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Objective To investigate the value of emergency interventional embolization in the treatment of traumatic splenic rupture.Methods Clinical data of 45 patients with traumatic splenic rupture in our hospital were analyzed retrospectively.Selective splenic artery embolization (embolization group) was performed in 29 patients guided by DSA,and surgical resection or repair operation (operation group) was performed in 16 patients.Results Data of two groups were compared:①For operation time and length of hospital stay,the intervention group was significantly better than the operation group (P0.05);④Compared with the operation group,patients in the intervention group had less long-term complications,and did not require long-term anticoagulation therapy.Conclusion Interventional embolization in the treatment of traumatic splenic rupture is safe and effective, and has less postoperative complications.The interventional embolization improves spleen preservation rate and improved the life quality.
RESUMO
Objective To evaluate the effect of the percutaneous lumbar puncture to treat sciatica caused by lumbar disc herniation.Methods 75 cases of lumbar disc herniation with significant clinical signs were confirmed by CT scan. The technique of the percutaneous lumbar puncture led the needle to approach nerve root and injected medicine diffusing into extraduramater, and then relieved the symptom of sciatica. Results The rate of success of percutaneous lumbar puncture guided by CT reached to 100%. After two weeks of follow up, the symptom of pain was obviously improved and disappeared in 63.3% cases. There were 23.0% cases needed a second proceduse, and no change was obsesved in 9.3% cases.Conclusions The percutaneous lumbar puncture guided by CT to treat sciatica resulted from lumbar disc herniation is one of the safe ,reliable,effective new methods with no complication. The long term effectiveness is still in need of investigation.
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Objective To evaluate CT scanning in diagnosing pancreatic lymphoma.Methods CT findings in 6 patients with pathologically-proved pancreatic lymphoma were retrospectively analyzed.Results There was no characteristic in findings of pancreatic lymphoma. The main findings were diffusely enlarged masses in the head and body of pancreatic. The masses were composed of irregular lesions in pancreatic, porta hepatis and retroperitoneal space.Conclusion CT can show pancreatic lymphoma lesions and enlarged lymph nodes in abdominal cavity or retroperitoneum are accompanied as well as, and can find the in jury of other object.
