^131I治疗甲状腺疾病的研究趋向

目前，１３１Ｉ治疗甲状腺的研究有两个主要趋向。首先，治疗甲状腺疾病的应用范围有所扩大，过去我们仅用＾１３１Ｉ治疗Ｇｒａｖｅｓ’病、Ｐｌｕｍｍｅｒ氏病或毒性结节性甲状腺肿伴甲亢甲状腺腺癌，而现在还用于一些甲状腺功能正常的甲状腺疾病，例如非毒性多结节甲状腺肿、单纯弥漫性甲状腺肿，甚至甲状腺囊肿。     

胶体32P囊内注射治疗甲状腺囊肿的临床应用

胶体３２Ｐ囊内注射治疗甲状腺囊肿的临床应用程丙武张立兴夏继红王淑琴笔者自１９９３年１月～１９９６年８月用胶体３２Ｐ囊内注射治疗甲状腺囊肿３７例，现将结果报告如下。一、资料与方法３７例病人均经甲状腺显像、超声及穿刺抽液确诊，其中３例为术后复发者。选用胶...     

CT引导下穿刺注射硬化剂治疗甲状腺囊性肿物结果分析

自 1995年 3月以来 ,我们在ＣＴ引导下选择性对 12例甲状腺囊性肿物进行硬化剂治疗 ,取得良好效果 ,报告如下。资料和方法一、一般材料本组 12例 ,男 8例 ,女 4例。年龄 17～ 6 4岁 ,平均 4 0岁。肿物位于甲状腺左叶 5个 ,右叶 7个 ,计 12个囊腔。全部经Ｂ超检查测值 ,ＣＴ引导穿刺抽液确诊。囊肿最大径达 7ｃｍ ,最小为 3ｃｍ。局部有压痛且活动度较差 9例 ,无明显症状 3例。Ｂ超表现腺体内无回声液性暗区 ,囊壁完整而呈强回声。ＣＴ为囊肿包膜完整且内部密度均匀 ,其中 1例内有分隔 ,ＣＴ值在 5～ 8Ｈｕ左右。二、技术方法使用日本东芝Ｔ…     

积极开展甲状腺疾病的介入治疗

甲状腺疾病主要包括单纯性甲状腺肿、原发性甲状腺功能亢进症、甲状腺炎、甲状腺腺瘤(实性和囊性腺瘤)、甲状腺癌和甲状腺囊肿等病变。目前对这类病变的治疗不再局限于外科手术或药物治疗，介入治疗作为一种新的疗法，应用于这类病变的历史虽仅有十余年，但由于具有微创、安全、有效等优势，已成为治疗这些疾病的主要非手术治疗方法，而且已积累了可贵的经验。     

无水乙醇和无水乙醇氟尿嘧啶介入治疗甲状腺囊肿对比观察

目的：评价经皮无水乙醇和无水乙醇氟尿嘧啶混合液介入治疗甲状腺囊肿疗效对比观察。方法：1997年-2002年对54例61个甲状腺囊肿分别在B超导向下抽尽囊液、冲洗囊腔、注入无水乙醇和无水乙醇氟尿嘧啶混合液均获一次治愈。单用无水乙醇介入治疗时间为6个月，无水乙醇氟尿嘧啶混合液为1个月。随访2年来未复发．亦未见毒副作用。结论：经皮无水乙醇和无水乙醇氟尿嘧啶混合液介入治疗甲状腺囊肿疗效确切、安全，应用无水乙醇氟尿嘧啶混合液介入治疗甲状腺囊肿治疗时间显著缩短。     

B超引导经皮穿刺硬化治疗甲状腺囊肿

本文病例均属我院近年来经Ｂ超检查确诊为甲状腺囊肿 (以下简称囊肿 )的门诊及住院病人共 5 8例 ,在Ｂ超引导下 ,进行囊肿穿刺注射无水乙醇硬化治疗。1　材料与方法　　 5 8例患者 ,男 2 7例 ,女 31例 ,年龄 2 5～ 6 1岁 ,平均年龄41.6岁。单侧囊肿 5 5例 ,双侧 3例 ,共计 6 1个囊肿 ,其中有2个囊肿属于手术后复发。囊肿最大者 4.8ｃｍ× 6 .6ｃｍ ,最小者 2 .0ｃｍ× 2 .2ｃｍ ,其中小于 3.5ｃｍ者 5 2个囊肿 ,大于3.5ｃｍ者 9个囊肿。使用日本产Ａｌｏｋａ -ＳＳＤ6 30型Ｂ型超声诊断仪 ,探头频率为 3.5ＭＨｚ,加用水囊法 ,用国产 18～2 1…     

无水酒精硬化治疗63例甲状腺囊性结节的疗效分析

甲状腺的单纯性囊肿比较少见,一般多为复杂性囊肿,其多数是由结节性甲状腺肿及甲状腺腺瘤液化而来,以往采用手术治疗方法的较多。现在我们在超声引导下应用PTC针及无水酒精对63例各类甲状腺囊性结节进行穿刺、抽吸、硬化治疗,取得满意疗效,现将结果报告如下。1材料与方法本组63例甲状腺囊性结节患者,其中男性15例,女性48例,平均年龄44岁。结节性甲状腺肿囊性变患者52例,甲状腺腺瘤囊性变患者9例,单纯性囊肿2例;单纯性囊腔18例,囊肿内带少量分膈者32例,囊肿内带分膈者并残存组织较多者13例。术前检查病变部位与周边组织无浸润,病变区无明显…     

超声引导下乙醇硬化治疗甲状腺囊肿113例

在彩色多普勒超声（超声）引导下,乙醇硬化治疗甲状腺囊肿具有微创、损伤小、不良反应轻等优点,现已在临床广泛应用[1-2]。2007年10月-2009年10月,我们在超声引导下采用乙醇硬化治疗甲状腺囊肿113例,效果满意。现分析报告如下。     

超声引导硬化治疗甲状腺囊肿的临床应用价值

目的：本文报告在超声引导下穿刺应用无水乙醇硬化治疗甲状腺囊肿的效果。方法：对25个囊肿穿刺治疗。结果：治愈率72%（18/25），显效率28%（7/25），有效率100%（25/25）。结论：超声引导下硬化治疗甲状腺肿疗效显著。且操作方法简单安全，具有较高的临床应用价值。     

甲状腺疾病的介入治疗

甲状腺疾病按病理分类主要有单纯性甲状腺肿、原发性甲状腺功能亢进(甲亢)、甲状腺炎、甲状腺腺瘤(包括实性和囊性腺瘤)、甲状腺癌和甲状腺囊肿等。目前，能采用介入法进行治疗的病变主要有良性孤立性结节性病变和原发性甲状腺功能亢进症两类疾病。     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.