-
可控性回结肠代膀胱术8例分析
...膀胱前后分别测量其肠腔的容量和内压。双侧输尿管采用Leadbetter黏膜下隧道法与结肠带吻合。切除阑尾,向腔内置22号蘑菇头尿管,在后下膜麦氏点处行回肠外翻皮肤造口术。术后2周拔除双侧输尿管支架管和造瘘管,待瘘口愈...
-
全去带乙状结肠原位可控膀胱术
...去除网膜带和结肠膜带,保留肠管两侧和中央结肠带,用Leadbetter法行输尿管与乙状结肠吻合,乙状结肠中央与后尿道吻合,吻合口可通过一手指,术中停留双侧输尿管支架管,贮尿囊造瘘管,导尿管,腹腔及耻骨后负压引流管...
-
实用泌尿外科手术彩色图谱1
...侧膀胱输尿管返流防止术膀胱输尿管逆流防止术(Polieano-Leadbetter)下段输尿管再建术(Psoashitch法)下段输尿管部分切除·回肠输尿管成形术输尿管切开取石术(两种术式)经尿道输尿管结石碎石术(TUL)Tubeless输尿管皮肤造口术...
-
巨输尿管症的诊断和治疗(附12例报告)
...症的首选,如治疗无效,可采用输尿管膀胱移植和Politano-Leadbetter抗返流术。Congenitalmegaureterinadults(Reportof12cases)WangQi,SunWeibing,QianZhongming,etalDeptofUrology,the2ndAffiliatedHospitalofDalianMedicalUniversity,Liaoning116023.【Abstract】ObjectiveToe...
-
1例男性尿道上裂伴完全性尿失禁手术治疗体会
...不清。游离膀胱颈部及双侧输尿管下段,采用YoungDeesLeadbetter法,即裁剪膀胱颈及三角区缝成管形。取阴茎背侧的尿道粘膜宽约1.5cm,沿两侧切开,保留基底部有充分血运,围绕F8号多孔硅胶管同时缝成管形。术中要彻底切除...
-
经皮多枚空心拉力螺钉治疗股骨颈骨折
...止内旋及过度牵引。所有病员采用连续硬膜外麻醉,闭合Leadbetter法(屈髋90°后行轴向牵引,髋关节内旋并内收。然后轻轻将肢体置于台上。放松牵引,如肢体无外旋畸形即达到复位)。力求解剖复位。取大粗隆下2~6cm经皮呈“...
-
空心加压螺纹钉治疗股骨颈骨折56例分析
...股骨上端,在C型臂X线机监视下牵引复位。我们一般采用Leadbetter法复位,达到解剖复位或轻微过度复位。解剖复位是保持股骨距及内侧皮质骨的连续性和完整性,股骨头无前曲。轻微过度复位,即在正位X线上,远骨折端稍向内...
-
低张力Roux-y肠代膀胱术13例报告
...术。于Roux-y吻合口上方1.5cm作抗返流瓣,输尿管与结肠行Leadbetter法吻合,去肠管化做乙状结肠储尿囊.术后观察电解质、酸碱平衡和排尿情况。结果随访0.5~5.0年,除2例偶有发热外,患者无肾积水,电解质和酸碱平衡正常,无尿...
-
儿童股骨颈骨折45例治疗体会
...例。麻醉方式:常见采用氯氨酮静脉全身麻醉。术中采用Leadbetter法行复位,用跟掌试验行初步评价复位情况,以X线机透视确认复位满意后,于股骨大粗隆顶点下经皮向股骨头方向穿入内固定针行内固定。克氏针及Knowels针选用1.8...
-
根治性全膀胱切除去带乙状结肠原位新膀胱术围手术期并发症的防治
...取的结肠带纵行切开3cm,粘膜下分离隧道,5/0可吸收线按Leadbetter法抗返流吻合输尿管及储尿囊,缝合结肠带,支架管于储尿囊戳孔引出。(6)3/0可吸收线缝合、封闭储尿囊一端。置F24储尿囊造瘘管,缝合储尿囊另一端。于储尿...
-
输尿管功能性梗阻15例临床分析
...发性巨输尿管,我们主张采取输尿管剪裁整形并Pollitano-Leadbetter输尿管膀胱再植术[4],应用此术式治疗患者8例,均取得满意疗效。国外学者主张采用输尿管折叠术[5]加P-L抗逆流术[6],报道认为折叠术可良好地保护输尿管...
-
RNA-associatedautoantigensactivateBcellsbycombinedBcellantigenreceptor/Toll-likereceptor7engagement
...oryMedicine,YaleUniversitySchoolofMedicine,NewHaven,CT06510Previousstudies(Leadbetter,E.A.,I.R.Rifkin,A.H.Hohlbaum,B.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Nature.416:603–607;Viglianti,G.A.,C.M.Lau,T.M.Hanley,B.A.Miko,M.J.Shlomchik,andA.Marshak-Rothstein.2003.Immunity.19:837–847)est...
-
女性全去带乙状结肠原位可控性膀胱术后并发症的预防及处理(附7例报告)
...与双侧输尿管及尿道吻合,剔除全部网膜带和独立带。用Leadbetter法行输尿管与乙状结肠吻合(粘膜下隧道式抗反流),注意抗反流段的长度一般不少于3cm,并留置8F硅胶管作双输尿管内支架管,内支架管经过膀胱引流尿液到体外...
-
Antiviraldefense:interferonsandbeyond
...opmentandprogrammedcelldeath.Annu.Rev.Immunol.23:853–875.Rifkin,I.R.,E.A.Leadbetter,L.Busconi,G.Viglianti,andA.Marshak-Rothstein.2005.Toll-likereceptors,endogenousligands,andsystemicautoimmunedisease.Immunol.Rev.204:27–42.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.M...
-
MolecularIdentificationofCapnocytophagaspp.via16SrRNAPCR-RestrictionFragmentLengthPolymorphismAnalysis
....,Capnocytophagaspp.,andspirochetesoforalorigin.J.Clin.Microbiol.15:97-102.Leadbetter,E.R.,S.C.Holt,andS.S.Socransky.1979.Capnocytophaga:newgenusofGram-negativeglidingbacteria.I.Generalcharacteristics,taxonomicconsiderationsandsignificance.Arch.Microbiol.122:9-16.Mahrer,S.,andE.Raik.1992.Capnocytoph...
-
NucleicacidsofmammalianorigincanactasendogenousligandsforToll-likereceptorsandmaypromotesystemiclupuserythematosus
...latingcytokine-driveninflammationImmunol.Rev.202:250–265.Rifkin,I.R.,E.A.Leadbetter,L.Busconi,G.Viglianti,andA.Marshak-Rothstein.2005.Toll-likereceptors,endogenousligands,andsystemicautoimmunedisease.Immunol.Rev.204:27–42.Smiley,S.T.,J.A.King,andW.W.Hancock.2001.Fibrinogenstimulatesmacrophageche...
-
Balancingdiversityandtolerance:lessonsfrompatientswithsystemiclupuserythematosus
...yBcelltoleranceinpatientswithrheumatoidarthritis.J.Exp.Med.201:1659–1667.Leadbetter,E.A.,I.R.Rifkin,andA.Marshak-Rothstein.2003.Toll-likereceptorsandactivationofautoreactiveBcells.Curr.Dir.Autoimmun.6:105–122.vanEs,J.H.,F.H.GmeligMeyling,W.R.vandeAkker,H.Aanstoot,R.H.Derksen,andT.Logtenberg.1991...
-
AllisnotToll:newpathwaysinDNArecognition
...fnucleosidemodificationandtheevolutionaryoriginofRNA.Immunity.23:165–175.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Boule,M.W.,C.Broughton,F.Mack...
-
AutoantibodiesmakeaU-turn:thetollhypothesisforautoantibodyspecificity
...nsmallnuclearRNAsinvolvesToll-likereceptors7and8.J.Exp.Med.202:1575–1585.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Boule,M.W.,C.Broughton,F.Mack...
-
Dendriticcellmaturationbyinnatelymphocytes:coordinatedstimulationofinnateandadaptiveimmunity
...ofNKcellstolymphnodesprovidesIFN-forT(H)1priming.Nat.Immunol.5:1260–1265.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Nieda,M.,M.Okai,A.Tazbirkova,...
-
Toll-likereceptor9controlsanti-DNAautoantibodyproductioninmurinelupus
...innaiveBcellsandconstitutiveexpressioninmemoryBcells.Blood.101:4500–4504.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Viglianti,G.A.,C.M.Lau,T.M.Ha...
-
Toll-likereceptor–independentgeneinductionprogramactivatedbymammalianDNAescapedfromapoptoticDNAdegradation
...ticcellsviaTLR9-dependentand-independentpathways.J.Immunol.174:6129–6136.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Boule,M.W.,C.Broughton,F.Mack...
-
TLR9/MyD88signalingisrequiredforclassswitchingtopathogenicIgG2aand2bautoantibodiesinSLE
...7:6670–6675.Kotzin,B.L.1996.Systemiclupuserythematosus.Cell.85:303–306.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Christensen,S.R.,M.Kashgarian...
-
DefectiveBcelltolerancecheckpointsinsystemiclupuserythematosus
...alimmunoglobulinMantibodiesandcomplementactivation.J.Exp.Med.196:655–665.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Viglianti,G.A.,C.M.Lau,T.M.Ha...
-
ImpairedearlyBcelltoleranceinpatientswithrheumatoidarthritis
...teredBcelldifferentiationwithSjogren‘ssyndrome.J.Clin.Invest.109:59–68.Leadbetter,E.A.,I.R.Rifkin,A.M.Hohlbaum,B.C.Beaudette,M.J.Shlomchik,andA.Marshak-Rothstein.2002.Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416:603–607.Viglianti,G.A.,C.M.Lau,T.M.Ha...
-
InnateimmunitymediatedbyTLR9modulatespathogenicityinananimalmodelofmultiplesclerosis
...tructionofTcellsdoesnotdependonantigenrecognition.Am.J.Pathol.153::715-724.Leadbetter,E.A.etal.2002..Chromatin-IgGcomplexesactivateBcellsbydualengagementofIgMandToll-likereceptors.Nature.416::603-607.Kerfoot,S.M.etal.2004..TLR4contributestodisease-inducingmechanismsresultingincentralnervoussystemaut...
-
手术室医院信息系统的建立与应用体会
【摘要】目的建立手术室医院信息系统(HIS),以保证围手术期患者管理和手术部的安全运转,达到信息及时准确传递及手术相关的统计工作的目的。方法在医院信息系统运行中逐步优化和完善手术申请、手术安排、手术登记、手...
-
优化手术室业务流程提升手术台利用率
【摘要】 目的找出目前手术室工作的流程中存在的问题,根据问题优化手术室工作流程,提高工作效率。方法运用业务流程再造的技术和方法,对原有的第一台手术不能按时开始、连台手术间隔时间太长等不合理的工作流程...
-
接台手术的护理问题及对策分析
【摘要】探讨手术室接台手术中存在的护理问题,加强接台手术中的护理。根据所存在的护理问题,进行相应的对策分析,确保手术患者的安全。【关键词】接台手术;护理问题;对策分析随着手术量的不断增加,手术室手术的接...
-
围手术期手术指征与手术适应证评价控制手术并发症降低手术风险
随着医学水平的不断发展和提高,近年来对围手术期并发疾病的认识与处理,被认为是提高手术治愈率、控制手术并发症、改善患者生存质量、降低围手术期病死率及手术风险的重要因素,越来越被重视。尤其是对多学科共同协...