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颈部血肿
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  cervical haematoma
     there were 4 cases with slight complication,but no thyrotoxicosis,cervical haematoma and dyspnea occurred.
     并发症 4例 ,无甲亢危象、颈部血肿、呼吸困难发生。
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     Results Many patients were complicated by the following diseases: high fever(79),respiratory functional disorder(144), pneumonitis(42),hyponatremia(102),infection of urinary system(20),Stress ulcer(6),deep vein thrombi(3),superior laryngeal or recurrent laryngeal nerve injury(6), leakage of cerebrospinal fluid(3),haematoma(2), loosening of plate fixation(2), death(12).
     结果高热79例,呼吸功能障碍144例,肺部感染42例,低钠血症102例,泌尿系感染20例,应激性溃疡6例,深静血栓3例,喉上或喉返神经损伤6例,脑脊液漏3例,颈部血肿2例,内固定物松动2例,死亡12例。
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     Most of 16cases with cervical hemotoma were caused by bleeding of smaller blood vessels and obstruction of drainage.
     术后颈部血肿16例,术中止血不彻底和术后引流不畅是其主要原因。
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     The complications included 5 hematosis and 1 hoarseness.
     1例声嘶,术后一个月恢复正常。 另有5例颈部血肿
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     Results 35 patients had been follwed-up at least 6 months. The general effective rate of JOA score was 95.0%. No complication occurred.
     结果35例患者均得到至少6个月的短期随访,JOA疗效评估总有效率95.0%,VAS评分均得到明显改善,无神经根脊髓损伤、食管气管损伤、颈部血肿、切口感染及椎间隙感染等并发症。
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     Objective To lower the damage on recurrent laryngeal nerve and superior laryngeal nerve after the resection of the majority of thyroid gland,and to reduce the incidence rate of hemorrhage during and after the surgery and neck hematoma after the surgery as well.
     目的降低甲状腺大部分切除术后喉返神经、喉上神经的损伤率,减少术中和术后出血以及术后颈部血肿的发生率。
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  相似匹配句对
     Diagnosis and therapy of wound hematoma of post-thyroidectomy.
     甲状腺术后颈部伤口血肿的诊治
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     Hematoma of Brain Stem
     脑干血肿
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     Vaginal Hematoma
     阴道血肿
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     Cervical Ganglioneuroma
     颈部神经节细胞瘤
短句来源
     there were 4 cases with slight complication,but no thyrotoxicosis,cervical haematoma and dyspnea occurred.
     并发症 4例 ,无甲亢危象、颈部血肿、呼吸困难发生。
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  cervical haematoma
We had one complication, a cervical haematoma due to damage to the inferior thyroid artery, prior to the use of ultrasound.
      


Objective:Its study to explore an easy method of manifest thyroid during surgical treatment of hyperthyroidism.Method:The first,incise skin,separate skin flap;then incise linea alba cervicalis,separate manifest thyroid directly,without strucking muscali cervicis anterior.Finally,make a subtotal thyroidectomy.Result:Its better manifest thyroid an achieved good result in our research group.It averaged 2.2 hours for a case of thyroidectomy and bleeding below 80 ml;The average drain was 35 ml and average hospitalization...

Objective:Its study to explore an easy method of manifest thyroid during surgical treatment of hyperthyroidism.Method:The first,incise skin,separate skin flap;then incise linea alba cervicalis,separate manifest thyroid directly,without strucking muscali cervicis anterior.Finally,make a subtotal thyroidectomy.Result:Its better manifest thyroid an achieved good result in our research group.It averaged 2.2 hours for a case of thyroidectomy and bleeding below 80 ml;The average drain was 35 ml and average hospitalization was 4.1 days after the operation.there were 4 cases with slight complication,but no thyrotoxicosis,cervical haematoma and dyspnea occurred.Conclusion:The method is a little damage,bleeding.It is a safe and handy method during thyroidectomy for manifest thyroid.

目的 为手术治疗甲状腺机能亢进症寻找一种简便的甲状腺显露方法。方法 切开皮肤 ,分离皮瓣 ,纵行切开颈白线后不切断颈前肌群 ,直接分离、显露甲状腺 ,进行甲状腺次全切除术。结果 显露良好 ,手术效果满意。全组 131例 ,手术时间平均 2 .2小时 ,术中出血平均 80 m l,术后平均住院 4.1天 ,术后引流量平均 35 m l。并发症 4例 ,无甲亢危象、颈部血肿、呼吸困难发生。结论 该方法创伤小、出血少 ,是安全、简便的甲状腺机能亢进症的手术显露方法。

Objective To study the prevention and treatment of complications occurring in anterior cervical spinal surgery.Methods3163cases with cervical spondylotic meylopathy,spinal injury,spinal tu-mor and spinal tuberculosis treated by anterior cervical surgery,were included in this study.Trephination,corpectomy,disectomy and debridement were used for decompression,iliac bone autograft,BAK cage,cubic shaped cages and titanium mesh cages were used for bone grafting,while anterior cervical spine locking plates...

Objective To study the prevention and treatment of complications occurring in anterior cervical spinal surgery.Methods3163cases with cervical spondylotic meylopathy,spinal injury,spinal tu-mor and spinal tuberculosis treated by anterior cervical surgery,were included in this study.Trephination,corpectomy,disectomy and debridement were used for decompression,iliac bone autograft,BAK cage,cubic shaped cages and titanium mesh cages were used for bone grafting,while anterior cervical spine locking plates were performed in some of the cases.1848cases were followed-up from6months to8years with an aver-age of 2years and3months.646cases suffered from operative complications,372cases were immediate due to anterior cervical surgery,and the incidence of morbidity was11.76%.Results26cases of transient laryn-geal nerve or superior laryngeal nerve injury recovered in4to12weeks without special treatment.Most of 16cases with cervical hemotoma were caused by bleeding of smaller blood vessels and obstruction of drainage.13cases of spinal cord or nerve root irritation or injury were treated with medicine for dehydration,12of them had good result.11cases of CSF leakage were cured with cervical spinal immobilization and moderate local compression.8cases of local infection were cured with antibiotics or combined with debride-ment and suturing.2cases of esophagus perforation were repaired and healed.8cases of grafted bone dis-placement were re-operated on the day or second day of occurring.17cases of pseudoarthritis had revision surgery.6of 35cases of adjacent segments degeneration with new symptoms of spinal cord compression were treated with anterior cervical decompression again,and had good results.Most of 342cases of iliac donor side com plications were local pain or lateral femoral cutaneous nerve injury,infection occurred in some cases.Compli cations related to instruments included10cases of BAK subsidence,1case of plate breakage,1case of screws and plate back-out and7cases of titanium mesh cage subsidence.216cases of cervical axial pain were cured3to6months later with medicine.There was1case of sudden death in this group.Conclusion Many kinds of operative complications could occur in anterior cervical surgery.A standardized procedure in diagnosis and surgery methods are the key points to decrease and prevent operative related complications.

【目的总结分析颈椎前路手术并发症,探索其防治策略。方法自1995~2002年共行颈椎前路手术3163例,术后出现各种手术并发症646例。术后获随访1848例,随访期6个月~8年,平均2年3个月。减压方式有环锯减压、椎体次全切除、椎间盘切除和病灶清除;植骨方式有自体髂骨植骨、BAK植骨、方盒形Cage植骨以及钛网植骨等;部分患者采用颈椎前路带锁钢板固定。结果喉返神经或喉上神经损伤26例,4~12周后基本恢复正常。术后颈部血肿16例,术中止血不彻底和术后引流不畅是其主要原因。颈脊髓或神经根刺激、损伤13例,经脱水治疗多数恢复满意。脑脊液漏11例,经颈部制动和切口局部适度加压后愈合。切口感染8例,经抗感染、清创缝合等治疗后愈合。食管瘘2例,经修补术治愈。植骨块移位8例,均于发生后当天或第2d再次手术。植骨不愈合假关节形成17例,均行翻修手术。相邻节段退变35例,6例因出现新的脊髓压迫症状再次行颈前路减压术,术后症状缓解。髂骨供区并发症342例,主要表现为局部疼痛和股外侧皮神经损伤症状。内植物相关并发症中,BAK下沉10例,钢板断裂1例,钢板螺钉脱落1例,钛网下端下沉7例。颈部轴性疼痛216例。猝死1例。...

【目的总结分析颈椎前路手术并发症,探索其防治策略。方法自1995~2002年共行颈椎前路手术3163例,术后出现各种手术并发症646例。术后获随访1848例,随访期6个月~8年,平均2年3个月。减压方式有环锯减压、椎体次全切除、椎间盘切除和病灶清除;植骨方式有自体髂骨植骨、BAK植骨、方盒形Cage植骨以及钛网植骨等;部分患者采用颈椎前路带锁钢板固定。结果喉返神经或喉上神经损伤26例,4~12周后基本恢复正常。术后颈部血肿16例,术中止血不彻底和术后引流不畅是其主要原因。颈脊髓或神经根刺激、损伤13例,经脱水治疗多数恢复满意。脑脊液漏11例,经颈部制动和切口局部适度加压后愈合。切口感染8例,经抗感染、清创缝合等治疗后愈合。食管瘘2例,经修补术治愈。植骨块移位8例,均于发生后当天或第2d再次手术。植骨不愈合假关节形成17例,均行翻修手术。相邻节段退变35例,6例因出现新的脊髓压迫症状再次行颈前路减压术,术后症状缓解。髂骨供区并发症342例,主要表现为局部疼痛和股外侧皮神经损伤症状。内植物相关并发症中,BAK下沉10例,钢板断裂1例,钢板螺钉脱落1例,钛网下端下沉7例。颈部轴性疼痛216例。猝死1例。结论颈椎前路手术可发生多种并发症,程序化、标准化的诊治方案是减少颈椎前路手术并发症的关键。

Objective To introduce the experience of carotid endarterectomy (CEA) . Methods From Jan 1999 to Dec 2002, 52 patients were treated by CEA.There were 38 males and 14 females, their age ranged from 58 to 79 with an average of 72.5. Preliminary diagnosis was made by the screen of color or Doppler ultrasound examination and confirmed by angiography and CTA. The stenotic degree of internal carotid artery in all patients were over 80% .The left lesion was in 32 cases, and the right in 20, and the bi-laternal in 5....

Objective To introduce the experience of carotid endarterectomy (CEA) . Methods From Jan 1999 to Dec 2002, 52 patients were treated by CEA.There were 38 males and 14 females, their age ranged from 58 to 79 with an average of 72.5. Preliminary diagnosis was made by the screen of color or Doppler ultrasound examination and confirmed by angiography and CTA. The stenotic degree of internal carotid artery in all patients were over 80% .The left lesion was in 32 cases, and the right in 20, and the bi-laternal in 5. Endarterectomy was performed in all patients, Endarterectomy and patching in 5, and bypass with a great saphenous vein in 2. Results One patient died on the tenth day after operation due to cardiac infarction.The complications included 5 hematosis and 1 hoarseness.The rest patients got good results. Conclusion CEA is still the best method in treating the stenosis and occlusion of carotid artery.

目的 介绍颈动脉内膜剥脱术治疗颈动脉狭窄和闭塞的经验。方法 1999年1月至2002年12月,共进行52例颈动脉内膜剥脱术,其中男性38例,女性14例;年龄58~79岁,平均72.5岁。所有病人均经颅脑多普勒超声检查或彩色B超筛选,颈动脉造影和CT颈动脉三维成像确诊。颈内动脉狭窄程度均大于80%,其中左侧32例,右侧20例,双侧5例,一侧颈内动脉完全闭塞6例。有12例病人为分叉部狭窄,31例CT发现有“腔隙性脑梗塞”,13例有局灶性脑梗塞,1例昏迷病人为右侧大面积脑梗塞。15例有“糖尿病”史,18例有“高血压病”史。所有病人在全麻下进行了颈动脉内膜剥脱术,5例进行了补片,2例用自体大隐静脉行颈总动脉与颈内动脉搭桥术。结果 1例于术后第10天突发“心肌梗死”死亡。1例术前昏迷于术后第一天清醒,且能简单发音,一周后能扶床沿站立。1例声嘶,术后一个月恢复正常。另有5例颈部血肿。有2例因颈内动脉远端已完全闭塞,剥除后无回血,术后病情无改善。其他病例均无明显并发症,恢复良好。结论 颈动脉内膜剥脱术是治疗颈动脉狭窄最简单、最有效的方法。

 
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