Chirurgie; memoires de l'Academie de chirurgie最新文献_第5页

[Should total hip prostheses be cemented?]. 全髋关节假体应该用水泥吗?

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

J Witvoet

引用次数: 0

[Biomaterials and joint prostheses. Resurfacing]. 生物材料和关节假体。重修的。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

N Passuti

引用次数: 0

[Problems of reoperation after prosthetic repair of groin hernia]. 腹股沟疝假体修复术后再手术的问题。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

R Stoppa, B Diarra, P Verhaeghe, X Henry

引用次数: 0

[Flexible locked centromedullary osteosynthesis. Results of 125 cases of unstable cortical bone fractures of the tibia]. 弹性锁定髓心骨固定。胫骨不稳定皮质骨骨折125例分析[j]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

J Y de la Caffinière

{"title":"[Flexible locked centromedullary osteosynthesis. Results of 125 cases of unstable cortical bone fractures of the tibia].","authors":"J Y de la Caffinière","doi":"","DOIUrl":"","url":null,"abstract":"We present a series of 125 cases of centromedullary fixation with a flexible locked nail of unstable cortical bone fractures of the tibia in which we studied healing conditions in order to identify parameters which would predict the rate of consolidation. One hundred ten fractures followed more than 6 months were included in the statistical analysis. For 94 fractures, primary consolidation was achieved in a mean 11 weeks. Fractures situated in the lower portion of the tibia healed the fastest (10 weeks). However, opening the fracture site and comminutive fractures did not affect the rate of healing except for proximal fractures and for fractures with a gap exceeding 10 cm. These two parameters, width of the bone gap (whether trauma induced or iatrogenic) and proximal localization of the fracture were the cause of the cases with long periods of non-consolidation (14.5%). The speed of peripheral osteogenesis is considered to be accelerated with the flexible nail as seen in our 94 cases where no conversion was necessary. This method provides a mean 1 month gain over consolidation times compared with locked nailing where the distal locking probably increases the rigidity of the system.","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 10","pages":"552-60"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20536700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Serum and urine prostate-specific antigen ratio: its value in the distinction between prostate cancer and adenoma when serum prostate-specific antigen level is between 4 and 10 ng/ml]. 【血清与尿前列腺特异性抗原比值:血清前列腺特异性抗原水平在4 ~ 10 ng/ml之间时，其在区分前列腺癌与腺瘤中的价值】。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

J Irani, C Millet, P Levillain, B Doré, F Bégon, J Aubert

{"title":"[Serum and urine prostate-specific antigen ratio: its value in the distinction between prostate cancer and adenoma when serum prostate-specific antigen level is between 4 and 10 ng/ml].","authors":"J Irani, C Millet, P Levillain, B Doré, F Bégon, J Aubert","doi":"","DOIUrl":"","url":null,"abstract":"Background: In an earlier study, we demonstrated that benign prostatic hyperplasia (BPH) was associated with significantly higher urine levels of prostate-specific antigen (PSA) than in prostate cancer (PC). These early results led to the present study: we assessed, in patients undergoing a prostate biopsy, the clinical value of the PSA serum/urine ratio (PSA S/U) in patients for the differential diagnosis of PC, particularly when the pre-biopsy serum level of PSA lies between 4.0 and 10.0 ng/ml.Methods: All patients without an indwelling drain who underwent transrectal echoguided biopsy were prospectively included in this study from November 1994 to December 1995. All serum and urine PSA measurements were done by the same laboratory using a Tandem R kit (Hybritech). Blood and urine samples were obtained during the 24 hour period prior to surgery during which all urethral or rectal manipulation was avoided.Results: We studied 130 patients with BPH (n = 73) or PC (n = 57). The PSA serum levels and the PSA S/U were significantly different between the BPH and the PC groups. In the subgroup of 50 patients with a serum PSA level in the 4-10 ng/ml range, the difference between the BPH and PC patients was not significantly different except for the PSA S/U ratio. Receiver operating characteristic (ROC) curves showed that the diagnostic power of PSA S/U was greater than serum PSA.Conclusion: These results suggest that the PSA S/U ratio could be useful to distinguish between BPH and PC, particularly when diagnosis is uncertain in patients whose serum PSA is in the 4.0-10.0 ng/ml range.","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 8-9","pages":"478-82"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20536831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Esophageal and cardial risk of treating gastroesophageal reflux by laparoscopic surgery]. 腹腔镜手术治疗胃食管反流的食道和心脏风险

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

P Vayre

引用次数: 0

[Current treatment of static deformities of the great toe]. [目前大脚趾静态畸形的治疗方法]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

J P Delagoutte, D Mainard, P Moreau, J Bronner

引用次数: 0

[Congenital generalized progressive ossifying myositis. Clinical case]. 先天性全身性进行性骨化性肌炎。临床病例)。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

H Rezvani

引用次数: 0

[Stenoses of the abdominal aorta in young patients]. 【年轻患者的腹主动脉狭窄】。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

M Lacombe

引用次数: 0

[Surgical treatment of intrahepatic cholangiocarcinoma]. 肝内胆管癌的外科治疗。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

P Lamesch, A Weimann, J Hauss, R Pichlmayr

{"title":"[Surgical treatment of intrahepatic cholangiocarcinoma].","authors":"P Lamesch, A Weimann, J Hauss, R Pichlmayr","doi":"","DOIUrl":"","url":null,"abstract":"Cholangiocarcinoma is the second most frequent malignant tumor, after hepatocarcinoma, of the liver; it is diagnosed in approximately 10% of the cases. This retrospective study reviewed follow-up in 50 patients with intrahepatic cholangiocarcinoma treated from June 1979 through February 1993. Among these 50 patients, 32 underwent liver resection and 18 had a liver transplantation. After resection, the median survival was 13.9 months. Tumor stage was seen to have an effect on the Kaplan-Meier plots although the differences were not significant. Four patients died from tumor recurrence more than five years after curative resection, 4 patients are living today. After transplantation, the median survival was 5 months. Among the 18 patients, 1 recipient who had a stage II tumor is currently living 42 months after transplantation with no evidence of recurrence. Despite the high degree of malignancy of intrahepatic cholangiocarcinoma, a certain number of patients do benefit from liver resection, justifying this aggressive surgical approach. Inversely, transplantation does not appear to be an exceptional therapeutic alternative. In the future, cholangiocarcinomas will require multimodal therapeutics.","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 2","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20181833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0