共查询到20条相似文献,搜索用时 60 毫秒
1.
刘艺妃,一个很婉约的女人名字。但是,拥有这个名字的人却是一个只有25岁的贵州遵义小伙子。也许就在7月,他将成为名副其实的“她”,成为广西第一位变性人造美女,完成她很想嫁人的愿望。[编者按] 相似文献
2.
变性术后尿道口狭窄是临床值得注意的问题。我院开展腹腔镜下回肠带阴道变性术41例,发生尿道外口狭窄2例,现报告如下。 相似文献
3.
易性癖患者变性术前后的心理活动与行为浅析 总被引:1,自引:0,他引:1
易性癖又称性别变换癖 ,属精神病范畴 ,因该病主要是主观的心理意识与客观的解剖生理错位。患者要求通过整形手术达到变换性别的目的 ,由于变性术后其社会角色、家庭角色均发生改变 ,由此将涉及医疗、法律、行政及伦理等多个领域。因此 ,精神科与整形外科医生对易性癖患者的咨询与处理均采取谨慎的态度。现就我们在精神病门诊与整形外科接诊的 12名易性癖患者的心理活动和行为报告如下。一、临床资料1.一般资料 :我们在精神科与整形外科门诊共接诊 12例 ,男 11例 ,女 1例 ,年龄 17~ 5 2岁 ,平均 31岁 ,有 9名患者迫切要求行整形外科手术 ,… 相似文献
4.
5.
目的:探讨抑郁和焦虑与退变性腰椎间盘突出患者术后疼痛程度的相关性,及其对术后疗效的评估作用。方法:选择2008年3月~2010年3月在昆明医学院附属延安医院骨科行手术治疗的40例腰椎间盘突出患者。术前所有患者完成日本骨科学会(JOA)腰痛评分、视觉疼痛自我评定(VAS)、汉密尔顿抑郁量表17项评分以及汉密尔顿焦虑量表14项评分。按照汉密尔顿抑郁量表评分(7分为界)将患者分为抑郁组与非抑郁组,按照汉密尔顿焦虑量表评分(6分为界)将患者分为焦虑组与非焦虑组。术后3个月随访JOA及VAS评分。比较抑郁组与非抑郁组、焦虑组与非焦虑组的术后疼痛缓解程度的相关性。结果:抑郁组与非抑郁组、焦虑组与非焦虑组的患者术后JOA评分分别为3.2±0.3、9.1±1.8、3.3±0.3、9.2±1.9,VAS评分分别为1.25±0.53、2.53±0.40、1.23±0.55、2.48±0.38,抑郁组及焦虑组疼痛缓解率差(P<0.01)。结论:术前以抑郁和焦虑为主的负性情绪将加重腰椎间盘突出患者术后疼痛,而术前进行心理因素评分有助于预后评估。 相似文献
6.
[目的]对比显微镜下精准减压术(microscope- assisted precise decompression,MPD)与传统椎板切除减压术(traditional laminectomy decompression,TLD)治疗单节段退变性腰椎管狭窄症(degenerative lumbar spinal stenosis,DLSS)的临床效果,评估MPD治疗DLSS的可行性.[方法]回顾分析2007年3月~2009年3月本院收治的82例单节段DLSS患者,其中采取TLD治疗43例,采取MPD治疗39例.比较两种手术方法的手术时间、术中出血量、术后引流量、切口长度、术后3d内最高体温以及术后外周血的白细胞和C反应蛋白的动态变化.采用ODI和VAS评价临床治疗效果.[结果]两组的手术时间无显著性差异(P>0.05).与TLD组相比,MPD组术中出血量和术后引流量更少、切口更小、术后3d内的最高体温较低、以及术后24 h外周血的白细胞和C反应蛋白的平均值较低,差异有显著性(P<0.01).在VAS和ODI评分方面,两组术后6个月和末次随访时均较术前明显改善(P<0.01),术后6个月两组间的比较无显著性差异(P>0.05),而末次随访时MPD组优于TLD组(P<0.01).末次随访时,TLD组优18例,良15例,可7例,差3例,优良率为76.7%;MPD组优27例,良9例,可3例,差0例,优良率92.3%,MPD组的临床疗效优于TLD组(P<0.05).末次随访时,11例TLD及3例MPD患者出现手术节段失稳,TLD手术节段失稳发生率高于MPD组(P<0.05).[结论]短期内,两种方法治疗单节段DLSS均可获得充分的减压及良好的临床效果;与TLD相比,MPD具有术中出血量和术后引流量少、手术切口小、术后全身炎性反应轻、手术对腰椎稳定性负面影响小以及远期的临床疗效更好的优势. 相似文献
7.
《中国矫形外科杂志》2019,(19):1749-1753
[目的]探讨PEEK (polyetheretherketone, PEEK)棒系统的杂合术式治疗腰椎退变性疾病的临床疗效。[方法]回顾性分析本院2015年3月~2017年6月收治并符合纳入标准的腰椎退变性疾病患者20例的临床资料。男8例,女12例;年龄55~83岁,平均(68.20±6.87)岁;病变节段为L3~S1。采用PEEK棒内固系统进行融合与非融合结合的杂合术式进行治疗。采用疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评价症状改善情况,Stauffer-Coventry标准进行临床疗效评价。测量手术固定节段近端临近椎间隙高度(DSH)、活动范围(ROM)。[结果] 20例患者均顺利完成手术,1例术中硬膜撕裂予以缝合,未发生不良后果,手术切口均Ⅰ期愈合。随访时间12~39个月,平均(18.55±4.66)个月。术后6个月及末次随访时,VAS、ODI评分均较术前明显改善(P0.001)。末次随访时,根据Stauffer-Coventry评价标准,临床疗效评价优15例,良3例,中2例,优良率为90%。术后无内固定断裂、松动及神经功能损伤等相关并发症发生。术后6个月及末次随访时邻近节段DSH、ROM与术前比较,差异均无统计学意义(P0.05)。[结论] PEEK棒内固定系统联合应用杂合术式治疗腰椎退变性疾病,临床早期疗效满意。 相似文献
8.
9.
门静脉海绵样变性的外科治疗 总被引:4,自引:0,他引:4
我院 1992~ 2 0 0 0年共收治门静脉海绵样变性 (PVCT)患者 15例 ,手术 14例 ,现报告如下。1.临床资料 :本组共 15例 ,男 9例 ,女 6例 ;年龄 10~ 48岁 ,平均 2 4岁。主要症状为反复呕血、黑便 ,脾肿大、脾亢进 ,腹水等。其中 6例患者在外院行过“脾切除、门奇静脉断流术”。 15例患者均经Duplex超声检查 ;8例行间接门静脉造影 ,5例门静脉主干狭窄或不显影 ,侧支循环开放 ;3例肝内门静脉分支变细扭曲呈蜂窝状。磁共振血管造影(MRA) 5例 ,提示PVCT伴侧支大量开放。术中 3例行直接门静脉造影。术前检查胃底食管下段静脉重度… 相似文献
10.
11.
12.
13.
14.
15.
16.
Paul J. Donald 《Head & neck》1982,4(5):433-437
Sexual reassignment surgery for individuals with gender identity confusion has been highly successful, especially in the male-to-female transformation. A troublesome problem for some of these individuals is the retention of their male voice. Although castration and estrogen therapy may produce minor elevations of pitch and the assumption of a falsetto voice produces a more typical but contrived female tone, the basic male anatomic structure of the larynx must be altered to effect a physiological transformation. In three transsexuals, an attempt was made to effect a more female tonal quality by shortening the vibrating length of the vocal folds. Through a laryngofissure, the anterior one third of each cord was denuded and the raw edges approximated. This produced an anterior web that successfully resulted in pitch elevation in all three cases. 相似文献
17.
18.
19.
《Cardiovascular surgery (London, England)》1998,6(2):198-200
Objective: To determine the incidence of sexual dysfunction in women after abdominal aortic surgery in a questionnaire based study. Patients: A total of 100 women (aged 46–96, median 75 years) who had aortic grafts during 1990–1994. Methods: Patients were traced and their social circumstances determined. An initial approach was made by letter, and questionnaires were sent to women who were willing to participate at 1 year or more after their operation. Results: Sixty-nine patients were found to be ineligible because they had died (39), recently been widowed (15), become seriously unwell or untraceable (15). Of the remaining 31, only eight were willing to answer a detailed questionnaire about sexual function, and seven did so: four had maintained good sexual function, and three had experienced deterioration since surgery (but in two there had been some improvement over a period of months). Conclusions: Assessing any possible effect of aortic surgery on sexual function in women is most difficult, because of the age and circumstances of many patients, and a general reluctance of patients to answer explicit questions about their sexual function. Although this study fails to provide any clear evidence of adverse effects, it focuses attention on a neglected yet potentially important subject. 相似文献
20.
Maxey TS Reece TB Young JS 《Archives of surgery (Chicago, Ill. : 1960)》2002,137(6):746; author reply 746