197例腰椎间盘膨出和脱出的CT分型

根据１９７例腰椎间盘病变的ＣＴ影像以及手术所见，提出腰椎间盘膨出分为均匀型、不均匀型、局限型；腰椎间盘脱出分为中央型、旁侧型、孔外型、Ｓｃｈｍｏｒｌ结节型。除Ｓｃｈｍｏｒｌ结节型外，上述椎间盘脱出可继续分为隆起型、破裂型、游离型等三个亚型。还讨论了分型的必要性、病理基础与临床关系以及鉴别诊断。     

子宫颈上皮不典型增生与宫颈癌细胞超微结构的观察比较

光镜和电镜观察慢性宫颈炎上皮不典型增生42例,宫颈癌21例,正常对照7例。上皮不典型增生之一是位于深部的储备细胞增生,细胞的核质比大,细胞器少,分化较低。鳞状上皮不典型增生细胞特点是核质比增大,核形不整,核膜内陷,细胞器增多,桥粒和张力原纤维减少。鳞癌细胞的核质比更大,核膜内褶深,细胞器更多,桥粒和张力原纤维很少或消失,分化低的癌细胞尤明显。粘液性腺癌腺上皮深部可见储备细胞转化的癌细胞。     

虎杖甙对脂多糖刺激下中性粒细胞趋化反应的影响

OBJECTIVE: To understand the action mechanisms of polydatin (PD) in the treatment of septic shock in view of its effect on lipopolysaccharide (LPS)-induced chemotaxis of the leucocytes. METHOD: Chemotactic chamber assay was used to investigate the regulative role of PD in chemotaxis of the neutrophils in response to LPS stimulation. RESULTS: The chemotactic index of normal neutrophils was 4.96+/-0.69, which was significantly increased by LPS stimulation. LPS stimulation at the doses of 10, 100, and 1000 ng/ml resulted in the elevation of the chemotactic index of the neutrophils to 8.94+/-1.73, 10.31+/-1.180 and 7.12+/-1.46 respectively (P<0.05), an effect potently reversed by the application of PD at the concentrations ranging from 0.008 to 0.8 mg/ml, of which 0.08 mg/ml was the most effective concentration that produced a decrease of the chemotactic index to 1.95+/-0.17. In addition, PD exhibited obvious anti-LPS effect after treatment for 5 to 60 min (P<0.05), while showing no influence on the chemotaxis of normal neutrophils (P>0.05). CONCLUSION: PD can regulate neutrophil chemotaxis in inflammatory reactions and may play a crucial role in the treatment of infections and inflammation.     

MRI的选购定位

对MRI若干主要参数进行总结,结合实际应用体会,对我院MRI设备选购进行讨论,以期对MRI设备的选购定位提供参考.     

Oral and dental manifestations in diabetic and nondiabetic uremic patients receiving hemodialysis.

OBJECTIVE: The aim of this study was to examine the dental condition and oral manifestations in diabetic and nondiabetic uremic patients undergoing hemodialysis. STUDY DESIGN: A total of 128 patients undergoing hemodialysis therapy were classified into the diabetic and nondiabetic groups and examined for uremic oral manifestations, dental caries, and the periodontal status. All the patients received predialytic salivary pH examination. In the diabetic group, the correlation between oral findings and glycemic controlled levels, which was collected based on Hb A1C values, were further studied. RESULTS: The diabetic group exhibited significantly higher prevalence of caries and more severe dry mouth, taste change, and mucosa pain than the nondiabetic group. The diabetic group tended to have lower predialytic salivary pH, and patients with poor glycemic control (ie, Hb A1C > 9%) showed higher incidence of dry mouth, mucosal pain, and tongue coating. However, the DMFT and CPI index were not associated with glycemic control in the diabetic group. CONCLUSIONS: This study reveals that diabetic uremic patients undergoing maintained hemodialysis exhibited a potentially higher risk for dental decay and xerostomia. Lower salivary pH and poor glycemic control may affect oral manifestations. Further research is needed to clarify the combined influence of diabetic nephropathy on oral health.     

External Application of Chinese Drugs on Acupoint Shenque Combined with Salpingostomy for Treatment of Sterility Caused by Obstruction of the Fallopian Tube——A Clinical Report of 45 Cases

Objective： To observe the therapeutic effect of external application of Chinese drugs on acupoint Shenque （CV 8） combined with salpingostomy for treatment of sterility caused by obstruction of the fallopian tube. Method： 75 cases were randomly divided into the following 2 groups. Forty-five patients in the treatment group were treated with external application of Chinese drugs on acupoint Sbenque （CV 8） combined with salpingostomy, while 30 patients in the control group were treated with salpingostomy only. Results： The results showed that in the treatment group, 26 cases were cured, 11 cases improved, and 8 cases failed, with a total effective rate of 82.22%; while in the control group, 14 cases were cured, 7 cases improved, and 9 cases failed, with a total effective rate of 70.00%. There is a significant difference in the total effective rate between the two groups （P〈0.05）. Conclusion： The therapeutic effect of external application of Chinese drugs on acupoint Shenque combined with salpingostomy is better than that of salpingostomy only.     

MRI诊断子宫腺肌病的价值

目的 探讨MRI诊断子宫腺肌病的价值.方法 回顾性分析6例子宫腺肌病患者MRI和超声检查的资料,与术后病理结果对比,评估MRI对子宫腺肌病的诊断符合率.结果 B超诊断子宫腺肌病的灵敏度为52.5%、特异度为54.2%;MRI灵敏度为95.6%、特异度为100%;MRI检查既能定性,又能定位,而且此检查无创伤,方便快捷.结论 MRI为临床诊断子宫腺肌病提供了一种有价值的检查方法,对及时、正确治疗该病具有重要的临床意义.     

The Lipid-regulating Effects of Atorvastatin on Type 2 Elder Diabetes Patients with Hyperlipidemia

Inthisstudy,theeffectofatorvastatinonlipidmetabolism ,especiallysLDL ,intype 2elderdiabetespatientswithhyperlipidemiawasstudy .Theresultswerepresentedasfollows.1　SUBJECTSANDMETHODS1 1　SubjectsThesubjectsincluded 2 6patientswithtype 2elderdiabetesandhyp…