数字钼靶X线诊断乳腺癌分析

目的探讨数字钼靶X线诊断乳腺癌的临床价值。方法于2015年6月～2018年6月选择我院35例确诊乳腺癌患者与35例确诊乳腺良性病变患者,实施数字钼靶X线检查、彩色多普勒超声检查,以临床确诊结果为参照,比较数字钼靶X线、彩色多普勒超声对乳腺癌的诊断结果,分析诊断结果间的一致性。结果以临床病理确诊结果为参照,数字钼靶X线、彩色多普勒超声对乳腺癌的诊断灵敏度、特异度、准确率比较,差异均无统计学意义(P 0.05)。数字钼靶X线、彩色多普勒超声诊断结果与临床确诊结果间的一致性良好。数字钼靶X线对规则颗粒形、不规则颗粒形、模糊粉尘形等类型钙化病灶的检出率均高于彩色多普勒超声(P 0.05),而二者对环形、蠕虫形等钙化病灶的检出率比较差异无统计学意义(P 0.05)。结论数字钼靶X线检查用于乳腺癌的诊断价值良好,尤其是对乳腺癌钙化病灶。     

胸腺瘤48例临床病理的预后相关性研究

Objective To study the relation of Clinicopathological characteristics and prognostic of thy-mic epithelial tumors. Methods To review and analyze the clinical data about 48 cases with thymic epithelial tumours were treated in surgery of our hospital,, according to the normal sort of WHO (2004 years) thymus tumor classification criteria to classify, according to the results of the clinical and follow-up and Masaoka clinical stage and prognosis, and other factors The relevance of the study. Results 48 cases of histological type of thymoma: A type for 4 cases(8.3%) ,AB type for 3(6.3%) ,B1 type for 9(18.8%) ,B2 type for 8(16.7%) ,B3 type for 11 cases(22.9% ) ,C type for 13 cases(27.1% ). Clinical staging: Ⅰ period of 12 cases(25.0% ), Ⅱ period of4 cases( 8.3% ), Ⅲ period of 13 cases(27.1% ), Ⅳ period of 19 cases(39. 6 percent). The results of follow-up data show that, Ⅰ,Ⅱ,Ⅲ,Ⅳ Thymectomy period after 3-year survival rates were 100% and 100% ,68.3%, 35.8% ;5-year survival rates were 66.5% and 66.5% ,39.7%, 18.6% and the survival rate of patients with Masaoka closely related to the clinical stage, patients with thymoma is the most important independent prognostic indicators. Conclusion Masaoka's clinical stage of survival in patients with thymoma is the most important prognostic parameters,type of tumor is complete excision is the impact on the survival of patients with thymoma an important factor.     

慢性荨麻疹患者过敏源检测分析

目的对慢性荨麻疹患者的血清进行过敏原检测，了解周边地区慢性荨麻疹患者的过敏原情况，供临床治疗作参考。方法采用酶联免疫分析法对慢性荨麻疹患者进行过敏原检测（IVT729，221例；IVT730，164例）。结果总IgE检测阳性率为91．40％。各种主要过敏原：尘螨、粉螨、屋尘占11．76％；蟑螂、飞蛾、蜜蜂占5．88％；菇类占9．15％；虾蟹类占7．32％。结论在周边地区，过敏原对荨麻疹患者的发病有着重要的影响，特别是：尘螨、粉螨、屋尘，蟑螂、飞蛾、蜜蜂、菇类及海产品类。     

阑尾黏液腺癌并阑尾脓肿形成一例

患者女，51岁，因“偶发右下腹部疼痛1个月，再发7h”于2010年9月1日入院。     

大肠平坦型病变靶向活检的病理研究

目的　通过对电子肠镜下大肠平坦型病变的病理学分析,探讨提高大肠早期癌及癌前病变检出率的方法。方法 采用靶向取材活检法,对染色电子肠镜及电子肠镜下黏膜切除术(EMR)送检的标本,进行组织病理诊断,统计学分析,与随机取材组（对照组）作比较。结果 研究组大肠平坦型肿瘤性病变156个, 发现上皮内瘤变和早期癌共53个,检出率为33.33 ％。靶向取材后剩余标本常规包埋切片,相同标本病理诊断相符合共45个,清除病灶8个,病变清除率为 15.09％,p<0.01; 对照组平坦型肿瘤性病变134个 , 发现上皮内瘤变和早期癌14个,检出率为10.4％。两组比较p<0.01。结论 电子肠镜下整体切除靶向活检对发现大肠早期癌及癌前病变,提高检出率具有重要临床意义。     

胸腺瘤48例临床病理的预后相关性研究

Objective To study the relation of Clinicopathological characteristics and prognostic of thy-mic epithelial tumors. Methods To review and analyze the clinical data about 48 cases with thymic epithelial tumours were treated in surgery of our hospital,, according to the normal sort of WHO (2004 years) thymus tumor classification criteria to classify, according to the results of the clinical and follow-up and Masaoka clinical stage and prognosis, and other factors The relevance of the study. Results 48 cases of histological type of thymoma: A type for 4 cases(8.3%) ,AB type for 3(6.3%) ,B1 type for 9(18.8%) ,B2 type for 8(16.7%) ,B3 type for 11 cases(22.9% ) ,C type for 13 cases(27.1% ). Clinical staging: Ⅰ period of 12 cases(25.0% ), Ⅱ period of4 cases( 8.3% ), Ⅲ period of 13 cases(27.1% ), Ⅳ period of 19 cases(39. 6 percent). The results of follow-up data show that, Ⅰ,Ⅱ,Ⅲ,Ⅳ Thymectomy period after 3-year survival rates were 100% and 100% ,68.3%, 35.8% ;5-year survival rates were 66.5% and 66.5% ,39.7%, 18.6% and the survival rate of patients with Masaoka closely related to the clinical stage, patients with thymoma is the most important independent prognostic indicators. Conclusion Masaoka's clinical stage of survival in patients with thymoma is the most important prognostic parameters,type of tumor is complete excision is the impact on the survival of patients with thymoma an important factor.     

盐酸多西环素肠溶胶囊联合肤痔清软膏治疗中重度寻常痤疮的疗效观察

目的：观察盐酸多西环素肠溶胶囊联合肤痔清软膏治疗中重度痤疮的疗效。方法70例中重度痤疮男性患者随机分为用盐酸多西环素肠溶胶囊联合肤痔清软膏为治疗组及单用盐酸多西环素肠溶胶囊为对照组,各35例,治疗3周及6周后统计疗效。结果治疗组及对照组总有效率于3周及6周分别为73.53%和40.00%;82.35%和77.14%,前者两组比较差异有统计学意义（P〈0.05）,后者两组比较差异无统计学意义（P〉0.05）。结论盐酸多西环素肠溶胶囊联合肤痔清软膏治疗中重度痤疮效果显著,联合应用明显缩短疗程,减少盐酸多西环素肠溶胶囊用量,减少不良反应,值得临床推广。     

16排CT口服甘露醇造影与超声检查在急性阑尾炎诊断中的价值研究

目的:探讨16排CT口服甘露醇造影与超声检查在急性阑尾炎患者的诊断效果及价值。方法:选择2019年1月至2020年3月急性阑尾炎患者60例作为对象,所有患者均经手术检查最终确诊,手术前患者分别行16排CT口服甘露醇造影与超声检查,将16排CT口服甘露醇造影与超声检查结果与手术结果进行比较。结果:60例患者均经手术检查最终确诊,超声检查最终确诊52例,诊断符合率86.67%(P<0.05);16排CT口服甘露醇造影最终确诊58例,诊断符合率为96.67%(P>0.05)。结论:16排CT口服甘露醇造影用于急性阑尾炎患者中能获得较高的诊断符合率,能够减少肠管堆积,更好充盈回盲部及阑尾腔,能为临床诊疗提供影像依据,值得推广应用。     

伊可尔联合胸腺肽治疗多发性跖疣疗效观察

目的：观察伊可尔联合胸腺肽治疗多发性跖疣的临床疗效。方法：85例随机分为治疗组43例和对照组42例。两组均口服胸腺肽肠溶片,外涂0．1％维A酸乳膏,治疗组另外涂伊可尔药液,7天为一疗程,治疗8个疗程。结果：总有效率治疗组90．70％,对照组33．33％,两组比较有显著性差异（P〈O．05）,疗程结束后4周随访复发率治疗组15．38％。对照组85．71％,两组比较有显著性差异（P〈O．05）。结论：伊可尔联合胸腺肽治疗多发性跖疣疗效确切,且不易复发。     

子宫内膜息肉应用磁共振成像诊断的价值研究

目的探讨磁共振成像(MRI)技术在子宫内膜息肉诊断中的应用价值。方法对2015年7月～2018年7月在我院就诊的50例疑似子宫内膜息肉患者实施阴道超声检查、MRI检查、宫腔镜病理检查,以宫腔镜病理检查结果为金标准,观察阴道超声检查、MRI检查诊断子宫内膜息肉的灵敏度、特异度及准确率,并分析其诊断结果与宫腔镜病理检查结果之间的一致性。结果 50例疑似子宫内膜息肉患者中,经宫腔镜病理检查证实为子宫内膜息肉患者31例。以宫腔镜病理检查结果为参照,MRI对子宫内膜息肉的诊断灵敏度、特异度、准确率均高于阴道超声检查,差异有统计学意义(P0.05)。经一致性分析,MRI诊断结果与宫腔镜病理检查结果之间的一致性良好,Kappa=0.734,阴道超声诊断结果与宫腔镜病理检查结果之间的一致性中等,Kappa=0.605。结论 MRI诊断子宫内膜息的应用价值良好,是评估子宫内膜息肉的重要影像学手段。