探讨在分化型甲状腺癌(DTC)再手术中应用纳米炭对甲状旁腺保护和引导颈淋巴结清扫的作用与价值。选取2011年2月至2014年2月湖南省人民医院乳腺甲状腺外科116例D T C再手术患者,随机分为观察组(纳米炭组)64例和对照组52例,试验组在术中先向残余甲状腺或癌灶或肿大淋巴结内注射纳米炭0.1ml~0.3ml不等,对照组不使用纳米炭。观察两组辨别甲状旁腺的个数与准确性,以及在颈淋巴结清扫个数的差异。同时观察两组术后常见并发症有无差异。观察组使再手术的D T C患者的甲状旁腺识别率为92.2%,辨别出3个及以上甲状旁腺比率为75%,均明显高于对照组的28.8%、36.5%,两组比较有显著性差异( P<0.05)。中央区与侧颈区淋巴结清扫的个数比较,观察组明显多于对照组(P<0.05)。观察组不增加术后并发症,而且,其一过性的甲状旁腺功能减退的并发症尚有下降趋势(P<0.05)。纳米炭对DTC再手术中的甲状旁腺的识别率和区域淋巴结的黑染,使甲状旁腺易于识别和保护,有利于更为彻底清扫中央区和侧颈区淋巴结,尚可降低一过性甲状旁腺功能减退的并发症。 相似文献
Baudrillard is a foreigner as well as familiar name to Chinese academia. The familiarity is due to "post-modern" misunderstandings; the foreignness, on the other hand, consists in the ignorance, in the true sense of the word, of the origin of Baudrillard's thought. The effect is akin to when people see the movie Avatar, and do not know the original metaphor of the blue-faced Navi tribe. 相似文献
The orienting of attention has been found to be influenced by the previous cueing status in a spatial-cueing paradigm. The explanation for this sequence effect remains uncertain. This study separated the involuntary and the voluntary components of arrow cueing by manipulating the predicted target locations. For example, a left arrow cue may have indicated that the target was more likely to appear at the up location. Therefore, three trial types were repeated or switched between trials: cued (targets appeared along the direction of the arrows), predicted (targets appeared at the locations predicted by the arrows), and unrelated (targets appeared at the other two locations, neither cued nor predicted). RTs of cued trials were found to be significantly facilitated after a previous cued trial; however, the same effect was not observed for predicted trials. The results suggest that significant sequence effects are induced only in the involuntary component of arrow cueing. The findings support the feature-integration hypothesis for the sequence effect of symbolic cueing.