Langenbecks Archiv fur Chirurgie最新文献_第2页

Unstable fractures of the upper thoracic spine. 上胸椎不稳定骨折。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/BF02539304

F Schweighofer, H P Hofer, R Wildburger, N Stockenhuber, G Bratschitsch

{"title":"Unstable fractures of the upper thoracic spine.","authors":"F Schweighofer, H P Hofer, R Wildburger, N Stockenhuber, G Bratschitsch","doi":"10.1007/BF02539304","DOIUrl":"https://doi.org/10.1007/BF02539304","url":null,"abstract":"Unstable fractures of the upper thoracic spine are a therapeutic challenge because of the high rate of associated injuries and frequent occurrence of spinal cord lesions. This study focuses on the operative treatment of these injuries. We present nine patients with unstable injuries of the upper thoracic spine. According to the classification of Magerl et al., there are seven type C and two type B fractures. Eight patients had complete transverse lesions of the cord and one had no evidence of spinal cord injury. All patients presented associated injuries: nine patients had fractured ribs, three a fractured sternum and three a severe haemothorax. All underwent operative treatment: six posterior fusions only, two anterior interbody fusions only after thoractotomy owing to severe bleeding from ruptured intercostal arteries, and one a combined fusion after failure of posterior fusion. The treatment of these patients should be individualized, depending on the associated injuries, loss of blood owing to fractured spine and ruptured vessels and depending on the back pain resulting from an unstable thorax. In general, we prefer the posterior approach to unstable fractures of the upper thoracic spine.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 1","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02539304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20005355","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: 9

[Bilateral laparoscopic transperitoneal adrenalectomy in pheochromocytoma]. [双侧腹腔镜经腹膜肾上腺切除术治疗嗜铬细胞瘤]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/S004230050020

T. Manger, S. Piatek, S. Klose, D. Kopf, D. Kunz, H. Lehnert, H. Lippert

引用次数: 10

[Merkel cell carcinoma: follow-up of 10 patients. Current diagnosis and therapy]. 默克尔细胞癌:随访10例。目前的诊断和治疗]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/S004230050051

A. Hauschild, D. Rademacher, J. Röwert, E. Christophers

引用次数: 10

[Laparoscopy-assisted aortoiliac reconstructions]. 腹腔镜辅助主动脉髂重建。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/S004230050038

R. Kolvenbach, O. Deling, K. Wellmann

引用次数: 9

[Results of selective venous site-specific catheterization in occult C-cell carcinoma of the thyroid gland]. 【隐匿性甲状腺c细胞癌选择性静脉定点置管的结果】。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/s004230050070

K Cupisti, D Simon, C Dotzenrath, P E Goretzki, H D Röher

{"title":"[Results of selective venous site-specific catheterization in occult C-cell carcinoma of the thyroid gland].","authors":"K Cupisti, D Simon, C Dotzenrath, P E Goretzki, H D Röher","doi":"10.1007/s004230050070","DOIUrl":"https://doi.org/10.1007/s004230050070","url":null,"abstract":"Background: Medullary thyroid carcinoma (MTC) can--even in recurrent cases--only be treated surgically. Therefore, preoperative localization of the tumor is essential.Methods: From April 1986 through April 1997, 137 patients with MTC were operated on at our clinic. In 22 patients with recurrent tumor which had not been radiologically localized, 28 selective venous catheterizations (SVC) with determination of calcitonin levels were carried out.Results: In 23 examinations a suspected tumor could be identified (nine cervical unilateral, seven mediastinal, four cervical unilateral and mediastinal, one cervical bilateral and mediastinal, one liver, one cervical unilateral and liver). In 18 cases surgery was performed for recurrence (nine cervical revisions, one mediastinal dissection, six cervicomediastinal dissections, two laparotomies). In 15 of 18 cases, tumor tissue was found in the previously suspected area. In ten cases serum calcitonin levels dropped postoperatively by 6%-75%. A normalization of the hormone level was achieved only once by yet another operation. During further follow-up, five of the reoperated patients died from their disease. The other 17 patients are being followed up, whereby calcitonin levels are elevated but there is no clinical or radiological evidence of tumor.Conclusions: Although in the patient cohort presented a normalization of serum calcitonin could be achieved only once, the authors consider SVC useful because it is the only means of localization of tumor tissue in cases of negative radiologic studies and therefore allows a planned approach to the operation procedure in these cases.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 6","pages":"295-301"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20421120","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: 3

Medical treatment of gastroesophageal reflux disease does not prevent the development of Barrett's metaplasia and poor esophageal body motility. 胃食管反流病的药物治疗并不能预防巴雷特化生的发展和食管体运动性差。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/BF02465096

G J Wetscher, C Profanter, M Gadenstätter, G Perdikis, K Glaser, R A Hinder

{"title":"Medical treatment of gastroesophageal reflux disease does not prevent the development of Barrett's metaplasia and poor esophageal body motility.","authors":"G J Wetscher, C Profanter, M Gadenstätter, G Perdikis, K Glaser, R A Hinder","doi":"10.1007/BF02465096","DOIUrl":"https://doi.org/10.1007/BF02465096","url":null,"abstract":"Objective: Duodenal contents refluxing into the esophagus may be involved in the pathophysiology of gastroesophageal reflux disease (GERD). This study was performed to investigate whether medical treatment of GERD aimed at suppression of gastric acid production can prevent the development of complications, such as Barrett's metaplasia or poor esophageal body motility.Design: Retrospective study.Setting: University hospital.Patients: 138 GERD patients were analyzed regarding the development of Barrett's metaplasia or poor esophageal body motility, despite intermittent or continuous treatment with H2 blockers or omeprazole.Main outcome measures: The rate of patients with Barrett's metaplasia or poor esophageal body motility with or without effective medical treatment.Results: Barrett's metaplasia was found in 33.8% of patients receiving medical treatment, although it was not present when treatment was induced. This rate was 21.9% among patients who were not receiving therapy (not significant). In all, 41.9% of patients with medication had impaired esophageal body motility compared with 59.3% of patients not receiving treatment (P < 0.05), but these patients had a significantly shorter history of GERD.Conclusions: Medical treatment with H2 blockers or omeprazole does not prevent the development of Barrett's metaplasia or poor esophageal body motility.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 2","pages":"95-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02465096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077135","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: 21

[ICPM-independent documentation of new reimbursement forms--method and 1995 results]. [独立于icpm的新报销表文件-方法和1995年结果]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/BF02465091

F X Huber, R Schall, C Fritz-Krieglstein, U Gleim, C Herfarth

引用次数: 0

[Gardner syndrome and thyroid gland carcinoma]. [加德纳综合征和甲状腺癌]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

M Sailer, E S Debus, H J Gassel, A Thiede

引用次数: 0

[Sex differences in neuromodulation of mucosal mast cells in the rat jejunum]. [空肠粘膜肥大细胞神经调节的性别差异]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

T Gottwald, H D Becker, R H Stead

{"title":"[Sex differences in neuromodulation of mucosal mast cells in the rat jejunum].","authors":"T Gottwald, H D Becker, R H Stead","doi":"","DOIUrl":"","url":null,"abstract":"The effect of electrical stimulation of both cervical vagal nerves on mucosal mast cells in the jejunum was investigated in an in vivo animal model with rats of both sexes. Males showed a significant increase of mast cell densities after electrical stimulation (1.0 mA, 5 Hz, 5 ms, 12 min) in the lamina propria. Simultaneously, we observed a significant increase of tissue histamine levels (ANOVA: P < 0.05), whereas serum levels remained unchanged. However, even though females had significantly higher levels throughout compared to males (ANOVA: P < 0.05), they did not show any significant reaction to electrical stimulation. These in vivo data support morphological and in vitro data from other investigators, who hypothesized a functional interaction between mucosal mast cells and nerves. However, degranulation seems to be a poor in situ indicator for mast-cell stimulation, as mast-cell densities increased in males, while the percentage of degranulated cells remained the same in all groups (about 40%). Instead, electrical stimulation of the vagal nerve seems to trigger histamine synthesis, or simply stabilization of mast cells. Interestingly, this phenomenon seems to be sex-dependent, suggesting a regulatory role for sex hormones in this scenario.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 3","pages":"157-63"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20258612","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

[Importance of mycoses in intra-abdominal infections]. 【真菌病在腹腔感染中的重要性】。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/pl00014644

L Blinzler, K Fischer, H M Just, D Heuser

{"title":"[Importance of mycoses in intra-abdominal infections].","authors":"L Blinzler, K Fischer, H M Just, D Heuser","doi":"10.1007/pl00014644","DOIUrl":"https://doi.org/10.1007/pl00014644","url":null,"abstract":"Although there is a 20% yeast colonization in the gastrointestinal tract of the population, fungal infections appear only rarely in secondary peritonitis. The risk of severe mycosis increases after a major operation and when a patient is taking broad-spectrum antibiotics, is on total parenteral nutrition, is catheterized, and/or is immune-suppressed. In the past years the incidence of nosocomial fungal infections (usually Candida spp.) has risen significantly. Five percent of CAPD-related peritonitis is caused by fungi. In enteral anastomosis breakdown, invasive mycosis occurs more often, with an accompanying lethality of up to 80%. In severe pancreatitis, up to 5% of peripancreatic necrosis is infected with fungi. The clinical course of severe mycosis, like the septic syndrome, is associated with fungemia in up to 50% of cases. As most of the facultative pathogenic fungi are part of the physiological flora, it is difficult to interpret mycological cultures. In order to diagnose invasive fungal infections, histopathological techniques and serologic tests for antigens and antibodies are available. Three antifungal agents (amphotericin B, flucytosine, fluconazole) are available for intravenous administration. Amphotericin B is given at doses of up to 1 mg/kg per day, in liposomal galenism up to 3 mg/kg per day. Combining amphotericin B with flucytosine (150-200 mg/kg per day) a synergistic effect is reached. Fluconazole at a dosage of 200-800 mg per day represents an alternative with similar antifungal activity and lower side effects.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 4 Suppl 1","pages":"S5-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/pl00014644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20267640","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: 3