自制简易磁夹治疗耳廓假性囊肿28例报告

耳廓假性囊肿是耳鼻喉科门诊常见疾病之一,临床治疗方法较多,但缺乏简捷有效的治疗方法。我科自2003年开始,在以往用自制钢丝夹压迫,有效治疗耳廓假性囊肿的启发下,将直径1.5 cm圆形磁块嵌制在钢夹两脚上,用以治疗耳廓假性囊肿28例,疗效显著,疗程缩短至3 d左右。现总结报道如下:病例资料本组28例,男21例,女7例;年龄18~27岁。所有患者均为单耳假性囊肿,病程2~14 d。发病部位以三角窝、耳舟、耳甲腔为主。病变直径0.8~3.0 cm。治疗方法:耳廓局部消毒,用7号注射针在囊肿下部边缘穿刺抽取囊肿积液,穿刺点用薄棉片覆盖,然后将磁夹按前后方位夹在…     

耳郭假性囊肿前壁切除并贯穿缝合加压手术疗效分析

耳郭假性囊肿也称耳郭浆液性软骨膜炎、耳廓软骨间积液,目前病因不明,可能与耳廓轻度外伤、揉搓、挤压等因素有关。目前对耳郭假性囊肿的临床治疗方法很多,非手术方法多效果不佳,复发率较高;传统的手术方法也存在一定的复发。我科2005-10至2011-10对门诊和住院的32例(32     

CO_2激光聚焦手术治疗耳廓假性囊肿

ＣＯ２激光聚焦手术治疗耳廓假性囊肿王湘张宏林贾庚湘耳廓假性囊肿在临床上较常见。发病原因目前尚不很清楚。我科自１９９３年５月至１９９４年９月采用ＣＯ２激光手术治疗耳廓假性囊肿４０例，效果较好。临床资料本组４０例中，男性３６例、女性４例，年龄２３～５７岁...     

耳廓假性囊肿前壁软骨切除术的临床疗效观察

目的 评价前壁软骨切除术对耳廓假性囊肿的治疗效果. 方法 耳廓假性囊肿119例,其中接受前壁软骨切除手术治疗87例(手术组),接受囊肿抽液后囊腔内注射地塞米松治疗32例(对照组),比较两组病例的治疗效果. 结果 所有病例随访1年以上,手术组有效率为96.6%,对照组有效率为84.4%,两组病例的有效率差异有统计学意义. 结论 前壁软骨切除治疗耳廓假性囊肿疗效可靠,治愈率高.     

相对穿刺方法治疗耳廓假性囊肿

目的：使耳廓假性囊肿在抽吸法治疗中,抽吸彻底,减少固定时间。方法对耳廓假性囊肿50例治疗情况进行分析。结果患者全部痊愈,术后无复发。结论相对穿此法使囊肿内外压力平衡,有效减少液体渗出,并且减少石膏固定时间。     

CO2激光、半导体激光与紫外线联合治疗耳廓假性囊肿的疗效观察

耳廓假性囊肿又称浆液性软骨膜炎，是耳鼻喉科常见病，复发率高，且在短时间内难以治愈。采用CO2激光、半导体激光和紫外线联合治疗耳廓假性囊肿，疗效较为满意，现报告如下。     

激光治疗耳廓假性囊肿

激光治疗耳廓假性囊肿     

鼻前庭囊肿与耳廓假性囊肿的开窗引流术

鼻前庭囊肿指发生于鼻前庭底部皮下、梨状孔前外方、上颌骨牙槽突骨质浅面软组织内的囊性肿块,耳廓假性囊肿又称为耳廓浆液性软骨膜炎,是发生于耳廓腹侧面的局限性囊肿,两者同属于耳鼻喉科门诊的常见病、多发病,均具有手术切除不易彻底,术后囊肿易复发的特点。我科将2008~2011年间收治的鼻前庭囊肿与耳廓假性囊肿患者随机分为实验组与对照组,观察两组患者应用不同治疗方法后的疗效,现报告如下。     

耳廓假性囊肿前壁软骨切除术的I临床疗效观察

目的评价前壁软骨切除术对耳廓假性囊肿的治疗效果。方法耳廓假性囊肿119例，其中接受前壁软骨切除手术治疗87例（手术组），接受囊肿抽液后囊腔内注射地塞米松治疗32例（对照组），比较两组病例的治疗效果。结果所有病例随访1年以上，手术组有效率为96．6％，对照组有效率为84．4％，两组病例的有效率差异有统计学意义。结论前壁软骨切除治疗耳廓假性囊肿疗效可靠，治愈率高。     

微波治疗耳廓假性囊肿的疗效观察

耳廓假性囊肿是耳科常见疾病,表现为耳廓外侧面上半部的局限性肿胀,内有浆液性液体聚集形成囊肿样隆起。耳廓假性囊肿的治疗方法颇多[1,2],如抽液注药、抽液后石膏固定、冷冻治疗包扎等,疗效各有千秋。我科自1997～1999,应用珠海市和佳系统工程有限公司生产的耳鼻喉微波综合治疗仪(ＥＢＨ-Ⅲ)治疗本病,疗效满意,现报导如下。1　资料与方法1.1　一般资料　本组46例,男25例,女21例,年龄18～55岁,均单耳发病;右耳26例,左耳20例。发病后就诊时间10余天至半年,初诊34例,12例经多次穿刺注药或抽液石膏固定后无效。囊肿部位:耳廓三角窝27例,舟状窝1…     

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.