通阻方治疗输卵管炎性不孕症

目的:研究自拟通阻方治疗输卵管炎性不孕症湿热瘀阻型的疗效。方法:将80例输卵管炎性不孕症湿热瘀阻型患者随机分成两组,每组40例,治疗组用通阻方浓煎100 mL保留灌肠,15 d为1疗程,连续行3疗程。对照组将上述中药1剂经浓煎后的药渣装入白色棉织布袋中,外敷于患侧腹部及腰骶部,15 d为1疗程,连续行3疗程。用药3个月后,比较两组输卵管通畅程度、中医证候的变化。结果:中药灌肠组的输卵管通畅程度明显优于中药外敷组(P<0.05)。中药灌肠组的中医证候疗效与中药外敷组有显著性差异(P<0.05)。结论:通阻方灌肠或外敷治疗输卵管炎性不孕症湿热瘀阻型是有效的,且灌肠治疗优于外敷治疗。     

手术治疗混合型颈椎病

混合型颈椎病常合并有颈椎管狭窄。为使前路手术治疗以脊髓型为主混合型颈椎病，脊髓、神经根和椎动脉减压更有效，作者设计了前路广泛减压技术。采用无震动技术于受累椎体前方“开窗”，切除其后方骨赘，突出的椎间盘或骨化的后纵韧带，充分扩大狭窄的椎管；切除增生肥大的钩椎关节以扩大椎间孔，切除横突孔的前内侧壁和束缚椎动脉的纤维组织以松解椎动脉；同时，自体髂骨块嵌入植骨于手术骨窗中。１９８７年以来，手术治疗４２例患     

由食用奶引起食物中毒病原检测分析

1995年5月,本市某小学因食用课间奶致中毒.事件调查中,在食剩奶和厂产奶中均分离出金黄色葡萄球菌.并检出A、C型肠毒素,现报告如下:1 材料与方法采集发病当日奶业公司生产的课间奶8份和学生喝剩半袋奶2份(简称“厂产奶”和“食剩奶”),按文     

美国的卫生筹资体制与改革对我国的启示

根据世界银行贷款卫Ⅷ项目的实施计划,卫生部国外贷款办公室组织了美国卫生筹资体制与改革考察团,赴美国进行了为期14天的考察。 通过半个月的实地考察和访问,我们对美国的卫生服务体系有了较深入的了解,特别是对其卫生服务的筹资体制及存在的问题有了初步认识。     

11例腮腺炎症性肿块误诊分析

１１例腮腺炎症性肿块误诊分析ＣＬＩＮＩＣＡＬＡＮＡＬＹＳＩＳＯＦＭＩＳＤＩＡＧＮＯＳＩＳＯＦ１１ＣＡＳＥＳＯＦＩＮＦＬＡＭＭＡＴＯＲＹＭＡＳＳＩＮＰＡＲＯＴＩＤ殷之平张成玉腮腺炎症性肿块与肿瘤的鉴别是涎腺外科中经常遇到的问题。１９８８年以来我所手术治...     

中西医结合治疗脊柱结核疗效观察

目的观察中西医结合治疗脊柱结核的临床疗效。方法 58例脊柱结核患者随机分为治疗组和对照组各29例,2组均给予药物化疗和手术治疗,治疗组在上述治疗方案的基础上加用中药治疗。观察2组临床疗效。结果治疗组总有效率为89.7%高于对照组的79.3%,差异有统计学意义（P〈0.05）。对照组出现肝功能损害9例,治疗组治疗期间未发生明显不良反应。结论中西医结合治疗脊柱结核疗效优于单纯西医治疗,且不良反应少,可减少骨结核患者痛苦及致残率,提高患者生存质量。     

男性骨质疏松患者股骨头松质骨微结构区域差异的研究

Objective The aim of this study was to investigate the femoral head trabecular heterogeneity in Chinese male patients with osteoporotic fracture and their effects on osteoporotie fracture.Methods Human femoral heads were obtained from 11 male osteoporotie fracture (OP) patients ranged from 51 to 82 years old [average age (65±9 ) years old], and 7 male trauma ( TM ) patients ranged from 46 to 75 years old [average age (61±11 ) years old] who underwent total hip arthroplasty within two hours after either osteoporotic or trauma hip fracture.The OP was defined as having a fragility fracture.After laying femoral head as living body position and locating mark, nine trabecular specimens were obtained from femoral heads, each of 6 mm × 6 mm× 7 mm.The cortical shell was not included in each specimen.One cube was selected as the primary compressive trabecular region and the other 8 specimens as non-primary compressive trabecular region.These cubes were scanned using high-resolution microcomputed tomography scanner (μCT).After scanning, the data of total cubes, primary compressive trabecular region and noncompressive trabecular region were used for analysis by t test.Results In OP group volumetric bone mineral deosity(vBMD) [( 182.15±66.00) mg/mm3 vs (223.97±70.92) mg/mm3, t =3.041], tissue bone mineral density (tBMD) [(538.76±64.72) mg/mm3 vs (580.01±63.86 ) mg/mm3, t = 3.160],bone volume fraction (TV/BV) [(0.22 ± 0.06) % vs (0.26 ± 0.07 ) %, t = 2.821], trabecular thickness (Tb.Th.) [( 161.07 ±42.75 ) μm vs ( 205.47 ± 74.44 ) μm, t = 3.233] were significantly decreased while bone surface/bone volume ( BS/BV ) [( 13.75 ± 2.55 ) mm-1 vs ( 12.28 ± 2.70 ) mm-1, t =-2.777] was significantly increased in the non-primary compressive trabecular region than that in the primary compressive trabecular region ( P < 0.05 ).vBMD [( 182.15 ± 66.00) mg/mm3 vs ( 248.05 ±105.48) mg/mm3, t = - 3.598], tBMD [(538.76 ± 64.72) mg/mm3 vs ( 570.54 ± 100.32) mg/mm3,t=-2.108],TV/BV [(0.22±0.06) % vs (0.28±0.12) %, t= -3.466], Tb.Th.[(161.07±42.75) μm vs (200.31 ±96.63) μm, t= -2.866], trabecular number (Tb.N.)[(1.46±0.23)/mm3 vs ( 1.57 ± 0.29)/mm3, t = - 2.396] were significantly decreased while trabecular separation ( Tb.Sp.) [(780.82 ± 144.85 )μm vs ( 653.09 ± 119.64) μm, t = 5.470], degree of anisotropy (DA) ( 1.57±0.20 vs 1.47±0.18, t = 2.930 ) were significantly increased in OP than in TM in the non-compressive trabecular region( P < 0.05 ).No significant differents were found between OP and TM for any of the parameters measured in the primary compressive trabecular region.Tb.Th.[(199.37±68.22)μm vs (176.33 ±71.21 )μm, t = 2.060,P < 0.05] were significantly increased in the primary compressive trabecular region than that in the non-primary compressive trabecular region and no significant differences were found in the other parameters in the all 18 specimens.Conclusions The femoral head trabeculae had a heterogenic distribution in OP.Bone loss in OP primarily takes place in non-compressive trabecular region.Femoral neck fracture cannot be prevented though the bone microstructure do not loss in the primary compressive trabecular region.Tb.Th.in the femoral head could be an interesting parameter which is closely related to the femoral neck fracture.