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991.
目的:探讨 C A15 - 3 对术后乳腺癌的随诊价值。材料与方法:1996 年6 月至1996 年12 月行常规放疗的术后乳腺癌患者45 例,于放疗前开始首次检测外周血 C A15 - 3 值,在以后的随诊工作中,作为检查项目之一,即每1~3 个月查血1 次,监测时间为2 年。结果:有复发转移与无复发转移两组的 C A15 - 3 水平分别为(56 .21 ±8 .37) U/ml,(13 .49 ±2 .22) U/ml, P< 0 .01 ; C A15 - 3 升高的5 例复发转移患者, C A15 - 3 首次升高均出现于临床或影像学检查之前,提早时间平均为(2 .54 ±1 .36) 个月;以 C A15 - 3 > 30 U/ ml 为阳性,6 例复发、转移患者中,5 例阳性,阳性率的95 % 可信区间为36 % ~100 % ,39 例无复发、转移患者中,1 例 C A15 - 3 阳性,假阳性率的95 % 可信区间为0 ~14 % 。结论: C A15 - 3 对乳腺癌术后的转移或复发有较好的特异性和阳性预测性,在术后随诊中有不可替代的预测作用。 相似文献
992.
对31 例Du 患者及31 例慢性胃炎患者进行HP 检测及血清胃泌素测定,并对其中23 例HP阳性Du 患者抗HP 治疗后的血清胃泌素及HP 进行测定。结果显示HP 检出率Du 组为74 .19 % (23/31) ,较慢性胃炎组48 .39 % (15/31) 高( P< 0 .05) ;DuHP 阳性组的血清胃泌素较DuHP 阴性组、慢性胃炎HP 阳性组及慢性胃炎HP 阴性组明显增高( P 均< 0 .05) ,而DuHP 阴性组的血清胃泌素与慢性胃炎HP 阳性组及慢性胃炎HP 阴性组比较差异无显著性( P> 0 .05) ,23 例DuHP 阳性者抗HP 治疗后,HP转阴者的血清胃泌素较治疗前明显下降(P< 0 .05) ,HP 未转阴者的血清胃泌素前后差异无显著性( P>0.5) 。提示Du 血清胃泌素与幽门螺杆菌感染有一定相关性。 相似文献
993.
Purpose: To observe the inhibitory action of homoharringtonine liposome during the healing process of wounds in the filtering sitesMethods: posterior sclerectomies were performed in 14 rabbits. Postoperatively one eye of each rabbit received subconjunctival injections of HH liposome and fellow eye received saline injection in a randomized masked fashion.Results; Fourteen days after operation the IOP of experimental eyes reduced significantly (P < 0.01) as compared with the controlled eyes, and the number of remaining filtering blebs increased noticeably (P< 0.05). Pathohistological examination revealed that the number of fibroblasts per square micron in the filtering sites and the thickness of the scars in the center of the filtering sites of the experimental eyes were less than those of the controlled eyes. No serious ocular toxic and side effects were found.Conclusion : This experiment suggests that homoharringtonine liposome can markedly inhibit the scar formation of filtering sites after glaucoma fi 相似文献
994.
Purpose: To investigate the compliance of the patients with ocular fundus diseases with recommendation for follow-up examination after laser treatment, and the underlying reasons for non-compliance.Methods: 53 patients with ocular fundus disease were asked to fill in a questionnaire which includes the socio-demographic characteristics, fear of the fundus disease, conception of the laser treatment and the motivation for staying healthy. Variables were compared for the compliers group and the non-compliers group by chi-square test. Result; Of the 53 subjects, 35 were classified as non-compliers and 18 were classified as compliers. There was no statistically significant difference between the two groups on all selected socio-demographic factors, conception of the laser treatment and the motivation for staying healthy. Significant difference was found between the two groups on two of those items concerning the fear of the diseases (P<0. 05). About half of the participants showed the lack of knowledge about 相似文献
995.
目的:评价在白内障手术中使用高频透热撕囊仪作连续环形撕囊的效果。方法:在30例(34眼)患者进行白内障囊外摘出联合后房型人工晶体植入术中,先向前房注入透明质酸钠,然后使用高频透热撕囊仪作晶体连续环形撕囊术。结果:有3眼术中出现小的晶体前囊放射状撕裂,所有病例术后角膜无水肿,无其他术后合并症,术后一周31眼矫正视力≥0.5,占91.2%。结论:此法操作简便,易于掌握,是一个安全有效的连续环形撕囊的方法。尤其适用于过熟期白内障,儿童先天性白内障和外伤性白内障的截囊。眼科学报1999;15:121—123。 相似文献
996.
角膜缘干细胞与结膜移植治疗翼状胬肉 总被引:1,自引:0,他引:1
目的:观察角膜缘干细胞与结膜移植治疗翼状胬肉的疗效。方法:采用自体角膜缘干细胞与结膜移植术,对38例43眼初发和复发性翼状胬肉患者进行治疗,术后随访3~30月,平均10月。结果:38例43眼中34例38眼上皮愈合稳定,角膜恢复正常光滑、透明,胬肉无复发。4例5眼失访。结论:自体角膜缘上皮移植为病变区角膜和结膜提供新的干细胞来源,是治疗翼状胬肉的理想方法。眼科学报1999;15:89—90。 相似文献
997.
998.
视觉电生理联合应用对眼外伤视觉功能的评价 总被引:11,自引:1,他引:10
联合使用视觉电生理检查法评估外伤眼的视功能。方法单纯眼外伤30例按受伤程度分3组,健康对侧眼为对照组,比较各组VEPP100波潜伏值,30Hz红闪炮光ERG的振幅和暗适应ERGa、b波振幅的平均值。结论联合应用视觉电生理检测法是评价眼外伤视功能的可靠依据。 相似文献
999.
Hammond EH Henson DE;Cancer Committee College of American Pathologists;Task Force on the Examination of Specimens Removed from Patients with Bladder Cancer 《Archives of pathology & laboratory medicine》1996,120(12):1103-1110
This article details a practice protocol for the examination and reporting of specimens removed from patients with carcinoma of the urinary bladder, ureter, renal pelvis, or urethra. It was created by a multidisciplinary task force of pathologists and oncologists established by the Cancer Committee of the College of American Pathologists. Documentation for the protocol was obtained from the previously published protocol, the medical literature, personal experience, and consultation with colleagues. After creation and review by the task force, the protocol was sent to 1000 randomly selected practicing pathologists as a survey. Their comments and suggestions were addressed in the final version. The protocol was approved by the Board of Governors of the College of American Pathologists. 相似文献
1000.
Klootwijk P.; Langer A.; Meij S.; Green C.; Veldkamp R. F.; Ross A. M.; Armstrong P. W.; Simoons M. L.; for the GUSTO-I ECG-ischaemia monitoring substudy 《European heart journal》1996,17(5):689-698
In the GUSTO-I ECG ischaemia monitoring substudy, 1067 patientsunderwent continuous ST segment monitoring, using vector-derived12-lead (406 patients), 12-lead (373 patients) and 3-lead Holter(288 patients) ECG recording systems. Simultaneous angiogramsat 90 or 180 min following thrombolytic therapy were performedas a part of the prospective study in 302 patients. Infarct vessel patency was established as TIMI perfusion grades2 or 3 and occlusion as TIMI perfusion grades 0 or 1. Coronaryartery patency was predicted from ST trends up to the time ofangiography. Predictive values at 90 and 180 min after the startof thrombolysis were 70% and 82% for patency and 58% and 64%for occlusion, respectively. In retrospect, accuracy appearedgreatest (79100%) in patients with extensive ST segmentelevation (400 µV), if both speed of ST recovery and extentof ST segment: elevation were taken into account. Although thethree recording systems differed considerably in signal processing,no significant difference in accuracy was demonstrated amongthese systems. We conclude that continuous ECG monitoring may help select highrisk patients without apparent reperfusion who may benefit fromadditional reperfusion therapy. As ST recovery may occur earlyafter the start of thrombolytics and accuracy of the test isrelated to peak ST levels, the use of on-line ECG monitoringdevices on emergency wards and cardiac care units is recommended.(Eur Heart J 1996; 17: 689698) 相似文献