egypt

Introduction: Chronic subdural hematoma (CSDH) is one of the most common types of intracranial hemorrhages and carries a significant morbidity;there is no clear optimal treatment. Recurrence, pneumocephaly and seizures are common complications. We will evaluate outcome after inner membrane fenestration in comparison to burr-hole evacuation only in cases of CSDH. Patients and Methods: Our work was conducted on 20 patients with CSDH from February 2017 to July 2017. Endoscopic-assisted microscopic fenestration technique was used to do inner membrane fenestration in ten patients and the other 10 patients operated upon by traditional burr-hole evacuation. Regular follow up was done up to one month. Results: Clinical outcome was nearly the same in the two groups. Recurrence rate was only noted in the non-fenestration group (20%). Midline shift was better in the membrane fenestration group after one month and we experienced no intraoperative surgical complications related to the fenestration technique. Postoperative complications, such as Pneumocephalus and seizures, were seen in both study groups. Conclusion: Endoscopic assisted microscopic technique decreases surgical risks to do inner membrane fenestration although there is no major difference between doing fenestration or not in clinical outcome, but it may decrease recurrence, but larger studies are needed.

关键词： Endoscopic Assisted Microscopic Chronic Subdural Hematoma (CSDH) Membranectomy fenestration

In vitro Stent Graft fenestration to Preserve All Supra-aortic Branches in the Treatment of a Stanford Type A Aortic Arch Dissection

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2017年第15期130卷 1878-1879页

作者： Tun Wang Chang Shu Ming Li Alan Dardik Quan-Ming Li Department of Vascular Surgery The 2^nd Xiangya Hospital of Central South University Changsha Hunan 410011 China Angiopathy Institute of Central South University Changsha Hunan 410011 China Department of Cardiovascular Surgery Chinese Academy of Medical Sciences and Peking Union Medical College Fuwai Hospital Beijing 100037 China Department of Surgery Yale University School of Medicine CT USA

For aged patients,the treatment of type A aortic dissection （TAAD） with the primary entry tear at the inner curve of the ascending aorta is a great *** surgical repair with cardiopulmonary bypass and deep hypothermic circulatory arrest is associated with high risk ofmortality. Thoracic endovascular aortic repair （TEVAR） with associated techniques to reconstruct all supra-aortic branches is still controversial. Herein,we reported a new endovascular method.

关键词： Aortic Dissection fenestration Stent Graft Supra-aortic Branches

维普期刊数据库

Open Reduction by fenestration to the Ilium for Central Acetabular Depression Fractures: A Case Report and Operative Technique

在线全文

学校读者我要写书评

暂无评论

Open Journal of Orthopedics 2016年第8期6卷 221-226页

作者： Kazushige Yoshida Masaaki Maruyama Kentaro Kasama Hiroyuki Hashidate Kazumi Kitagawa Department of Orthopedic Surgery Shinshu University Hospital Matsumoto City Japan Department of Orthopedic Surgery Shinonoi General Hospital Nagano City Japan

Aim: The aim was to report a fenestration technique for gap reduction of acetabular depression fractures. Case presentation: A 76-year-old man suffered from severe left leg pain. The computed tomography scanning showed a displaced acetabular depression fracture, including a third fracture fragment in the center of the acetabular weight-bearing area. We performed a fenestration technique to fenestrate the outer plate of ilium to push down the dislocated fragment of the fracture. The patient was pain-free with good functional outcome of the hip joint at three years after operation. Conclusion: The fenestration technique is useful for displaced acetabular depression fractures. We performed open reduction in this particular case, but the technique may be done less invasively with the use of hip arthroscopy.

关键词： Hip Fracture fenestration Acetabular Fracture

展会知识产权保护——fenestration China展览会向侵权行为说不!

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

门窗 2007年第9期 70-71页

知识产权保护成为我国乃至世界范围内广受关注的问题,作为亚洲范围内规模最大、最具专业性的建筑门窗幕墙领域博览会——中国

关键词：展会知识产权中华人民共和国 China fenestration

ENERGY USE EXCELLENCE AND THE BUILDING ENVELOPE

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Journal of Green Building 2019年第3期14卷 181-204页

作者： Jodi Smits Anderson DASNY AlbanyNew York

We have spent the last 40-50 years working for energy efficiency in our buildings, and we have done so by increasing the performance of the heating, cooling, lighting, and ventilation systems we use. Only recently have we realized the importance of the building envelope in this endeavor. The spaces within a building are created to support the purpose and programs of that building, and it is the envelope made up of the walls, windows, doors, roof, skylights, and floor that protect and shelter those programs and purpose. In this article we will explore various components of the building envelope and discuss ways to achieve optimal energy use.

关键词： building envelope air barrier greenhouse gas(GHG) embodied carbon operational carbon zero-net energy R-value U-factor fenestration