经尿道前列腺电汽化术治疗前列腺增生(附386例报告)

目的探讨经尿道前列腺电汽化术（TVP）治疗前列腺增生的疗效。方法回顾分析采用经尿道前列腺电汽化术治疗386例前列腺增生（BPH）患者的临床资料。结果术中发生前列腺包膜穿孔2例,电切综合征（TURS）1例。术后随访1月-5年,术后3月内出血6例,前列腺尖部黏连狭窄1例,远期出血2例发生在术后1-3年。术后3个月最大尿流率（Qmax）12.3-23.5mL/s,平均18.5mL/s;IPSS评分6-17分,平均9.5分。结论经尿道电汽化术治疗前列腺增生效果明显,腺体残留是术后出血、排尿困难的主要原因。     

第一届中国医师协会泌尿外科医师分会全会暨中国医师协会泌尿外科医师分会成立大会纪要

中国医师协会泌尿外科分会第一届全会暨中国医师协会泌尿外科分会成立大会于2005年6月3-4日在广州隆重举行，来自全国31个省、市、自治区及港澳台地区的400余名代表参加了会议。     

前路矫形术治疗胸段脊柱侧凸

目的 总结胸段脊柱侧凸的前路矫形方式及临床效果. 方法 2002年6月-2007年4月,采用前路矫形技术治疗胸段脊柱侧凸23例.男7例,女16例;年龄11～17岁,平均13岁.特发性脊柱侧凸17例,Chiari畸形I型或脊髓空洞伴胸段脊柱左侧凸6例.病程3～10个月.站立正位X线片示Cobb角为40～78°,平均59°.Bending相自然矫正率为50.O%～67.5%,平均53.5%. 结果 患者术后均无胸腔感染,其中1例于术后3周发现乳糜胸、T6 螺钉松动拔出和椎体破裂,经对症处理后治愈.术后2周站立位X线片示Cobb角为3～20°,平均13.7°,矫正率为76.8%.21例获随访,随访时间10～60个月,矫正丢失2～8°,平均4.6°.患者固定融合区植骨均愈合良好,均无内固定断裂、明显后凸加重及曲轴现象发生. 结论 只要严格掌握适应证,重视并及时处理并发症,前路矫形是治疗胸段脊柱侧凸有效方法之一.     

肾功能损伤分级系统在成人心脏术后的应用

Objective The aim of this study was to evaluate of adilty of two acute renal failure-specific scoring systenms (the classification by Bellome et al and the AKIN criteria) for predicting hospital mortality after cardiac surgery in adult patients. Methods Between October 1 st 2006 to Decemjber 31 st 2006, 509 adult patients who ungerwent coronary artery bypass grafting (CABG) and/ or valve operation were enrolled in this study. The medical data collection included gender, age, types of operation, perioperative he- modynamic parameters, urine output, biochemical parameters and outcome. Renal function was assessed daily according to the classi- ficatinn by Bellomo and the AKIN criteria, respectively. As references, Acure Physiology and Chronic Health Evaluation(APACHE) Ⅱ and Sepsis-related Organ Failure Assessment (SOFA) score were also calculated. Resuits Three hundred and forty-one patients were male (67.0%), and 168 were female (33.0%), mean age was (56.2±12.0) years old. Tnree hundred and nine patieats un- derwent CABG, 182 underwent valve operation and 18 underwent CABG plus valve operation, Mean duration of ventilation support was (20.4±17.7) houra, and the ICU stay was (1.4±1.0) days. Postoperative hospital stay was (13.8±9.1) days. According to the classification by Bellomo., the highest in-hospital mortality was 52.9% in ARFS group. Mahiplicatinn of in-hospital morality rate was abserved (X2 for trend, P<0.01) in 0.4% (non-ARF), 1.2% (stage 1), 12.0% (stal～ 2) and 32.4% (stage 3) of pa- tients based on the AKIN criteria. By applying the area under the receiver operating characteristic ourve, the classification by Bellomo and the AKIN criteria had good discriminative power. Furthering, multivariate logistic regression analysis verified that the Odds Ratio of the AKIN criteria was 5.478 (P =0.028, 95% Confidence Interval 1.027- 24.856), after adjusting for gender and age. Con- clusion Analytical data confinned good discriminative power of both the AKIN criteria and the classification by Bellomo for predicting hospital mortality of adult postoperative patient with ARF.     

联合脏器切除根治T4期胃癌40例

由于胃癌的生物学特性和临床表现缺乏特异性,外科手术是治疗胃癌的主要手段,对侵犯邻近脏器的T4期胃癌行联合脏器切除根治具有积极意义.我院从1997年～2004年共收治40例,现报告如下.     

真皮下血管网皮瓣修复感染创面的研究

目的：探讨真皮下血管网皮瓣的抗菌能力和临床修复感染创面的应用。方法：以家猪为实验动物，在臀部两侧分别形成传统的岛状皮瓣和真皮下血管网岛状皮瓣，用细菌计数、吖啶橙荧光染色测定白细胞吞噬指数和白细胞内杀菌率等方法，进行对比。结果：真皮下血管网岛状皮瓣的抗菌力明显降低。 １９８９年起临床应用 ５例，创面彻底清创后用吻合血管的真皮下血管网游离皮瓣修复，全部成活。结论：该皮瓣抗菌力虽低于传统皮瓣，但仍可用于修复感染创面。     

小切口复位带锁髓内钉内固定治疗胫骨干骨折

目的：探讨小切口复位带锁髓内钉内固定治疗胫骨干骨折临床价值。方法：回顾分析2000年以来27例胫骨干闭合及开放骨折应用本法的治疗经过及效果。结果：27例胫骨干骨折5～7个月全部愈合。结论：应用小切口复位带锁髓内钉固定治疗胫骨骨折是一种适用、理想的方法。     

鼻内镜下等离子射频治疗儿童腺样体肥大60例分析

目的探讨鼻内镜下运用等离子治疗仪行腺样体射频减容的优点。方法分析60例腺样体肥大儿童接受等离子手术前、后的临床资料,并对术前术后听力、夜间打鼾、鼻塞等症状恢复情况进行观察比较。结果术后腺样体明显缩小,A/N值小于0.6,鼻咽部结构显示良好,无咽鼓管损伤等并发症发生。随访1~2年,患儿症状消失或明显减轻,治疗有效率为100%。结论鼻内镜下运用等离子射频减容手术治疗腺样体肥大是一种安全有效、简单易行的手术方法,值得推广。     

CLT-酸致接触性皮炎5例报告

ＣＬＴ－酸致接触性皮炎５例报告青岛市胶南化工厂卫生所（２６６４００）刘相慧杨勇张钦河ＣＬＴ－酸又名２－氯－５－氨基甲苯－４－磺酸，是一种广泛用于染料生产的中间体，具有一般芳胺的化学通性，基本无毒，也不易燃烧。我厂１９９４～１９９６年中，直接接触ＣＬＴ...     

真皮下血管网皮瓣的研究进展

早在1976年,Myers等就已提出了藉真皮下血管网供血成活的随意型薄皮瓣。国内司徒朴等(1986),胡安军等(1991),马福顺等(1993)相继报告在应用Tsukada(1980)首创的真皮下血管网皮片的基础上,改为带蒂移植的真皮下血管网皮瓣,用于临床获得成功,近年来应用已较广泛。关于皮瓣的命名、设计、成活机理等,尚众说纷纭,现综述如下。