Objective To observe the clinical efficacy of Qingre Lidan Granules(QRLDG)for assisting treatment in laparoscopic cholecystectomy(LC)of acute cholecystitis(AC)patients after percutaneous transhepatic gallbladder drain...Objective To observe the clinical efficacy of Qingre Lidan Granules(QRLDG)for assisting treatment in laparoscopic cholecystectomy(LC)of acute cholecystitis(AC)patients after percutaneous transhepatic gallbladder drainage(PTGD).Methods A retrospective collection was conducted on 3061 AC patients at First Affiliated Hospital of Dalian Medical University from January 2018 to April 2023.Of them,159 met the inclusion criteria.All the patients were assigned to the observation group(50 cases)and the control group(109 cases)according to whether used QRLDG after PTGD.Patients in the control group received conventional Western medicine,while those in the observation group additionally took QRLDG.The duration of LC surgery,intraoperative bleeding volume,number of cases of LC conversion to open surgery,number of cases of gallbladder necrosis or abscess,number of cases of difficult LC(surgery time≥90 min or difficulty in dissecting the gallbladder triangle),postoperative complications of LC,placement of drainage tubes,placement time of drainage tubes,length of hospital stay,postoperative hospitalization days,and hospitalization expenses were observed.Results Compared with the control group,LC surgery time,intraoperative bleeding volume,and difficulty in LC were shorter in the observation group(P<0.05,P<0.01).Postoperative hospitalization days,placement rate of postoperative drainage tube,and hospitalization expenses were lower in the observation group than in the control group(P<0.05).There was no statistical difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion For AC patients after PTGD,additional use of QRLDG effectively improves the safety of LC surgery,shortens the surgical time,reduces perioperative bleeding,decreases the placement rate of drainage tubes,helps post-operative recovery,and lowers post-operative hospitalization time and expenses.展开更多
Objective To explore the effectiveness and safety of endoscopic ultrasound-guided pancreatic duct drainage(EUS-PD).Methods A retrospective analysis was conducted on data of 16 patients who underwent EUS-PD because of ...Objective To explore the effectiveness and safety of endoscopic ultrasound-guided pancreatic duct drainage(EUS-PD).Methods A retrospective analysis was conducted on data of 16 patients who underwent EUS-PD because of endoscopic retrograde pancreatography(ERP)failure,poor effectiveness or anatomical changes and couldn't undergo the routine ERP in Nanjing Drum Tower Hospital from June 2018 to July 2022.The technical success of EUS-PD,clinical efficacy and post-procedure adverse events were analyzed.Results In the 16 patients,there were 14 males and 2 females,with age of 50.69±12.95 years.A total of 19 times of EUS-PD operations were included,3 of them were rendezvousassisted endoscopic retrograde pancreatography(RVERP),15 transgastric or transenteric EUS-guided stent placement and 1 was EUS-guided nasopancreatic duct placement.Technical success was achieved in 84.21%(16/19)patients,and among whom 93.75%(15/16)achieved clinical successT.he overall incidence of postoperative adverse events was 52.63%(10/19)including 47.37%(9/19)abdominal pain,15.79%(3/19)fever and 15.79%(3/19)postoperative pancreatitis.All adverse effects were relieveddafter general conservative treatment and no primary disease or surgeryrelated death occurred.The mean follow-up was 17.6(8.2,22.3)months and 93.75%(15/16)of the patients were followed up.By the time of follow-up,76.92%(10/13)of the patients who had successfully received EUS-PD had no recurrence of abdominal pain or distension.Conclusion EUS-PD is a safe and effective alternative therapy for those with pancreatic diseases with ERP failure,poor efficacy or anatomical changes.展开更多
With the development of economy and the rapid development of construction industry, the requirements on the quality of construction structures are becoming higher and higher, especially for the waterproof grade of bui...With the development of economy and the rapid development of construction industry, the requirements on the quality of construction structures are becoming higher and higher, especially for the waterproof grade of buildings with abundant groundwater. The waterproof treatment of foundation slabs and peripheral walls of buildings is an important index to ensure the quality, and the anti-seepage measures of foundation slabs and external walls should be taken to ensure the overall quality, use and durability of buildings. Taking an actual project as an example, this paper analyzes the seepage treatment measures of the basement foundation slab and the surrounding drainage methods of the current housing construction, and puts forward relevant suggestions.展开更多
文摘Objective To observe the clinical efficacy of Qingre Lidan Granules(QRLDG)for assisting treatment in laparoscopic cholecystectomy(LC)of acute cholecystitis(AC)patients after percutaneous transhepatic gallbladder drainage(PTGD).Methods A retrospective collection was conducted on 3061 AC patients at First Affiliated Hospital of Dalian Medical University from January 2018 to April 2023.Of them,159 met the inclusion criteria.All the patients were assigned to the observation group(50 cases)and the control group(109 cases)according to whether used QRLDG after PTGD.Patients in the control group received conventional Western medicine,while those in the observation group additionally took QRLDG.The duration of LC surgery,intraoperative bleeding volume,number of cases of LC conversion to open surgery,number of cases of gallbladder necrosis or abscess,number of cases of difficult LC(surgery time≥90 min or difficulty in dissecting the gallbladder triangle),postoperative complications of LC,placement of drainage tubes,placement time of drainage tubes,length of hospital stay,postoperative hospitalization days,and hospitalization expenses were observed.Results Compared with the control group,LC surgery time,intraoperative bleeding volume,and difficulty in LC were shorter in the observation group(P<0.05,P<0.01).Postoperative hospitalization days,placement rate of postoperative drainage tube,and hospitalization expenses were lower in the observation group than in the control group(P<0.05).There was no statistical difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion For AC patients after PTGD,additional use of QRLDG effectively improves the safety of LC surgery,shortens the surgical time,reduces perioperative bleeding,decreases the placement rate of drainage tubes,helps post-operative recovery,and lowers post-operative hospitalization time and expenses.
文摘Objective To explore the effectiveness and safety of endoscopic ultrasound-guided pancreatic duct drainage(EUS-PD).Methods A retrospective analysis was conducted on data of 16 patients who underwent EUS-PD because of endoscopic retrograde pancreatography(ERP)failure,poor effectiveness or anatomical changes and couldn't undergo the routine ERP in Nanjing Drum Tower Hospital from June 2018 to July 2022.The technical success of EUS-PD,clinical efficacy and post-procedure adverse events were analyzed.Results In the 16 patients,there were 14 males and 2 females,with age of 50.69±12.95 years.A total of 19 times of EUS-PD operations were included,3 of them were rendezvousassisted endoscopic retrograde pancreatography(RVERP),15 transgastric or transenteric EUS-guided stent placement and 1 was EUS-guided nasopancreatic duct placement.Technical success was achieved in 84.21%(16/19)patients,and among whom 93.75%(15/16)achieved clinical successT.he overall incidence of postoperative adverse events was 52.63%(10/19)including 47.37%(9/19)abdominal pain,15.79%(3/19)fever and 15.79%(3/19)postoperative pancreatitis.All adverse effects were relieveddafter general conservative treatment and no primary disease or surgeryrelated death occurred.The mean follow-up was 17.6(8.2,22.3)months and 93.75%(15/16)of the patients were followed up.By the time of follow-up,76.92%(10/13)of the patients who had successfully received EUS-PD had no recurrence of abdominal pain or distension.Conclusion EUS-PD is a safe and effective alternative therapy for those with pancreatic diseases with ERP failure,poor efficacy or anatomical changes.
文摘With the development of economy and the rapid development of construction industry, the requirements on the quality of construction structures are becoming higher and higher, especially for the waterproof grade of buildings with abundant groundwater. The waterproof treatment of foundation slabs and peripheral walls of buildings is an important index to ensure the quality, and the anti-seepage measures of foundation slabs and external walls should be taken to ensure the overall quality, use and durability of buildings. Taking an actual project as an example, this paper analyzes the seepage treatment measures of the basement foundation slab and the surrounding drainage methods of the current housing construction, and puts forward relevant suggestions.
