手术史

住院患者HBV感染状况及手术史与HBV感染的关系

Status of Hepatitis B Virus Infection and Relationship Between Operation History and HBV Infection in Inpatients

结果：（1）右上腹手术史或发作史，临床症状，B超表现，技术因素在统计学上和LC失败率有相关性（P<005）；

Results : ( 1 ) The right upper quadrant operation history or recurrence history , clinical symptom , B ultrasound manifestation , skill factor were correlation to the failure rate of LC in acute cholecystitis ;

CT在无手术史肠梗阻的应用价值

Diagnostic value of CT in intestinal obstruction without operation history

本组7例有腹部手术史者全部为粘连性梗阻，结合手术史，CT准确判断病因25例。

Combined with history of abdominal operation the accurate CT etiologic diagnosis increased to 25 cases .

一般人群HCV感染的危险因素主要与输血史和手术史有关。职业献血员献血次数越多，HCV感染的可能性越高。

The risk factors of HCV infection were mainly transfusions and operation histories .

方法对22例无手术史肠梗阻患者的术前CT表现与手术病理和临床随诊对照分析。

Methods Intestinal obstruction of 22 cases without operation history diagnosed by preoperative CT scanning was retrospectively viewed , and compared with pathologic findings .

提示：年龄、绝经年龄是影响老年妇女骨密度的主要因素，有月经不规律病史、生殖年短及有妇科手术史的妇女的BMD较低。

Age and menopausal time are the chief factors of lower bone mineral density in middle-and older-aged women .

证据显示，既往有DVT史、年龄40岁和有手术史是DVT的重要危险因素。

Evidence has showed that previous DVT , over 40 years of age , and surgical history are the major risk factors .

此外，Lin的文章用1年的截止期排除了有PCI史、先前的心脏外科手术史、心肌梗死史和稳定性冠心病的患者。

As well , the Lin paper also used a one-year cutoff to exclude patients if they had had PCI , prior heart surgery , MI , or unstable angina .

宫内节育器使用率病例组低于对照组（P＜0.05）。总的宫腔手术史病例组和对照组相似，为80.00%和77.13%。

The adenomyosis group had lower rate of usage of intrauterine device ( IUD ), P < 0.05 . In adenomyosis group the number of total intrauterine operations were similar , to that of , 80.00 % Vs 77.13 % , the control .

结论：年龄、胆管手术史、合并糖尿病是胆管结石诱发ACS的最主要危险因素。

Conclusions : Age , previous biliary surgery and diabetes mellitus are the main high risk factors for inducing ACS in patients with bile duct stones .

结论：颅底转移瘤在CT和MRI表现上有一定特征性表现，但必须结合病史、年龄、原发性恶性肿瘤手术史及颅骨受损等综合分析方可。

Conclusion : The findings of CT and MRI of skull base metastases have its own specific manifestation . Furthermore disease history , age , resection history of a malignant tumor and destroy of skull bone must be combined .

结论多次上腹部手术史不应成为LC的禁忌证，但手术难度加大，中转率增高，手术时间延长，对手术医师的要求较高。

Conclusions Multiple previous upper abdominal surgeries should not be regarded as a contraindication to LC . But the operation is very difficult with higher conversive rate and longer operative time .

结论PPV后高眼压的危险因素与眼内手术史、原发病的种类及严重程度、联合手术的种类与数量有关。

Conclusions The previous intraocular surgeries , certain primary eye diseases and combined ocular procedures are the risk factors of IOP elevation after PPV .

结论1.非条件LOgistiC回归多因素分析得出孕前BMI、首诊WHR、孕妇高血压疾病史和大手术史是妊娠期高血糖的独立危险因素。

CONCLUSION LA non-conditional logistic regression multivariate analysis showed : pre-pregnancy BMI , WHR at the first examination , history of hypertension , history of operation were independent risk factors for gestational high glucose .

[结论]1.年龄、胆道手术史、ERCP减黄、胆道梗阻部位和APACHEⅡ评分是恶性梗阻性黄疸患者胆汁细菌培养阳性的独立危险因素。

Age , biliary surgery , ERCP , biliary obstruction site and APACHE ⅱ score were independent risk factors which led to positive findings of bile cultures in patients with malignant obstructive jaundice . 2 .

Mantel－Haenszel法分析显示，血透患者HCV感染与输血、透析时间、肾移植及手术史有关。

Mantel Haenszel analysis showed that HCV infection was associated with multi transfusions , dialysis over a long period , renal transplantation , history of operation .

有并发症的CD患者的手术史发生率显著高于无并发症患者（57.5%比14.3%，P<0.01），但CD病变范围与并发症的发生无相关性（P>0.05）。

The higher frequency of surgical history of CD was found in patients with complications than in patients without complications ( 57.5 % vs 14.3 % , P < 0.01 ), but there was no association between location of the disease and complications of CD .

单因素分析显示可能影响恶性梗阻性黄疸患者胆汁细菌培养阳性率的相关因素是：年龄、胆道手术史、胆道梗阻部位、胆道感染症状和APACHEⅡ评分。

Univariate analysis showed that the relevant factors which may affect the rate of positive bile culture in patients with malignant obstructive jaundice were age , biliary surgery , biliary obstruction site , biliary tract infection symptoms and APACHE ⅱ score .

EP的相关因素有慢性盆腔炎症、盆腔手术史、不孕症，尤其是EP与IUD的关系密切，带IUD发生EP有41例，占EP的38.7%，居相关因素之首。

P are the following ; Pelvic inflammation , operation history on pelvic and sterility , especially E P. has close contact with IUD . 41 cases of IUD , which is 38.7 % , Stand at the first place .

结果卵巢反应不良组患者年龄、既往卵巢手术史、促性激素的用量和时间均高于对照组（P0.001），而受精率、妊娠率显著低于对照组（P0.0001）。

Results The group with poor ovarian response presented significant difference from the control group in age , ovarian surgeries , gonadotrophin usage , fertilization rate and pregnancy rate .

对病史中有间歇癫痫发作伴头部外伤、颅内炎症或颅脑手术史患者，应尽早做头颅CT检查，以排除IAC或明确IAC存在，避免颅内巨大IAC形成。

The patients who have intermittent epilepsy recurrence and the history of brain trauma , intracranial inflammation or brain operation need brain examination by CT as early as possible so as to identify ICA or suffocate the chance of IAC formation .

结果18例因胆囊Calot三角严重粘连、胆囊完全萎缩或既往有上腹部手术史，致使腹腔广泛粘连者中转开腹。

Results 18 of them were converted to open cholecystectomy due to severe adhesion of Calot 's triangle , atrophy of gall bladder or severe adhesion of peritoneal cavity caused by prior abdominal operation .

结果：男7例，女10例，年龄19～78岁，平均429岁，中位年龄42岁。4例有手术史，2例有Gardner综合征。

Results IAFs occurred in 7 men and 10 women with a mean age of 42 9 year ( range , 19 ~ 78 years ), four cases had previous abdominal surgery and two cases was associated with Gardner 's syndrome .

结果1、肺栓塞的危险因素主要为下肢静脉血栓、静脉炎，近期外伤、骨折、手术史、冠心病等，其中主要诱因为下肢深静脉血栓（DVT）。

The major risk factors of Pulmonary Embolism is vein thrombosis of lower limb , phlebitis , fresh trauma , fractures , surgery , coronary heart disease and so on . And Deep Vein Thrombosis ( DVT ) is the main risk factor among them . 2 .

结论：无心脏手术史病例，EBCT提示冠状动脉及分支扩张迂曲，与心腔或其他血管异常沟通，应首先考虑先天性冠状动脉瘘。

Conclusion : For a patient without a history of cardiac surgery , congenital coronary artery fistula should be firstly taken into account when EBCT demonstrates a communication between the dilated and tortuous coronary artery or its branch and cardiac chamber or blood vessel .

按Ranson诊断标准33例为重症急性胰腺炎（SAP），4例为轻症急性胰腺炎（MAP），其中迟发性PE（DPE）6例，15例发病前有胰腺手术史。

According to Ranson criteria , there were 33 PE with severe acute pancreatitis ( SAP ) and 4 with mild acute pancreatitis ( MAP ), including 6 cases of delayed PE ( DPE , where PE occurred 14 days after AP onset ) . 15 patients received pancreatic operation .

有输血、注射、手术史者8.57%。

Blood transfusion 、 injection 、 operation 8 . 57 % .

结论既往有卵巢手术史者与卵巢反应不良密切相关；

Conclusions Previous ovarian surgery is associated with poor ovarian responses .

盆腔子宫内膜异位症和计划生育手术史的关系

The Relations between Pelvic Endometriosis and Previous Family Planning Operations