颅面部骨纤维异常增殖症的CT诊断

目的 评价CT对颅面部骨纤维异常增殖症的诊断价值。方法 回顾性分析资料完整的18例颅面部骨纤维异常增殖症CT扫描图像。2例行螺旋CT扫描薄层及三维重建；2例行HRCT横轴位扫描；其余行常规CT扫描。结果 14例累及多个颅面骨；单骨受累4例(右侧颞骨2例；左侧上颌骨、蝶骨各1例)。CT示受累颅面骨弥漫性膨大、畸形，骨皮质变薄，病骨密度改变主要有3种：磨玻璃样变；囊状低密度区；硬化区。3种密度可以混和存在。根据病变的密度分为3种类型：①硬化型8例；②变形性骨炎型8例；③囊型2例。同时伴随病变区内或邻近的自然腔隙、孔道、窦、管变形狭窄或闭塞。结论 CT扫描可清楚显示颅面部骨纤维异常增殖症骨质改变、病变范围及伴随表现，对本病的诊断、治疗及随访起重要作用。     

骨纤维异样增殖症诊疗体会

骨纤维异样增殖症又称骨纤维结构不良,是指发生于骨内纤维组织增殖的病变.是一良性类肿瘤疾患,可伴有皮肤色素沉着.病变多为单发,多发型有皮肤色素沉着,同时合并性早熟者,称为Albright综合征.目的 讨论骨纤维异样增殖症诊疗体会.方法 根据患者临床表现与检查结果 结合进行诊断并治疗.结论 大多数单发型纤维异样增殖症无症状者多不需治疗,只需观察,预防病理性骨折的发生.外科治疗适应证取决于3个因素,即症状和体征、年龄和结构不良的范围.儿童最好只行有限的治疗,成人有症状者可行手术治疗.     

颅面骨骨纤维异常增殖的CT影像诊断

目的：探讨ＣＴ面面 骨骨纤维增生殖症的诊断价值。方法：回顾性分析我院１９９０年至今１３例颅面骨骨纤维异常增殖症的ＣＴ表现。结果：ＣＴ表现为三型：硬化型、囊肿型、混合型。结论：ＣＴ对颅面骨骨纤维异常增殖症的诊断具有重要参考价值。     

颅面骨骨纤维异常增殖症的CT诊断

目的对颅面骨的骨纤维异常增殖症的CT诊断进行讨论和研究。方法对CT诊断为骨纤维异常增殖症,并经手术和病理证实的30例,对其CT表现进行了分析对照和研究。结果30例中,29例为多发,仅1例为单发,其中囊样型3例、硬化型16例、混合型11例。结论CT检查能准确的显示病变部位和范围。     

颅面部骨纤维异常增殖症DR及MSCT影像学表现分析

目的分析颅面部骨纤维异常增殖症DR及MSCT影像学表现。方法回顾分析本院2017年6月至2019年7月收治的67例颅面部FDB患者作为研究对象,所有患者均进行DR及MSCT检查。对患者所得DR及MSCT图像进行分析,并对比两种检查对颅面部FDB检出率。结果 MSCT对颅面部FDB检出率为98.50%,稍高于DR检查(95.52%),但两者比较无明显差异(P>0.05);67例颅面部FDB患者中,71.64%(48/67)患者为多骨型,其余28.35%(19/67)为单骨型,无Albright综合征患者。DR图像表现:患者外板、板障骨质出现膨大、增厚,颜面骨有局限性或者呈广泛性增大。67例患者中43例为磨玻璃样改变,囊状样改变16例,弥漫性硬化改变5例,"丝瓜瓤"样改变3例。MSCT图像表现:患者病变处骨正常结构消失,且有不同程度膨性增粗、畸形,检查中无软组织肿块影出现。结论颅面部FDB患者在DR、MSCT检查中影像学特征明显,DR检查可反映出整体病灶情况,而MSCT检查对病灶内部解构、范围、复杂部位显示等方面显示有优势,可作为首选检查方法 。     

颅面骨骨纤维异常增殖症的CT影像诊断

目的:探讨颅面骨骨纤维异常增殖症的CT影像特点,提高其诊断精确性。方法:回顾性分析23例经手术或活检病理证实的骨纤维异常增殖症的临床、病理及影像特点。结果:单骨型6例(26.1%),多骨型17例(73.9%);绝大多数骨纤维异常增殖症的影像表现为多形态改变,主要包括:磨玻璃样增白伴膨胀改变;膨胀囊状改变伴磨玻璃样密度;仅2例表现为弥漫性硬化改变。其中合并病理性骨折1例,Albfight综合征1例。正确诊断21例(91.3%),误诊2例。结论:颅面骨骨纤维异常增殖症的影像表现有一定特征性,CT检查对其诊断、鉴别诊断及指导治疗具有重要意义。     

局灶性胫骨骨纤维异样增殖症14例治疗体会

目的:探讨局灶性胫骨骨纤维异样增殖症病灶清除植骨加锁定加压钢板(LCP)内固定治疗骨纤维异样增殖症的治疗体会。方法:回顾性分析14例局灶性胫骨骨纤维异样增生症患者的临床资料,男6例,女8例,年龄13～36岁,平均25.4岁,其中发生病理性骨折1例;大多数患者主诉小腿不适、隐痛,局部肿胀,除1例病理性骨折外,患肢无明显活动受限,出现症状时间2 d～3年不等,经X线片、CT或MRI检查后发现并收住院,采用病灶清除植骨加LCP内固定手术,术后经病理证实为骨纤维异样增殖症。结果:本组患者均获得随访,随访时间12～60个月,平均26.5个月;其中13例患者术后复查X线片植骨边缘区模糊,髓腔内骨密度增高,有新骨形成,有1例术后复发,经再次手术后未见复发。结论:局灶性胫骨骨纤维异样增殖症病灶清除植骨加LCP内固定是较为理想的治疗方法。     

颌面骨纤维异样增殖症恶变的临床讨论

颌面骨纤维异样增殖症恶变的临床讨论李增健王玉新（第一临床学院口腔颌面外科，沈阳１１０００１）关键词骨纤维异样增殖症；颌面骨纤维异样增殖症（ＦｉｂｒｏｕｓＤｙｓｐｌａｓｉａ，ＦＤ）也称骨纤维结构不良，是正常骨组织逐渐被增生的纤维组织所代替的一种疾病。有...     

颅面骨骨纤维异常增殖症——附17例报告

颅面骨骨纤维异常增殖症──附１７例报告第二军医大学长征医院耳鼻咽喉科彭玉成，陆书昌，郗向红我院１９７５～１９９４年经手术治疗颅面骨骨纤维异常增殖症患者１７例，术后均经病理证实，现报告如下。临床资料一、一般情况１７例中，男６例，女１１例，男女之比约为１...     

颅面骨骨纤维异常增殖症18例

介绍颅面骨骨纤维异常增殖症18例,随访0.5～0.8年经手术治疗的17例,均良好,无复发.手术进路经唇龈沟切口11例,侧鼻切开5例,左耳后切口1例,削除增殖的病变骨组织.认为本病结合病史及X线表现不难诊断,靠病理确诊.需与骨化纤维瘤等病鉴别.手术不必过于强求完全切除病骨,以修面容为目的,以免切除过多造成面部医源性畸形.本病预后良好.先天性骨骼中胚叶发育异常可能是本病的致病原因,有待进一步研究.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Response of the xenograft endothelium in the concordant xenotransplantation

Objective: To investigate the response of the xenograft endothelium in the concordant hamster to rat cardiac xenotransplantation and the mechanism of acute vascular rejection. Methods: The animals were divided into 5 groups randomly: control group,CsA group, splenectomy group, D0 splenectomy CsA group and D3 splenectomy CsA group. Hamster heart was heterotopicaly transplanted to rat abdominal cavity. The graft survival was monitored by palpation of the rat abdominal wall. The histological and ultrastructural changes of the xenogafts were investigated. NF-κB and P-selectin expression in the xenograft were detected. Hene Oxigenase-1 and Bcl-2 expression were also detected in the xenografts of different groups. Results: The mean survival time of the xenografts in control group, CsA group, splenectomy group, D0 splenectomy CsA group and D3 splenectomy CsA group was 3.4±0.55, 3.8±0.45, 6.4±1.52, 30 and 7.4±1.14 days. The rejected graft showed typical acute vascular rejection in control group, CsA group,splenectomy group and D3 splenectomy CsA group. Endothelial cells of the rejected xenograft showed dramatic assembly of ribosomes and expansion of the rough endoplasmic reticulum. However, the endothelium of the long-term survived grafts in D0 splenectomy CsA group showed normal architecture. NF-κB and P-selectin expression were detected in the rejected xenografts. HO-1 expression was observed in the long-term survived xenografts in D0 splenectomy CsA group. Conclusion: The endothelial cells of the xenograft might be activated during the acute vascular rejection. Expression of HO-1 might inhibit the upregulation of NF-κB and adhesion molecular which decreases the activation of the endothelium of the graft.