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Dołączył: 21 Lut 2011
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Skąd: England
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 Wysłany: Pią 20:22, 18 Mar 2011 Temat postu: Links of London Charms uab bmt rebc khn |
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Vascular endothelial growth factor,[link widoczny dla zalogowanych], pigment epithelium derived factor in acidosis-induced retinopathy of premature children in the expression of rat model
, 30 ( : 1700.1707. [14] MatsuokaM, OgataN, OtsujiT, eta1. Expressionofpigmentepitheliumderivedfactorandvascularendothelialgrowthfac-torinchoroidalneovascularmembranesandpolypoidalchoroi-dalvasculopathy [J]. BrJOphthalmol,[link widoczny dla zalogowanych], 2004,88 (6) :809-815. [Received Date] 2008-08-31 laparoscopic renal pelvis, ureteral lithotomy incision Zhu Xiaoming, Yao Mao-yin, Yang Jianjun, Yang Guan days (Zhongda Hospital, Southeast University, Department of Urology, Nanjing 210009) * on the [Abstract] Objective retroperitoneoscopic renal pelvis,[link widoczny dla zalogowanych], ureteral lithotomy incision technical points and clinical value. Methods After complete laparoscopic pelvic, ureteral lithotomy incision in 21 cases, including 5 cases of kidney stones appearance pelvis, ureteral calculi, 16 cases were positive for stones. 8 patients had ureter pneumatic lithotripsy failure, 2 cases with upper urinary tract infection. Results stones were removed in time. Operating time was 70-200min, the average 90min; postoperative hospital stay 5 ~ 10d. Conclusion Retroperitoneal laparoscopic renal pelvis, ureter lithotomy incision is safe and effective for larger, hard, long time incarcerated upper ureteral stones can be used as alternate treatment options. [Key words]. Pelvis stones; ureteral calculi; laparoscopic [CLC] 11693.4 [Document code] A [Article ID] 1671'7562 (2009) O1-0007-022006 in July to April 2008, we line after the laparoscopic technique with the renal pelvis and ureteral lithotomy incision in 21 cases, satisfactory results are reported as follows. 1.1 1 object object of study and methods 21 patients in this group, 17 males and 4 females; age of 2l ~ 74 years, mean 39 years old. Stone diameter 1.2 ~ 2.4cm, an average of 1.6cm. 14 cases left and right in 7 cases. Appearance of renal pelvis stones of which 5 cases, ureteral (L4 and above) stones l6 cases were positive for stones. Course of 1 week to 5 years. Patients with lumbar or abdominal pain accidentally discovered when the B-ultrasound. By B-in all cases, urinary tract plain film (KUB), intravenous pyelography (IVU), retrograde pyelography or abdominal CT confirmed, with varying degrees of ureteral dilatation and ipsilateral renal hydronephrosis or non-imaging and delayed imaging. 8 cases have been OK with ureteroscopic pneumatic lithotripsy failure. 2 cases of ureteral calculi in patients with renal empyema, intravenous antibiotics ineffective, it is first in the B-orientation downstream renal puncture nephrostomy drainage of pus, infection control, and then after the line incision laparoscopic ureteral lithotomy. [Author] Zhu Xiaoming (1975 a), male, Qixia people, physician. 1.2 surgical anesthesia, the contralateral 90. Supine, in the axillary line at the iliac crest on the skin incision of about 2.0cm 2.0cm, blunt separation of muscles and back fascia into the retroperitoneal space, use your fingers to push the front inside of the peritoneum, into homemade finger sets of air bags,[link widoczny dla zalogowanych], air 500rnl expanded into the retroperitoneal space, 3 ~ 5min after the release of air. Laparoscopic set of people, connected CO: gas, abdominal machines, pressure l3 ~ 15mmHg (1mmHg = 0.133kPa), flow rate 4 ~ 5L · min ~. Under the supervision of the display were the twelfth rib tip plane anterior axillary line, posterior axillary line intersections were 5mm and 10mm of set Troca, a corresponding set of operating equipment, open the perirenal fascia, found under the kidney pole, the direction of the door to free kidney find the expansion of the renal pelvis; looking for ureteral stones along the psoas muscle below the free surface of the lower pole renal fascia renal weeks after the expansion of the ureter and stone to find parts. Adhesion at the blunt stone free after the clamp with the separation of proximal ureteral stones to prevent stirring up the stone moved,[link widoczny dla zalogowanych], cut with a knife cut the interior wall of the ureter or renal pelvis wall, clamp the stone. Incision through the ureter or renal pelvis were F6 or F7 double set J pipe, 4 / 0 absorbable suture incision 1 to 3-pin, remove the stone, the home of people retroperitoneal silicone tube drainage. For obese patients, because of its retroperitoneal perirenal fat and more, with the breath goes back peritoneum can be, sometimes the exposure of the operative field can be axillary line incision on the iliac crest before the 3 ~ 4cm 5mm at another person's home Troca, with the first 3 holes Devices
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