简介：AIM:Toinvestigateenoughvalidmeasurements(VMs)toassessliverfibrosisinchronichepatitisBpatients(CHB).METHODS:OnehundredandtwelveCHBpatients(25women,87men)withameanageof38.43yearsreceivedliverstiffnessevaluationsusingreal-timeshearwaveelastographyfor10VMs.Allpatientsunderwentliverbiopsy.Basedonthebiopsypathology,theliverstiffnessdataobtainedfromdifferentVMs(1,2,3,5and10times)werecomparedfortheevaluationofliverfibrosis.ThecorrelationbetweentheelasticmodulusmeansoftheliverobtainedfromdifferentVMsofdetectionateachpathologicalstagewasanalysed.Thereceiveroperatingcharacteristic(ROC)curvewasemployedtodeterminethediagnosticperformanceofdifferentVMsofdetection,andtheareasundertheROCcurveofdifferentgroupswerecompared.RESULTS:Theliverstiffnessvaluesobtainedfrom1VM,2VMs,3VMs,5VMsandall10VMsforstageF0were6.95±2.01kPa,6.87±1.83kPa,6.90±1.88kPa,6.95±1.93kPaand7.15±1.89kPa,respectively(F=0.043,P=0.996).ForstageF1,thesevalueswere7.12±1.72kPa,7.24±1.72kPa,7.21±1.74kPa,7.10±1.78kPaand7.04±1.70kPa,respectively(F=0.075,P=0.990).ForstageF2,theywere9.37±3.87kPa,9.18±3.68kPa,9.19±3.81kPa,9.18±3.81kPaand9.19±3.53kPa,respectively(F=0.012,P=1.000).ForstageF3,thesewere11.91±3.88kPa,11.78±4.04kPa,11.83±4.07kPa,11.94±4.17kPaand12.00±4.02kPa,respectively(F=0.010,P=1.000).ForstageF4,thereadingswere19.30±7.63kPa,19.40±7.36kPa,19.54±7.43kPa,19.73±7.21kPaand20.25±7.22kPa,respectively(F=0.054,P=0.995).Therewerenosignificantdifferencesbetweenthesegroups.Intraclasscorrelationcoefficientsamongdifferentpathologicalstages(F0-F4)withdifferentdetectionVMswere0.995,0.993,0.996,0.994and0.996,respectively.Themeanelasticityvaluesfrom1VM,2VMs,3VMs,5VMsand10VMscanaccuratelydistinguishfibrosisstages(F0vsF1234,F01vsF234,F012vsF34andF0123vsF4)withnosignificantdifferencesinthefivegroups(P>0.05forall).CONCLUSION:One

简介：1．1一般资料我们2003—05／2004—05收治择期腹股沟疝25例，均为男性，其中斜疝22例(1例为双侧疝)，直疝3例。在25例手术中，Ⅰ组行无张力疝修补术14例，Ⅱ组行其它传统方式11例(Bassini8例、Ferguson3例)。无张力组年龄为59．5±12．5岁(32～80岁)，传统手术组年龄为52．5±22．0岁(18～76岁)。两组之间显著性差异(P=0．296)。

简介：2002-12／2003-12我们给65例胃肠减压病人进行适量饮水，并以常规方法护理的45例作对照，在防治口唇干裂、口咽部感染、早期呃逆，促进胃肠蠕动恢复，稀释胃容物易于吸出等方面均获得满意效果，现总结报告如下。

简介：目的:针对患有子宫肌瘤的患者而言,对其全面探析了传统开腹手术以及腹腔镜手术呈现出来的差异性,在此前提下运用综合对比得出上述两类治疗模式能够达到的临床效果及对患者胃肠功能的影响。方法:选择我院2015年05月~2018年05月收治的100例子宫肌瘤患者作为此次实验对象;凭借抽签法予以分组。研究治疗药物期间,对照组(50例):选择传统开腹手术施以子宫肌瘤的相应治疗;观察组(50例):运用腹腔镜手术予以治疗;最终就两组子宫肌瘤患者现有的各项指标施以对比。结果:同对照组表现为子宫肌瘤症状的所有患者相比,观察组整体上表现为好转趋势(P<0.05)。且观察组患者术后肠鸣音恢复时间、进食时间及肛门排气时间均显著优于对照组(P<0.05)。结论:与传统模式的开腹手术相比,针对子宫肌瘤患者如果能对其施以腹腔镜手术,那么有助于实现针对后续各类并发症的显著抑制,同时也突显了优良的临床疗效,且有益于患者术后胃肠功能的恢复,值得推广。