卵巢自体移植的临床研究

多年来,妇科医生致力于探索一种较为理想的卵巢自体移植术,即既使卵巢远离盆腔,又保证卵巢有良好的血供,能自由排卵入腹腔,避免周围炎症包裹而致囊肿形成,以维持卵巢功能。我院自１９９２年２月至１９９８年１２月在宫颈癌根治术病例中选择施行卵巢自体移植术１９例,为克服皮下移植术后卵巢包膜增厚纤维化影响卵泡发育及卵巢功能问题,我们对游离卵巢进行技术改进,收到良好效果,现介绍如下。１　临床资料１９例卵巢移植术中,宫颈癌Ｉａ期８例、Ⅱａ期６例、Ⅱｂ期４例,子宫内膜癌Ⅱａ期１例;年龄最小３０岁,最大４２岁。其中带…     

过敏性紫癜并发心脏损害18例临床分析

18例过敏性紫癜（HSP）并发心肌损害心肌酶谱及心电图皆异常,经治疗,随过敏性紫癜好转,心肌损害也消失。认为心肌酶谱、心电图变化可作为过敏性紫癜并心肌受损的指标。     

Olfactory esthesioneuroblastoma: scintigraphic expression of somatostatin receptors

Esthesioneuroblastoma is an uncommon tumor originating in the upper nasal cavity and constitutes 3% of all intranasal neoplasms. Few references exist about the expression of somatostatin receptors in these tumors. Our case demonstrates a good correlation between the somatostatin receptor scintigraphy and magnetic resonance imaging.     

In-111 octreotide scan in a case of a neuroendocrine tumor of unknown origin

Major neuroendocrine tumors contain many somatostatin receptors. This feature allows for the localization of primary tumors and tumor metastases by scintigraphy with the radiolabeled somatostatin analog octreotide. We describe a patient with nonspecific clinical data and ultrasonography and CT that showed an isolated focal lesion in the liver. In-111 octreotide scintigraphy was essential in establishing the diagnosis of liver metastasis from a neuroendocrine tumor confirmed by pathologic findings. Because clinical symptoms recurred, ultrasonography and CT were performed a few months after surgery. Both were negative. However, In-111 octreotide scintigraphy suggested multiple bone metastases and established the diagnosis of bone metastases from a neuroendocrine tumor, which was confirmed by Tc-99m MDP bone scans and MRI.     

Unsuspected idiopathic mediastinal fibrosis complicating coronary bypass operation

A 66-year-old woman was referred for coronary bypass operation to the left anterior descending and the circumflex arteries. She had a systemic inflammatory process of unknown origin. On opening the pericardium, fibrotic plaques encircling the entire ascending aorta were found. Aortic cannulation and proximal anastomosis of the planned vein graft were impossible. The right internal mammary was anastomosed to the left anterior descending artery, the left to the obtuse marginal after femoral arterial cannulation. Pathologic examination revealed idiopathic mediastinal fibrosis.