经内镜高频电凝切治疗消化道息肉45例分析

本文报告经内镜使用高频电凝切术治疗消化道息肉45例76颗的经验与体会,其中食道息肉1例1颗、胃息肉4例7颗、大肠息肉40例68颗。最多一次圈套电切息肉4颗、电凝12颗。切除直径4cm大息肉2颗。疗效满意,未发生并发症。内镜随访32例均未见复发。     

内镜下高频电切术治疗大肠息肉635例

目的探讨经内镜下电凝电切术治疗大肠息肉的疗效。方法对635例经结肠镜确诊为大肠息肉的患者,在内镜下行高频电凝电切术,术后息肉回收做病理分析。结果635例大肠息肉均一次成功切除,术后迟发性出血5例,经内科保守治疗均止血。结论经内镜下高频电凝电切术是一种创伤小、经济、安全可靠的治疗方法。     

腹腔镜全结肠切除术治疗家族性腺瘤性结肠息肉病6例分析

目的探讨腹腔镜全结肠切除术治疗家族性腺瘤性结肠息肉病的安全性、可行性。方法2007年8月～2012年7月对6例家族性腺瘤性息肉病患者行腹腔镜全结肠切除术,术后定期复诊肠镜同时行内镜下直肠息肉电灼切除。结果6例手术均获成功,手术时间（382±42）min,出血量（180±65）mL,肠功能恢复时间（72±21）h,住院时间12～17d,无并发症发生。随访1～5年,排便3～8次／d,无息肉癌变发生。结论腹腔镜全结肠切除术治疗家族性腺瘤性结肠息肉病安全、可行。     

结肠镜下诊治大肠息肉368例临床及病理分析

目的 评价结肠镜下诊治大肠息肉的效果.方法 对368例共536枚大肠息肉采用结肠镜下高频电凝切治疗,根据息肉的大小、形态特征及病理结果选用不同的圈套方法,切除后的息肉全部回收全瘤标本送检病理,对比手术前后病理结果.结果 536枚息肉全部采用高频电凝切除方法成功切除,术中术后少量出血65例,腹胀腹痛168例;536枚切除的息肉全部回收全瘤标本送检病理,手术前后病理对比不相符140枚(26.1%),相符396枚(73.9%),漏诊癌变息肉21枚(3.9%).癌变息肉21例中,13例补做外科根治术,3例只行常规化疗,3例根治术后化疗.结论 结肠镜检查及镜下高频电凝切治疗是诊治大肠息肉首选方法,息肉镜下活检病理有一定的局限性、漏诊性,高频电凝切治疗后回收全瘤标本送检病理很必要,可减少误诊漏诊的发生.     

内镜下高频电凝电切术治疗大肠息肉895例临床分析

目的评价内镜下大肠息肉高频电凝电切术治疗的临床疗效及安全性。方法应用OLYMPUS—V70电子肠镜发现消化道息肉后。采用OLYMPUS PSD-20高频发生器切除息肉,术后定期随访,观察是否复发或癌变。结果内镜下治疗895例大肠息肉,均全部切除,未发生严重并发症。结论内镜下高频电凝电切治疗消化道息肉安全、简单易行、痛苦小、适应范围广、费用低,已成为治疗结肠息肉首选的治疗方法。     

内镜下钛夹配合高频电凝电切治疗大肠息肉

大肠息肉是上皮来源隆起于黏膜面的肿物，与大肠癌关系密切。除家族性息肉病和内镜下息肉已明显恶变，或估计累及黏膜下层者，所有的大肠息肉无论其大小及有无症状，均应在电子结肠镜下摘除。近年来，经电子结肠镜摘除息肉术已成为治疗大肠息肉的首选方法。但此法的并发症发生率较一般的内镜诊断性操作明显升高，最常见的是出血。我科2005年4月～2008年4月经电子结肠镜高频电凝摘除大肠息肉130例，其中钛夹结扎配合高频电凝电切术治疗53例，疗效确切，现报告如下：     

内镜下钛夹配合高频电凝电切治疗大肠息肉

大肠息肉是上皮来源隆起于黏膜面的肿物，与大肠癌关系密切。除家族性息肉病和内镜下息肉已明显恶变，或估计累及黏膜下层者，所有的大肠息肉无论其大小及有无症状，均应在电子结肠镜下摘除。近年来，经电子结肠镜摘除息肉术已成为治疗大肠息肉的首选方法。但此法的并发症发生率较一般的内镜诊断性操作明显升高，最常见的是出血。我科2005年4月～2008年4月经电子结肠镜高频电凝摘除大肠息肉130例，其中钛夹结扎配合高频电凝电切术治疗53例，疗效确切，现报告如下：     

结肠镜下高频电凝切除大肠息肉的体会

目的经结肠镜下高频电凝切除肠道息肉126例体会总结、分析、观察其治疗方法及安全性和可行性方法，在常规结肠镜检查，发现肠道息肉后，根据患者的情况，采用高频电凝切除息肉，术后给予常规止血，抗生素治疗，并定期随访。结果治疗后126例患者，肠道共有息肉164枚，均为一次性切除，息肉最多的患者肠道内有7枚，治疗后无一例发生出血，穿孔等并发症。结论经结肠镜下高频电凝切除大肠受息肉是非常安全有效的。     

西宁地区内镜下治疗结肠息肉的临床分析

目的:评价西宁地区经内镜下高频电凝电切术治疗结肠息肉的临床疗效及安全性.方法:分析421例经内镜治疗结肠息肉的临床资料.针对息肉的部位、大小、形态、是否有蒂而采取恰当的结肠镜息肉高频电治疗切除方法.结果:共发现多发性息肉152例,单发性息肉269例.息肉分布在直肠143例、乙状结肠120例、降结肠59例、横结肠60例、升结肠39例.根据息肉大小选择切除方式,无1例大出血及穿孔.结论:内镜下高频电凝电切治疗结肠息肉安全、简单易行、适应范围广,可作为治疗结肠息肉首选的治疗方法.     

舒林酸联合内镜下高频电切治疗家族性腺瘤性息肉病的临床研究

目的：探讨舒林酸联合内镜下高频电切治疗家族性腺瘤性息肉病的新方法及临床疗效．方法：20例经结肠镜检查和组织病理学检查确诊的家族性腺瘤性息肉病患者，随机分为舒林酸联合内镜组和舒林酸组，每组10例．舒林酸联合内镜组患者，行内镜下高频电凝、电切及热活检钳治疗结束后即口服舒林酸400mg／d，疗程为12mo；舒林酸组患者，仅口服舒林酸400mg／d，疗程为12mo．两组患者均每4mo结肠镜复查1次，观察腺瘤的数目、类型、异型增生程度以及治疗后腺瘤细胞凋亡指数变化．结果：舒林酸联合内镜组于治疗后4，8，12mo腺瘤消退率分别为91．0％，95．7％和98．8％，而舒林酸组分别为80．1％，85．4％和89．8％，两组比较差异有统计学意义（P〈0．05）．舒林酸联合内镜组患者，经治疗后腺瘤Ⅲ级异型增生程度明显降低．舒林酸联合内镜组于治疗后4，8，12mo腺瘤细胞凋亡指数分别为（20．1±1．2）％，（25．7±2．1）％，（32．8±3．6）％，舒林酸组分别为（13．3±1．0）％，（19．8±1．6）％，（25．2±2．3）％，两组比较差异有统计学意义（P〈0．05）．结论：舒林酸联合内镜下高频电切治疗家族性腺瘤性息肉病是有效的，且优于单纯服用舒林酸的传统治疗方法．     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.