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    Objective To discuss the minimally invasive percutaneous nephrolithotomy (MPCNL)in treating staghorn calculi via multiple tracts in a single session,and evaluate the feasibili- ty and efficiency of this technique.
    目的探讨微创经皮肾穿刺取石术(minimally invasive-percutaneous nephrolithotomy, MPCNL)一期多通道治疗肾鹿角状结石的可行性与临床疗效。
    Methods From February 2002 to April 2006,56 patients with renal staghorn calculi(21 cases with complete staghorn calculi and 35 cases with partial staghorn calcu- li)were treated by multi-tract MPCNL.
    方法2002年2月至2006年4月,采用MPCNL治疗鹿角状结石患者56例。 其中全鹿角状结石21例,部分鹿角状结石35例。
    Eight cases had several re- sidual calculi ranged from 2 mm to 12 mm,3 cases had ESWI 1 month postoperatively.
    8例患者残留结石大小2~12 mm,其中3例术后1个月接受体外冲击波碎石术。
    Fifty-three ca- ses had a follow-up for 1-6 months,4 cases of those 8 cases with residual calculi were rendered stone free.
    术后53例随访1~6个月,原残留结石8例中结石清除4例。
    The mean diameter of calculi was 2.8 cm (range from 2.0 to 6.5 cm).
    结石直径2.0~6.5cm,平均2.8cm。
    Other 5 cases of complete staghorn calculi were treated by ESWL due to residual stones(diameter<1.0 cm) after two months of operation,then the residual stones were discharged completely.
    5例完全性鹿角状结石者术后2个月仍有结石残留,结石直径均小于1.0cm,辅助施行ESWL后排净。
    236 sides of renal calculi were removed in one stage. Non-stone rate was 90.5%.
    236侧肾结石一期取净,无石率90.5%。
    88.2% of recurrent calculi were phosphatic calculus.
    复发结石含磷酸盐占88.2%,其比例显著高于初发结石。
    The types of urinary calculi were detected by infrared spectrometer.
    尿结石标本经红外光谱议鉴定结石成分,确定结石类型;
    The high risk factors of the four-type urinary calculi were as follows:① 92.9% patients of COM ate animal albumen regularly,and urinary pH within 24h of 85.7% patients were lower than 6.0(P﹤0.01).
    4种不同类型尿结石的主要危因素为:①92.9%的一水草酸钙(COM)结石患者常吃动物蛋白,85.7%的患者24h尿pH低于6.0(P﹤0.01);
    ③ 100.0% patients of uric acid calculi ate animal albumen regularly,and urinary pH within 24h were lower than 6.0(P﹤0.01).
    ③100%的尿酸结石患者常吃动物蛋白,24 h尿pH低于6.0(P﹤0.01);
    [Conclusions]Eating animal albumen regularly,urinary pH within 24h lower than 6.0,water intake lower than 1 500 ml per day are the vital risk factors of the formation of urinary calculi.
    [结论]长期大量吃动物蛋白,24 h尿pH低于6.0,饮水量低于1 500 ml/d是尿石发生的重要危险因素。
    Objective: To evaluate the effect of U100plus laser lithotripsy on Urological calculi.
    目的:探讨U100plus激光碎石机治疗泌尿系结石的临床疗效。
    Conclusion: The U100plus laser lithotripsy is an effective and safe method for Urological calculi.
    结论:使用U100plus治疗泌尿系结石高效、安全。
    Among 56 cases,the ureteral calculi were showed in 35 cases,the ureteral tuberculosis or inflammation in 13 cases,the ureteral tumor in 3 cases,the dys-ureteral in 3 cases,the extra- ureteral tumor in 1 case,the neurogenic bladder in 1 case.
    结果MR检查显示56例输尿管扩张,35例结石,13例结核或炎症,3例输尿管肿瘤,3例发育异常,1例输尿管外肿瘤,1例神经源性膀胱;
    Fifty-one cases of expansionary ureteral diseases could be displayed by IVP and 5 cases could not be displayed,ureteral calculi were showed in 32 cases,the ureteral tuberculosis or inflammation in 10 cases,the dys-ureteral in 3 cases,the neurogenic bladder in 1 case.
    IVP检查显示51例输尿管扩张,5例不显影,32例结石,10例结核或炎症,3例发育异常,1例神经源性膀胱。
    [Methods] 789 cases with ureteral calculi were treated by endourological technique from October 1999 to July 2004. [Results] 738 cases were treated successfullly in situ with the rate of 93. 54% (70.58% in upper ureter, 95. 78% in middle ureter, 97.65% in lower ureter) and the stone free rate with in 3 months was 93.00%.
    方法回顾性分析我科从1999年10月-2004年7月施行的输尿管镜手术治疗789例输尿管结石的疗效及并发症情况。 结果738例原位碎石成功,成功率为93.54%(其中上段70.58%,中段95.78%,下段97.65%),经1~3个月的追踪复查,结石排净率93.00%。
    Changes of SST,SOD,6-OH and EGF in Serum and Urine of Patients with Urinary Calculi before and after ESWL
    泌尿系结石患者体外震波碎石前后血清和尿液SST,SOD,6-OH和EGF变化的研究
    Treatment of renal calculi with low-energy lithotripter
    HB-Ⅴ型低能量碎石机治疗上尿路结石临床报告
    Diagnosis and dissolution therapy of uric acid calculi
    尿酸结石的诊断及其溶石治疗
 

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