中药联合超声引导下PTCD套管置管注射聚桂醇治疗肾囊肿临床疗效观察

探讨超声引导下经皮肾囊肿穿刺硬化治疗与中药联合超声引导下经皮肾囊肿置PTCD套管持续多次治疗两种方法的临床效果对比。选择武威医学院2016年2月-2018年6月共60例单纯型肾囊肿患者,将其随机分为观察组和对照组,对照组采取超声引导下经皮肾囊肿穿刺硬化单次治疗,观察组则采取中药联合超声引导下经皮肾囊肿置PTCD套管持续多次硬化治疗。比较两组临床疗效:囊肿缩小1/3的时间、囊肿缩小2/3的时间、囊肿完全消失的时间、1年和2年复发率。观察组疗效(囊肿缩小1/3的时间、囊肿缩小2/3的时间、囊肿完全消失的时间)优于对照组(P0.05);观察组1年和2年复发率低于对照组(P0.05)。中药联合超声引导下经皮肾囊肿置PTCD套管持续多次治疗单纯型肾囊肿疗效好,可有效降低复发率。     

超声引导下改良导管法治疗囊肿的临床应用

目的探讨超声引导下改良导管法经皮穿刺治疗肝、肾囊肿在提高治疗安全性,减少并发症的效果及评价。方法2001年一2006年10月在超声引导下经皮-囊肿穿刺,注入无水酒精进行硬化治疗肝、肾囊肿172例。其中用常规穿刺法治疗68例,包括肝囊肿32例肾囊肿36例,改良导管法治疗104例,包括肝囊肿62例肾囊肿42例.结果应用常规穿刺法治疗68例,改良导管法治疗的104例肝、肾囊肿患者均获得硬化治疗成功,术后随访10月~2年,有效率在98(165/172),(,常规穿刺疗法常因囊液抽出后,囊壁邹缩,针尖随呼吸运动,可划破囊壁,导致囊内出血。而改良导管法,因囊内放入的是软管,无损伤可能,故经对照观察发现改良导管法较常规穿刺法术后并发症明显减少,常规穿刺法并发出血发生率20%(14/68),改良导管法治疗后,出血发生率2%(3/104),明显下降,效果显著。结论在超声引导下经皮-肝、肾囊肿穿刺,置入导管行囊液抽吸后,注入无水酒精硬化治疗肝、肾囊肿,方法简便易行,并发症少,疗效确切,可作为肝、肾囊肿的首选治疗方法.     

单纯性肾囊肿13例治疗体会

目的 :总结腹腔镜肾囊肿去顶术治疗单纯性肾囊肿的初步经验。方法 :采用腹腔镜肾囊肿去顶术治疗单纯性肾囊肿13例。结果 :12例手术成功 ,1例转为开放性手术。结论 :治疗方法具有安全、可靠、创伤小等优点。     

穿刺硬化治疗单纯性肾囊肿31例疗效观察

目的:观察穿刺硬化治疗单纯性肾囊肿的疗效.方法:31例单纯性肾囊肿患者在B超引导下用日本八光酒精囊肿注射疗法针经皮肤穿入囊肿,抽出囊液,确定囊肿与肾盂、肾盏不相通后,注入抽出囊液量1/5的无水酒精,保留5～10min后抽出,如此反复2～3次,最后取抽出囊液量的1/10的无水酒精保留在囊腔中,所有病例于术后3月、6月、1年复查B超.结果:穿刺硬化治疗单纯性肾囊肿治愈率75%,复发率7.1%,总有效率92.9%;平均住院天数4.3±1.6d;平均住院费1 724±658元;无严重并发症,此结果与文献中小切口肾囊肿去顶减压术、腹腔镜去顶减压术治疗结果比较,穿刺硬化治疗治愈率低于小切口手术和腹腔镜手术(P＜0.05),总有效率、复发率与小切口手术和腹腔镜手术相似(P＞0.5),并发症发生率低(P＜0.05),住院费用低,住院天数少(P＜0.01).结论:在B超引导下行肾囊肿的穿刺硬化治疗,疗效肯定、操作简单、并发症少、花费小,是一种值得提倡的治疗方法.     

48例肾脏病理分析

目的:总结48例经皮超声下肾穿刺活检术(简称肾活检)的方法及其临床与病理分析。方法:共48人采用美国RARD MAGNUM自动穿刺枪,在B超(配备穿刺探头)引导下进行肾活检。所有标本均作光镜、免疫病理及电镜检查。结果:48例患者肾活检均获成功,无严重并发症。术前临床病因不清者21例(44%),术后全部确诊。有9例对治疗方案进行了较大修改(19%)。结论:经皮超声引导下肾穿刺活检术并发症少,风险小。术后病理类型确诊,临床诊断、治疗方案修正率与文献相近〔1〕,使患者得到了及时正确的治疗。     

不开刀也能治愈肾脏囊肿

浙医一院泌尿外科1986年以来,采用细针穿刺肾囊肿、注入药物治疗新技术,已使7位肾囊肿患者康复。这种治疗方法是在 B 型超声指引下,经皮肤插入细针至肾囊肿部位,吸出囊肿内液体,注入无水酒精液,使囊肿无菌性粘连、     

妊娠合并上尿路结石急症的急诊处理

目的：探讨妊娠合并上尿路结石急症安全有效的急诊临床处理方法。方法：妊娠合并上尿路结石急症患者21例,其中采用膀胱镜下双J管置入13例,经输尿管镜下双J管置入1例,输尿管镜下取石2例,B超引导下经皮肾穿刺造瘘3例,开放手术2例。结果：21例临床症状缓解。19例均顺利渡过围产期,并产健康婴儿;1例B超引导下经皮肾穿刺造瘘术后感染控制不满意,后终止妊娠;1例开放手术后出现并发症终止妊娠。结论：膀胱镜下双J管置入在妊娠合并上尿路结石急症患者急诊处理中安全有效,且应为首选。     

介入治疗肝、肾囊肿发生并发症及失误17例分析

目的 探讨肝、肾囊肿介入性治疗所发生的并发症及失误17例的原因及防治方法.方法 回顾性分析笔者近3 a所施行的肝、肾囊肿介入性治疗118例(均以无水乙醇为治疗药物),其中出现并发症及失误共17例,1例(肝囊肿)发生休克,4例(肝囊肿)术后出现酒精不耐受及过敏表现;2例(1例肝囊肿,1例肾囊肿)部分无水乙醇渗漏至腹腔内;1例(肾囊肿)部分无水乙醇进入肾盂;3例(1例肝囊肿,2例肾囊肿)注入无水乙醇后无法抽出;1例(肝囊肿)穿通肋膈角;1例(肾囊肿)误穿至胆囊;1例(肝囊肿)出现肝包膜下血肿;1例(肾囊肿)出现肾包膜下血肿;2例(1例肝囊肿,1例肾囊肿)抽出囊液后因针尖脱出囊腔而终止手术.结果 1例发生休克者,给予抗休克治疗后改善;4例酒精不耐受过敏者,给予对症静点药物治疗后好转;2例部分酒精渗漏者经对症处理后缓解;1例酒精进入肾盂者,即可输液、利尿,2 d后病情改善;3例囊肿内酒精存留者,经注水稀释,病人无明显不适;1例穿通肋膈角者,给予对症抗炎治疗后痊愈;1例误穿至胆囊者,将胆汁全部抽出,未出现其他临床症状;1例出现肝包下血肿及1例肾包膜下血肿病人,经观察血肿未再增大,未做特殊处理;2例针尖脱出囊腔者,3个月后囊肿复发,再次行介入治疗并获成功.结论 介入治疗肝、肾囊肿是普遍采用的方法,但因各种因素可发生少数并发症及失误,且随着客观条件的改善及技术操作经验的不断积累,并发症及失误会大大降低.     

介入超声硬化治疗在肾囊肿治疗中的应用

目的：探讨肾囊肿在介入超声硬化治疗后囊肿内的变化及疗效，对比介入超声硬化治疗与传统手术治疗的优缺点。方法：采用超声定位囊肿穿刺、抽取囊液并注入95%的无水酒精。结果：肾囊肿经介入超声硬化治疗后明显减小或消失。结论：介入超声硬化治疗是肾囊肿治疗的另一种高效、安全、方便、经济的途径。     

腹腔镜肾囊肿去顶减压术的应用体会

目的:探讨运用腹腔镜治疗肾囊肿的方法和疗效。方法:对22例肾囊肿患者行腹腔镜经腹腔或腹膜后肾囊肿去顶减压术。结果:22例患者顺利完成手术,手术平均时间为80±15.3min,出血少,术后无手术并发症发生,平均住院时间7.2±1.5d,术后随访6～12月行CT复查无复发。结论:腹腔镜运用于肾囊肿治疗是安全、微创、有效的手术方法。     

Markedness and its Interpretation in Language Use

Language markedness is a common phenomenon in languages, and is reflected from hearing, vision and sense, i.e. the variation in the three aspects such as phonology, morphology and semantics. This paper focuses on the interpretation of markedness in language use following the three perspectives, i.e. pragmatic interpretation, psychological interpretation and cognitive interpretation, with an aim to define the function of markedness.     

Features of Women's language

Language is a means of verbal communication. People use language to communicate with each other. In the society, no two speakers are exactly alike in the way of speaking. Some differences are due to age, gender, statue and personality. Above all, gender is one of the obvious reasons. The writer of this paper tries to describe the features of women＇s language from these perspectives： pronunciation, intonation, diction, subjects, grammar and discourse. From the discussion of the features of women＇s language, more attention should be paid to language use in social context. What＇s more, the linguistic phenomena in a speaking community can be understood more thoroughly.     

低渗透非均质砂岩油藏启动压力梯度研究

理论推导与室内实验相结合,建立了低渗透非均质砂岩油藏启动压力梯度确定方法。首先借助油藏流场与电场相似的原理,推导了非均质砂岩油藏启动压力梯度计算公式。其次基于稳定流实验方法,建立了非均质砂岩油藏启动压力梯度测试方法。结果表明:低渗透非均质砂岩油藏的启动压力梯度确定遵循两个等效原则。平面非均质油藏的启动压力梯度等于各级渗透率段的启动压力梯度关于长度的加权平均;纵向非均质油藏的启动压力梯度等于各渗透率层的启动压力梯度关于渗透率与渗流面积乘积的加权平均。研究成果可用于有效指导低渗透非均质砂岩油藏的合理井距确定,促进该类油藏的高效开发。     

On Tragic Consciousness In The Works By Ernest Hemingway

As an American modern novelist who were famous in the literary world, Hemingway was not a person who always followed the trend but a sharp observer. At the same time, he was a tragedy maestro, he paid great attention on existence, fate and end-result. The dramatis personae's tragedy of his works was an extreme limit by all means tragedy on the meaning of fearless challenge that failed. The beauty of tragedy was not produced on the destruction of life, but now this kind of value was in the impact activity. They performed for the reader about the tragedy on challenging for the limit and the death.     

Achieving Unusual States of Matter Under High Pressure

正The periodicity of the elements and the non-reactivity of the inner-shell electrons are two related principles of chemistry,rooted in the atomic shell structure.Within compounds,Group I elements,for example,invariably assume the+1 oxidation state,and their chemical properties differ completely from those of the p-block elements.These general rules govern our understanding of chemical structures and reactions.Using first principles calcula-     

Exchange-Correlation and Electronic Excitation Energies from Pairing Matrix Fluctuations

We have developed an adiabatic connection to formulate the ground-state exchange-correlation energy in terms of pairing matrix linear fluctuations.This formulation of the exchange-correlation energy opens a new channel for density functional approximations based on the many-body perturbation theory.We illustrate the potential of such approaches with an approximation based on the particle-particle Random Phase Approximation(pp-RPA).This re-     

Density Functional Theory for the Response of Periodic Systems to Electric Fields Based on the Vector Potential Approach

正The electronic and nuclear(structural/vibrational)response of 1D-3D nanoscale systems to electric fields gives rise to a host of optical,mechanical,spectral,etc.properties that are of high theoretical and applied interest.Due to the computational difficulty of treating such large systems it is convenient to model them as infinite and periodic(at least,in first approximation).The fundamental theoretical/computational problem in doing so is that     

Call for Papers

<正>"The Journal of Shanghai Normal University:Mathematics"is published by Shanghai Normal University as regular issues of The Journal of Shanghai Normal University each year from 2014 in English.The editors-in-chief of the issues are professors Yuhao Cong and Maoan Han.The Journal of Shanghai Normal University was started in 1958 with     

Journal of Donghua University ( English Edition) Contents of Volume 31

正~~     

Brief Introduction to “Journal of Jilin University( Science Edition) ”

<正>"Journal of Jilin University(Science Edition)"is a comprehensive academic journal in the fields of science sponsored by Jilin University and administrated by the Ministry of Education of the Peoples Republic of China.The journal started publication in 1955.The original name at starting publication was"Journal of Natural Science of Northeast People University",which was changed into"Acta Scientiarum Naturalium Universitatis Jilinensis"in 1958 owing to the name change of the university.The present journal name has