简介: 【摘要】 目的:探究高頻彩超应用于乳腺癌腋窝淋巴结转移早期诊断中的价值。方法:回顾性分析 2016 年 9月 -2019年 9月于 我 院住院治疗的乳腺癌患者
简介:摘要:目的:分析放疗联合体外高频热疗治疗肿瘤骨转移性疼痛的疗效。 方法:选择 2018 年 1 月 -2020 年 1 月在我院治疗肿瘤骨转移患者 40 例,依据其入院先后分为对照组( n=20 )与观察组( n=20 ),对照组患者进行放疗治疗,观察组患者利用放疗联合体外高频热疗治疗,比较两组患者的治疗效果。 结果:对照组 20 例患者中有 6 例疼痛完全缓解、 7 例部分缓解, 疼痛缓解率 为 65.0% ( 13/20 );观察组 20 例患者中有 10 例完全缓解、 8 例部分缓解,缓解率为 90.0% ( 18/20 ),差异显著( P<0.05 )。同时观察组患者的治疗有效率为 90.0% ( 18/20 ),显著高于对照组的 70.0% ( 14/20 )。 结论:放疗联合体外高频热疗治疗肿瘤骨转移性疼痛的疗效显著,不仅可以显著减低患者的疼痛程度,而且能增强患者的活动能力,因此值得推广应用。
简介:摘要:目的:为给泌尿外科相关疾病患者谋福祉,应当进一步加强对其相关治疗方案的探索,本文结合实际案例对经尿道电切术的有效性进行了验证,以明确其临床应用效果,以便更好地为患者服务。 方法:选择我院近年来 60 名泌尿外科患者为研究对象,将其手术前的相关数据进行调查和登记。结合患者实际身体情况,为其制定针对性强的手术方案,开展手术后对其相关观测指标进行统计。将手术前与手术后相关指标进行比对,利用统计学中 T 检验的方法对其进行统计分析,判断术前术后的差异性。 结果:得出远远小于 0.05 的 P 值,说明术前术后患者相关数据之间具备的差异显著。 结论:说明经尿道电切术对患者的相关治疗有效,将手术时长进行了一定程度的缩减,对患者的治疗效果好,应当将其在临床上开展较为广泛的应用。
简介: 【摘要】目的 对比研究不同的阴道准备方法在子宫全切除手术前的护理效果。方法 此次研究的对象是选择我院 2018年 3月—— 2019年 3月的所收治的 100例需要在子宫全切术前进行阴道准备的患者,将其临床资料进行回顾性分析,并将他们随机均分为观察组与对照组,观察组的患者在阴道准备的过程中给予 0.5%的碘伏棉球,对照组的患者在阴道准备的过程中给予 1: 5000的呋喃西林液,对两组患者在治疗期间的各项指标进行观察记录。结果两组患者的住院时间、阴道残端愈合情况、阴道清洁度均存在一定的差异,具有统计学意义, p<0.05,两组患者在术后的白细胞计数以及术后的体温之间有差异,不具备统计学意义, P<0.05。结论在对患者进行子宫全切术前对患者的阴道给予 0.5%的碘伏棉球擦洗,这样做不仅可以提高患者的阴道清洁度,而且对患者在术后的阴道残端愈合也有相对较好的效果,此外,这种阴道准备方法还可以缩短患者的住院时间。 【关键词】子宫全切术;阴道准备;护理效果 [Abstract] Objective To compare the nursing effect of different vaginal preparation methods before hysterectomy. Methods 100 patients who need to prepare vagina before total hysterectomy were selected from March 2018 to March 2019 in our hospital, and their clinical data were analyzed retrospectively. They were randomly divided into observation group and control group. Patients in observation group were given 0.5% Iodophor cotton ball during vagina preparation, while patients in control group were prepared vagina In the course of treatment, 1:5000 Furacilin Solution was given to observe and record the indicators of the two groups during the treatment. Results there were some differences in the length of stay, the healing of vaginal stump and the cleanliness of vagina between the two groups, which had statistical significance (P < 0.05). There was no statistical significance between the two groups in the white blood cell count and postoperative temperature, P < 0.05. Conclusion 0.5% Iodophor cotton ball is given to the vagina of patients before hysterectomy, which can not only improve the vagina cleanliness of patients, but also have a relatively good effect on the healing of the vagina stump. In addition, this vagina preparation method can also shorten the hospital stay of patients.
简介: 【摘要】目的:研究分析宫颈环形电切术治疗慢性宫颈炎的护理要点。方法:此次研究的对象是选择本院 2018年 1月— 2019年 1月收治行宫颈环形电切术的慢性宫颈炎患者 62例,将其临床资料进行回顾性分析,并就患者围手术期的护理要点展开分析。结果: 62例慢性宫颈炎患者均在围手术期给予优质、全面的护理指导,术后 6个月复查痊愈 52例( 83.87%),有效 7例( 11.29%),总有效率高达 95.16%,另 3例( 4.84%)患者复发后再次手术得到治愈。结论:慢性宫颈炎患者行宫颈环形电切术治疗时,于围手术期给予优质护理指导,可提高治疗效果、缩短恢复时间,减轻不良反应,值得推广应用。 【关键词】宫颈环形电切术 ;慢性宫颈炎 ;护理要点 [Abstract] Objective: To study and analyze the key points of nursing in the treatment of chronic cervicitis by circular electrotomy of cervix. Methods: 62 patients with chronic cervicitis who were admitted to our hospital from January 2018 to January 2019 were selected for this study. Their clinical data were analyzed retrospectively, and the key points of perioperative nursing were analyzed. Results: 62 cases of chronic cervicitis were given high-quality and comprehensive nursing guidance in the perioperative period. 52 cases (83.87%) were recovered in 6 months after operation, 7 cases (11.29%) were effective, and the total effective rate was 95.16%. The other 3 cases (4.84%) were cured by reoperation after recurrence. Conclusion: when the patients with chronic cervicitis are treated by cervical circumcision, the high-quality nursing guidance in the perioperative period can improve the treatment effect, shorten the recovery time and reduce the adverse reactions, which is worth popularizing.
简介:摘要:目的:通过对双侧会阴阻滞麻醉来探讨进行降低会阴侧切率是否存在影响关系。方法:对2018年11月-2019年11月在我院收治的240名产妇项目数据进行计算,采用随机分组的形式对其进行分组,每组120名患者,对实验组产妇在抬头拨露时进行会阴冲洗消毒,并采用双侧会阴阻滞麻醉,而对比组产妇则进行常规的日常分娩,根据两组产妇的会阴裂伤程度、第二产程时间、产后出血、新生儿窒息和缝合时的疼痛及产后伤口的疼痛等来进行对比。结果:在对实验组进行采用双侧会阴阻滞麻醉之后,实验组产妇在会阴缝合时的疼痛程度明显低于对比组;实验组的第二产程时间比对比组要短;实验组的产妇在会阴裂伤程度上比对比组产妇要低;实验组产妇在产后的出血量比对比组要少(P0.05)。结论:通过对产妇进行双侧会阴阻滞麻醉之后,能够大大的降低产妇的会阴裂伤程度和分娩时的疼痛程度,减少产妇在产后的出血量。因此对产妇进行双侧会阴阻滞麻醉是具有重要临床意义和推广价值。
简介: 【摘要】 目的:探讨甲状腺全切术治疗甲状腺癌的安全性和临床有效性。方法:抽取 2017年 3月 -2018年 12月在笔者所在医院治疗的甲状腺癌患者 120例作为研究对象,按国际随机数字表法分成两个研究组,即观察组和对照组,每组 60例。观察组患者采取甲状腺全切术进行治疗,对照组患者采取甲状腺次全切术或近全切术进行治疗。结果:观察组患者临床治疗总有效率为 95.00%,略高于对照组的 90.00%,但组间比较差异无统计学意义(字 2=1.638, P>0.05)。观察组患者手术时间短于对照组,术中出血量少于对照组,差异均有统计学意义( t=38.532、 26.463, P<0.05);两组患者住院时间比较差异无统计学意义( t=1.452, P>0.05)。观察组患者甲状腺功能减退、喉返神经受损、低钙血症等并发症发生率均高于对照组,差异均有统计学意义(字 2=6.638、 14.687、 10.673, P<0.05);但两组手足麻木发生率比较差异無统计学意义(字 2=1.153, P>0.05)。观察组患者复发率和二次手术率均为 0,均低于对照组,差异均有统计学意义( X?=20.859、 22.521, P<0.05)。结论:相比甲状腺次全切术和近全切术而言,甲状腺全切术对甲状腺癌的治疗,不仅能够获得与之相当的临床疗效,同时在手术时间和术中出血量方面也具有显著优势,且其术后复发率和二次手术率显著较低;虽然甲状腺全切术的并发症发生率较高,但是其总体临床疗效优势显著。 【关键词】 甲状腺全切术; 甲状腺癌; 安全性; 有效性 [Abstract] Objective: To explore the safety and clinical effectiveness of total thyroidectomy in the treatment of thyroid cancer. Methods: 120 patients with thyroid cancer treated in our hospital from March 2017 to December 2018 were selected as research objects. According to the method of international random number table, they were divided into two research groups, namely observation group and control group, with 60 cases in each group. The patients in the observation group were treated by total thyroidectomy, while the patients in the control group were treated by subtotal thyroidectomy or near total thyroidectomy. Results: the total effective rate of the observation group was 95.00%, slightly higher than 90.00% of the control group, but there was no significant difference between the two groups (word 2 = 1.638, P > 0.05). The time of operation in the observation group was shorter than that in the control group, and the amount of bleeding in the operation was less than that in the control group, the difference was statistically significant (t = 38.532, 26.463, P < 0.05); there was no statistically significant difference in the length of stay between the two groups (t = 1.452, P > 0.05). The incidence of hypothyroidism, recurrent laryngeal nerve damage, hypocalcemia and other complications in the observation group were higher than that in the control group, the difference was statistically significant (word 2 = 6.638, 14.687, 10.673, P < 0.05), but there was no significant difference between the two groups in the incidence of hand and foot numbness (word 2 = 1.153, P > 0.05). The recurrence rate and secondary operation rate of the observation group were both 0, lower than that of the control group, and the difference was statistically significant (x? = 20.859, 22.521, P < 0.05). Conclusion: compared with subtotal thyroidectomy and near total thyroidectomy, total thyroidectomy can not only achieve the same clinical effect, but also has significant advantages in the operation time and intraoperative bleeding volume, and its postoperative recurrence rate and secondary hand operation rate are significantly lower; although the incidence of complications of total thyroidectomy is higher, its overall clinical effect is higher The bed curative effect superiority is remarkable.
简介: [ 摘要 ] 目的 分析在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗有效性。方法 该研究方便选择 25 例分化型甲状腺癌患者,患者入院治疗时间段均是 2019 年 1—12 月,为实施随机对照试验,将 25 例患者平均划分成对照组与观察组,对照组患者采取甲状腺患侧腺叶全切除术与峡部切除术,观察组应用甲状腺全切手术治疗,对比两组患者治疗有效性。结果 观察组 88.00% 的治疗有效率,对照组 60.00% 的治疗有效率,对照组手术疗效低于观察组,差异有统计学意义( χ2=4.250 , P<0.05 ) ; 观察组患者的并发症发生率明显低于对照组,差异有统计学意义( χ2=6.865 , P=0.001<0.05 ) ; 观察组术后平均下床时间、平均住院时间明显比对照组短( χ2=6.256 、 4.673 , P=0.003 、 0.012;t=11.586 、 14.267 , P=0.000 、 0.000 <0.05 )。结论 在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗效果显著,值得应用。 [ 关键词 ] 甲状腺全切 ; 分化型 ; 甲状腺癌 ; 治疗效果 [Abstract] ObjectiveTo analyze the effectiveness of total thyroidectomy in the treatment of patients with differentiated thyroid cancer. Methods A total of 25 patients with differentiated thyroid cancer were selected in this study. All patients were convenient admitted to hospital for treatment from January to December 2018. For randomized controlled trials , 25 patients were divided into control group and observation. The patients in the control group were treated with total thyroidectomy and isthmus resection. The observation group was treated with total thyroidectomy , and the treatment effectiveness of the two groups was compared. Results 88.00% of the observation group was effective , and 60.00% of the control group was effective. The control effect of the control group was lower than that of the observation group , and there was statistical difference ( χ2=4.250 , P<0.05 ) . The incidence of complications was obvious in the observation group. Lower than the control group ( χ2=6.865 , P=0.001<0.05 ), the difference was obvious; the average bedtime and average hospitalization time in the observation group were significantly shorter than the control group ( χ2=6.256 , 4.673 , P=0.003 , 0.012;t=11.586 , 14.267 , P=0.000 , 0.000 <0.05 ) . Conclusion The treatment of differentiated thyroid cancer patients with thyroidectomy is effective. It is worth applying. [Key words] Total thyroidectomy; Differentiation; Thyroid cancer; Treatment effect 甲狀腺是人体中最为重要且最大的一个内分泌器官,而甲状腺癌也是内分泌系统中最常见的恶性肿瘤。我国学者也调查发现,我国近 10 年 1 来,甲状腺癌的增长率高达 200% ,而在所有的甲状腺癌患者中,最为常见的病理类型是甲状腺乳头状癌,其与滤泡状癌统称为分化型甲状腺癌 [1] 。但值得高兴的是,虽然分化型甲状腺癌的发生几率较高,但恶性程度较其他甲状腺恶性肿瘤要低。目前临床治疗甲状腺癌的主要方法为手术治疗,手术类型包括甲状腺侧叶次全切除术和全切除术,对此,方便选择 25 例分化型甲状腺癌患者,全部患者入院治疗时间段均是 2019 年 1—12 月,探讨了在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗有效性,现报道如下。
简介:【摘要】:目的 观察分析小切口甲状腺次全切术治疗甲状腺良性结节的临床效果。方法 选择我院 2017年 7月 -2019年 10月收治的 96例行手术治疗的甲状腺良性结节患者作为本次的研究对象,按照手术方式不同分为研究组和传统组,每组患者 48例。研究组患者行小切口甲状腺次全切术,传统组患者行传统的甲状腺次全切术。比较两组患者的切口长度、手术时间、术中出血量、颈部皮肤感觉异常时间、住院时间以及术后并发症发生率。结果 与传统组比较,研究组患者切口长度、手术时间、术中出血量、颈部皮肤感觉异常时间以及住院时间均明显减少,差异有统计学意义( P<0.05) 。研究组患者术后并发症发生率为4.17%,明显低于传统组的 16.67%,差异有统计学意义( P<0.05)。结论 小切口甲状腺次全切术可以有效的减少手术对甲状腺良性结节患者的创伤,术后并发症发生率较低,促进患者术后康复,值得在临床上进行推广应用。
简介:摘要:为证明切碎和揉切会对玉米秸秆青贮饲料发酵性质的影响,本文将结合一个小实验,以玉米秸秆为试验原料,展开切碎和揉切两种处理方式对青贮饲料影响的研究。实验结果表明,在进行切碎和揉切处理以后,玉米秸秆青贮饲料的 pH值均低于 4.2,其中揉切处理的结果 pH值为 3.5低于切碎处理的结果 pH值 3.89。揉切干物质的含量和粗蛋白的含量要比切碎组分别高 13.5%和 4.9%,而酸性洗涤纤维与中性洗涤纤维则分别比切碎组低 20%和 17%。从综合角度来看,论发酵的特性和营养成分,采用切碎与揉切两种方式都可以对玉米秸秆青贮饲料进行处理,但相比较而言,揉切处理方式获得的玉米秸秆青贮饲料的品质更好。
简介:摘要:为了评估已有设计规范和文献中的输电线路防护大板 冲切承载力计算模型的精度,通过收集文献中已有的输电线路防护大板 试验数据并和已有模型预测结果进行对比。结果表明影响计算模型的主要因素是输电线路承载 率、采空区 强度和有效板厚。在所有模型中,El-Gamal模型的计算值与试验值吻合程度最好;Nguyen-Minh提出的模型考虑的因素最多,但该模型预测精度还有待提高;在各规范模型中,加拿大规范考虑的因素最为全面且预测精度最好;日本、英国等国家设计规范模型结果的理论值和试验值吻合较好;我国规范模型精度较低,且偏于不安全。该研究可为今后进一步提高输电线路防护大板 冲切计算模型精度提供思路和方向。
简介:【摘要】目的:研究硬膜外麻醉分娩镇痛用于初产妇中对降低会阴侧切率的干预作用 。方法: 2018 年 2 月 -2019 年 12 月 本院产科接诊的初产妇 120 名,按照奇偶数字分组原理均分 2 组。研究组采取硬膜外麻醉分娩镇痛法,对照组实行非药物助产分娩镇痛。对比会阴侧切率等指标。 结果:研究组会阴侧切率 15.0% ,比对照组 33.33% 低, P < 0.05 。 研究组产后