目的 分析混合型肝癌（combined hepatocellular-cholangiocarcinoma，CHCC）病例的臨床資料，探討其臨床特點(diǎn)和預(yù)后。 方法 回顧性分析 41 例行根治性切除的 CHCC 病例資料，對(duì)影響其預(yù)后的相關(guān)因素進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果 41 例 CHCC 患者中，AFP 和 CA19-9 均升高者 15 例（36.6%），CK7 和（或）CK19 與 Glypcian-3 和（或）Hepatocyte 均呈陽(yáng)性表達(dá)者 32 例（78.0%）。多因素分析結(jié)果顯示，淋巴結(jié)受侵是影響 CHCC 患者預(yù)后的獨(dú)立危險(xiǎn)因素。 結(jié)論 CHCC 是一種特殊的原發(fā)性肝癌，臨床特征兼具肝細(xì)胞癌和膽管細(xì)胞癌的特點(diǎn)。受侵淋巴結(jié)的殘留可能影響患者長(zhǎng)期生存，現(xiàn)階段的治療方式應(yīng)該個(gè)體化。
的討論先天性巨結(jié)腸的手術(shù)治療。方法回顧106例先天性巨結(jié)腸的手術(shù)治療方式及療效。結(jié)果采用改良Duhamel術(shù)式治療先天性巨結(jié)腸并發(fā)癥少，遠(yuǎn)期排便功能良好。結(jié)論改良Duhamel術(shù)式適于任何年齡和所有類型的巨結(jié)腸，療效滿意。
【摘要】 目的 總結(jié)腹腔鏡對(duì)小兒美克爾憩室的臨床診斷和應(yīng)用價(jià)值?！》椒ā?005年4月-2009年12月，將41例行美克爾憩室切除術(shù)患兒隨機(jī)分為兩孔法腹腔鏡手術(shù)組和傳統(tǒng)手術(shù)組，就手術(shù)治療、術(shù)后并發(fā)癥、術(shù)后效果等臨床資料進(jìn)行對(duì)比分析?！〗Y(jié)果 腹腔鏡手術(shù)組患兒手術(shù)時(shí)間、術(shù)中出血量、下床活動(dòng)時(shí)間、住院時(shí)間等均優(yōu)于傳統(tǒng)手術(shù)組；術(shù)后并發(fā)癥發(fā)生例數(shù)均明顯少于傳統(tǒng)手術(shù)組?！〗Y(jié)論 腹腔鏡對(duì)患兒美克爾憩室的診斷和治療具有明顯優(yōu)越性，可作為小兒美克爾憩室治療的首選方式。【Abstract】 Objective To investigate the diagnostic and applicative value of laparoscopy for Meckel’s diverticulum in children. Methods The clinical data of 41 children with Meckel’s diverticulum who underwent resection between April 2005 to December 2009 were retrospectively analyzed. The patients were divided into tow-port laparoscopy-assisted resection group (group A,19 patients) and traditional resection group (group B, 22 patients). The intra-operative accidental injury, postoperative complications, postoperative general condition and prognosis were evaluated via randomized contrast analysis. Results The time of operation, amount of bleeding, recover intestinal peristalsis,out-of-bed activities time and the average days in hospital in group A were less than those in group B. The postoperative complications occurred in one and eight patients in group A and B respectively. Conclusion Laparoscopy had obvious superiority for the children’s Meckel’ s diverticulum in diagnosis and treatment,which should be the best choice.