简介：　　【摘 要】目的：探讨全结肠系膜切除术在结肠癌根治术中的应用价值。方法：选取我科 2017年 8月至 2019年 7月收治的结肠癌患者 76例，分观察组 38例（全结肠系膜切除术）和对照组 38例（传统根治术），观察疗效。结果：两组手术时间差异无统计学意义（ P>0.05），而观察组术中出血量较对照组少，淋巴结清扫数目较对照组多，且术后首次排气时间及住院时间均明显短于对照组，差异有统计学意义（ P<0.05）。观察组术后并发症发生率 5.26%，低于对照组 21.05%，差异有统计学意义（ P<0.05）。结论：全结肠系膜切除术用于结肠癌根治术中可有效清除淋巴结，促进术后恢复，还能降低术后并发症发生率。  　　【关键词】结肠癌；全结肠系膜切除术；治疗效果  　　 [Abstract] Objective: To explore the application value of total mesocolectomy in radical operation of colon cancer. Methods: from August 2017 to July 2019, 76 patients with colon cancer were divided into observation group (38 cases) and control group (38 cases) to observe the curative effect. Results: there was no significant difference in operation time between the two groups (P > 0.05), while the amount of bleeding in the observation group was less than that in the control group, the number of lymph node dissection was more than that in the control group, and the time of first exhaust and hospitalization were significantly shorter than that in the control group (P < 0.05). The incidence of postoperative complications in the observation group was 5.26%, lower than that in the control group (21.05%) (P < 0.05). Conclusion: total mesocolectomy can effectively clear lymph nodes, promote postoperative recovery, and reduce the incidence of postoperative complications.

简介：　　摘 要：目的 探讨甲状腺结节采取甲状腺腺叶全切术治疗的临床应用效果及对甲状腺功能的影响。方法 将 2017年 2月～ 2018年 2月在我院接受治疗的 60例甲状腺结节患者作为研究对象，采用甲状腺腺叶次全切除术治疗的 30例作为对照组，采用甲状腺腺叶全切术治疗的 30例作为研究组，将两组患者术中出血量、手术时间、住院时间、并发症发生情况以及干预前后甲状腺功能指标进行比较。结果 研究组术中出血量为（ 39.79±8.73） ml，少于对照组的（ 132.28±8.41） ml，手术时间和住院时间均短于对照组，差异均具有统计学意义（ P<0.05）。研究组并发症发生率为 10.00%，低于对照组的 40.00%，差异具有统计学意义（ P<0.05）。干预前研究组 FT3、 FT4与对照组比较，差异无统计学意义（ P>0.05），干预后研究组 FT3、 FT4低于对照组，差异具有统计学意义（ P<0.05）。结论 甲状腺腺叶全切术治疗甲状腺结节对患者损伤小，术后恢复快，并发症发生率低，甲状腺生理功能相对减弱。 　　关键词：甲状腺结节；甲状腺腺叶次全切除术；甲状腺腺叶全切术；甲状腺功能 　 Abstract: Objective To explore the clinical effect of total thyroidectomy for thyroid nodule and its effect on thyroid function. Methods 60 patients with thyroid nodule who were treated in our hospital from February 2017 to February 2018 were taken as the study objects, 30 patients who were treated with subtotal thyroidectomy as the control group and 30 patients who were treated with subtotal thyroidectomy as the study group. The amount of intraoperative hemorrhage, operation time, hospitalization time, complications and thyroid before and after the intervention were taken into account Functional indicators were compared. Results the amount of bleeding was (39.79 ± 8.73) ml in the study group, which was less than (132.28 ± 8.41) ml in the control group. The operation time and hospitalization time were shorter than those in the control group, and the difference was statistically significant (P < 0.05). The incidence of complications in the study group was 10.00%, lower than that in the control group (40.00%) (P < 0.05). There was no significant difference in FT3 and FT4 between the study group and the control group before intervention (P > 0.05). After intervention, FT3 and FT4 in the study group were lower than those in the control group (P < 0.05). Conclusion total thyroidectomy for thyroid nodule has the advantages of little damage, quick recovery, low incidence of complications and relatively weak thyroid physiological function.

简介：　　 [摘要 ] 目的 探讨老年腹股沟疝接受腹膜外腹腔镜疝气修补术进行治疗的具体方法以及治疗效果，为临床疾病的治疗提供有力的依据。方法 方便选取该院在 2016年 1月— 2017年 1月所接诊的老年腹股沟疝患者资料 100例开展对比分析，根据治疗方案的差异对所选患者进行分组，给予对照组 50例传统修补术进行治疗，给予研究组 50例腹膜外腹腔镜疝气修补术治疗，比较研究组和对照组患者的治疗效果和并发症产生情况，将所得各项数值进行统计学计算。结果 研究组患者的手术时间（ 46.4±10.8） min、出血量（ 21.4±4.7） mL和住院时间（ 6.4±1.7） d显著低于对照组手术时间（ 61.4±9.1） min、出血量（ 43.7±5.5） mL和住院时间（ 8.7±3.4） d，两组对比差异有统计学意义（ P<0.05）；研究组患者中存在 1例尿潴留， 1例切口感染患者，对照组中存在 2例尿潴留， 4例切口感染患者，研究组患者产生并发症的几率显著低于对照组，两组对比差异有统计学意义（ P<0.05）。结论 临床中采用腹膜外腹腔镜疝气修补术治疗老年腹股沟疝效果满意，患者产生并发症几率低，应该给予大力的推广和应用。 　　 [关键词 ] 老年腹股沟疝；复膜外腹腔镜疝气修补术；治疗效果 [Abstract] Objective To explore the specific methods and therapeutic effects of extraperitoneal laparoscopic hernia repair for the elderly inguinal hernia, and to provide a strong basis for the treatment of clinical diseases. Methods it is convenient to select 100 cases of the elderly inguinal hernia patients in the hospital from January 2016 to January 2017 for comparative analysis. According to the difference of treatment plan, the selected patients were divided into groups, and 50 cases of the control group were treated with traditional repair, and 50 cases of the study group were treated with extraperitoneal laparoscopic hernia repair. The treatment effect and complications of the study group and the control group were compared For the occurrence of the disease, all the data obtained shall be statistically calculated. Results the operative time of the study group (46.4 + 10.8) min, the amount of bleeding (21.4 + 4.7) mL and the length of stay (6.4 + 1.7) d were significantly lower than those of the control group (61.4 + 9.1) min, the bleeding volume (43.7 5.5 5.5) mL and the hospital stay (8.7 * 8.7) d, the difference between the two groups was statistically significant (P<0.05); there were cases of urinary retention in the study group, and infection in the incision cases. There were 2 cases of urinary retention and 4 cases of incision infection in the group * the incidence of complications in the study group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion extraperitoneal laparoscopic herniorrhaphy is an effective method in the treatment of elderly inguinal hernia, and the incidence of complications is low.

简介：　　 [摘要 ] 目的 探讨老年腹股沟疝接受腹膜外腹腔镜疝气修补术进行治疗的具体方法以及治疗效果，为临床疾病的治疗提供有力的依据。方法 方便选取该院在 2016年 1月— 2017年 1月所接诊的老年腹股沟疝患者资料 100例开展对比分析，根据治疗方案的差异对所选患者进行分组，给予对照组 50例传统修补术进行治疗，给予研究组 50例腹膜外腹腔镜疝气修补术治疗，比较研究组和对照组患者的治疗效果和并发症产生情况，将所得各项数值进行统计学计算。结果 研究组患者的手术时间（ 46.4±10.8） min、出血量（ 21.4±4.7） mL和住院时间（ 6.4±1.7） d显著低于对照组手术时间（ 61.4±9.1） min、出血量（ 43.7±5.5） mL和住院时间（ 8.7±3.4） d，两组对比差异有统计学意义（ P<0.05）；研究组患者中存在 1例尿潴留， 1例切口感染患者，对照组中存在 2例尿潴留， 4例切口感染患者，研究组患者产生并发症的几率显著低于对照组，两组对比差异有统计学意义（ P<0.05）。结论 临床中采用腹膜外腹腔镜疝气修补术治疗老年腹股沟疝效果满意，患者产生并发症几率低，应该给予大力的推广和应用。 　　 [关键词 ] 老年腹股沟疝；复膜外腹腔镜疝气修补术；治疗效果 [Abstract] Objective To explore the specific methods and therapeutic effects of extraperitoneal laparoscopic hernia repair for the elderly inguinal hernia, and to provide a strong basis for the treatment of clinical diseases. Methods it is convenient to select 100 cases of the elderly inguinal hernia patients in the hospital from January 2016 to January 2017 for comparative analysis. According to the difference of treatment plan, the selected patients were divided into groups, and 50 cases of the control group were treated with traditional repair, and 50 cases of the study group were treated with extraperitoneal laparoscopic hernia repair. The treatment effect and complications of the study group and the control group were compared For the occurrence of the disease, all the data obtained shall be statistically calculated. Results the operative time of the study group (46.4 + 10.8) min, the amount of bleeding (21.4 + 4.7) mL and the length of stay (6.4 + 1.7) d were significantly lower than those of the control group (61.4 + 9.1) min, the bleeding volume (43.7 5.5 5.5) mL and the hospital stay (8.7 * 8.7) d, the difference between the two groups was statistically significant (P<0.05); there were cases of urinary retention in the study group, and infection in the incision cases. There were 2 cases of urinary retention and 4 cases of incision infection in the group * the incidence of complications in the study group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion extraperitoneal laparoscopic herniorrhaphy is an effective method in the treatment of elderly inguinal hernia, and the incidence of complications is low.