目的探讨腹腔镜下Kimura法和Warshaw法两种保脾胰体尾切除术的围术期疗效与安全性。方法回顾性分析2017年8月至2023年8月于空军军医大学西京医院接受腹腔镜下保脾胰体尾切除术的133例患者临床资料,根据手术方式不同分为Kimura组(77例)和...目的探讨腹腔镜下Kimura法和Warshaw法两种保脾胰体尾切除术的围术期疗效与安全性。方法回顾性分析2017年8月至2023年8月于空军军医大学西京医院接受腹腔镜下保脾胰体尾切除术的133例患者临床资料,根据手术方式不同分为Kimura组(77例)和Warshaw组(56例),比较两组患者手术时长、术中出血量等围术期指标及术后胰瘘发生率、脾梗死等并发症发生情况。结果Kimura组和Warshaw组两组患者在手术时长[(215.8±64.8)min vs(193.5±77.6)min]、术中出血量[(194.2±53.7)mLvs(176.5±69.2)mL]、术后排气及禁食时间[2(1)d vs 3(1)d]、术后住院时间[9(4)d vs 8(3)d]等围术期指标及术后胰瘘(3例vs 4例)、脾梗死(0例vs 3例)、腹腔积液(3例vs 2例)、腹腔感染(2例vs 1例)等并发症发生情况方面比较差异均无统计学意义(P>0.05)。结论腹腔镜下Kimura法和Warshaw法两种保脾胰体尾切除术对于胰体尾良性及低度恶性肿瘤均是安全有效的手术方式,且围术期疗效相当。展开更多
[Objective]The aim was to select the suitable hormone factors for flowering induction in vitro culture of Dendrobium officinate Kimura et Migo.[Method]The test-tube plantlets from the stems of Dendrobium officinate Ki...[Objective]The aim was to select the suitable hormone factors for flowering induction in vitro culture of Dendrobium officinate Kimura et Migo.[Method]The test-tube plantlets from the stems of Dendrobium officinate Kimura et Migo were used as the experimental materials and MS medium as the basic medium.Comparative tests have been done between single-factor hormone treatments（different concentrations of PP333 or TDZ） and multi-factor hormone treatments（different combinations of PP333,TDZ,6-BA and NAA） to research the effects of hormone factors on the flowering induction of the plantlets.[Result]Among the single-factor hormone treatments,the suitable concentration and the rate of flower buds formation of PP333 treatment were 0.2 mg/L and 8.5%,the that of TDZ treatment were 0.06 mg/L and 15.5%;the effects of multi-factor hormone treatments on the flowering induction were ordered as follow：（PP333 ＋ 6-BA ＋ NAA ＋ TDZ）〉 （PP333 ＋ 6-BA ＋ NAA）〉 （PP333 ＋ 6-BA） and（PP333 ＋ NAA） ;the most suitable treatment was PP333 0.3 mg/L ＋ 6-BA 0.5 mg/L ＋ NAA 0.5 mg/L ＋ TDZ 0.06 mg/L,the rate of flower bud formation and the rate of the blossomed flower were respectly reached to 80.4% and 90.3%.[Conclusion]PP333 and TDZ showed the important effect on the flowering induction in vitro culture of Dendrobium officinate Kimura et Migo.The effect of TDZ was better than that of PP333.It is much more conducive to the flower bud formation,when using appropriate concentration of TDZ combined with other hormones properly.展开更多
文摘目的探讨腹腔镜下Kimura法和Warshaw法两种保脾胰体尾切除术的围术期疗效与安全性。方法回顾性分析2017年8月至2023年8月于空军军医大学西京医院接受腹腔镜下保脾胰体尾切除术的133例患者临床资料,根据手术方式不同分为Kimura组(77例)和Warshaw组(56例),比较两组患者手术时长、术中出血量等围术期指标及术后胰瘘发生率、脾梗死等并发症发生情况。结果Kimura组和Warshaw组两组患者在手术时长[(215.8±64.8)min vs(193.5±77.6)min]、术中出血量[(194.2±53.7)mLvs(176.5±69.2)mL]、术后排气及禁食时间[2(1)d vs 3(1)d]、术后住院时间[9(4)d vs 8(3)d]等围术期指标及术后胰瘘(3例vs 4例)、脾梗死(0例vs 3例)、腹腔积液(3例vs 2例)、腹腔感染(2例vs 1例)等并发症发生情况方面比较差异均无统计学意义(P>0.05)。结论腹腔镜下Kimura法和Warshaw法两种保脾胰体尾切除术对于胰体尾良性及低度恶性肿瘤均是安全有效的手术方式,且围术期疗效相当。
文摘1病例资料病例1,男性,23岁,2010年1月10日入院。病史：发现左颌下区肿块2年,逐渐增大,有时伴瘙痒,1年前曾在外院就诊,予＂头孢＂输液治疗1周,肿块明显消退,停药后再次复发。后自行口服＂抗生素＂肿块不消退。自觉无痛,无发热。患者平素体健,无特殊传染病史。查体：一般情况好,心肺无异常,体型偏瘦。双侧颈部可触及多枚大小不等的肿块,最大者位于左颌下区,约5 cm×3 cm×3 cm,
基金Supported by Plan Project of Science and Technology Committee of Guangxi Province (0322024-3A) Scientific Research Foundation for Returned Scholars of Guangxi Province~~
文摘[Objective]The aim was to select the suitable hormone factors for flowering induction in vitro culture of Dendrobium officinate Kimura et Migo.[Method]The test-tube plantlets from the stems of Dendrobium officinate Kimura et Migo were used as the experimental materials and MS medium as the basic medium.Comparative tests have been done between single-factor hormone treatments（different concentrations of PP333 or TDZ） and multi-factor hormone treatments（different combinations of PP333,TDZ,6-BA and NAA） to research the effects of hormone factors on the flowering induction of the plantlets.[Result]Among the single-factor hormone treatments,the suitable concentration and the rate of flower buds formation of PP333 treatment were 0.2 mg/L and 8.5%,the that of TDZ treatment were 0.06 mg/L and 15.5%;the effects of multi-factor hormone treatments on the flowering induction were ordered as follow：（PP333 ＋ 6-BA ＋ NAA ＋ TDZ）〉 （PP333 ＋ 6-BA ＋ NAA）〉 （PP333 ＋ 6-BA） and（PP333 ＋ NAA） ;the most suitable treatment was PP333 0.3 mg/L ＋ 6-BA 0.5 mg/L ＋ NAA 0.5 mg/L ＋ TDZ 0.06 mg/L,the rate of flower bud formation and the rate of the blossomed flower were respectly reached to 80.4% and 90.3%.[Conclusion]PP333 and TDZ showed the important effect on the flowering induction in vitro culture of Dendrobium officinate Kimura et Migo.The effect of TDZ was better than that of PP333.It is much more conducive to the flower bud formation,when using appropriate concentration of TDZ combined with other hormones properly.
