倍频532nm激光治疗不同分期糖尿病视网膜病变80例分析

目的评价倍频532 nm激光治疗对不同分期糖尿病视网膜病变的疗效。方法回顾性分析2005-06-2007-12应用半导体倍频532 nm激光对不同分期糖尿病视网膜病变患者共80例136眼行全视网膜光凝。结果 136只眼行全视网膜光凝后,110眼视网膜新生血管或无灌注区部分或全部退行,总有效率为80.88%。44只眼视力提高,83只眼视力不变。结论倍频532 nm激光治疗糖尿病视网膜病变有效,在增生前期治疗效果好。     

四边孔综合征15例报告

四边孔综合征是腋神经和旋肱后动脉穿经四边孔受压而产生的一系列临床征候群。主要症状是肩部不适、肩及上臂近端外侧感觉障碍和三角肌功能受限。该综合征临床并不少见,自2005年1月至2009年12月我院共诊治15例,疗效满意,现报告如下。     

2014全国医药卫生期刊学术研讨会暨全国医药卫生期刊编辑伦理培训班在上海举办

2014全国医药卫生期刊学术研讨会暨全国医药卫生期刊编辑伦理培训班于2014年4月11-14日在上海成功举办。本次研讨会暨培训班由中国期刊协会医药卫生期刊分会、中华医学会杂志社联合主办,中国健康教育中心／卫生部新闻宣传中心、中国高校科技期刊研究会、上海市科技期刊学会医学工作委员会为支持单位,中国全科医学杂志社承办。国内外专家及参会代表共计204人,其中有160余家期刊社和编辑部参加了研讨会暨培训班。     

丝裂霉素联合倍频532nm激光在翼状胬肉治疗中的应用

翼状胬肉是常见的一种慢性炎症性病变[1],多采用手术治疗,手术方法多,术后易复发。我院在2006至2008年采用术中应用丝裂霉素,术后应用低能量倍频532nm激光封闭新生血管芽的方法对65例（65只眼）翼状胬肉患者进行治疗,现报道如下。     

糖尿病视网膜病变玻璃体切割手术联合硅油填充术后激光治疗的现状与进展

糖尿病视网膜病变(diabetic retinopathy,DR)是一种进展性的微血管病变,而增殖期糖尿病性视网膜病变(prepro liferative diabeticretinopathy,PDR)是糖尿病患者的主要致盲原因.增殖性糖尿病视网膜病变是玻璃体切割手术的常见适应证,玻璃体切割手术常联合硅油填充术.     

脉络膜脱离型视网膜脱离外路显微手术的效果

目的 探讨脉络膜脱离型视网膜脱离外路显微手术的临床效果.方法 回顾性病例系列研究,脉络膜脱离型视网膜脱离22例(22眼).在手术显微镜直视下先预置环扎带,再完成环扎、硅压预置缝线,放视网膜下液或前房穿刺放房水,视网膜冷凝、垫压,核实裂孔、扎紧环扎带和眼内注入膨胀气体,定期观察手术效果.结果 术后随访3～12个月.一次手术视网膜复位18例,手术成功率81.82％,其余4例需二次行玻璃体切除术;术后最佳矫正视力≥0.4者3例,0.06～0.3者6例,手动～0.05者13例,与术前相比差异具有统计学意义(x2=6.49,P＜0.05);无严重并发症发生.结论 脉络膜脱离型视网膜脱离外路显微手术具有操作方便、观察直观、并发症少等优点.     

X-刀治疗颅内疾病44例疗效分析

Objective to investigate therapeutic methods and effect of X-knife for on intracranial diseases. Method Recent effect of 44pqtients with cranial diseases by X-knife was observed. Radiological follow-up was performed on 40 cases with mean 5.65 months of followup time. Result 92.5% of tumors were controlled locally, stability and recovery rate was 90.0%. The local control of metastatic tumors of brain was higher, but most patients with metastatic tumors died of primary lesion. New metastatic lesions appeared in patients without panencephalic radiotherapy in 1～5months. Tumors of pineal region were sensitive to X-knife. Conclusion X-knife has a definite effect on intracranial diseases. For patients with tumors of pineal region complicated by serious hydrocephalus, shunting should be conducted before X-knife treatment. For patients with mild or morderate hydrocephalus, X-knife chould be utilized only under correct interventions such as dehydration. The local control rate of intracranial metastatic tumors was high, but survival time postoperation depended on panencephalic radiotherapy or control of primafry lision. For tumors with diameter＞ 3cm, pituitary tumors, brains stem tumors and tumors in cerebellopontine angle region repeated X-knife were suggested, which could improve cure rate and decrease complications.     

针刀松解术治疗颈源性头痛

目的观察针刀松解术治疗颈源性头痛(CEH)的松解效应及疗效。方法先用消炎镇痛液区域神经阻滞(NB),然后用4号针刀进行纵行及横行的双重切割、剥离、减压,每5 d 1次,4次为1个疗程。结果158例CEH中疗效优135例(85.4%),良好18例(11.4%),差5例(3.2%)。结论针刀松解术能迅速解除组织粘连,降低筋膜张力,减轻神经刺激,缓解动脉痉挛,增加脑血流量,对CEH松解效应及临床疗效均较显著,且创伤小、痛苦少、恢复快。     

Analysis of Therapeutic Effect of X-knife on Intracranial Tumors in 44 Cases

By linear electron accelerator KD II of Siemens M evatron and RSA X－knife of the fourth generation produced by Radionics company, 44 patient with intracranial diseases were intervened through 1999,6－2000,4. The results are as following.1 Materials and Methods1.1 Mateials In the group,25 male,19 female aging from 8～74 years, meanly 43 years.Total 50 lesions were radiated.Of all the patients, 12 patients with metastatic tumors of brain (7 with solitary tumors,5 with multiple tumors);3 w…     

小儿松果体区肿瘤的治疗

目的探讨小儿松果体区肿瘤的治疗策略。方法对43例患松果体区肿瘤病例施以立体定向放射外科、全脑放疗为主,化疗、Ⅴ-P术、手术切除为辅助的治疗方略,以探讨疗效。结果随访3～44个月,平均22.6个月,肿瘤消失25例,缩小11例,不变5例,增大2例,无死亡病例。肿瘤控制率95.3%。结论采取以立体定向放射外科、全脑放疗为主,化疗、手术切除为辅助的治疗策略,可以极大限度地降低手术造成的损伤,提高小儿松果体区肿瘤患者生存质量,延长生存期。