微小切口胆囊切除术2260例效果观察

目的 总结微小切口胆囊切除术治疗胆道系统疾病的经验。方法 对2002-2004年连续收治的2260例胆囊、胆道系统疾病实施微小切口手术的临床观察资料进行回顾性分析。结果 本组2260例微小切口胆囊切除术的患者无一例因手术原因死亡；术后无残留小胆囊；无胆汁漏及腹腔脓肿，亦无伤口全层裂开及切口疝形成。结论 该术式损伤小、局部显露清楚、不易发生副损伤，可同时行胆总管探查术，特殊情况下可随时改变手术方式。     

Image features of two rare mediastinal tumors: schwannoma of intrathoracic phrenic nerve and clear cell chondrosarcoma of the rib

The current report focuses on two patients of the same age who presented similar appearances on initial anteroposterior chest images. Follow-up images showed superoanterior and superoposterior mediastinal lesions. The first patient with noninvasive cystic thymoma was suspected before surgery, while the pathologic diagnosis was intrathoracic phrenic nerve schwannoma. The second patient was with an asymmetric, dumbbell-shaped paravertebral tumor over T3 and T4 on the left side. The preoperative…     

永磁速愈贴对妇产科手术切口愈合的观察

目的探讨永磁速愈贴对切13的消肿止痛，促进伤口愈合和防止疤痕粘连与普通敷料进行对比观察。方法将住院行妇产科手术100例患者与同期住院的手术患者进行对比观察。结果永磁速愈贴切13愈合佳者84．0％，良好者13．0％，愈合差为3．0％，而普通敷料为28．0％、60．0％和12．0％，p〈0．01（x^2=63．660）。结论永磁速愈贴切口具有透气、保湿、促进伤口愈合、消肿、止痒，防止疤痕形成等作用。而普通敷料透气性差，保湿性差，术后切口有红肿、缝线反应、切口愈合时间长及切口局部愈合后有痛痒感。     

腹壁会阴切口子宫内膜异位症30例临床分析

目的探讨腹壁子宫内膜异位症(内异症)的发病机制、诊断和治疗。方法回顾性分析我院1987年-2003年收治的30例腹壁会阴切口内异症的临床特点、治疗方法。结果30例患者中,腹壁内异症患者22例,均有剖宫产手术史,会阴EP切口内异症8例。均有典型周期性腹痛,肿块,手术切除均取得良好效果,未有复发。结论子宫内膜异位种植是本症的主要发病机制。根据典型的症状、体征,结合B超可正确诊断。彻底手术是唯一确实有效的治疗方法。     

Long-term effects of glaucoma therapy with 4% pilocarpine gel on corneal clarity and endothelial cell density

Corneal thickness measurements and endothelial cell counts were carried out in 34 patients undergoing treatment for glaucoma with 4% pilocarpine gel between 18 to 78 months after initiation of therapy. The corneal thickness and endothelial cell population were found to be within normal limits in all cases except two, one patient with increased corneal thickness who had recently undergone cataract and glaucoma filtering surgery and another patient with decreased cell count who had an old endothelial scar sustained prior to pilocarpine gel therapy. There was a very close correlation for both of these parameters noticed in patients treated with pilocarpine gel and in age-matched control group of patients with glaucoma. The present study has shown that there are no adverse corneal effects with pilocarpine gel therapy.     

小切口胆囊切除术108例临床观察

本文报告腹部切口５－８ｃｍ的小切口胆囊切除术１０８例，与同期大切口胆囊切除术相比，具有创伤较小、恢复较快、并发症少、切口疤痕小的优点，虽不如腹腔镜胆囊切除术（ＬＣ）的疼痛轻、恢复快，但并症比ＬＣ少，只要适应症选择得当，在术者的经验和技术较成熟的情况下，不昔为一种可供选择的方法。     

一期切开挂线术治疗肛周脓肿305例

采用一期切开挂线术治疗肛周脓肿３０５例，全瓿期治愈，无发生肛瘘及并发症者。作者认为手术成功的关键是正确处理内口及原发灶，良好通畅的切口引流以及合理的术后处理，对提高疗效，防止复发有重要意义。     

角膜损伤后神经再生的实验研究

应用神经组织化学技术观察了兔角膜NA能神经及AchE阳性神经在角膜损伤后的再生,证实术后1月,两种神经均有再生轴突进入植片;术后3月可见交界区和植床内神经密度明显增加;同时,对术后两种神经再生的功能意义进行了讨论。     

Bilateral reverse U incisions and separately placed columella relaxation incision for correction of bilateral cleft lip nose deformity

The reverse U incision method has been employed for the correction of the unilateral cleft lip nose deformity for more than twenty years with satisfactory results. It has some columella lengthening effect and thus has proved to be useful for the correction of nasal deformities of bilateral cleft lip. To augment its columella lengthening effect a columella relaxation incision is added to the bilateral reverse U incision for the correction of the bilateral cleft lip nose deformity. This results in a reconstructed columella of satisfactory length and width.     

膝内侧改良切口结合NT-pc治疗粉碎性髌骨骨折

目的 寻找一种有利于粉碎性髌骨骨折术中复位、固定和术后恢复的手术入路。方法 采用膝内侧改良切口结合NT-聚髌器(NT-pc)治疗粉碎性髌骨骨折38例，其中碎骨块呈3块者18例、4块者13例、5块者5例、6块者2例。结果 38例随访时间3个月—2年6个月，除1例因二次手术病程较长、1例术后缺乏锻炼致膝关节功能稍受影响外，其他患者膝关节活动均恢复正常，切口愈合好，按李纯志等疗效评定标准，优良率94．7％。结论 膝内侧改良切口具有充分显露髌骨、切口短、组织损伤小，有利于术中手指对骨块抚平复位和对关节面复位质量的检查及术后功能恢复；NT-pc符合张力带原理，对严重粉碎性髌骨骨折的骨折面具有持续的纵向及横向的应力作用，有复位及固定的双重作用。对于严重粉碎性髌骨骨折，采用内侧改良切口及NT-pc固定不失为一种较理想的方法。