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Identification of microbial contaminants in sinus rinse squeeze bottles used by allergic rhinitis patients
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作者 Shaun A.Nguyen Marc P.Camilon Rodney J.Schlosser 《世界耳鼻咽喉头颈外科杂志(英文)》 2019年第1期26-29,共4页
Objective:To identify whether irrigation devices become contaminated when used by patients with allergic rhinitis (AR).Methods:Ten AR patients with no clinical or endoscopic evidence of active sinonasal infection were... Objective:To identify whether irrigation devices become contaminated when used by patients with allergic rhinitis (AR).Methods:Ten AR patients with no clinical or endoscopic evidence of active sinonasal infection were given a sinus rinse system and instructed on its proper use,cleaning,and storage.Two squeeze bottles (bottle A and bottle B) were given to each patient for twice-a-day rinsing.Bottle A was used in the morning and analyzed after four weeks.Bottle B was used in the evening and analyzed after 8 weeks of use.Microbial contaminants were cultured from the nose pieces and the inner surface of the bottles obtained from patients.Results:Seventeen sinus rinse devices (17/20) from all individuals in this study grew bacteria commonly in the nozzles.Twenty-four bacterial isolates consisting of 14 different species were cultured and identified with most common organisms being bacilli and staphylococcus.In addition,no correlation was apparent between the length of bottle use and the degree of contamination (r =0.13,p =0.76).During the study period,no patient developed acute sinus infections.Conclusion:Microbial contamination of the sinus rinse system occurs commonly,even in uninfected AR patients;however no evidence exists linking this to clinically relevant sinus infections. 展开更多
关键词 Allergic RHINITIS Microbial contaminants SINUS irrigation SINUS RINSE SQUEEZE BOTTLES
Minimally invasive endoscopic maxillary sinus lifting and immediate implant placement:A case report 预览
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作者 Mahmoud Mudalal Xiao-Lin Sun +5 位作者 Xue Li Jiao Fang Man-Lin Qi Jia Wang Liu-Yi Du Yan-Min Zhou 《世界临床病例杂志》 2019年第10期1234-1241,共8页
BACKGROUND This case report discusses a modified approach for maxillary sinus augmentation,in which platelet-rich fibrin,endoscope,simultaneous implant placement,and sinus floor elevation(PESS)were applied for a maxil... BACKGROUND This case report discusses a modified approach for maxillary sinus augmentation,in which platelet-rich fibrin,endoscope,simultaneous implant placement,and sinus floor elevation(PESS)were applied for a maxillary sinus floor lift in a 40-year-old patient.CASE SUMMARY A 40-year-old woman suffered missing upper right first molar.Implant stability quotient and cone-beam computed tomography(CBCT)were used to evaluate the diagnosis.CBCT showed insufficient posterior maxillary bone with a mean residual alveolar bone height of only 3.5 mm.The patient underwent a minimally invasive sinus floor elevation endoscopically.The sinus membrane was elevated in two stages,and a 12-mm implant was placed immediately.At 3 mo postoperatively,the final impressions were accomplished,and a full-ceramic crown was fit-placed.A 6-mo follow-up demonstrated satisfactory aesthetic and functional results.CONCLUSION This is the first report to use an endoscope for maxillary sinus floor lifting in cases with severe and insufficient bone height.This case report demonstrates the advantages of the PESS technique,which include minimal invasiveness with high precision,being applicable in cases with a residual alveolar bone height<4 mm with a promising result,and a shortened treatment period from 12 to 3 mo. 展开更多
关键词 MAXILLARY SINUS augmentation Platelet-rich FIBRIN ENDOSCOPE Internal SINUS floor elevation Case report
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Adult Congenital Heart Disease in the Veteran Population:A Case-Based Report 预览
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作者 Robert F.Hamburger,DO,MPH,FACC 《心血管创新与应用》 2019年第B04期71-75,共5页
Simple forms of congenital heart disease can allow patients to go undiagnosed until they reach adulthood.Furthermore,improvements in care of patients with complex congenital heart disease are now allowing most patient... Simple forms of congenital heart disease can allow patients to go undiagnosed until they reach adulthood.Furthermore,improvements in care of patients with complex congenital heart disease are now allowing most patients to reach adulthood.As some patients with adult congenital heart disease can remain asymptomatic until later in life,it is possible for them to serve in the military and eventually fall under the care of Veterans Administration(VA)providers.Therefore it is important for providers,especially cardiologists at VA centers,to have fundamental understanding of the management of adult congenital heart disease.This article provides multiple cases of adult congenital heart disease experienced at a single VA medical center and reviews the anatomy,physiology,and surgical management of each condition. 展开更多
关键词 congenital heart disease atrial SEPTAL DEFECT anomalous venous return SINUS venosus DEFECT cor triatriatum TRANSPOSITION of great ARTERIES
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Radiologic features of Castleman’s disease involving the renal sinus: A case report and review of the literature 预览
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作者 Xiao-Wan Guo Xu-Dong Jia +4 位作者 Shan-Shan Shen Hong Ji Ying-Min Chen Qian Du Shu-Qian Zhang 《世界临床病例杂志》 2019年第8期1001-1005,共5页
BACKGROUND We present a rare case of plasma cell type of Castleman’s disease (CD) involving only the right renal sinus in a 65-year-old woman with a duplex collecting system (DCS). CASE SUMMARY The patient presented ... BACKGROUND We present a rare case of plasma cell type of Castleman’s disease (CD) involving only the right renal sinus in a 65-year-old woman with a duplex collecting system (DCS). CASE SUMMARY The patient presented with a right renal sinus lesion after renal ultrasonography. Subsequent abdominal enhanced computed tomography (CT) and magnetic resonance imaging (MRI) of the kidneys showed DCS and a soft tissue mass with mild enhancement at the lower right renal sinus. The lesion was suspected to be a malignant renal pelvic carcinoma. Hence, the patient underwent a right radical nephrectomy. Histological examination revealed hyperplastic lymphoid follicles in the renal sinus. A detailed review of the patient’s CT and MRI images and a literature review suggested that the lesion was hypointense on T2- weighted images and hyperintense on diffusion-weighted image manifestations, and showed mild enhancement, which distinguished the plasma cell type of CD from many other renal sinus lesions. Furthermore, peripelvic soft tissue masses with a smooth internal surface of the renal pelvis were on imaging findings, which suggests that the urinary tract epithelial system is invulnerable and can be used to differentiate the plasma cell type of CD from malignant lymphoma with a focally growth pattern to some extent. CONCLUSION Preoperative diagnosis is often difficult in such cases, as plasma cell type of CD involving only the right kidney is exceedingly rare. However, heightened awareness of this disease entity and its radiographic presentations may alert one to consider this diagnosis. 展开更多
关键词 DUPLEX COLLECTING system Castleman's disease Plasma cell type RENAL SINUS Image Case report
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湿润烧伤膏联合医用胶原蛋白海绵在慢性难愈性窦道中的应用效果分析 预览
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作者 赖晓敏 李永忠 《中国烧伤创疡杂志》 2019年第1期19-23,共5页
目的探究湿润烧伤膏联合医用胶原蛋白海绵在慢性难愈性窦道中的应用效果。方法选取2017年1月至2018年4月德阳市人民医院整形烧伤美容外科收治的46例慢性难愈性窦道患者作为研究对象,并按照随机数表法将其随机分为观察组(23例)与对照组(2... 目的探究湿润烧伤膏联合医用胶原蛋白海绵在慢性难愈性窦道中的应用效果。方法选取2017年1月至2018年4月德阳市人民医院整形烧伤美容外科收治的46例慢性难愈性窦道患者作为研究对象,并按照随机数表法将其随机分为观察组(23例)与对照组(23例),其中观察组患者采用湿润烧伤膏联合医用胶原蛋白海绵治疗局部创面,对照组患者单纯采用湿润烧伤膏治疗局部创面,对比观察不同时间点两组患者的临床疗效、疼痛程度及肉芽组织评分情况。结果治疗2周后,观察组患者治疗总有效率为69. 57%,对照组患者治疗总有效率为34. 78%;治疗4周后,观察组患者治疗总有效率为82. 61%,对照组患者治疗总有效率为52. 17%。两组患者治疗2、4周后临床疗效对比,P均<0.05,差异具有统计学意义。治疗1周后,观察组患者中轻度疼痛者10例、中度疼痛者10例、重度疼痛者3例,肉芽组织评分为0-1分者1例、2-3分者4例、4分者18例,明显优于对照组患者中的轻度疼痛者5例、中度疼痛者8例、重度疼痛者10例,肉芽组织评分为0-1分者3例、2-3分者9例、4分者11例,P均<0.05,差异具有统计学意义;治疗2周后,观察组患者中轻度疼痛者15例、中度疼痛者8例,肉芽组织评分为2-3分者2例、4分者21例,明显优于对照组患者中的轻度疼痛者9例、中度疼痛者7例、重度疼痛者7例,肉芽组织评分为0-1分者2例、2-3分者8例、4分者13例,P均<0.05,差异具有统计学意义。结论湿润烧伤膏联合医用胶原蛋白海绵可有效促进慢性难愈性窦道创面肉芽组织的生长.加快创面愈合,减轻创面疼痛,疗效显著,值得临床推广应用。 展开更多
关键词 湿润烧伤膏 医用胶原蛋白海绵 慢性难愈性创面 窦道 疗效
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Traditional Chinese Medicine for Treatment of Apatinib-induced Hand and Foot Skin Reaction:A case report 预览
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作者 Shan-Qi Guo Xiao-Jiao Gao +1 位作者 Xiao-Jiang Li Ying-Jie Jia 《TMR肿瘤》 2019年第2期189-192,共4页
Squamous cell carcinoma arising at maxillary sinus is a rare neoplasm, characterized by aggressive growth pattern and glooming prognosis. A 78-year-old woman presented with left maxillary sinus carcinoma. The patient ... Squamous cell carcinoma arising at maxillary sinus is a rare neoplasm, characterized by aggressive growth pattern and glooming prognosis. A 78-year-old woman presented with left maxillary sinus carcinoma. The patient received four courses of chemotherapy after surgery in our center. Eight months after treatment, the patient experienced local progress, severe gastrointestinal reactions and asthenia. Then apatinib was used as third-line treatment. Good curative effect was achieved with 250 mg apatinib per day, while adverse reaction such as hand and foot skin reaction affected the quality of her life. Traditional Chinese medicine exhibits good results and no obvious side effects in relieving hand and foot skin reaction. Traditional Chinese medicine is Chinese treasure, it remains challenging, and further investigations are needed. 展开更多
关键词 MAXILLARY SINUS carcinoma Apatinib Ttraditional Chinese medicine HAND and FOOT SKIN reaction
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Improved guided bone regeneration by combined application of unmodified, fresh autologous adipose derived regenerative cells and plasma rich in growth factors: A first-in-human case report and literature review 预览
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作者 Onder Solakoglu Werner Gotz +3 位作者 Maren C Kiessling Christopher Alt Christoph Schmitz Eckhard U Alt 《世界干细胞杂志:英文版(电子版)》 2019年第2期124-146,共23页
BACKGROUND Novel strategies are needed for improving guided bone regeneration (GBR) in oral surgery prior to implant placement, particularly in maxillary sinus augmentation (GBR-MSA) and in lateral alveolar ridge augm... BACKGROUND Novel strategies are needed for improving guided bone regeneration (GBR) in oral surgery prior to implant placement, particularly in maxillary sinus augmentation (GBR-MSA) and in lateral alveolar ridge augmentation (LRA). This study tested the hypothesis that the combination of freshly isolated, unmodified autologous adipose-derived regenerative cells (UA-ADRCs), fraction 2 of plasma rich in growth factors (PRGF-2) and an osteoinductive scaffold (OIS)(UAADRC/ PRGF-2/OIS) is superior to the combination of PRGF-2 and the same OIS alone (PRGF-2/OIS) in GBR-MSA/LRA. CASE SUMMARY A 79-year-old patient was treated with a bilateral external sinus lift procedure as well as a bilateral lateral alveolar ridge augmentation. GBR-MSA/LRA was performed with UA-ADRC/PRGF-2/OIS on the right side, and with PRGF2/OIS on the left side. Biopsies were collected at 6 wk and 34 wk after GBRMSA/ LRA. At the latter time point implants were placed. Radiographs (32 mo follow-up time) demonstrated excellent bone healing. No radiological or histological signs of inflammation were observed. Detailed histologic, histomorphometric, and immunohistochemical analysis of the biopsies evidenced that UA-ADRC/PRGF-2/OIS resulted in better and faster bone regeneration than PRGF-2/OIS. CONCLUSION GBR-MSA with UA-ADRCs, PRGF-2, and an OIS shows effectiveness without adverse effects. 展开更多
关键词 Case report Cell-based therapy Guided bone regeneration MAXILLARY SINUS augmentation Lateral ALVEOLAR ridge augmentation Unmodified AUTOLOGOUS adiposederived REGENERATIVE cells Stem
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皮肤窦性组织细胞增生症及其研究进展
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作者 胡啸 肖生祥 《皮肤科学通报》 2019年第1期22-25,共4页
皮肤窦性组织细胞增生症是一种罕见的组织细胞增生性疾病,临床表现无特异性,组织病理学特征易与多种疾病混淆。文中综述了该病的临床及病理特征、诊断、鉴别诊断及治疗要点,以加强对该疾病的认识,提高其诊断水平。
关键词 组织细胞增生症 窦性 皮肤 诊断与鉴别诊断 病理特征 临床表现
皮肤Rosai-Dorfman病的研究进展
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作者 张莹 陈浩 孙建方 《中华皮肤科杂志》 CAS CSCD 北大核心 2019年第2期138-141,共4页
Rosai-Dorfman病是一种罕见的组织细胞增生性疾病,病因及发病机制尚不明确,可能与感染和免疫功能紊乱引起的信号转导通路激活及炎症反应有关。仅有皮肤受累者称为皮肤Rosai-Dorfman病。皮损组织病理可见真皮大量组织细胞伴淋巴细胞、浆... Rosai-Dorfman病是一种罕见的组织细胞增生性疾病,病因及发病机制尚不明确,可能与感染和免疫功能紊乱引起的信号转导通路激活及炎症反应有关。仅有皮肤受累者称为皮肤Rosai-Dorfman病。皮损组织病理可见真皮大量组织细胞伴淋巴细胞、浆细胞浸润,在组织细胞的胞浆内可见吞噬的完整淋巴细胞,称为伸入运动。免疫组化示组织细胞阳性表达CD68和S100,不表达CD1a。CRDD的治疗可采用手术切除、局部治疗及系统治疗,部分患者皮疹可自行消退,预后较好。 展开更多
关键词 组织细胞增多症 皮肤ROSAI-DORFMAN病
Comparison of two radiofrequency ablation devices for atrial fibrillation concomitant with a rheumatic valve procedure
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作者 Qin Jiang Sheng-Zhong Liu +3 位作者 Lu Jiang Ke-Li Huang Jing Guo Sheng-Shou Hu 《中华医学杂志:英文版》 SCIE CAS CSCD 2019年第12期1414-1419,共6页
Background: Perioperative and median-term follow-up outcomes have not been compared among procedures using radiofrequency ablation devices for permanent atrial fibrillation with concomitant rheumatic valve disease. We... Background: Perioperative and median-term follow-up outcomes have not been compared among procedures using radiofrequency ablation devices for permanent atrial fibrillation with concomitant rheumatic valve disease. We compared the sinus rhythm restoration efficacy of "non-irrigation" ablation forceps and an "irrigation" ablation device in patients with rheumatic valve disease undergoing a modified Cox maze radiofrequency ablation procedure due to permanent atrial fibrillation. Methods: Data of 278 patients with rheumatic valve disease from the Cardiac Surgery Department of Sichuan Provincial People’s Hospital who underwent the modified Cox maze radiofrequency ablation procedure between May 2013 and May 2017 were reviewed. The procedure was performed using "non-irrigation" ablation forceps (AtriCure, group A) in 149 patients and an "irrigation" ablation device (Medtronic, group M) in 129 patients. Data were collected prospectively, and follow-up was documented and compared between the groups. Results: The radiofrequency procedure duration was 28.9 ± 3.8 min in group A and 29.5 ± 2.8 min in group M (t = 1.623, P = 0.106). The predicted radiofrequency time to the left atrium diameter was (Ya = 0.4964 X + 0.3762, R^2 = 0.74) in group A and (Ym = 0.4331 X + 4.3563, R2 = 0.8435) in group M. The sinus rhythm (SR) conversion rate without use of anti-arrhythmic drugs was similarly good in groups A and M, with 75.2%, 72.5%, and 70.5% vs. 73.6%, 71.3%, and 69.8% at discharge, 6 and 12 months, respectively (F = 0.084, F = 0.046, F = 0.046, P > 0.05, respectively). Conclusion: Two types of radiofrequency ablation devices characteristic of "non-irrigation" and "irrigation" bipolar ablation forceps were similarly efficient at SR restoration. 展开更多
关键词 Ablation device Atrial FIBRILLATION SINUS RHYTHM RHEUMATIC heart disease
泪前隐窝入路鼻腔鼻窦肿物切除术的临床体会 预览
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作者 朱鲲鹏 《临床医学研究与实践》 2019年第21期62-63,共2页
目的探讨经泪前隐窝入路鼻腔鼻窦肿物切除术的应用效果及临床体会。方法回顾性分析9例采取泪前隐窝入路切除复杂上颌窦病变患者的临床资料,包括6例复发性内翻性乳头状瘤者和3例上颌窦后鼻孔息肉者,探讨经泪前隐窝入路清除上颌窦病变的... 目的探讨经泪前隐窝入路鼻腔鼻窦肿物切除术的应用效果及临床体会。方法回顾性分析9例采取泪前隐窝入路切除复杂上颌窦病变患者的临床资料,包括6例复发性内翻性乳头状瘤者和3例上颌窦后鼻孔息肉者,探讨经泪前隐窝入路清除上颌窦病变的治疗效果及临床体会。结果所有患者均顺利完成手术,术中、术后均无严重并发症发生,术后愈合良好,随访6~24个月后未见复发。结论经泪前隐窝入路鼻腔鼻窦肿物切除术是一种安全、有效的手术方式,值得临床推广应用。 展开更多
关键词 泪前隐窝入路 鼻腔 鼻窦 肿物
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Evolution of transmaxillary approach to tumors in pterygopalatine fossa and infratemporal fossa:anatomic simulation and clinical practice
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作者 Zhan Xue Jian Liu +4 位作者 Zhi-Yong Bi Zhi-Qiang Yi Sheng-De Bao Pi-Nan Liu Zhi-Jun Yang 《中华医学杂志:英文版》 SCIE CAS CSCD 2019年第7期798-804,共7页
Background:The endoscopic transnasal approach has been proven to have advantages on the removal of the tumors in pterygopalatine fossa(PPF)and infratemporal fossa(ITF).Herein,this study aimed to describe a modified ap... Background:The endoscopic transnasal approach has been proven to have advantages on the removal of the tumors in pterygopalatine fossa(PPF)and infratemporal fossa(ITF).Herein,this study aimed to describe a modified approach for resection of the tumors in these areas,both in cadaveric specimen and clinical patients.Methods:The 20 adult cadaveric specimens and five patients with tumors in PPF and ITF were enrolled in this study.For the cadaveric specimens,ten were simulated anterior transmaxillary approach and ten were performed modified endoscopic transnasal transmaxillary approach.The exposure areas were compared between two groups and main anatomic structure were measured.Surgery was operated in the five patients with tumors of PPF and ITF to verify the experience from the anatomy.Perioperative management,intraoperative findings and postoperative complications were recorded and analyzed.Results:The modified endoscopic transnasal transmaxillary approach provided as enough surgical exposure and high operability to the PPF and ITF as the anterior transmaxillary approach did.The diameter of maxillary artery in the PPF was 3.77±0.78 mm(range:2.06-4.82mm),the diameter of middle meningeal artery in the ITF was 2.79±0.61 mm(range:1.54-3.78 mm).Four patients who suffered schwannoma got total removal and one of adenocystic carcinoma got subtotal removal.The main complications were facial numbness and pericoronitis of the wisdom tooth.No permanent complication was found.Conclusions:With the widespread use of neuroendoscopy,the modified endoscopic transnasal transmaxillary approach is feasible and effective for the resection of tumors located in PPF and ITF,which has significant advantages on less trauma and complications to the patients. 展开更多
关键词 NEUROENDOSCOPY Pterygopalatine fossa Infratemporal fossa MAXILLARY SINUS Surgical approach
心率控制在心力衰竭患者中的临床意义及研究进展 预览
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作者 张苏慧 方理刚 《中国全科医学》 CAS 北大核心 2019年第12期1492-1496,共5页
心率对于心力衰竭患者具有重要意义,但在不同类型、病因、阶段的心力衰竭中发挥的作用并不尽相同;同时,无论是控制心率的经典药物β-受体阻滞剂,还是近年来研究较多的伊伐布雷定,各自适用的心力衰竭类型尚存争议。本文总结了心率控制在... 心率对于心力衰竭患者具有重要意义,但在不同类型、病因、阶段的心力衰竭中发挥的作用并不尽相同;同时,无论是控制心率的经典药物β-受体阻滞剂,还是近年来研究较多的伊伐布雷定,各自适用的心力衰竭类型尚存争议。本文总结了心率控制在不同类型心力衰竭中的意义,包括心房颤动合并心力衰竭、左心室射血分数保留的心力衰竭(HFpEF)、急性心力衰竭以及易损期心力衰竭,为临床制定个体化心率控制用药方案提供依据。 展开更多
关键词 心力衰竭 心率 心律失常 窦性 心房颤动 肾上腺素能Β受体拮抗剂 伊伐布雷定
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Empyema and mediastinal abscess in pyriform sinus fistula:A case report 预览
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作者 Hai-jiang Zhou Wen-peng Yin +1 位作者 Tian-fei Lan Shu-bin Guo 《世界急诊医学杂志(英文)》 CAS CSCD 2019年第4期244-247,共4页
Dear editor,Though notorious for its tendency to induce recurrent neck abscess,pyriform sinus fistula is of importance despite its rarity.It usually presents diagnostic and therapeutic challenges.Because of post-infec... Dear editor,Though notorious for its tendency to induce recurrent neck abscess,pyriform sinus fistula is of importance despite its rarity.It usually presents diagnostic and therapeutic challenges.Because of post-infectious fi brosis,the embryologic origin of pyriform sinus fi stula is diffi cult to appreciate in certain cases.Here we present a case with empyema and mediastinal abscess caused by pyriform sinus fi stula and share our experience in the treatment of this patient. 展开更多
关键词 EMPYEMA MEDIASTINAL ABSCESS pyriform SINUS FISTULA
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Mucous gland cyst in uncinate process
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作者 Chun-Yu Wang Bei-Bei Wang +4 位作者 Xiao-Long Yao Fen Zhang Yuan-Yang Zhao Zhi-Yun Li Qing-Quan Zhang 《中华医学杂志:英文版》 SCIE CAS CSCD 2019年第5期604-605,共2页
To the Editor: Mucous gland cyst in nasal sinus is common, but large mucous gland cyst in uncinate process has not been reported home and abroad. We report a rare case of mucous gland cyst in uncinate process, to impr... To the Editor: Mucous gland cyst in nasal sinus is common, but large mucous gland cyst in uncinate process has not been reported home and abroad. We report a rare case of mucous gland cyst in uncinate process, to improve the awareness of mucous gland cyst in uncinate process. 展开更多
关键词 Mucous GLAND CYST uncinate PROCESS NASAL SINUS
岛叶出血后血清肌钙蛋白T水平与预后的关系 预览
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作者 罗翰生 程远 谢宗义 《中华老年心脑血管病杂志》 CAS 北大核心 2019年第3期286-289,共4页
目的探讨急性脑出血中岛叶出血患者血清肌钙蛋白T(cTnT)变化与临床预后的关系。方法回顾性分析我院急性脑出血患者150例(研究组)及体检中心健康体检者150例(对照组),并根据是否累及岛叶,将脑出血患者分为岛叶出血组59例和非岛叶出血组9... 目的探讨急性脑出血中岛叶出血患者血清肌钙蛋白T(cTnT)变化与临床预后的关系。方法回顾性分析我院急性脑出血患者150例(研究组)及体检中心健康体检者150例(对照组),并根据是否累及岛叶,将脑出血患者分为岛叶出血组59例和非岛叶出血组91例。检测并比较各组血清cTnT水平及心电图的变化,随访6个月并了解其预后情况。结果研究组血清cTnT水平升高比例及心电图异常发生率明显高于对照组,差异有统计学意义(22.00%vs 0.67%,63.33%vs 13.33%,P<0.01)。岛叶出血组血清cTnT水平升高、心电图异常、异位搏动、窦性心动过速、窦性心动过缓、ST段异常及QTc间期延长的发生率均明显高于非岛叶出血组,差异有统计学意义(P<0.05,P<0.01)。右侧岛叶出血患者血清cTnT水平升高、异位搏动及心房颤动发生率明显高于左侧患者(P<0.05,P<0.01),窦性心动过缓、ST段异常发生率明显低于左侧患者,差异有统计学意义(P<0.05)。研究组中血清cTnT水平升高者的病死率明显高于血清cTnT水平正常者,差异有统计学意义(18.18%vs 3.42%,P<0.05)。在研究组生存患者中,血清cTnT水平升高者神经功能障碍重度比例明显高于血清cTnT水平正常者,轻度比例明显低于正常者,差异有统计学意义(P<0.01)。结论在急性岛叶出血初期,血清cTnT水平即可升高,其升高比例及心电图异常与出血部位、预后有一定相关,其中岛叶出血患者血清cTnT水平升高明显,心电图异常发生率高,右侧岛叶出血患者心肌损伤更重,预后差。 展开更多
关键词 脑出血 肌钙蛋白T 心房颤动 心律失常 窦性
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鼻内镜辅助逆行泪道置管术和泪囊鼻腔吻合术治疗慢性泪囊炎的疗效对比 预览
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作者 康坤玉 刘万蓉 胡星 《基层医学论坛》 2018年第35期4944-4945,共2页
目的 对比鼻内镜辅助逆行泪道置管术与泪囊鼻腔吻合术在慢性泪囊炎中的临床疗效。方法 选取我院2016年1月—2017年12月50例慢性泪囊炎患者,随机分为观察组与对照组。观察组采用鼻内镜下逆行泪道置管术,对照组采用鼻内镜下泪囊鼻腔吻合术... 目的 对比鼻内镜辅助逆行泪道置管术与泪囊鼻腔吻合术在慢性泪囊炎中的临床疗效。方法 选取我院2016年1月—2017年12月50例慢性泪囊炎患者,随机分为观察组与对照组。观察组采用鼻内镜下逆行泪道置管术,对照组采用鼻内镜下泪囊鼻腔吻合术,观察2组患者临床疗效的差异。结果 观察组治疗有效率明显优于对照组(P〈0.05);2组患者并发症发生率比较,差异无统计学意义(P〉 0.05);观察组住院时间明显短于对照组(P〈0.05)。结论 鼻内镜下逆行泪道置管术在慢性泪囊炎临床治疗中的应用价值优于鼻内镜下泪囊鼻腔吻合术,能够有效提高患者的临床疗效,改善预后。 展开更多
关键词 慢性泪囊炎 鼻内镜手术 逆行泪道置管术 泪囊鼻腔吻合术
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影像导航在鼻内镜微创外科中的应用
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作者 章如新 《临床耳鼻咽喉头颈外科杂志》 北大核心 2018年第21期1607-1609,1613共4页
影像导航系统是利用特殊设计的计算机软件,将患者术前CT或MRI图像进行三维重建,并通过术中定位系统,对手术器械在术野中的位置进行精确定位,在计算机监视器上显示水平位、矢状位、冠状位的三维影像,观察手术器械在术区的定位的新技术。... 影像导航系统是利用特殊设计的计算机软件,将患者术前CT或MRI图像进行三维重建,并通过术中定位系统,对手术器械在术野中的位置进行精确定位,在计算机监视器上显示水平位、矢状位、冠状位的三维影像,观察手术器械在术区的定位的新技术。该技术最大限度地避免了手术风险,最短时间到达靶点病灶,最大程度地减少了手术创伤及手术并发症,为鼻内镜微创手术提供了精准安全的技术平台。 展开更多
关键词 影像导航 内镜术 鼻窦 鼻颅底 微创外科
原发鼻腔鼻窦弥漫大B细胞淋巴瘤4例
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作者 李雪盛 《中国耳鼻咽喉头颈外科》 CSCD 2018年第7期399-400,共2页
恶性淋巴瘤是头颈部仅次于鳞状细胞癌癌的高发恶性肿瘤,鼻型结外淋巴瘤90%以上为NK/T细胞来源,原发于鼻腔鼻窦的弥漫大B细胞淋巴瘤(diffuse large B-cell lymphoma,DLBCL)少见。本文回顾分析2010年3月~2017年9月收治于北京海军总医... 恶性淋巴瘤是头颈部仅次于鳞状细胞癌癌的高发恶性肿瘤,鼻型结外淋巴瘤90%以上为NK/T细胞来源,原发于鼻腔鼻窦的弥漫大B细胞淋巴瘤(diffuse large B-cell lymphoma,DLBCL)少见。本文回顾分析2010年3月~2017年9月收治于北京海军总医院耳鼻咽喉头颈外科4例原发于鼻腔鼻窦的弥漫大B细胞淋巴瘤病例资料。1临床资料患者均为老年人,年龄58~70岁,男性3例,女性1例。 展开更多
关键词 鼻窦肿瘤(Paranasal SINUS Neoplasms) 淋巴瘤 B细胞(Lymphoma B-Cell)
模拟免疫球蛋白G4相关疾病的罗道病临床分析
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作者 王立 张盼盼 +4 位作者 宋硕宁 张薇 曹欣欣 冯瑞娥 张文 《中华风湿病学杂志》 CSCD 北大核心 2018年第2期87-90,共4页
目的总结模拟免疫球蛋白G(IgG)4相关疾病的Rosai-Dorfman病(罗道病)的临床特点。 方法回顾性分析北京协和医院近3年来模拟IgG4相关疾病的罗道病的临床表现、实验室检查、病理特点、治疗和预后。 结果模拟IgG4相关疾病的罗道病患者... 目的总结模拟免疫球蛋白G(IgG)4相关疾病的Rosai-Dorfman病(罗道病)的临床特点。 方法回顾性分析北京协和医院近3年来模拟IgG4相关疾病的罗道病的临床表现、实验室检查、病理特点、治疗和预后。 结果模拟IgG4相关疾病的罗道病患者6例,占同期IgG4相关疾病注册患者(450例)的1.3%。①均为男性,中位年龄53(29~63)岁,中位病程12(2~180)个月;② 6例均为淋巴结外受累,其中3例硬脊膜受累,2例硬脑膜受累,2例皮肤受累,1例肝脏受累;③血清IgG4升高(〉1 350 mg/L)者4例(1 360~6 410 mg/L),正常者2例;④ 7处标本的病理中均有IgG4阳性浆细胞浸润,IgG4阳性浆细胞数量3例〉50个/高倍视野,1例为30个/高倍视野,1例为10~20个/高倍视野;IgG4/IgG 2例40%,2例10%~30%,2例10%;⑤ 6例患者均使用糖皮质激素治疗,4例联合环磷酰胺,1例选择利妥昔单抗同时采用甲氨蝶呤联合地塞米松鞘内注射。经治疗,5例好转,1例失访。 结论罗道病在临床上可出现与IgG4相关疾病类似的表现,但在实验室检查、病理特点等方面有一定的差异,需从病理上除外罗道病方可诊断IgG4相关疾病。 展开更多
关键词 组织细胞增多症 病理过程 预后 IgG4相关疾病
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