光子照射加中药痤疮膏联合治疗痤疮的临床观察

目的 观察联合治疗与单一光子照射治疗痤疮的效果。方法 将40例3、4级痤疮患者随机分为两组，A组(20例)用光子痤疮治疗仪照射加中药膏外用治疗，B组(20例)用单纯光子痤疮治疗仪照射治疗。治疗时间为4周，每3天复诊照像对照疗效。结果 A组治疗时间较B组相对少l周，疗效提高25％。结论 光子(波长415MM)照射治疗3、4级痤疮是一种有效的方法，而光子照射加中药痤疮膏联合治疗痤疮，较单一光子照射治疗具有疗程短、疗效高的优点。     

微波治疗仪联合α-干扰素栓治疗女性生殖器尖锐湿疣疗效观察

目的探讨微波治疗仪联合α-干扰素栓(奥平栓)治疗尖锐湿疣的效果。方法选取68例尖锐湿疣患者应用微波治疗仪联合奥平栓治疗为治疗组，50例尖锐湿疣患者单独采用微波治疗为对照组，两组疗效进行比较。结果微波治疗仪联合奥平栓治疗尖锐湿疣治愈率明显高于对照组(P＜0．01)。结论微波治疗仪联合奥平栓是治疗女性生殖器尖锐湿疣的理想方法。     

强脉冲光子治疗仪治疗血管性皮肤病135例临床观察

目的：评价强脉冲光子治疗仪治疗血管性皮肤病的疗效和不良反应。方法：使用强脉冲光子治疗仪对135例血管性皮肤病患者进行治疗，观察和综合分析。结果：强脉冲光子治疗仪对毛细血管扩张，蜘蛛痣，草莓状血管瘤，海绵状血管瘤及鲜红斑痣治愈率分别为75％，94．4％，90．9％，28％，14．3％，三次以内治愈率分别为33．3％，94％，69％，8％及5％。6例术后出现色素沉着，色素减退或萎缩性疤痕。结论：强脉冲光子治疗仪对血管性皮肤病（尤其对蜘蛛痣和草莓状血管瘤等）有令人满意的疗效，不良反应较少。     

前列腺治疗仪治疗慢性精囊炎的临床应用价值

目的探讨Lion-Ⅱ型前列腺治疗仪在慢性精囊炎治疗中的应用价值。方法103例患者随机分为试验组54例，对照组49例。试验组采用口服罗红霉素加前列腺治疗仪治疗，对照组采用口服罗红霉素治疗：结果试验组在血精、射精痛及性功能减退治疗的总有效率较对照组差异有显著性(P＜0．01)。且无不良反应。结论前列腺治疗仪在治疗慢性精囊炎，具有方便、安全、有效等优点，是值得推广的治疗方法。     

BILT肝病治疗仪治疗慢性肝病的效果观察及护理

目的 观察BILT肝病治疗仪(下称治疗仪)治疗慢性乙型病毒性肝炎和肝炎肝硬化的疗效.方法 随机将110例慢性乙型病毒性肝炎和肝炎肝硬化患者分为常规治疗组(常规组,52例)和治疗仪辅助治疗组(治疗仪组,58例).常规组给予常规治疗和护理,治疗仪组在常规治疗的基础上加用治疗仪照射肝区及针对性护理.连续治疗20 d后评价效果.结果 治疗仪组治疗后乏力、纳差、腹胀、胁痛症状改善率显著高于常规组,ALT、AST、TBil含量显著低于常规组(均P<0.01).结论 对慢性乙型病毒性肝炎和肝炎肝硬化患者采用治疗仪照射肝区及针对性护理.可提高疗效.     

411例遗尿症儿童和青少年的家族史和家系分析

目的调查遗尿症儿童和青少年亲属遗尿症的发生率和遗传模式。方法在河南省10 088例儿童和青少年（年龄5～18岁）进行的遗尿症流行病学调查中,对发现的411例遗尿症患者的遗传资料进行分析。主要调查家族成员包括先证者的一级亲属（同胞兄弟姐妹、父母）和二级亲属[（外）祖父母]。遗尿症定义为5岁以上儿童和青少年在过去4周至少1次晚上发生尿床;严重遗尿症定义为过去4周中平均1周至少2次发生尿床。被调查遗尿症儿童家族成员中出现5岁后仍遗尿症者为家族史阳性。结果411例遗尿症患者中,94例（22．87％）存在遗尿症家族史阳性。其中父亲占48．94％（46／94）,母亲占8．51％（8／94）,父母共同占6．38％（6／94）,同胞兄弟占6．38％（6／94）,（外）祖父母占29．79％（28／94）。60个（14．60％）家系符合常染色体显性遗传,其中13个（3．16％）为高外显率,47个（11．44％）为低外显率;6个（1．46％）符合常染色体隐性遗传;345个（83．94％）遗尿症家系为散发。所有遗尿症先证者中,男235例,女176例,男：女为1．3：1．0,排除性染色体遗传。遗尿症家族史阳性遗尿症患者的年龄、白天排尿异常和严重性遗尿症发生率显著高于家族史阴性遗尿症患者,而性别、居住环境和觉醒障碍发生率在二者的差异无统计学意义。结论部分遗尿症有家族遗传倾向。家族史阳性者多表现为严重性遗尿症和伴随有白天排尿异常症状。     

儿童遗尿症尿动力学分析(附30例报告)

目的：研究儿童遗尿症患者的尿动力学改变。方法：对30列儿童遗尿症患者行尿流率、剩余尿、充盈期膀胱测压、压力－流率、尿道压测定和肌电图检查。结果：尿流率偏低者2例，功能性膀胱容量减少者6例，有剩余尿者3例，膀胱顺应性异常者5例，不稳定膀胱者9例，不稳定尿道者2例，协调性紊乱者6例。结论：尿动力学改变是儿童遗尿症患者临床表现之一，通过对其分类可指导对遗尿症患儿的临床治疗。     

坦索罗辛联合抗生素加压灌注及治疗仪治疗慢性前列腺炎

目的：探讨治疗性病后慢性前列腺炎的有效方法。方法：采用盐酸坦索罗辛口服，药物尿道内加压灌注，并联合多功能前列腺治疗仪治疗淋病后慢性前列腺炎98例，采用NIH－CPSI及EPS实验室检查判断疗效。结果：52例（53．0％）获得治愈，35例（35．7％）获得改善，11例（11．3％）无效。结论：坦索罗辛联合尿道内药物加压灌注及前列腺治疗仪治疗性病后慢性前列腺炎是一种有效和安全的治疗方法。     

蓝紫光和强脉冲光联合治疗痤疮的临床观察

目的探讨应用两种不同光源的光，联合照射治疗痤疮的临床效果。方法采用405～420nm波长的蓝紫光和560～1200nm的强脉冲光，联合照射治疗不同阶段的痤疮：用Clear light光子痤疮治疗仪405～420nm蓝紫光，照射治疗痤疮的炎症脓疱期，照射6次，3天一次，每次15～18min；用560～1200nm强脉冲光，照射治疗痤疮炎症消退后的红色色素期，照射5、6次，3周一次。结果180例痤疮患者用两种不同光源的光，联合照射治疗后，痊愈165例(91．7％)，好转15例(8．3％)，有效率100％；随访2年，痤疮无复发162例(90％)，好转18例(10％)。结论采用405～420nm波长的蓝紫光和560～1200nm的强脉冲光联合光线疗法，照射治疗痤疮，是安全有效的治疗方法。     

特定电磁波治疗仪治疗烧伤的临床观察

特定电磁波治疗仪治疗烧伤的临床观察深圳市沙头角人民医院韩永毅我院１９９０～１９９３年采用特定电磁波治疗仪（ＴＤＰ）对４６例烧伤、烫伤的创面进行照射，治愈率达１００％。１一般资料与方法４６例中，男３２例，女１４例，年龄最大５３岁，最小９个月。电的伤３例...     

跟骨撬拨外固定器的研制及临床应用

目的 研究能独立完成跟骨骨折整复与固定的外固定器具,方法 采用自行研制跟骨撬拨外固定器治疗跟骨骨折50例,57个跟骨,进行临床观察。结果 本组50例,43例得到平均14.5个月的随访,根据中医骨伤科病证诊断疗效标准,治愈好转率为97%。结论 跟骨撬拨外固定器结构设计合理、简单、完整、使用方便,可单独完成跟骨骨折整复与固定直至愈合,尤其适用皇舌状型骨折治疗。     

Ilizarov's distraction osteogenesis using the mono-fixator system and initial clinical experiences with the injured lower leg

Distraction osteogenesis, as developed by Ilizarov, allows the limbs to be lengthened and intercalary defects to be filled by bone transport without the use of bone grafts. In five patients with traumatic sequelae (fractures of the lower leg), unilateral dynamic mono_fixation and a special distraction apparatus were used for application of the Ilizarov technique. With the distraction device, gradual distraction of the osteotomy surfaces (1/3 mm in three steps per day) is easy for the patients to perform. In three cases distraction osteogenesis was used to correct shortening of the lower leg and in two cases for bridging a tibial defect due to an infection in the plate osteosynthesis. In all cases, the course of treatment and bone healing were uneventful. Based on our first clinical experiences, we believe that mono_fixation provides appropriate stability and the distraction apparatus permits appropriate bone transportation for successful distraction osteogenesis in the tibia.     

慢性咳嗽患者支气管激发试验结果分析与检查指导

目的 了解慢性咳嗽患者组胺支气管激发试验的结果.方法 对225例慢性咳嗽患者用肺功能仪测定基础肺功能及吸入不同剂量组胺后的肺功能,对患者检查前、中、后进行指导.结果 225例患者支气管激发试验阳性129例(57.3%),阴性78例(34.7%),可疑阳性18例(8.0%),所有患者均顺利完成检查.结论 咳嗽变异型哮喘是慢性咳嗽的常见原因,支气管激发试验是诊断咳嗽变异型哮喘的主要方法,做好试验检查指导是患者顺利完成试验,保证检查结果准确,减少试验不良反应的关键.     

Extracorporeal lithotripsy in urinary calculi using the LT 01 EDAP

Three hundred and sixty nine extracorporeal lithotripsies for renal stones have been performed using the EDAP apparatus (ultrasound detection, piezoelectric destruction). In 7.1% of cases, the stone could not be located. By using low frequencies (1.25 to 5 cycles per second), extracorporeal lithotripsy was able to be performed in 82% of cases without anaesthesia and without premedication. 96.5% of patients treated have been followed and reviewed at one and three months: 169 (61%) cases were successful, 59 (21.3%) were partial results and 49 (17.7%) were failures. The best results were obtained in stones less than 20 mm in diameter. A poor result can only be improved by a second session of extracorporeal lithotripsy. The scintigraphic scars observed after high frequency extracorporeal lithotripsy were not observed when low frequencies were used. This new outpatient extracorporeal lithotripsy procedure without anaesthesia currently represents 79% of our primary indications in renal stones.     

可调节加压抗旋式骨折整复器治疗股骨颈骨折

目的 介绍自行研制的可调节加压抗旋式骨折整复器及其临床应用效果。方法 采用该整复器治疗新鲜股骨颈骨折72例,对其临床资料及整复器的结构特点进行总结分析。结果 72例均获随访,时间2－4年。按马元璋疗效评定标准,优62例（86．1％）,良10例（13．9％）。骨折均愈合,无股骨头坏死或塌陷。结论 该整复器适用于各种类型的新鲜股骨颈骨折,对骨折的固定既可加压抗旋,又可上下调节,简单易行,创伤小,便于推广。     

多功能动力复位装置治疗先天性髋脱位的临床研究

目的 采用多功能动力复位装置的治疗先天性髋脱位,对治疗后１０年的患者进行随访,探讨Ｘ线结果、临床功能与治疗方式之间的关系,找出解决不同年龄、不同脱位程度患儿的治疗方法及防止并发症出现的具体措施。方法 １３８例昨位时平均年龄为２２个月,其中５９髋单纯应用该装置复位固定,６４髋行内收肌、髂肌 切断后应用该装置 位成功,３５髋于Ｆｅｒｇｕｓｏｎ术后安装动力复位装置。结果 随访时平均年龄１１．８岁,平均随     

Pyosalpinx: anatomo-clinical experience and therapeutic inferences. Apropos of a retrospective study of 58 cases

Data from a series of 58 patients admitted with pyosalpinx, and representing 17.3% of cases of upper genital infections, were used to provide detailed information on therapy. Diagnosis was confirmed by celioscopy or laparotomy in all cases, and treatment essentially multiple antibiotic therapy by parenteral administration of wide spectrum compounds. Three subgroups of patients were distinguished: group 1 (15 cases) received immediate surgery due to severity of clinical picture or doubt as to diagnosis: in 54% the treatment was radical (hysterectomy-castration); group II (26 cases) received medical treatment only; group III (17 cases) underwent surgery after failure of medical treatment; operation was conservative in 52% of cases. Failure of medical treatment was related to a pyosalpinx volume of 8 cm3 or more in 86% of cases. No patient needed recovery surgery, while 3 had long term complications. Microbial flora was mainly anaerobic, diagnosis being dependent of celioscopy findings. Medical treatment alone allowed young women desiring pregnancy to conserve their genital apparatus in 44.8% of cases. When there is a lack of response to treatment, incomplete regression or recurrence then only surgery can be curative: the uterus and ovarian parenchyma should be conserved as far as possible because of new therapeutic perspectives.     

Selective arterial embolization in the treatment of lesions of the musculoskeletal apparatus.

The authors describe 42 cases of lesions of the musculoskeletal apparatus (traumatic, pseudoneoplastic or tumorous) in which selective arterial transcatheter percutaneous embolization (SAE) was indicated. In 3 patients SAE was not performed because the angiography had shown it to be too dangerous for the spinal cord. Out of 39 patients 2 were embolized in order to stop unrestrainable hemorrhaging (1 post-traumatic and 1 post-bioptic), 7 in order to reduce intraoperative bleeding, while in 7 cases (aneurysmal bone cyst, angioma of bone) the aim was curative. In the remaining 23 patients SAE was performed for adjuvant (8) or palliative (15) purposes in association with radio-and/or chemotherapy (11). In these last 15 cases the clinical results obtained were good in 67% of the cases, with partial or total regression of pain. Healing was obtained in 100% of the patients treated for curative purposes.     

Combined superior-transseptal approach to the left atrium

The combined superior-transseptal approach to the left atrium was used in 22 patients: to perform a mitral valve repair in 14 patients and mitral valve replacement in 8 patients. Mitral valve operation was combined with other cardiac procedures in 18 patients (82%) and was performed as a reoperation in 3 patients (14%). In all cases there was excellent exposure of the complete mitral annulus and subvalvar apparatus. There were no instances of postoperative bleeding, conduction defects, or intraatrial shunting related to the approach. The combined superior-transseptal approach to the left atrium is an excellent approach that can be used in most reoperations and primary procedures for isolated or combined mitral valve operations.