1.Primary renal lymphoma (report of 3 cases)
Chuanliang XU ; Yi LIU ; Xu GAO
Chinese Journal of Urology 2001;0(04):-
ObjectiveTo study the clinical features of primary renal lymphoma.MethodsThe clinical,radiological features,treatment and prognosis of 3 cases of primary renal lymphoma are presented and discussed.ResultsSurgical intervention was carried out in 2 cases,and radiotherapy and chemotherapy were undertaken postoperatively.The other case was treated with chemotherapy alone.One patients survived more than 2 years and 2 more than 1 year.ConclusionsRadiological features are similar to those of renal cell carcinoma. Those with a preoperative diagnosis of primary renal lymphoma should be treated with chemotherapy with or without radiotherapy depending on the histological status,stage and volume of the tumor.
2.Client auto-updating technology of HIS based on C/S
Chuanliang YI ; Xiaohua LI ; Yingzi LIN
Chinese Medical Equipment Journal 1989;0(01):-
It is important and of heavy workload for the client in C/S system to update.According to the actuality of our hospital,this paper suggests three methods and discusses the suitable conditions respectively.These methods have great value in practice.
3.Clinical practice of complete preservation of female reproductive organs during radical cystectomy
Chen YE ; Yi WANG ; Yin CHEN ; Ruixiang SONG ; Shuxiong ZENG ; Chuanliang XU ; Huiqing WANG
Chinese Journal of Clinical Medicine 2024;31(2):246-250
Objective To explore the efficacy and technical points of complete preservation of female reproductive organ in radical cystectomy.Methods In 2020 and 2021,two female patients with bladder cancer undergoing radical cystectomy in The First Affiliated Hospital of Naval Medical University were selected.The clinical conditions of the patients were evaluated before surgery,and the reproductive organs were completely preserved according to the patients'wishes during the operation.The patients were regularly followed up after surgery.The efficacy and prognosis of patients were evaluated.Results The operation was successful and the two patients recovered well without surgery-related complications.The follow-up time for two patients were 22 months and 36 months.During the follow-up period,no tumor recurrence was found,and the scores of sexual function and quality of life were good.One patient was successfully pregnant at 17 months after surgery,and routine prenatal examination and non-invasive fetal DNA testing showed no abnormalities.Conclusions Under the premise of strictly grasping the surgical indications,the complete preservation of female reproductive organs in radical cystectomy can improve patients'quality of life after surgery,especially protect the reproductive function of women of childbearing age.
4.Efficacy of cutaneous ureterostomy-flap embedding in radical cystectomy plus urinary diversion in 10 cases
Xufeng YU ; Meimian HUA ; Shuxiong ZENG ; Qing CHEN ; Ziwei WANG ; Yidie YING ; Maoyu WANG ; Chen ZHANG ; Yi WANG ; Chuanliang XU
Journal of Modern Urology 2024;29(12):1099-1103
[Objective] To explore the clinical application of cutaneous ureterostomy-flap embedding in radical cystectomy plus urinary diversion. [Methods] The clinical data of 10 patients with bladder cancer treated with this method in our hospital during Feb.and May 2023 were involved.Cutaneous ureterostomy-flap embedding was used in urinary diversion.The stoma-free rate and stenosis rate of stomas within 1 year postoperatively, differences in renal function indicators 1 day before operation and 1 year after operation, urinary diversion-related complications within 6 months postoperatively, including hydronephrosis, urinary tract infections, renal stones were analyzed. [Results] All surgeries were successfully completed.At 1 year postoperatively, renal function indicators showed no significant difference compared to preoperative levels (P>0.05). At 6 months postoperatively, 1 patient developed renal stones, successfully treated with surgery; 2 had urinary tract infection, recovered after antibiotic treatment; 2 had mild unilateral hydronephrosis, alleviated with conservative management.At 1 year postoperatively, the catheter-free rate was 80%(8/10), with no worsening of hydronephrosis or occurrence of ureteral obstruction, and the stent placement duration ranged from 97 to 211 days, average (151.63±42.47) days.The ureteral stent was not removed in 2 patients within 1 year, so the stoma stenosis rate was 20%(2/10). [Conclusion] The application of flap embedding in urinary diversion following radical cystectomy is a simple and safe procedure, with few postoperative complications, high success rate of stent removal, and overall favorable outcomes.