简介:LEAKAGETESTINGOFENDOSCOPELEAKAGETESTINGOFENDOSCOPEWangRongchang;YuMingtao(ChinesePLAGeneralHospital100853,Betim,China)LEAKAGETESTIN...
简介:Thepresentreportsummarizesourexperienceusingendoscopesandneuronavigationaltechniquesasanassistanceinminimallyinvasivetoolinacousticneurinomasurgery.Basedontheexperienceinabout100casesdoneduringthelast5yearsusingtheseadditionaltechniquesthesignificantbenefitbyusingbothtechniquescouldbeprovenasabsolutelyhelpful.Inourpatientcollectiveuntilnownocomplicationscouldbeendetectedregardingtheuseoftheseoptionsaswellastheeffectivenesswasfromveryhighvalue.These,foronehandindetectingresidualtumoraswellasthepossibilityofcontrollingtheresultaftertheresectionusingrigidangledendoscopesandfortheotherhandbytheclearefficiencyinusingneuronavigationalsystemsinplanningandperformingtheapproachaswellasdoingsafetydrillingbyremovingtheposteriorpartoftheinnerauditorychannel.Specialremarksandrecommendationsofthetechnicalequipmentwhichhasbeenusedaregivenaswellaspersonalexperiencesintheoperatingroomsetup.Basedonourresultsandexperiencetheuseofthistwowellknowntechniquesinadditiontowelltrainedmicrosurgicaltechniquescanbehighlyrecommended.
简介:ObjectiveToreportexperienceswithuseofotoendoscopyincerebellopontineangle(CPA)surgeries.MethodsTwentyfivecasesofCPAsurgeriesperformedbetweenNovember2002andDecember2008inwhichmicroscopeenabledotoendoscopywasusedwerereviewed.The25casesincluded19casesofacousticneuroma,3casesofCPAfacialnervetumors,1caseoftrigeminalneurinoma,acaseofglossopharyngealneuralgiaand1caseofhemifacialspasm.Endoscopywasusedinallcasestogetherwithmonitoringofbrainstemauditoryresponsesandfacialelectromyography.Postoperativehearingandfacialnervefunctionwereevaluatedandcomparedtopre-operativelevels.ResultsEndoscopyprovidedimprovedvisualizationoflocalanatomy,revealedhiddenlesionsandreducedunnecessaryanatomicaldistortions.Totalresectionwasachievedin18ofthe19acousticneuromacases,Facialnerveanatomicalintegritywaspreservedinall19cases.OneweekpostoperativeHouse-BrackmanngradingwasIin3cases,Ⅱin10casesandⅢin6cases.Facialnervefunctioncontinuedtoimproveinsomecasesat3months.Totaltumorresectionwasachievedinall3patientswithfacialneurinoma.Thefacialnervewassacrificedin2ofthe3caseswithprimaryfaciohypoglossalnerveanastomosis.FacialnervefunctionwasGradeⅡandGradeIIIoneyearaftersurgery,respectively.Inthecasewithanatomicallypreservedfacialnerve,postoperativefacialnervefunctionwasinitiallyGradeⅢandimprovedtoⅡat3months.ThetumorwascompletelyresectedinthetrigeminalneurinomapatientwithaGradeⅢpostoperativefacialnervefunctionwhichimprovedGradeIIthreemonthslater.Seventeenofthe19patientswithacousticneuromaretainedhearingpostoperatively,ofthese12maintainedpreoperativelevelsofhearing.Preoperativehearingcapacitywaspreservedin2ofthe3patientswithfacialnervetumors,butlostinpatientswithothertumortypes.Glossopharyngealneurotomy(n=1)andmicrovasculardecompression(n=1)resultedinsatisfactorysymptomrelie
简介:摘要目的探讨门诊无痛内窥镜检查术麻醉恢复期护理的特点。方法1831例门诊行无痛膀胱镜、无痛胃镜、无痛肠镜的患者按手术方式分为三组,术毕入恢复室观察患者SPO2、心率、BP、呼吸、清醒时间及术后不良反应发生情况。结果1831例患者中有1770例术后SPO2、心率、BP、呼吸变化均在正常范围内,1779例患者术毕即呼之睁眼,其余52例均在3分钟内清醒。出现不良反应有181例,其中恶心呕吐31例,术后腹痛腹胀79例,心率过缓33例,呼吸缓慢38例,入恢复室后针对不良反应采取相应护理措施,患者均恢复正常自行离院,无一严重并发症发生。结论门诊无痛内窥镜检查术虽然较为舒适,但由于麻醉及药物影响均可导致患者术后呼吸、循环抑制,只有加强麻醉恢复期患者的管理,特别是对SPO2、心率、BP、呼吸的监测,针对不良反应采取一些相应的护理措施,才能使患者安全离院。
简介:[目的]探讨人文关怀在耳鼻喉内窥镜检查护理中的应用效果。[方法]将人文关怀护理应用于内窥镜检查护理中,通过采用本科室制定的门诊病人满意度调查表,以不记名的方式进行问卷调查。对在我科门诊耳鼻喉内窥镜检查患者中实施人文关怀护理前的150例患者满意率,与2007年7月至12月实施人文关怀护理后150例患者满意率进行比较。[结果]病人对护理的满意率由上半年的92.9%提高至下半年的98.6%。[结论]在耳鼻喉内窥镜检查病人中实施人文关怀护理,可以大大改善护患关系,提高患者满意度。
简介:摘要:目的:主要研究分析人文关怀措施的应用在耳鼻喉内窥镜检查工作进行中的作用和意义。方法:将2018年1月至2019年1月在我院门诊就诊的耳鼻喉患者进行研究,有100例患者,全部经过耳鼻喉内窥镜方面的检查,按照随机原则分为常规护理组以及人文关怀护理组,各50例患者。护理工作结束后,对比两组满意度指标,并且进行抑郁评分。结果:人文护理组的满意度水平较高,并且抑郁评分比较低,各项数据有统计差异(P<0.05)。结论:针对于耳鼻喉内窥镜检查之下的患者可以根据需要采取人文关怀的护理方法,可以有效的消除患者存在的抑郁情绪,实现护理满意度水平的全面提升,消除负面情绪带来的影响,可以在临床中应用。