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| 1 | Evaluation of prognostic factors and scoring system in colonic perforation显示文摘AIM: To study the significance of scoring systems assessing severity and prognostic factors in patients with colonic perforation. METHODS: A total of 26 patients (9 men, 17 women; mean age 72.7 ± 11.6 years) underwent emergency operation for colorectal perforation in our institution between 1993 and 2005. Several clinical factors were measured preoperatively and 24 h postoperatively. Acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ), Mannheim peritonitis index (MPI) and peritonitis index of Altona (PIA Ⅱ) scores were calculated preoperatively. RESULTS: Overall postoperative mortality rate was 23.1% (6 patients). Compared with survivors, non- survivors displayed low blood pressure, low serum protein and high serum creatinine preoperatively, and low blood pressure, low white blood cell count, low pH, low PaO2/FiO2, and high serum creatinine postoperatively. APACHE Ⅱ score was significantly lower in survivors than in non-survivors (10.4 ± 3.84 vs 19.3 ± 2.87, P = 0.00003). Non-survivors tended to display high MPI score and low PIA Ⅱ score, but no signif icant difference was identif ied. CONCLUSION: Pre- and postoperative blood pressure and serum creatinine level appear related to prognosis of colonic perforation. APACHE Ⅱ score is most associated with prognosis and scores ≥ 20 are associated with signif icantly increased mortality rate. | Atsushi Horiuchi Yuji Watanabe Takashi Doi Kouichi Sato Syungo Yukumi Motohira Yoshida Yuji Yamamoto Hiroki Sugishita Kanji Kawachi | 2007 | World Journal of Gastroenterology2007，13，23： | 4 |
| 2 | The potentialrole of interleukin-17 in the immunopathology of perio-dontal disease 显示文摘 | Takahashi K Azuma T Motohira H | 2005 | J Clin Periodontol2005，32，4： | 1 |
| 3 | The potential role of Interleukin-17 in the immunopathology of periodontal disease 显示文摘 | Takahashi K Azuma T Motohira H | 2005 | J Chn Periodonlol2005，32，4： | 1 |
| 4 | Hypoxia and reoxygenation augment bone-resorbing factor production from human periodontal ligament cells显示文摘 | Motohira H Hayashi J Tatsumi J | 2007 | J Periodontol2007，78，9： | 1 |
| 5 | The potential role of interleukin-17 in the immunopathology of periodontal disease 显示文摘 | Takahashi K1 Azuma T Motohira H | 2005 | J Clin Periodontol2005，32，4： | 1 |
| 6 | The potential role of inter- leukin-17 in the imrnunopathology of periodontal disease 显示文摘 | Takahashi K Azuma T Motohira H | 2005 | J Clin Periodontol2005，32，4： | 1 |
| 7 | The potential role of interleukin-17 in the immunopathology of periodontal disease显示文摘 | Takahashi K Azuma T Motohira H | 2005 | J Clin Periodontol2005，32，4： | 1 |
| 8 | Hypoxia and reoxy- genation augment bone-resorhing factor production from human periodontal ligament cells 显示文摘 | Motohira H Hayashi J Tatsumi J | 2007 | J Periodontol2007，78，9： | 1 |
| 9 | Hypoxia and reoxygenation augment bone-resorbing factor production from human periodontalli gament cells 显示文摘 | Motohira H Hayashi J Tatsumi J | 2007 | J Periodontol2007，78，9： | 1 |
| 10 | The potentialrole of interleukin-17 in the immunopathology of periodontal disease显示文摘 | Takahashi K Azuma T Motohira H | 2005 | J Clin Periodontol2005，32，4： | 1 |
| 11 | Sigmoid colon endometriosis treated with laparoscopy-assisted sigmoidectomy:Significance of preoperative diagnosis显示文摘我们在场外科手术前地正确地被诊断并且经历了最低限度地侵略的外科的有 S 字形的结肠子宫内膜增生的一个女病人。她与直肠的流血和便秘进入我们的医院。我们执行了几工作 ups。显示出的 S 字形的冒号狭窄由粘膜下层肿瘤引起了的结肠镜检查和内视镜的 ultrasonography,和磁性的回声成像揭示了在 T1 加权、 T2 加权的成像上显示信号 hy-pointensity 的一个 S 字形的冒号肿瘤。然而, colonoscopic 帮助 ultrasonography 的针针吸活组织检查不能指定肿瘤特征。从这些考试,当 S 字形的冒号子宫内膜增生和帮助 laparoscopy 的乙状结肠切除术被执行,损害被诊断。从 resected 标本的病理学的诊断与外科手术前的诊断相同,即,结肠的子宫内膜增生。因为肠的子宫内膜增生的鉴别诊断似乎困难,小心的外科手术前的诊断被要求包括最低限度地侵略的外科选择治疗。 | Motohira Yoshida Yuji Watanabe Atsushi Horiuchi Yuji Yamamoto Hiroki Sugishita Kanji Kawachi | 2007 | World Journal of Gastroenterology2007，13，40： | 1 |
| 12 | Significance of Laparoscopic Splenectomy in Patients with Hypersplenism显示文摘 | Yuji Watanabe MD PhD Atsushi Horiuchi MD PhD Motohira Yoshida MD Yuji Yamamoto MD Hiroki Sugishita MD Teru Kumagi MD PhD Yoichi Hiasa MD PhD Kanji Kawachi MD PhD | 2007 | World Journal of Surgery2007，，3： | 1 |
| 13 | Hypoxia and reoxy-genation augment bone-resorbing factor' production from hu- man periodontal ligament cells显示文摘 | Motohira H Hayashi J Tatsumi J | 2007 | J Periodontol2007，78，9： | 1 |
| 14 | The potential role of interleukin-17 in the immunopathology of periodontology显示文摘 | Azuma K Motohira H Kinane D | 2005 | Immunol2005，32，4： | 1 |
| 15 | Hypoxia and reoxygenation augment bone-resorbing factor production from human periodontal ligament cells显示文摘 | Motohira H Hayashi J Tatsumi J | 2007 | J Periodont2007，78，9： | 1 |
| 16 | Significance of Laparoscopic Splenectomy in Patients with Hypersplenism显示文摘 | Yuji Watanabe Atsushi Horiuchi Motohira Yoshida Yuji Yamamoto Hiroki Sugishita Teru Kumagi Yoichi Hiasa Kanji Kawachi | 2007 | World Journal of Surgery2007，，3： | 1 |
| 17 | Direct observation of foam film rupture by several types of antifoams using a seanning laser mieroseope显示文摘 | Takamitsu Tamura Motohira Kageyama Yukihiro Kanako | 1999 | J Colloid and Interface Science1999，213，： | 1 |
| 18 | The potential role of interleukin-17 in the immunopathology of periodontal disease显示文摘 | Takahashi K Azuma T Motohira H | 2005 | J Clin Periodontol2005，32，4： | 1 |
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