耳后“旋转门”岛状皮瓣在Ⅰ期修复耳甲缺损中的应用

目的 探讨耳后“旋转门”岛状皮瓣Ⅰ期修复耳甲内皮肤组织缺损的方法及疗效.方法 利用耳后“旋转门”中央蒂岛状皮瓣Ⅰ期修复耳甲内组织缺损,最小面积为1.0 cm×1.3 cm,最大面积为2.7cm×3.0 cm.结果 15例术后岛状皮瓣均存活良好,经6个月至5年随访,耳廓外形均较满意.结论 耳后“旋转门”岛状皮瓣血供可靠,形态、色泽、质地与周围正常组织一致,供瓣区隐蔽,是修复耳甲软组织缺损修复的最佳术式之一.     

大块耳轮缺损Ⅰ期修复方法的改进

目的介绍大块耳轮缺损Ⅰ期修复技术。方法应用陈氏对外伤性耳廓部分缺损修复术式，并改进设计以耳廓缺损前缘为蒂的耳后乳突区皮瓣，携带耳甲后软骨块，或以缺损缘一端为蒂，切取一条正常软骨宽０．３～０．４ｃｍ，固定支撑，皮瓣包卷覆盖塑形。供区两个Ｖ－Ｙ滑行推进皮瓣或断层皮片移植修复。结果完成手术１１例，均获成功，耳廓总体不减小，形态恢复较满意。结论此方法为修复大块耳廓缺损提供了简便、安全可靠的一种新方法。     

The etiological role of concha bullosa in chronic sinusitis

The etiological role of concha bullosa in chronic sinusitis is controversial. Previous investigators have not studied the relationship between the location of concha bullosa and different chronic sinusitis patterns We performed coronal paranasal sinuses CT in 100 Chinese patients with signs and symptoms of chronic sinusitis and recorded the presences and location of the concha bullosa and the pattern of sinonasal disease. The incidence of concha bullosa was 47 %. The presence of concha bullosa showed no statistically significant association with different patterns of chronic sinusitis. Correspondence to: W.W.M. Lam     

桂枝汤的药理学研究——七、桂枝汤和桂枝加厚朴杏子汤、桂枝加龙骨牡蛎汤的药理作用比较

比较了桂枝汤和桂枝加厚朴杏子汤、桂枝加龙骨牡蛎汤的实验药理作用差别,发现桂枝汤与桂枝加厚朴杏子汤均有镇咳、祛痰、平喘作用,但以桂枝加厚朴杏子汤的作用为强;桂枝汤有一定的镇静作用,桂枝加龙骨牡蛎汤镇静作用增强。本文结果从一个方面体现了张仲景的因、证、治、方有机结合的治疗原则。     

Quick and simple technique for the anatomical reconstruction of the concha auriculae

Rhinoplasty cases require use of a cartilaginous graft from the concha auriculae. The perfect anatomical reconstruction of the donor area is possible through a quick and simple technique based on the partial reuse of the graft itself. This article describes use of the technique and the excellent results obtained.     

炮制条件对煅牡蛎质量影响的研究

对不同炮制条件下煅牡蛎的外观性状、收得率、总Ca含量、总成分煎出率、水煎液中Ca²⁺含量、微量元素含量等项指标进行了比较和研究,对6城市的煅牡蛎质量进行了考察。