简介:摘要:确保老年患者行13C尿素呼气试验检测幽门螺杆菌的准确性。13C尿素呼气试验是一种非侵入性检查,通过对受检者检测前的准确准备工作、检测过程中的规范操作,可使检测结果规范、可靠。
简介:摘要目的探讨孕11~13+6周血清中妊娠相关血浆蛋白A(PAPP-A)、胎盘生长因子(PIGF)水平联合子宫动脉搏动指数(PI)、平均动脉压(MAP)预测子痫前期的价值。方法抽取郑州大学第二附属医院2018年3月至2019年5月42例子痫前期孕妇作为研究组,134例正常孕妇作为对照组,测定孕11 ~ 13+6周孕妇血清PAPP-A、PIGF水平及PI、MAP值,计算MOM值,应用受试者工作曲线(ROC曲线)评价各指标单独预测及联合预测子痫前期的价值。结果子痫前期组PAPP-A、PIGF水平均低于对照组(P<0.001),PI、MAP值高于对照组(P<0.001)。PAPP-A、PIGF、PI、MAP单独预测及联合预测子痫前期的ROC曲线下面积分别为0.738、0.756、0.743、0.757、0.894,四项指标联合预测子痫前期的敏感度、特异度分别为85.7%、88.1%,其敏感度与特异度均明显高于任一单项指标的敏感度与特异度。结论孕11~13+6周孕妇血清PAPP-A、PIGF水平及PI、MAP对子痫前期均有预测价值,且四项指标联合预测的价值明显优于任一单项指标。
简介: 摘 要:目的 探讨甲状腺结节采取甲状腺腺叶全切术治疗的临床应用效果及对甲状腺功能的影响。方法 将 2017年 2月~ 2018年 2月在我院接受治疗的 60例甲状腺结节患者作为研究对象,采用甲状腺腺叶次全切除术治疗的 30例作为对照组,采用甲状腺腺叶全切术治疗的 30例作为研究组,将两组患者术中出血量、手术时间、住院时间、并发症发生情况以及干预前后甲状腺功能指标进行比较。结果 研究组术中出血量为( 39.79±8.73) ml,少于对照组的( 132.28±8.41) ml,手术时间和住院时间均短于对照组,差异均具有统计学意义( P<0.05)。研究组并发症发生率为 10.00%,低于对照组的 40.00%,差异具有统计学意义( P<0.05)。干预前研究组 FT3、 FT4与对照组比较,差异无统计学意义( P>0.05),干预后研究组 FT3、 FT4低于对照组,差异具有统计学意义( P<0.05)。结论 甲状腺腺叶全切术治疗甲状腺结节对患者损伤小,术后恢复快,并发症发生率低,甲状腺生理功能相对减弱。 关键词:甲状腺结节;甲状腺腺叶次全切除术;甲状腺腺叶全切术;甲状腺功能 Abstract: Objective To explore the clinical effect of total thyroidectomy for thyroid nodule and its effect on thyroid function. Methods 60 patients with thyroid nodule who were treated in our hospital from February 2017 to February 2018 were taken as the study objects, 30 patients who were treated with subtotal thyroidectomy as the control group and 30 patients who were treated with subtotal thyroidectomy as the study group. The amount of intraoperative hemorrhage, operation time, hospitalization time, complications and thyroid before and after the intervention were taken into account Functional indicators were compared. Results the amount of bleeding was (39.79 ± 8.73) ml in the study group, which was less than (132.28 ± 8.41) ml in the control group. The operation time and hospitalization time were shorter than those in the control group, and the difference was statistically significant (P < 0.05). The incidence of complications in the study group was 10.00%, lower than that in the control group (40.00%) (P < 0.05). There was no significant difference in FT3 and FT4 between the study group and the control group before intervention (P > 0.05). After intervention, FT3 and FT4 in the study group were lower than those in the control group (P < 0.05). Conclusion total thyroidectomy for thyroid nodule has the advantages of little damage, quick recovery, low incidence of complications and relatively weak thyroid physiological function.