Tian C.-O.,Shanghai University |
Tian C.-O.,No422 Hospital Of Pla |
Yang Z.-G.,Shanghai University |
Zhang L.,Shanghai University |
And 6 more authors.
Academic Journal of Second Military Medical University | Year: 2015
To discuss the clinical value of diluted contrast enhanced Dyna CT in evaluating direct carotid-cavernous fistula(DCCF). Methods The clinical data of 16 patients with traumatic and solo fistulous DCCF were retrospectively studied. The images by 3D rotatory digital subtraction angiography (3D-DSA) and diluted contrast enhanced Dyna CT were used for comparison and analysis of their values for diagnosis of DCCF. The comparison items included information on the orificium fistulae, the retrograde leptomeningeal venous drainage (RLVD), the draining veins and the compartment of the cavernous sinus. Results Compared with 3D rotatory DSA, Dyna CT demonstrated 21 more findings in 15 patients (93.75%), including the detection of the orificium fistulae (n=8), the RLVD (n=2), the draining veins (n=2), and compartment of the cavernous sinus (n=9), with significant difference found between Dyna CT and 3D-DSA in revealing the orificium fistulae and compartment of the cavernous sinus (P<0.05), while not in revealing RLVD and the draining veins. Conclusion Compared with 3D-DSA, Dyna CT can more effectively demonstrate the orificium fistulae and compartment of the cavernous sinus of DCCF, which may benefit the clinical diagnosis and treatment of DCCF. © 2015, Second Military Medical University Press. All rights reserved.
Xu H.,No422 Hospital Of Pla |
Zhou C.,No422 Hospital Of Pla |
Li Y.,No422 Hospital Of Pla |
Zou W.,No422 Hospital Of Pla |
And 2 more authors.
Cancer Research and Clinic | Year: 2014
Objective: To comparative analyze the anorectal function before and after anus-preserving laparoscopic rectal resection in ultra low rectal cancer. Methods: Radical excision of ultra low rectal cancer was performed with ultrasonic scalpel on 43 patients based on the concept of TME and ultra low colorectal/anal anastomosis was perfomed by applying the manual anastomosis with two operations out of anus. The time of guid being controlled in the rectus, rectual rest pressure (RRP), anal rest pressure (ARP) and anal maximal contraction pressure (AMCP) were tested before operation. The function of their rectus and anus was tested, including the number of bowel movement in one day of 1, 3, 6 months after operation, the time of guid being controlled in the rectus, RRP, ARP and AMCP after 3, 6 months of operation et al. Results: All the operations were finished successfully, four cases were converted to open surgery, but there was no serious damage. All cases were followed up for 6 to 36 months with average of 20 months. After 3 months of operation, the retention time of liquid in rectus, the defecate feel function, the anus control function, RRP and ARP was statistically significant (P < 0.05) compared to them before operation, there was no statistical significance (including AMCP) (P > 0.05) after 6 months of operation.The results of tests in annus and rectus were near normal level after 6 month of operation. Conclusion: The manual anastomosis with two operations out of anus in the laparoscopic anal sphincter preserving resection of ultra low rectal cancer is safe, economical ,effective,minimally invasive and shorter hospital stay, it is worth to be widely used.