阿托品在无水乙醇注射治疗腋臭中的作用

目的探讨阿托品在无水乙醇注射法治疗腋臭中的作用及对远期效果的影响。方法将应用无水乙醇皮下注射治疗腋臭的72例患者随机分为A组（使用阿托品）和B组（不使用阿托品）,其中A组37例,B组35例。分别于治疗后1、3、6个月观察腋臭治疗效果。结果以残余气味最终疗效达到0级为标准,A组有效率为83．78％,B组有效率为82．86％,两组对比差异无统计学意义。结论阿托品对于注射法治疗腋臭的远期疗效没有影响,无水乙醇注射法治疗腋臭的配方不必加入阿托品。     

长短方案降调节的比较

自从1978年第一例试管婴儿在英国诞生以来,辅助生育技术(ART)发展迅速:从常规体外受精一胚胎移植(IVF-ET)到卵胞浆内单精子显微注射(ICSI),再到胚胎种植前遗传学诊断(PGD),未成熟卵母细胞体外成熟培养(IVM)等等,只经历了短短几十年的时间,其变化日新月异,为不孕不育患者带来了福音.     

Syndactyly--a review and long term results.

Syndactyly is classified and the principles of its surgical treatment discussed. The notes of eighty-five patients who had 222 webs between them were reviewed. A long term follow-up was carried out on thirty-two of these patients who had seventy-six clefts separated. The sexual and anatomical distribution of the syndactyly was investigated. The results of surgery were assessed including complications, and the relationship of complications to the type of graft used and the age at operation. It is suggested that complicated syndactyly is often separated at too early an age.     

Continent ileostomy. The present technique and long term results

Continent ileostomies were created in 435 patients in the period 1967-1984. Approximately 50% of the patients were provided with a continent ileostomy in connection with proctocolectomy and in the others a conventional ileostomy was converted to a continent ileostomy. In the majority of patients the indication for proctocolectomy was ulcerative colitis, but 64 patients with Crohn's disease were also included. There was a 1.6% operative mortality overall, but when the material was divided into two groups operated upon during two consecutive time periods, no mortality was recorded in 273 patients operated upon during the latter period. The non-fatal complication rate had also decreased from 23% in the early series to 8% in the group operated upon during the latter period. Revisional surgery because of malfunction of the nipple valve has consecutively decreased from 54% in the original series to less than 10% at the time of writing. Successful outcome of the ileostomy procedure, although revisional surgery was sometimes required, was recorded in 97% of 273 patients operated on during the period 1975-1984.     

Cardiac surgery in patients receiving long term hemodialysis. Short and long term results

AIM: Cardiac surgery carries a high risk in hemodialysis patients and has been questioned for its results; the purpose of this study is to focus on the short and long term results in our institution. METHODS: We retrospectively analyzed the data from 124 hemodialysis patients who underwent cardiac surgery in our unit between January 1980 and December 1998; 14.5% were diabetic; 46% had isolated coronary artery disease (group 1); 29.8% had valvular disease alone (group 2); 14.5% valve and coronary disease (group 3) and 9.6% miscellaneous disease at highest risk (group 4). We analyzed the relationship between several variables (age, sex, hypertension, diabetes, previous myocardial infarction, type of disease, preoperative ejection fraction) and operative mortality (30 days) and late survival. RESULTS: The overall operative mortality was 16.9%. The only risk factor was the type of cardiac disease: operative mortality was higher in groups 3 and 4 combined than in groups 1 and 2 combined (30% versus 12.7%, p=0.07). Ninety-nine patients were followed until January 2002. Late survival rate was 46.6+/-5% at 6 years for all patients, it was significantly better in groups 1 and 2 combined than in groups 3 and 4 combined. The only risk factor for late mortality was arterial hypertension. Fifty-seven patients are still alive, 46 in groups 1 and 2, 11 in groups 3 and 4. Progression of coronary lesions occurred in 6 patients and valvular lesions in 3 patients. The remainder are doing well. CONCLUSION: Cardiac surgery seems to be justified by the severity of the lesions. Its actual results can perhaps, be improved by earlier detection of cardiac disease and better prevention of myocardial hypertrophy and cardiac calcifications.     

脊柱侧凸矫形手术治疗的远期随访结果

目的：报告569例脊柱侧凸患者矫形手术治疗的远期随访结果，比较不同术式的治疗效果。方法：回顾分析1985年－2000年收治的569例脊柱侧凸患者的临床资料，总结各种术式矫形手术的治疗效果及5年以上随访结果。结果：569例患者分别采用Harrington术式、Luque术式、Harrington加Luque术式、Ziekle术式、Harrington加Wisconsin棘突钢丝等传统术式和中华长城椎弓根螺钉三维旋转矫正系统术式，传统术式各组平均矫正率为30％，各组间无显著性差异（P＞0．05）；中华长城术式组平均矫正率82％，与传统术式相比明显提高（P＜0．001），5年以上随访矫正丢失小于7％。结论：适时手术器械矫形固定融合是目前治疗青少年脊柱侧凸的有效方法。     

Extensive aganglionosis. Treatment and long term results

Extensive aganglionosis (EA) that affects the total colon (including or not part of the small intestine), shows more diagnostic problems and it is associated to higher morbidity and mortality rates than the classic cases of Hirschsprung disease (ED). This study takes into account last years cases and their results in the medium and long term.     

Surgical treatment of giant cell tumour of long bone with anhydrous alcohol adjuvant

This study was designed to evaluate the feasibility and effectiveness of the use of anhydrous alcohol as an adjuvant treatment for giant cell tumours (GCTs) of long bone. Between October 1989 and January 2004, 42 GCT patients were treated and followed up for an average of 4.1 years (range 1-13 years). Mean patient age was 34 years (range 17-67 years). After curettage and additional burring, anhydrous alcohol was used as an adjuvant therapy in all patients before the bone defect was filled with bone graft or cement. Four patients (9.5%) experienced local recurrence. There were no alcohol-related complications. Recurrence-free probability was 87.6% at final follow-up (13 years) after index surgery by Kaplan-Meyer analysis. Our data suggest that anhydrous alcohol can be used as an effective safe adjuvant for the treatment of GCT of long bone.