期刊文献+
共找到10,559篇文章
< 1 2 250 >
每页显示 20 50 100
Treatment patterns of primary care physicians vs specialists prior to subspecialty urogynaecology referral for women suffering from pelvic floor disorders 预览
1
作者 Abigail Prentice Ali Ahmad Bazzi Muhammad Faisal Aslam 《世界方法学杂志》 2019年第2期26-31,共6页
BACKGROUND There are approximately 25% of women in the United States suffering from pelvic floor disorders (PFDs) and this number is predicted to rise. The potential complications and increasing healthcare costs that ... BACKGROUND There are approximately 25% of women in the United States suffering from pelvic floor disorders (PFDs) and this number is predicted to rise. The potential complications and increasing healthcare costs that exist with an operation indicate the importance of conservative treatment options prior to attempting surgery. Considering the prevalence of PFDs, it is important for primary care physician and specialists (obstetricians and gynecologists) to be familiar with the initial work-up and the available conservative treatment options prior to subspecialist (urogynecologist) referral. AIM To assess the types of treatments that specialists attempted prior to subspecialty referral and determine the differences in referral patterns. METHODS This is a retrospective cohort study of 234 patients from a community teaching hospital referred to a single female pelvic medicine and reconstructive surgery (FPMRS) provider for PFD. Specialist vs primary care provider (PCP) referrals were compared. Number, length and treatment types were studied using descriptive statistics. RESULTS There were 184 referrals (78.6%) by specialists and 50 (21.4%) by PCP. Treatment (with Kegel exercises, pessary placements, and anticholinergic medications) was attempted on 51%(n = 26) of the PCP compared to 48%(n = 88) of the specialist referrals prior to FPMRS referral (P = 0.6). There was no significant difference in length of treatment prior to referral for PCPs vs specialists (14 mo vs 16 mo, respectively, P = 0.88). However, there was a significant difference in the patient’s average time with the condition prior to referral (35 mo vs 58 mo for PCP compared to specialist referrals)(P = 0.02). CONCLUSION One half of the patients referred to FPMRS clinic received treatment prior to referral. Thus, specialists and generalists can benefit from education regarding therapies for PFD before subspecialty referral. 展开更多
关键词 PELVIC floor disorders REFERRAL patterns Female PELVIC medicine and RECONSTRUCTIVE surgery Primary care PROVIDER
在线阅读 免费下载
Data mining in Xu Runsan's Traditional Chinese Medicine practice:treatment of chronic pelvic pain caused by pelvic inflammatory disease
2
作者 Liu Liuqing Yang Fang +1 位作者 Xin Ling Jing Yan 《中医杂志:英文版》 SCIE CAS CSCD 2019年第3期440-450,共11页
OBJECTIVE:To research the Traditional Chinese Medicine(TCM)practice of Professor Xu Runsan for treatment of chronic pelvic pain(CPP)caused by sequelae of pelvic inflammatory disease(SPID)by data mining.METHODS:The med... OBJECTIVE:To research the Traditional Chinese Medicine(TCM)practice of Professor Xu Runsan for treatment of chronic pelvic pain(CPP)caused by sequelae of pelvic inflammatory disease(SPID)by data mining.METHODS:The medical records of inpatients at China-Japan Friendship Hospital confirmed to have CPP caused by SPID were collected(274 visits in total).The data extracted from the medical records were analyzed by frequency statistics,correlation analyses,cluster analyses,and complex network analyses.RESULTS:The most frequently used medicines were warm medicines,bitter medicines,and medicines distributed to the liver meridian.The most common medicinal combinations were Chishao(Radix Paeoniae Rubra)plus Huangqi(Radix Astragali Mongolici)plus Sanqi(Radix Notoginseng)and Ezhu(Rhizoma Curcumae Phaeocoulis);Guizhi(Ramulus Cinnamomi)plus Fuling(Poria)and Chishao(Radix Poeoniae Rubra);and Chaihu(Radix Bupleuri Chinensis)plus Zhishi(Fructus Aurantii Immaturus)and Gancao(Radix Glycyrrhizae).The most frequently used medicines were divided into four groups according to their efficacy;i.e.,medicines that could(a)warm meridians and free collateral vessels,(b)regulate Qi and free collateral vessels,(c)fortify the spleen and nourish blood and Qi,and(d)tonify Qi and activate blood.The most commonly used formulations were Guizhi FulingPill and Sini Powder.The core medicines extracted based on complex network analyses were Chishao(Radix Poeoniae Rubra),Sanqi(Radix Notoginseng),Hua ngqi(Radix Astragali Mongolica),Danshen(Radix Salviae Miltiorrhizae),Ezhu(Rhizoma Curcumae Phaeocaulis), Gancao(Radix Glycyrrhizae),Chaihu(Radix Bupleuri Chinensis),Guizhi(Romulus Cinnomomi),Shuizhi(Hirudo), Fuling(Poria),and Zhishi(Fructus Aurantii Immaturus).CONCLUSION:According to the TCM practice of Professor Xui,treatment of CPP caused by SPID should focus on dissolving stasis and obstructions using medicines that can activate blood,resolve stasis,regulate Qi,and dissipate adhesions.His prescriptions are often based on Guizhi Fuling Pill and Sini Powder. 展开更多
关键词 PELVIC PAIN PELVIC inflammatory disease Drugs Chinese HERBAL Cluster ANALYSIS Complex network ANALYSIS
Application of robot-assisted laparoscopic pelvic exenteration in treating gynecologic malignancies
3
作者 Qi-Yu Yang Jun-Ying Tang 《中华医学杂志:英文版》 SCIE CAS CSCD 2019年第8期976-979,共4页
Introduction Pelvic exenteration(PE)refers to the en bloc resection of the involved pelvic organs along with pelvic reconstruction so as to enhance the survival rate for tumor patients.First reported by Brunschwig in ... Introduction Pelvic exenteration(PE)refers to the en bloc resection of the involved pelvic organs along with pelvic reconstruction so as to enhance the survival rate for tumor patients.First reported by Brunschwig in 1948,[1]PE has thereafter been utilized to treat rectal cancer,bladder cancer,prostate cancer,and cervical cancer as a curative or palliative treatment for advanced or recurrent malignancies.It is critical to carry out surgical resection of all the involved tumor lesions so as to prolong the overall survival(OS)of patients;nonetheless,such medical manipulation will induce various complications.For patients undergoing radiotherapy in the initial treatment,the increased tissue fragility,together with inflammation,has become trouble intraoperatively. 展开更多
关键词 GYNECOLOGIC MALIGNANCIES ROBOT-ASSISTED LAPAROSCOPIC PELVIC EXENTERATION PELVIC exenteration(PE)
Application of indocyanine green-enhanced near-infrared fluorescence-guided imaging in laparoscopic lateral pelvic lymph node dissection for middle-low rectal cancer 预览
4
作者 Si-Cheng Zhou Yan-Tao Tian +9 位作者 Xue-Wei Wang Chuan-Duo Zhao Shuai Ma Jun Jiang Er-Ni Li Hai-Tao Zhou Qian Liu Jian-Wei Liang Zhi-Xiang Zhou Xi-Shan Wang 《世界胃肠病学杂志:英文版》 SCIE CAS 2019年第31期4502-4511,共10页
BACKGROUND As one effective treatment for lateral pelvic lymph node(LPLN)metastasis(LPNM),laparoscopic LPLN dissection(LPND)is limited due to the complicated anatomy of the pelvic sidewall and various complications af... BACKGROUND As one effective treatment for lateral pelvic lymph node(LPLN)metastasis(LPNM),laparoscopic LPLN dissection(LPND)is limited due to the complicated anatomy of the pelvic sidewall and various complications after surgery.With regard to improving the accuracy and completeness of LPND as well as safety,we tried an innovative method using indocyanine green(ICG)visualized with a near-infrared(NIR)camera system to guide the detection of LPLNs in patients with middle-low rectal cancer.AIM To investigate whether ICG-enhanced NIR fluorescence-guided imaging is a better technique for LPND in patients with rectal cancer.METHODS A total of 42 middle-low rectal cancer patients with clinical LPNM who underwent total mesorectal excision(TME)and LPND between October 2017 and March 2019 at our institution were assessed and divided into an ICG group and a non-ICG group.Clinical characteristics,operative outcomes,pathological outcomes,and postoperative complication information were compared and analysed between the two groups.RESULTS Compared to the non-ICG group,the ICG group had significantly lower intraoperative blood loss(55.8±37.5 mL vs 108.0±52.7 mL,P=0.003)and a significantly larger number of LPLNs harvested(11.5±5.9 vs 7.1±4.8,P=0.017).The LPLNs of two patients in the non-IVG group were residual during LPND.In addition,no significant difference was found in terms of LPND,LPNM,operative time,conversion to laparotomy,preoperative complication,or hospital stay(P>0.05).CONCLUSION ICG-enhanced NIR fluorescence-guided imaging could be a feasible and convenient technique to guide LPND because it could bring specific advantages regarding the accuracy and completeness of surgery as well as safety. 展开更多
关键词 RECTAL cancer LATERAL PELVIC LYMPH NODE DISSECTION Indocyanine green LATERAL PELVIC LYMPH NODE
在线阅读 免费下载
经会阴实时三维超声评估不同术式治疗前盆腔脱垂疗效 预览 被引量:1
5
作者 林芸 冉海涛 +4 位作者 冉素真 王志刚 魏俊 唐静 郭丹 《中国医学影像技术》 CSCD 北大核心 2019年第6期867-871,共5页
目的探讨经会阴实时三维超声定量评价不同手术方式对前盆腔器官脱垂患者疗效的价值。方法根据不同手术方式,将153例前盆腔器官脱垂患者分为腹腔镜改良阴道旁修补术组(A组,n=28)、单纯改良前盆底重建术组(B组,n=49)、改良前盆底重建术+... 目的探讨经会阴实时三维超声定量评价不同手术方式对前盆腔器官脱垂患者疗效的价值。方法根据不同手术方式,将153例前盆腔器官脱垂患者分为腹腔镜改良阴道旁修补术组(A组,n=28)、单纯改良前盆底重建术组(B组,n=49)、改良前盆底重建术+骶棘韧带悬吊术组(C组,n=76),对3组受检者术前及术后1、3、6个月分别进行经会阴实时三维超声检查,测量并比较手术前后膀胱颈距耻骨联合下缘距离(BSD)、肛提肌裂孔面积(ALH)、尿道旋转角(URA)和膀胱颈移动度(BND),比较3组间术后复发率。结果A、B、C组患者术前及术后1、3、6个月BSD、ALH、URA和BND总体差异均有统计学意义(P均<0.001)。A、B、C组中,术后各指标与术前比较差异均有统计学意义(P均<0.008)。术后3个月与6个月比较,A组4个指标差异均有统计学意义(P均<0.008);B组URA、BND差异均有统计学意义(P均<0.008);C组仅BND差异有统计学意义(P=0.005)。术后6个月,C组复发率均低于A、B组(P=0.001、0.034)。结论改良前盆底重建术+骶棘韧带悬吊术是稳定性好、复发率低的手术方式,实时三维超声能够定量评估前盆底手术疗效。 展开更多
关键词 盆腔 脱垂 外科手术 超声检查
在线阅读 下载PDF
Analysis of early treatment of multiple injuries combined with severe pelvic fracture
6
作者 Guang-Bin Huang Ping Hu +1 位作者 Jin-Mou Gao Xi Lin 《中华创伤杂志:英文版》 CAS CSCD 2019年第3期129-133,共5页
Purpose: To summarize and analyze the early treatment of multiple injuries combined with severe pelvic fractures, especially focus on the hemostasis methods for severe pelvic fractures, so as to improve the successful... Purpose: To summarize and analyze the early treatment of multiple injuries combined with severe pelvic fractures, especially focus on the hemostasis methods for severe pelvic fractures, so as to improve the successful rate of rescue for the fatal hemorrhagic shock caused by pelvic fractures. Methods: A retrospective analysis was conducted in 68 cases of multiple trauma combined with severe pelvic fractures in recent 10 years (from Jan. 2006 to Dec. 2015). There were 57 males and 11 females. Their age ranged from 19 to 75 years, averaging 42 years. Causes of injury included traffic accidents in 34 cases (2 cases of truck rolling), high falling injuries in 17 cases, crashing injuries in 15 cases, steel cable wound in 1 case, and seat belt traction injury in 1 case. There were 31 cases of head injury, 11 cases of chest injury, 56 cases of abdominal and pelvic injuries, and 37 cases of spinal and limb injuries. Therapeutic methods included early anti-shock measures, surgical hemostasis based on internal iliac artery devasculization for pelvic hemorrhage, and early treatment for combined organ damage and complications included embolization and repair of the liver, spleen and kidney, splenectomy, nephrectomy, intestinal resection, colostomy, bladder ostomy, and urethral repair, etc. Patients in this series received blood transfusion volume of 1200e10,000 mL, with an average volume of 2850 mL. Postoperative followup ranged from 6 months to 1.5 years. Results: The average score of ISS in this series was 38.6 points. 49 cases were successfully treated and the total survival rate was 72.1%. Totally 19 patients died (average ISS score 42.4), including 6 cases of hemorrhagic shock, 8 cases of brain injury, 1 case of cardiac injury, 2 cases of pulmonary infection, 1 case of pulmonary embolism, and 1 case of multiple organ failure. Postoperative complications included 1 case of urethral stricture (after secondary repair), 1 case of sexual dysfunction (combined with urethral rupture), 1 case of lower limb amputation (femoral ar 展开更多
关键词 Multiple TRAUMA PELVIC FRACTURES Internal ILIAC artery Consumptive COAGULOPATHY HEMOSTASIS
Epidemiology of pelvic fractures in adults: Our experience at a tertiary hospital
7
作者 Subhajit Ghosh Sameer Aggarwal +2 位作者 Vishal Kumar Sandeep Patel Prasoon Kumar 《中华创伤杂志:英文版》 CAS CSCD 2019年第3期138-141,共4页
Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads ... Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India. Methods: A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively. Results: We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study populationwas 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay. Conclusion: Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour. 展开更多
关键词 PELVIC FRACTURES EPIDEMIOLOGY INCIDENCE
改良Stoppa入路治疗骨盆髋臼骨折的临床疗效分析 预览
8
作者 叶茂 邹毅 +5 位作者 张玉峰 冷华伟 张均泉 桂鹏 周跃海 刘斌 《航空航天医学杂志》 2019年第4期392-395,共4页
目的比较改良Stoppa入路与髂腹股沟入路治疗骨盆髋臼骨折的临床疗效。方法选取我院应用改良Stoppa入路手术治疗的骨盆髋臼骨折患者30例为研究对象(称治疗组),与既往采用髂腹股沟入路手术治疗的30例患者作对比(称对照组)。回顾性对比二... 目的比较改良Stoppa入路与髂腹股沟入路治疗骨盆髋臼骨折的临床疗效。方法选取我院应用改良Stoppa入路手术治疗的骨盆髋臼骨折患者30例为研究对象(称治疗组),与既往采用髂腹股沟入路手术治疗的30例患者作对比(称对照组)。回顾性对比二组切口长度、手术时间、术中出血量;术后骨折复位情况、并发症及髋关节功能。结果治疗组手术切口长度、手术时间及术中出血量和对照组对比,差异明显(P<0.05);参照Matta评分评价术后骨折复位情况,差异明显(P<0.05),Hariss评分评价末次随访时髋关节功能,二组差异不明显(P>0.05);治疗组并发症发生率为16.7%(5/30),对照组并发症发生率为30.0%(9/30),差异有统计意义(P<0.05)。结论应用改良Stoppa入路治疗骨盆髋臼骨折,具有手术时间短、切口小、术中出血少及术后并发症低等优点,值得临床推广应用。 展开更多
关键词 骨盆 髋臼 骨折 手术入路
在线阅读 下载PDF
Intraoperative hyperkalemia during laparoscopic pelvic surgery and prostatectomy
9
作者 Yang Zhang Huan-Huan Sha +2 位作者 Peng-Fei Shao Yong Wang Bo Gui 《中华医学杂志:英文版》 SCIE CAS CSCD 2019年第15期1872-1873,共2页
A similar event may occur in other kinds of minimally invasive surgeries,such as hysteroscopy.[1] In the case of operative hysteroscopy,electrolytes abnormality may be induced by intravascular absorption syndrome due ... A similar event may occur in other kinds of minimally invasive surgeries,such as hysteroscopy.[1] In the case of operative hysteroscopy,electrolytes abnormality may be induced by intravascular absorption syndrome due to an overload of low-viscosity fluids.However,there is some difference between these two cases.For most urologic surgeries,the urine output cannot always be well monitored.During laparoscopic prostatectomy (LP) or laparoscopic radical prostatectomy (LRP),urine tends to leak into the upper abdomen because of the patient's assumed 30° Trendelenburg position,especially,if the urine is not suction drained.Hyperkalemia occurred because the urine was mostly absorbed by peritoneum.Meanwhile,the arterial potassium level is always lower than that in the veins.[2]An arterial potassium level of 5.8 mmol/L presented an extremely serious complication to the patient.Therefore,anesthesia providers must necessarily conduct ABG analysis to monitor the level of arterial potassium during LP or LRP. 展开更多
关键词 LAPAROSCOPIC PELVIC SURGERY HYPERKALEMIA
Evaluation of therapeutic effects of self-made pelvic floor muscle rehabilitation on elderly female stress urinary incontinence 预览
10
作者 Wei Yuan 《TMR非药物治疗》 2019年第3期72-77,共6页
Objective:Create a pelvic floor muscle rehabilitation program and explore its effects on stress urinary incontinence(SUI)in elderly women.Methods:Pelvic floor muscle rehabilitation was created based on Kaigl experimen... Objective:Create a pelvic floor muscle rehabilitation program and explore its effects on stress urinary incontinence(SUI)in elderly women.Methods:Pelvic floor muscle rehabilitation was created based on Kaigl experiment and pelvic floor muscle training methods.20 elderly women aged 65-75 years with SUI were randomly recruited for 10 weeks of pelvic floor muscle rehabilitation.Self-control study was used to compare the 72-hour average frequency of urinary incontinence,the average score of urinary incontinence questionnaire-simple form(ICIQ-SF)of international urinary incontinence advisory committee,the severity index of urinary incontinence and the weight of 1 hour urine pad before and after rehibition.Results:After 10 weeks of pelvic floor muscle rehabilitation training,the 72-hour average frequency of urinary incontinence was 1.02±0.65 times,which was not statistically different from that before training(1.25±0.71,P>0.05).The score of ICIQ-SF was 5.95±1.32,which was significantly lower than that before training(7.0±1.38,P<0.05),and the urinary incontinence severity index was 2.75±0.89,which was significantly lower than that before training(3.95±1.32,P<0.01).The weight of 1 hour urine pad was 6.40±2.29 g and was significantly lower than that before training(P<0.01,8.37±2.24).Conclusion:Self-created pelvic floor muscle rehabilitation had the function of decreasing the quantity of urinary incontinence instead of the frequency of incontinence. 展开更多
关键词 PELVIC floor muscle REHABILITATION ELDERLY women Stress URINARY INCONTINENCE
在线阅读 下载PDF
早期子宫内膜癌淋巴脉管间隙浸润与盆腔淋巴结转移的关系及其预后价值 预览
11
作者 赵昌芹 张瑞林 廖丽川 《癌症进展》 2019年第18期2176-2179,共4页
目的探讨早期子宫内膜癌淋巴脉管间隙浸润(LVSI)与盆腔淋巴结转移的关系及其预后价值。方法选取85例早期子宫内膜癌患者,并对全部患者随访24个月。分析LVSI情况(阳性检出率、数量和类型)与盆腔淋巴结转移、早期子宫内膜癌复发之间的关系... 目的探讨早期子宫内膜癌淋巴脉管间隙浸润(LVSI)与盆腔淋巴结转移的关系及其预后价值。方法选取85例早期子宫内膜癌患者,并对全部患者随访24个月。分析LVSI情况(阳性检出率、数量和类型)与盆腔淋巴结转移、早期子宫内膜癌复发之间的关系,比较LVSI阳性和LVSI阴性早期子宫内膜癌患者的生存情况,分析早期子宫内膜癌患者生存的独立危险因素。结果Spearman法分析结果显示,LVSI的阳性检出率、数量及类型与盆腔淋巴结转移均呈正相关(r=0.742、0.808、0.877,P﹤0.01)。LVSI阳性子宫内膜癌患者的复发率明显高于LVSI阴性者(P﹤0.01)。LVSI阴性子宫内膜癌患者的2年生存率高于LVSI阳性者(P﹤0.05)。相联LVSI早期子宫内膜癌患者的生存率高于卫星状LVSI早期子宫内膜癌患者(P﹤0.05)。单因素分析结果显示,年龄﹤45岁、组织学类型为腺癌、肌层浸润深度﹤1/2、LVSI阴性、LVSI类型为卫星状、无盆腔淋巴结转移的早期子宫内膜癌患者的生存率高于年龄≥45岁、组织学类型为非腺癌、肌层浸润深度≥1/2、LVSI阳性、LVSI类型为相联、有盆腔淋巴结转移的早期子宫内膜癌患者,差异有统计学意义(P﹤0.05)。不同组织学分级、LVSI数量、腹腔冲洗液细胞学检查结果、孕激素受体情况的早期子宫内膜癌患者的生存率比较,差异均无统计学意义(P﹥0.05)。Cox比例风险回归模型结果显示,LVSI阳性、LVSI类型为相联和有盆腔淋巴结转移是早期子宫内膜癌患者生存的独立危险因素(P﹤0.05)。结论早期子宫内膜癌LVSI的阳性检出率、数量及类型与盆腔淋巴结转移均呈正相关;LVSI阳性、LVSI类型为相联和有盆腔淋巴结转移是早期子宫内膜癌患者生存的独立危险因素,均可作为早期子宫内膜癌患者预后的独立危险因素。 展开更多
关键词 早期子宫内膜癌 淋巴脉管间隙浸润 盆腔 淋巴结转移 预后
在线阅读 下载PDF
Preoperative Short-Course Radiation Therapy in Rectal Cancer 预览
12
作者 Pham Nguyen Tuong Pham Nguyen Cuong +2 位作者 Le Trong Hung Nguyen Thanh Ai Huynh Thanh Hai 《美中医学:英文版》 2019年第2期100-104,共5页
Purpose:To evaluate the benefits of preoperative short-course radiotherapy in locally advanced rectal cancer.Patients and methods:A prospective study of 30 rectal cancer patients at T3-4M0 stage and ECOG 0-2 performed... Purpose:To evaluate the benefits of preoperative short-course radiotherapy in locally advanced rectal cancer.Patients and methods:A prospective study of 30 rectal cancer patients at T3-4M0 stage and ECOG 0-2 performed preoperative short-course radiation therapy at Hue Central Hospital Vietnam between June 2016 and July 2018,using pelvic 3D-Conformal Radiation Therapy with the total radiation dose being 25 Gy in 5 fractions over five days.Results:Mean age 57.1±13.6 with 46.7%of patients in the range of 41-60 year-old.Male/female ratio:2/1.Tumour stage T3 and T4 was 70%and 30%,respectively;stage III and stage IV was 86.7%and 13.3%,respectively.Positive lymph node rates on endoscopic ultrasound were 85.7%in T3 and 77.8%in T4.Downstaging rate for stage III,T4 and T3 was 65.4%,65.4%and 4.8%,respectively.For upper third of the rectum:100%of T3 stage patients got no downstaging.For middle rectum:downstaging rate for stage III,T4 and T3 was 55.6%,57.1%and 7.1%,respectively.For lower rectum:downstaging rate for stage III,T4 was 50.0%and 100.0%,respectively.No acute toxicity was seen,86.7%of the patients performed laparoscopic sphincter-preserving surgery.Conclusion:For the treatment of locally advanced rectal cancer,neoadjuvant therapy is standard.Preoperative short-course radiation therapy is a reasonable therapeutic option because it demonstrates benefits in tumour downstaging especially for middle and lower rectum. 展开更多
关键词 Rectal cancer short-course RADIATION THERAPY PREOPERATIVE DOWNSTAGING pelvic 3D-conformal RADIATION therapy.
在线阅读 下载PDF
Organ-associated pseudosarcomatous myofibroblastic proliferation with ossification in the lower pole of the kidney mimicking renal pelvic carcinoma:A case report 预览
13
作者 Tian-Yuan Zhai Bin-Jie Luo +4 位作者 Zhan-Kui Jia Zheng-Guo Zhang Xiang Li Hao Li Jin-Jian Yang 《世界临床病例杂志》 2019年第17期2605-2610,共6页
BACKGROUND Organ-associated pseudosarcomatous myofibroblastic proliferation (PMP) is a very rare disorder.In the urogenital tract,PMP preferentially involves the urinary bladder;kidney involvement is rare.Here,we repo... BACKGROUND Organ-associated pseudosarcomatous myofibroblastic proliferation (PMP) is a very rare disorder.In the urogenital tract,PMP preferentially involves the urinary bladder;kidney involvement is rare.Here,we report a rare case of PMP with ossification in the lower pole of the kidney,which mimics urothelial carcinoma or an osteogenic tumor.CASE SUMMARY A Chinese man was admitted to our hospital due to intermittent hematuria for more than 1 mo.Enhanced renal computed tomography revealed a mass in the left renal pelvis and upper ureter.The preoperative clinical diagnosis was renal pelvic carcinoma,determined by imaging examination and biopsy.After a standard preparation for surgery,the patient underwent retroperitoneoscopic radical nephroureterectomy.The operative findings were an extensive renal tumor (6 cm × 4.5 cm × 4.5 cm) invading the lower pole of the kidney and upper ureter.The final pathological diagnosis was organ-associated PMP with ossification.After 6-mo follow-up,no recurrence or metastasis was found.CONCLUSION This case of PMP was unusual for its mimicking renal pelvic carcinoma in imaging examinations,making biopsy necessary. 展开更多
关键词 Pseudosarcomatous myofibroblastic PROLIFERATION KIDNEY RENAL PELVIC Carcinoma Case report
在线阅读 免费下载
Comparison of efficacy and safety between late-course and simultaneous integrated dose-increasing intensity-modulated radiation therapy for cervical cancer complicated with pelvic lymph node metastasis 预览
14
作者 Yi Cheng Nan Huang +3 位作者 Jing Zhao Jianhua Wang Chen Gong Kai Qin 《肿瘤学与转化医学:英文版》 2019年第1期25-29,共5页
Objective This study aimed to compare and analyze the clinical efficacy and safety of late-course and simultaneous integrated dose-increasing intensity-modulated radiation therapy(IMRT) for cervical cancer complicated... Objective This study aimed to compare and analyze the clinical efficacy and safety of late-course and simultaneous integrated dose-increasing intensity-modulated radiation therapy(IMRT) for cervical cancer complicated with pelvic lymph node metastasis. Methods Sixty patients with cervical cancer complicated with pelvic lymph node metastasis who were admitted to our hospital from January 2013 to January 2015 were enrolled. The patients were randomly divided into the late-course dose-increasing IMRT group and the simultaneous integrated dose-increasing IMRT group, with 30 cases included in each group, respectively. All patients were concurrently treated with cisplatin. After treatment, the clinical outcomes of the two groups were compared. Results The remission rate of symptoms in the simultaneous integrated dose-increasing IMRT group was significantly higher than that in the late-course dose-increasing IMRT group(P < 0.05). The follow-up results showed that the overall survival time, progression-free survival time, and distant metastasis time of patients in the simultaneous integrated dose-increasing IMRT group were significantly longer than those in the late-course dose-increasing IMRT group(P < 0.05). The recurrent rate of lymph nodes in the radiation field in the simultaneous integrated dose-increasing IMRT group was significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group. There was no significant difference in the incidence of cervical and vaginal recurrence and distant metastasis between the two groups(P > 0.05). The radiation doses of Dmax in the small intestine, D1 cc(the minimum dose to the 1 cc receiving the highest dose) in the bladder, and Dmax in the rectum in the simultaneous integrated dose-increasing IMRT group were significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group. There was no significant difference in intestinal D2 cc(the minimum dose to the 2 cc receiving the highest dose) between the two groups(P > 0.05). The incidence of bone marrow suppr 展开更多
关键词 simultaneous integrated dose-increasing INTENSITY-MODULATED radiation therapy late-course dose-increasing INTENSITY-MODULATED radiation therapy cervical cancer COMPLICATED with pelvic lymph node metastasis clinical efficacy safety
在线阅读 免费下载
累及骶髂关节儿童骨盆骨折临床治疗研究 预览
15
作者 张郑 王忠良 张科 《现代医药卫生》 2019年第20期3128-3132,共5页
目的分析累及骶髂关节儿童骨盆骨折的发病特点、治疗方法及疗效,为制定最佳的治疗方案提供依据。方法回顾性分析重庆医科大学附属儿童医院2010年1月至2017年12月收治的32例累及骶髂关节骨盆骨折患儿诊治经过及随访资料,按Tile法进行骨... 目的分析累及骶髂关节儿童骨盆骨折的发病特点、治疗方法及疗效,为制定最佳的治疗方案提供依据。方法回顾性分析重庆医科大学附属儿童医院2010年1月至2017年12月收治的32例累及骶髂关节骨盆骨折患儿诊治经过及随访资料,按Tile法进行骨盆骨折分型,根据自行制定的标准进行骶髂关节损伤分级,采用Cole法进行最终疗效功能评估。结果累及骶髂关节的儿童骨盆骨折分型以Tile分型C型为主,骶髂关节损伤较重的3、4级损伤均发生在C型骨盆骨折患儿中。26例获得完整随访的患儿中,Cole法功能评价优19例、良3例、可4例,总体优良率84.6%。损伤分级3级以上者,若不能及时解剖复位和有效固定,预后较差。结论1、2级累及骶髂关节儿童骨盆骨折可保守治疗,3、4级损伤则建议手术解剖复位治疗。 展开更多
关键词 儿童 骨盆 骨折 骶髂关节 分级 预后
在线阅读 下载PDF
Traditional Chinese medicine nursing protocols for leukorrheal disease(pelvic inflammatory disease) 预览
16
作者 Editorial Board of Nursing of Integrated Traditional Chinese and Western Medicine 《中西医结合护理(中英文)》 2019年第1期217-223,共7页
Leukorrheal disease is an ascending infection of the female genital tract,with high morbidity among reproductive age women.Antibiotics are usually used to treat leukorrheal disease in clinic,but they can lead to a var... Leukorrheal disease is an ascending infection of the female genital tract,with high morbidity among reproductive age women.Antibiotics are usually used to treat leukorrheal disease in clinic,but they can lead to a variety of side effects if improper use or long-time use.In recent years,traditional Chinese medicine(TCM)has shown its unique advantages in the treatment of leukorrheal disease.This article mainly explored the key points of common syndromes,TCM nursing methods and health guidance of leukorrheal disease in order to further develop the advantages of TCM,improve its efficacy and standardized its nursing behavior. 展开更多
关键词 leukorrheal DISEASE PELVIC INFLAMMATORY DISEASE MENSTRUATION chronic PAIN traditional Chinese medicine NURSING syndrome differentiation
在线阅读 下载PDF
LAMC1, LAMA2 and LAMA3 gene polymorphisms and the risk for severe pelvic organ prolapse
17
作者 Lei Li Jia Kang +6 位作者 Ye Zhang Meng Mao Yuxiang Yang Jinghe Lang Zhijing Sun Juan Chen Lan Zhu 《科学通报:英文版》 SCIE EI CSCD 2019年第7期466-468,共3页
Pelvic organ prolapse (POP) is the descent of the pelvic organs,including bladder, uterus, vagina and rectum, resulting in pelvic discomfort, urinary and fecal incontinence and sexual dysfunction(1)The prevalence of s... Pelvic organ prolapse (POP) is the descent of the pelvic organs,including bladder, uterus, vagina and rectum, resulting in pelvic discomfort, urinary and fecal incontinence and sexual dysfunction(1)The prevalence of symptomatic POP in China is 9.56%according to a cross-sectional study involving 54,000 adult women in six provinces in the mainland of China (unpublished data). The etiology of this disorder is multifactorial, including race, age, body mass index(BMI), parity and menopause (1)The loss of the integrity of vaginal connective tissue has been demonstrated to weaken the pelvic floor support and promote the development of POP. 展开更多
关键词 POP LAMA2 and LAMA3 gene polymorphisms and the RISK for SEVERE PELVIC ORGAN PROLAPSE LAMC1
经会阴实时三维超声评估不同术式治疗中盆腔脱垂疗效 预览
18
作者 林芸 钟春燕 +3 位作者 唐静 魏俊 张晓航 冉素真 《中国医学影像技术》 CSCD 北大核心 2019年第9期1375-1378,共4页
目的探讨经会阴实时三维超声定量分析评价经阴道单侧骶棘韧带悬吊术、双侧骶棘韧带悬吊术及采用网片的双侧骶棘韧带吊带固定术治疗重度中盆腔器官脱垂效果的价值。方法回顾性分析96例接受手术治疗的中盆腔脱垂Ⅲ度及以上患者,根据术式... 目的探讨经会阴实时三维超声定量分析评价经阴道单侧骶棘韧带悬吊术、双侧骶棘韧带悬吊术及采用网片的双侧骶棘韧带吊带固定术治疗重度中盆腔器官脱垂效果的价值。方法回顾性分析96例接受手术治疗的中盆腔脱垂Ⅲ度及以上患者,根据术式分为经阴道单侧骶棘韧带悬吊术组(A组,n=23)、双侧骶棘韧带悬吊术组(B组,n=34)和采用网片的双侧骶棘韧带吊带固定术组(C组,n=39)。于术后1、3、6个月以经会阴实时三维超声测量宫颈外口最低点距耻骨联合后下缘距离(CVD)和肛提肌裂孔面积(ALH),计算并比较术后6个月复发率。结果A组术后3、6个月CVD较术后1个月减低(P=0.005、0.012);术后6个月ALH较术后3个月增加(P=0.002)。B组术后6个月CVD、ALH与术后3个月差异有统计学意义(P=0.014、0.007)。C组术后6个月ALH与术后1个月差异有统计学意义(P=0.009)。术后6个月,A、B、C组的复发率分别为13.04%(3/23)、8.82%(3/34)和2.56%(1/39),C组低于A和B组(P均<0.017)。结论采用网片的双侧骶棘韧带吊带固定术治疗中盆腔脱垂术后稳定性好、复发率低;经会阴实时三维超声可直观、准确评估手术疗效。 展开更多
关键词 盆腔 脱垂 外科手术 超声检查
在线阅读 下载PDF
2016年至2018年河北医科大学第三医院骨盆骨折住院患者的特征分析 预览
19
作者 吕红芝 王娟 +3 位作者 宇文培之 李栋正 陈伟 张英泽 《中华老年骨科与康复电子杂志》 2019年第4期228-232,共5页
目的探讨2016年至2018年间河北医科大学第三医院骨盆骨折住院患者的流行病学特征。方法利用医学影像计算机存档与传输系统及病案查询系统,收集2016年1月至2018年12月期间诊治的所有骨盆骨折患者资料,分析患者的人口统计学、基本社会学... 目的探讨2016年至2018年间河北医科大学第三医院骨盆骨折住院患者的流行病学特征。方法利用医学影像计算机存档与传输系统及病案查询系统,收集2016年1月至2018年12月期间诊治的所有骨盆骨折患者资料,分析患者的人口统计学、基本社会学资料、外伤因素、手术因素等情况。结果共收集357例骨盆骨折住院患者,2016年至2018年骨盆骨折住院患者逐年递增。男234例,女123例,男女比为1.90:l。男性、女性患者骨折高发年龄段为41~50岁(39.7%)。农民(166例,46.5%)、农村(290例,81.2%)及春季患者(104例,29.1%)所占比例较高。交通伤(169例,47.3%)及高能量损伤(284例,79.6%)患者所占比例最高。骨盆骨折行手术治疗患者居多(287例,80.4%),其中行内固定手术(266例,74.5%)、钢板固定(190例,71.4%)及切开复位患者居多(209例,72.8%),麻醉方式多采用局麻(176例,49.3%)或全麻(155例,43.4%)。结论本研究提示骨盆骨折多见于农民,春季多发,41~50岁患者居多,交通伤等高能量损伤为主要的致伤原因,切开复位内固定为临床主要手术方式;近3年来我院骨盆骨折患者呈上升趋势。 展开更多
关键词 骨盆 骨折 流行病学 性别因素 年龄因素
在线阅读 下载PDF
The therapeutic effect of pelvic floor muscle exercise on urinary incontinence after radical prostatectomy:a meta-analysis
20
作者 Mei-Li-Yang Wu Cheng-Shuang Wang +2 位作者 Qi Xiao Chao-Hua Peng Tie-Ying Zeng 《亚洲男性学杂志:英文版》 SCIE CAS CSCD 2019年第2期170-176,共7页
Pelvic floor muscle exercise(PFME)is the most common con servative manageme nt for urinary incon tine nee(Ul)after radical prostatectomy(RP).However,whether the PFME guided by a therapist(G-PFME)can contribute to the ... Pelvic floor muscle exercise(PFME)is the most common con servative manageme nt for urinary incon tine nee(Ul)after radical prostatectomy(RP).However,whether the PFME guided by a therapist(G-PFME)can contribute to the recovery of urinary continenee for patients after RP is still controversial.We performed this meta-analysis to investigate the effectiveness of G-PFME on Ul after RP and to explore whether the additional preoperative G-PFME is superior to postoperative G-PFME alone.Literature search was con ducted on Cochra ne Library,Embase,Web of Scie nee,and PubMed,to obtai n all re leva nt randomized controlled trials published before March 1,2018.Outcome data were pooled and an a lyzed with Review Man ager 5.3 to compare the conti nence rates of G-PFME with control and to compare additional preoperative G-PFME with postoperative G-PFME.Twenty-two articles with 2647 patients were included.The conti nence rates of G?PFME were all superior to con trol at d iff ere nt follow-up time points,with the odds ratio(OR)(95%confidence interval[Cl])of 2.79(1.53-5.07),2.80(1.87-4.19),2.93(1.19-7.22),4.11(2.24-7.55),and 2.41(1.33-4.36)at 1 mon th,3 months,4 months,6 months,and 12 months after surgery,respectively.However,there was no difference between additional preoperative G-PFME and postoperative G-PFME,with the OR(95%Cl)of 1.70(0.56-5.11)and 1.35(0.41-4.40)at 1 month and 3 months after RP,respectively.G-PFME could improve the recovery of urinary continence at both early and Iong-term stages.Starting the PFME preoperatively might not produce extra benefits for patients at early stage,compared with postoperative PFME. 展开更多
关键词 CONTINENCE rate PELVIC floor MUSCLE exercise RADICAL prostatectomy URINARY INCONTINENCE
上一页 1 2 250 下一页 到第
使用帮助 返回顶部 意见反馈