CO_2激光治疗肛瘘200例疗效观察

ＣＯ＿２激光治疗肛瘘２００例疗效观察王俊峰用ＣＯ２激光治疗肛瘘，基本上不出血，不感染，不复发。现将我院治疗肛瘘２００例总结如下：１．资料：在２００例肛瘘中，年龄最大７０岁，最小２０岁。发病时间最长的２０年，最短一年。其中有高血压病史６例，肾炎２例，肝...     

CO_2激光治疗手术切除后复发感染的先天性耳前瘘管11例

ＣＯ２激光治疗手术切除后复发感染的先天性耳前瘘管１１例蔡志毅近５年来，对１１例手术切除术后复发感染的耳前瘘管患者，应用ＣＯ２激光照射治疗，疗效满意。一般资料患者１１例，其中男４例，女７例；年龄３岁～１８岁，平均１０．８岁；复发感染时间为术后半月～１年...     

CO_2激光治疗宫颈糜烂1119例分析

ＣＯ＿２激光治疗宫颈糜烂１１１９例分析刘秋梅我院自１９９０年开始，采用ＣＯ２激光治疗宫颈糜烂１１１９例，随访８２５例，治愈８０４例（９７．５％），好转２１例（２．５％），有效率达１００％。治法：应用ＹＹＪＧ－ＬＡ型ＣＯ２治疗机，激光波长１０．６μｍ，...     

CO_2激光治疗宫颈糜烂283例体会

ＣＯ＿２激光治疗宫颈糜烂２８３例体会滕淑亭，侯翠萍自１９８９年以来，我们用ＣＯ２激光烧灼治疗宫颈糜烂２８３例，痊愈２２９例，占８１％。其中单纯型１５１例，治愈１４７例（９７．３％）；颗粒型８３例，治愈５２例（６２．７％）；乳头型４９例，治愈３０例（６...     

MEBO在外阴白色病变CO2激光术后的应用

ＣＯ２激光联合ＭＥＢＯ治疗外阴白色病变５０例，旨在探索提高其疗效的方法，结果治疗１个疗程后总有效率９０％，复发率１０％。同时，分别用单纯ＣＯ２激光治疗（Ｂ且）及药物治疗（Ｃ组）５０例进行对照，总有效率分别为７０％及６４％，复发率１３％及１５％，ＣＯ２激光联合ＭＥＢＯ疗效明显优于其他两组（Ｐ〈０．０１），且复发率明显降低（Ｐ〈０．０５）。有效率高，复发率低，无明显瘢痕及毒副作用，消肿止痛，止痒快等特     

CO_2激光与He─Ne激光相结合治疗肛瘘550例临床总结

ＣＯ＿２激光与Ｈｅ─Ｎｅ激光相结合治疗肛瘘５５０例临床总结邢俊亭本文报应用ＣＯ２激光切割治疗肛瘘５５０例，术后配合Ｈｅ─Ｎｅ激光照射创面，较以往常规手术自然愈合患者疗程明显减短，并无手术后感染、疤痕组织形成等后遗症。对低位单纯型肛瘘和低位复杂型肛瘘，...     

CO_2激光治疗宫颈糜烂350例体会

ＣＯ＿２激光治疗宫颈糜烂３５０例体会于秀枝，刘承芳我院于１９９１年１月至１１月使用ＣＯ２激光（输出功率３０Ｗ、光斑直径２～４ｍｍ）烧灼炭化治疗宫颈糜烂３５０例，取得了很好的效果。３５０病例中，重度糜烂２２８例，治愈２１７例，治愈率９５．１％；中度糜烂...     

瘘道探查造影及粘堵诊断治疗肛瘘

目的探讨瘘道探查造影及医用胶粘堵诊断治疗肛瘘的价值。方法28例肛瘘患者经导管、导丝探查造影明确诊断后，用医用胶作瘘道粘堵。结果肛瘘分型为：低位单纯性肛瘘12例，低位复杂性肛瘘2例，高位单纯性肛瘘8例，高位复杂性肛瘘6例。治疗次数分别为：1次12例，2次7例，3次5例，4次4例。治愈20例，未愈3例，失访5例。治愈率71．4％。结论应用导丝、导管做疾道探查造影能更全面诊断肛瘘；医用胶粘堵治疗肛瘘简单、安全、有效，无并发症、后遗症，值得推广。     

CO_2激光治疗霰粒肿的体会

ＣＯ＿２激光治疗霰粒肿的体会李海凌，高学兰本文报道作者采用ＣＯ２，激光治疗征粒肿（脸板腺囊肿）３２例，其中曾经眼科手术治疗一个月内复发的６例，取得良好疗效。ＣＯ２激光波长１．０６μｍ，输出功率２０Ｗ，聚焦点直径０．２ｍｍ，装有可见红光Ｈｅ＋Ｎｅ激光瞄...     

CO2激光对声带癌T1临床治疗的疗效评价

目的：探讨声带癌Ｔ１的ＣＯ２激光治疗与放射治疗对喉发音机能有何不同影响。方法：２４例声带癌Ｔ１患者,９例行ＣＯ２激光治疗,７例放射治疗,８例ＣＯ２激光与放射联合治疗。病人治疗前后行频闪喉镜检查,噪音声学分析（ＡＰＱ,ＰＰＱ,ＮＮＥｂ,ＮＮＥａ）,喉平均呼气流率（ＭＦＲ）检测及噪音听觉评价分析。结果：（１）放疗加激光联合治疗对发音功能较单独应用激光或单独应用放疗的影响大。（２）ＣＯ２激光治疗后噪音音     

Reliability of endosonography in evaluation of anal fistulae and abscesses

Objective:
To assess the reliability of anal endosonography (AES) in the diagnosis of anal fistulae and abscesses. Material and Methods:
86 patients with different types of anal fistulae and abscesses were prospectively examined with a 7.0 MHz transducer. Type of anal fistulae, differentiation between simple and complex tracts, and location of their internal openings were defined. In 66 cases with permeable external opening, hydrogen peroxide solution was introduced into the fistula tract. Reliability of AES was defined after surgical treatment of all cases. Results:
74 anal fistulae, including 43 transsphincteric, 11 intersphincteric, 6 suprasphincteric, 3 superficial, and 11 ano-vaginal were found on AES. 27 fistulae were complex, and 47 simple fistulae. In 10 patients a coexisting abscess was found; the remaining 12 abscesses were without any fistula. Surgery confirmed the type of anal fistula in 64 patients (86.5%), and location of internal openings in 60 cases (81.1%). All abscesses were confirmed. Conclusion:
AES showed high accuracy in diagnosing anal fistulae and abscesses.     

半开放缝合挂线术治疗高位后蹄铁型肛瘘临床分析

目的：分析半开放缝合挂线术治疗高位后蹄铁型肛瘘的优越性与临床应用经验。方法：回顾分析我们自2002年8月至2003年2月应用该术式治疗的高位后蹄铁型肛瘘46例资料，其中粘膜型3例，复杂型5例，单纯型38例。结果：临床治愈42例，占91％；2例有粘液沾污，占4％；1例复发，占2％。结论：该术式显著缩短了疗程，有效地防止了肛门变形和大面积瘢痕的形成，为保护肛门机能结构完整。减少复发率提供了一种可靠的方法。     

Image-guided surgery for anal fistula in a 0.5T interventional MRI unit

PURPOSE: To determine whether MR-guided anorectal surgery is feasible, and to develop techniques for MR-guided anal fistula surgery. MATERIALS AND METHODS: Six patients with pilonidal sinus (PNS), and 21 with suspected anal fistulae were operated on in the GE Signa SPIO 0.5T interventional MRI unit. Procedures were performed with magnet-safe Lockhart-Mummery fistula probes. Preprocedural and intra-operative MRI (IOMRI) techniques were used to identify the extent of the fistula tracts and septic foci, and to ensure the adequacy of the surgical procedure. RESULTS: IOMRI demonstrated the PNS lesions and the adequacy of excision. Imaging failed to demonstrate a fistula in two patients, as confirmed by surgical examination. No images were obtained in one patient due to his size (weight in excess of 100 kg). In 18 patients a fistula tract or abscess was demonstrated and IOMRI was used to assess the adequacy of the surgical procedure. In three patients this demonstrated incomplete drainage of septic foci, which was not obvious on inspection of the surgical field. We believe that in these patients IOMRI prevented an incomplete procedure and the potential requirement for a second operation. Further surgery was performed to rectify this situation. The fistula tract was laid open in 13 patients, and a Seton drain was inserted in five. CONCLUSION: MRI-guided surgery for anal fistula is feasible. IOMRI demonstrates the exact anatomy of the tracts and abscesses, and confirms that all have been adequately treated. We believe it may become particularly useful in surgery for recurrent and complex anal fistulae, and may lead to fewer recurrences.     

Embolization of an intrahepatic arterioportal fistula: Case report and review of the literature

An intrahepatic arterioportal fistula causing portal hypertension was successfully palliated with steel coils. The patient remains well 2 1/2 years after embolization. The 13 previously reported cases of transcatheter embolization of large intrahepatic arterioportal fistulae are reviewed. Percutaneous transcatheter embolization with suitable embolic material should be preferred to surgery in the treatment of these fistulae.     

CO2激光治疗肛肠疾病470例

目的总结CO2激光治疗各种痔、肛裂及肛瘘等的疗效。方法外痔104例,内痔40例,混合痔288例,环形痔3例,低位肛瘘16例,肛裂19例,合计470例。以功率为15~20W、功率密度478或637mW/cm2的CO2激光刀割、凝固病变处。结果470例治愈率96·6%,有效率100·0%。术后发生水肿25例(5·3%)、疼痛30例(6·3%),少量出血13例(2·8%)。无一例发生排尿困难、尿潴留。结论CO2激光治疗常见肛肠科疾病,方法简便,疗效确切,并发症较少,可操作性较强。     

手术联合抗病毒治疗儿童复发性喉乳头状瘤疗效分析

目的探讨和评价C02激光手术联合抗病毒药物西多福韦（cidofovir）治疗儿童复发性喉乳头状瘤的可行性和疗效。方法回顾性分析28例复发性喉乳头状瘤患儿的临床资料,采用单纯CO2激光治疗10例,激光切除后同时用西多福韦于病灶基底注射18例,对2种治疗方法的疗效进行分析评价。结果单纯CO2激光切除喉乳头状瘤10例,术后4周电子喉镜检查发现喉乳头状瘤复发8例,2例缓解;18例经上述手术切除联合西多福韦肿瘤基底部注射．4次1疗程。治愈14例,治愈率77．8％;其他4例均为缓解。结论CO2激光手术切除联合西多福韦肿瘤基底部注射治疗儿童复发性喉乳头状瘤,进一步提高了该病的治愈率,减少了肿瘤的复发。     

应用激光技术治疗痔—附1376例报告

本文较详细地介绍了应用激光技术即用CO_2及Nd:YAG激光手术刀治疗各种类型痔的临床观察。我院自1988年应用CO_2及Nd,YAG(以下简称激光手术刀)的技术治疗各种痔1376例均取得满意的治疗效果,治愈率达100％,并对有关问题进行探讨。     

半导体激光门诊治疗阻塞性睡眠呼吸暂停综合征的临床研究

为了安全、方便地治疗阻塞性睡眠呼吸暂停综合征，自１９９３年１１月到１９９５年１０月，我们在门诊用ＣＯ２激光行悬雍垂软腭成形术治疗阻塞性睡眠呼吸暂停综合征（ＯＳＡＳ）１０４例，术中少量出血８例，术后无出血。用Ｄｉｏｍｅｄ半导体激光治疗ＯＳＡＳ４２例，术中与术后无出血。全部病例术前经多导仪行睡眠监测后诊断、分类，术后一个月或术后一个月和四个月重复多导仪监测后进行疗效判定，结果：ＣＯ２激光组８９例有效，有效率８５．６％，Ｄｉｏｍｅｄ半导体激光组３７例有效，有效率８８．１％。     

湿润烧伤膏灌注疗法治疗肛瘘术后创面疗效观察

目的比较湿润烧伤膏与马应龙痔疮膏治疗低位单纯性肛瘘术后创面的疗效。方法80例低位单纯性肛瘘术后患者被随机分为两组：40例采用湿润烧伤膏灌注疗法治疗（治疗组）,另40例采用马应龙痔疮膏换药治疗（对照组）。术后治疗观察期为30d,对比观察止痛效果、愈合速度、术后并发症;创面愈合后对后遗症的随访期为3个月。结果比较两组的止痛效果、愈合时间、术后并发症及后遗症,治疗组明显优于对照组（P〈0．05）。结论湿润烧伤膏治疗低位单纯性肛瘘术后创面的效果较好,具有临床推广价值。