胃内切割碎石器联合可口可乐治疗胃巨大结石36例疗效观察

目的：评价胃内切割碎石器联合可口可乐在治疗胃巨大结石中的临床应用价值。方法：采用胃内切割碎石器及可口可乐对36例胃巨大结石进行内镜下治疗。结果：36例胃巨大结石病例中35例经内镜下治愈,1例手术切开取石治愈。结论：采用可口可乐联合胃石切割碎石器治疗胃巨大结石安全性高、疗效显著。     

张力带钢丝内固定的临床应用

本文报道应用张力带钢丝内固定治疗四肢关节附近骨折２８例、３１例次。术后关节功能恢复满意，无创伤性关节炎发生。文中简要介绍了手术方法，着重对张力带钢丝内固定的原理、优点、手术适应证、并发症及预防进行了讨论。     

钢丝内固定法治疗手部骨折

作者应用钢丝内固定法治疗手部骨折25例。经随访一年,所有病例均获得良好的功能。本法操作简单、方便、安全。文章讨论了手术指征、优点和缺点,并介绍了手术方法。     

下颌骨骨折的钢丝钢板内固定疗法

下颌骨占据面下１／３部及两侧面中１／３的一部分,面积大,位置突出,骨折发生率高［１］。下颌骨骨折的固定方法有钢丝钢板内固定和颌间结扎固定。作者１９９３～１９９７年分别采用上述两种方法治疗患者１２２例,经临床观察,钢丝钢板内固定法的临床疗效好,并发症少...     

钢丝内固定治疗掌指骨骨折

采用直径０．６ｍｍ钢丝单环形冠状面内固定治疗２２例掌指骨骨折，全部骨折术后６～１２周内愈合，无１例出现肌腱粘连及关节僵硬，我们认为钢丝内固定是治疗掌指骨骨折理想的内固定方法。     

张力带钢丝内固定在关节腔内骨折中的应用

<正>自Pauwals首先将张力带固定法用于临床以来,经不断改进,现已得到广泛应用.我院自1988～1995年,分别对髌骨、尺骨鹰咀、内踝等三种关节腔内骨折,共106例,采用张力带钢丝内固定,疗效满意,现报告如下.1.临床资料1.一般资料 本组106例,男61例,女45例,年龄最大69岁,最小18岁,平均35岁.其中髌骨骨折79例,尺骨鹰咀骨折15例,内踝骨折12例.均为新鲜骨折.     

改良钢丝内固定治疗下颌骨骨折45例报告

钛板内固定已经广泛用于临床 ,取代了传统钢丝内固定 ,但由于费用高昂 ,在经济欠发达地区推广有一定困难。 1995～ 2 0 0 2年 ,笔者采用半层骨皮质单向穿引钢丝内固定 ,治疗下颌骨骨折 4 5例 ,辅以颌间牵引 ,取得了理想的效果 ,报告如下。1　资料和方法1.1　一般资料　本组下颌骨折病人 4 5例 ,男 35例 ,女 10例 ;年龄 18～ 5 9岁。致伤原因 :交通事故伤 34例 ,打击伤 6例 ,坠落伤 5例。1.2　治疗方法　下颌颏孔近中部位的骨折采用口内前庭沟切口 ;下颌双尖牙部位骨折视个体差异采用口内或口外切口 ;后牙及下颌角区骨折均采用颌下皮肤切口。…     

改良张力带钢丝内固定在髌骨骨折中的应用

<正> 从1981年10至1987年4月,我科应用Ⅰ、Ⅱ术式分别于髌骨骨折的新鲜型及陈旧型,共52例。下文以本法对髌骨骨折的治疗为例,对改良张力带钢丝内固定法作进一步的分析探讨。临床资料及手术方法 52例髌骨骨折中,男37例,女15例;左28     

胃癌伴发胆囊炎胆结石的病因学探讨

目的：探讨胃癌伴发胆囊炎,胆结石的病因学;方法：对36例胃癌伴友胆囊炎、胆结石的临床资料进行回顾性分析,用正态近似法进行u检验,比较标本率（胃癌伴发胆囊炎、胆结石的发病率）与总体率（胆囊炎、胆结石一般发病率）;结果：胃癌伴发胆囊炎、胆结石发病率高于一般胆囊炎、胆结石发病率,阐述其可能的发病机制;结论：胃癌对胆囊炎、胆结石的发病有一定影响。     

The management of urinary calculi in a stone centre

We report the management of the first 100 patients who presented with upper urinary tract calculi to The Devonshire Hospital Lithotripter Centre. Ninety-two patients were treated by extra-corporeal shock-wave lithotripsy (ESWL) alone, four by percutaneous nephrolithotripsy (PCN) and two with staghorn calculi by combined ESWL and PCN. Ten patients had ureteric stones, and two of these required conventional open surgery. The average inpatient stay was 3.7 days. Half the patients required no analgesia after ESWL. Of the remainder, most were comfortable with oral analgesia. Almost all returned to normal activity within a few days of discharge. Complications were minimal and were managed by percutaneous or endoscopic techniques. These figures confirm the West German experience that ESWL is a safe and effective urological procedure and requires a skilled back-up of percutaneous and ureteroscopic skills for optimal patient management. By means of these techniques, conventional open surgery is necessary for the treatment of fewer than 5% of cases of calculi in the upper urinary tract.     

WD-ESWL91型体外冲击波碎石机安装与使用中应注意的几点问题

论述了WD-ESWL91型体外冲击波碎石机的特点及效能,阐述了安装与使用中应符合哪些要求,以及日常维护的注意事项.     

钬激光治疗成人输尿管囊肿疗效

1临床资料 本组共22例患者,男5例,女17例,都为单侧囊肿。病程最短3个月,最长20年。15例患者有膀胱刺激症状,表现为尿频、尿急,行尿常规检查提示WBC5~40/高倍镜,6例患者有镜下血尿,14例患者有排尿困难,5例患者有腰痛。22例患者均经行膀胱镜、腹部平片(KUB)、排泄性尿路造影(IVP)、腹部B超检查。均于术前诊断明确。肾功能检查提示6例患者肌酐、尿素氮轻度增高,其余正常。所采用激光治疗系统的激光源为Ho:YAG激光器,通过内腔镜在监视器下观察囊肿的位置、形态及大小,然后,用接触式光纤将激光由内腔镜导入膀胱,距囊肿根部约     

The effect of folic acid on the development of stomach and other gast rointestinal cancers

Objective To evaluate the roles of folic acid and β-carotene in the chemoprevention of gastric and other gastrointestinal(GI)cancers.Methods In a randomized,double-blind,placebo-controlled trial,a total of 216 patients with atrophic gastritis were randomly assigned to one of the four groups:①folate(FA),20 mg per day plus vitamin B12 1 mg,intramuscularty,per month for one year,then 20 mg two times a week plus 1 mg per three months for the next year);②naural β-carotene(N-βC,30mg per day for first year,then 30mg two times a week for the next);③synthetic β-carotene(S-βC,administered as in N-βC);and ④placebo.Follow-ups continued from 1994 to 2001.Results A total of 7new cases of gastrointestinal cancers were diagnosed with 3 stomach,1 colon and 1 esophageal cancers occurring in the placebo group;1 stomach cancer in both of the N-βC and S-βC groups,and no cancer occurring if FA group.In terms of GI cancers,there was a significant reduction in the FA group,compared with the placebo group(P=0.04).A similar trend was observed in both N-βC and S-βC groups(P=0.07-0.08),Taken together,the three intervention groups displayed a highly significant decrease in occurrence(P=0.04,vs placebo),and a lower risk for GI cancers(OR=0.12;95?confidence interval,0.03-0.51).For development of gastric cancer,any one of the three active-treated groups did not reach statistically significant reduction.The FA group showed obvious improvement of the gastric mucosal lesions with more patients displaying lesions reversed or stable atrophy and inflammation(P=0.04).reversed intestinal metaplasia(P=0.06)at the end of follow-up,and reversed displasia(P=0.017)at 12 months.Two cases of false jaundice were found in β-carotene groups with no influence on administration,and no side-effects were reported in FA group. Conclusions This trial revealed the interventional effect of folic acid on the development of GI cancers,a similar effect of β-carotene was also detected.Also,folic acid may be of use to treat atrophic gastritis by preventing or reversing the precancerous lesions.     

胆道残余结石的治疗探讨

目的探讨胆道残余结石的治疗方法及预防。方法128例患者均行手术治疗,切口选右上腹肋缘下斜切口。结果128例患者中外引流84例,内引流44例,切口感染8例,死亡2例。结论若病情允许,尽可能探查仔细把结石取净,可常规术中胆道照影或胆道镜检查。     

甲胎蛋白在不同发育时期大鼠胃组织中的表达及定位

目的：研究大鼠正常发育不同阶段胃组织中甲胎蛋白（AFP）的表达及定位.方法：取SD大鼠发育18.5,20.5d胚胎及出生0,7,14,21d和8wk大鼠的胃组织.采用RT-PCR,WesternBlot方法检测AFP的表达;采用免疫荧光染色技术检测AFP的表达及细胞定位.结果：在18.5d胚胎大鼠胃组织中,AFPmRNA表达量显著高于其它各时期,出生后AFP蛋白表达量稳步下降,20.5d胚胎大鼠及出生后0,7,14,21d大鼠AFPmRNA表达量分别是18.5d胚胎大鼠表达量的85%,58%,37%,24%,11%,差异均具有统计学意义（P〈0.05）,成年后消失.AFP蛋白表达量变化趋势与mRNA表达量变化趋势基本一致.免疫荧光染色的结果显示：AFP在大鼠18.5d胚胎至出生后21d期间各时期大鼠胃组织中与间充质细胞标志物波形蛋白（Vimentin）呈共表达.结论：AFP在胚胎发育晚期的高表达以及在发育各个时期均特异性表达于大鼠胃间充质细胞,提示AFP可能对胃结构的形成和功能的完善起重要作用.