挫伤性前房积血100例临床分析

目的：总结分析100例挫伤性前房积血手术及非手术疗法经验.方法：采用非手术治疗占90.0%,手术治疗仅为10.0%.结果：24 h内就诊者,经非手术治疗70例恢复原有视力.超过24 h就诊者,积血吸收差,眼压高,药物疗效差,须行手术治疗.结论：眼挫伤前房积血应及时就诊是取得最佳疗效的关键.     

脑转移瘤的CT诊断：附100例分析

总结了１００例经病理和临床证实的脑转移瘤，来自于至少１５种不同的原发癌，其中以肺癌最多（６５％），单发４８例，多发５２例。分布部位以顶叶最多（７４／２１１），额，聂叶次之。着重分析了脑转移瘤ＣＴ表现的特点：①平扫时，高、等、低和混杂密度均有；②增强扫功，以结节状多见，其次为形、混合型；③灶周水肿多范围广泛，但水肿程度不与病灶大小成正比；④脑转移瘤多位于两侧大脑皮层下区，乳腺癌脑转移也不例外。     

卵巢病变的MRI诊断(附100例分析)

目的：探讨卵巢病变的MRI特征以提高MRI在卵巢病变诊断中的作用。方法：分析100例经手术病理证实的卵巢病变患者MRI征象,其中卵巢囊肿5例,巧克力囊肿16例,囊腺瘤17例,卵巢癌35例,转移性肿瘤4例,畸胎瘤21例,其它2例。结果：卵巢囊肿、巧克力囊肿、囊腺瘤及畸胎瘤MRI的诊断符合率为96．67％。MRI对卵巢良恶性病变的鉴别诊断价值大,但较难区分卵巢原发肿瘤与转移性肿瘤。MRI可提供卵巢癌分期所需的信息,增强扫描进一步提高了MRI对卵巢癌的诊断及分期的准确性。结论：MRI能准确判断卵巢病变的性质．评估卵巢癌分期及手术可行性,应列为术前常规检查。     

B超监测药物流产100例临床分析

为了掌握药物流产的适应症，提高药物流产的成功率，减少临床误诊，及时处理药物流产后的流血多、时间长等问题，我们对药物流产的妇女在服药前后进行B超监测，根据B超结果进行临床处理，取得了满意的效果，现分析如下。     

Orbital hydatid cyst: assessment of two cases

Summary Two cases of unilateral proptosis due to orbital hydatid disease are reported. In both cases CT scans showed well-defined, thin-walled cystic masses whose densitometric values were similar to that of the globe.     

显微手术和非显微手术治疗椎管内肿瘤100例的比较分析

目的比较非显微手术与显微手术治疗椎管内肿瘤的临床疗效及术后恢复情况。方法回顾性分析100例椎管内肿瘤患者的临床资料,对非显微手术组与显微手术组的治疗效果进行了比较分析。结果 A组(显微手术组)手术时间(3.9±0.8)h,出血量(414±87)ml,脑脊液漏发生2例(发生率4.0%),平均住院时间(13±3)d;B组(非显微手术组)手术时间(2.1±0.5)h,出血量(680±106)ml,脑脊液漏发生9例(发生率18.0%),平均住院时间(22±13)d。A组有47例患者肿瘤全切除(全切率94%),B组全切除肿瘤仅34例(全切率68%)。A组中疼痛患者有93.3%有所缓解;感觉障碍的患者有76.5%得到不同程度的缓解,2例加重;运动障碍的患者都得到不同程度的改善;尿潴留或尿失禁患者有86.7%得以缓解。B组中疼痛患者仅有63.6%症状有所缓解;感觉障碍的患者有54.2%得到不同程度的缓解;运动障碍的患者有55%得到不同程度的改善;尿潴留或尿失禁患者仅45.5%得以缓解。可见显微手术组各方面均优于非显微手术组(P<0.05)。术后随访时间为6个月~3年,平均随访时间28.3个月,随访率76%。A组随访患者术后未见并发症发生;B组随访患者术后肿瘤复发6例,继发性椎管狭窄5例。结论显微手术治疗椎管内肿瘤具有创伤小、安全性高等优点。显微手术是治疗椎管内肿瘤的有效方法。     

Orbital Doppler sonography findings in cases of brain death

In this study, we investigated the blood flow velocity changes in orbital arteries by using Doppler sonography in eight patients with brain death. Peak-systolic and end-diastolic velocities and resistive indices of the ophthalmic and central retinal arteries were evaluated. We observed the absence or reversal of end-diastolic blood flow in these arteries. To our knowledge, this finding has not been previously reported to be associated with brain death.     

Endoscopic retrograde cholangiography with a balloon catheter: analysis of 100 consecutive cases

One hundred patients whose standard endoscopic retrograde cholangiographic studies gave poor visualization of the biliary tract were investigated using a balloon catheter introduced into the common bile duct by duodenoscopy to block contrast material leakage. Full diagnostic visualization was obtained in 90 patients, leading to accurate diagnosis in 88. In two other patients, the diagnosis was not confirmed. In ten patients the bile ducts were not filled because of balloon size (seven), vagovagal reflex (two), and fistula (one). There were no serious clinical complications. Laboratory studies following the procedure disclosed impaired liver function (three patients), hyperamylasemia (two), and leukocytosis (two) of 41 patients tested, and positive blood culture in three of 81 patients studied. When standard retrograde cholangiography fails to visualize the biliary tract, endoscopic retrograde balloon catheter cholangiography is a useful diagnostic procedure, associated with acceptable minor complications.     

Orbital space-occupying lesions: role of computed tomography and magnetic resonance imaging. An analysis of 145 cases

CT and MRI of the orbit have significantly enhanced the diagnosis of orbital lesions. Because of these techniques, disorders of the globe, structures within the bony orbit, surrounding structures of the eye, and optic pathways can now be diagnosed with much more certainty than before.     

眼眶血管瘤的影像学诊断(附41例报告)

目的:作者报告眼眶血管瘤的影像诊断与分型,以帮助临床及时诊断和治疗,提供可靠依据。材料和方法:对经X线、B超、CT检查、手术病理证实的眼眶血管瘤41例影像表现,作了回顾性的分析,并进行了分型。结果:41例眼眶血管瘤的影像表现:1、眼眶扩大5例,眼眶周围及眶内软组织肿块密影,大小不等;2、眼静脉造影可见内眦静脉或上眼静脉增粗,血管瘤引流血管显示;3、眼底荧光血管造影见视网膜血管迂曲、扩张,血管团影;4、B超表现为回声稍强光团或低回声光团;5、CT表现为眼球凸出,球后肿块密影呈园形、椭园型,增强扫描有较明显强化。作者根据本组41例血管瘤的影像学表现与手术所见,把眼眶血管瘤按发生部位和范围分为二型:即局限型和弥漫型。局限型血管瘤又分为,(1)限脸皮下血管瘤;(2)球后眶内血管瘤;(3)球结膜血管瘤;(4)视网膜血管瘤;(5)脉络膜血管瘤。结论:分型有利于临床治疗。     

颈椎病与中医辨证关系的探讨(附100例分析)

目的:探讨颈椎病与中医分型的辨证关系。方法:对100例该病的影像表现与中医分型进行系统分析。结果:主要临床表现颈部活动受限,颈、肩、背部疼痛,常伴头痛、头晕、视物模糊、耳鸣等症状。风寒型以软组织所致颈曲改变为主。肝肾亏虚型、痰湿交阻型以骨质增生、椎间隙及椎间孔狭窄为主。结论:X线、CT是本病首选检查方法,能与中医辨证有机结合,对中西医治疗有重要意义。