血管瘤患儿102例局部注射聚桂醇治疗效果分析

目的 探讨血管瘤局部注射聚桂醇的治疗效果.方法 对102例血管瘤患儿行以聚桂醇为主的注射治疗,随访观察,并评价其疗效.结果 随访时间2～13个月,102例患儿中治愈53例、显效37例、有效10例,2例未能坚持治疗无法评价.结论 以聚桂醇为主的硬化剂局部注射治疗小儿血管瘤疗效较好,可治愈各种类型的血管瘤.     

超声消融技术在子宫肌瘤治疗中的应用

20世纪40年代,美国科学家提出了将超声波从体外聚焦到体内,杀死肿瘤细胞而不伤害周围正常组织的科学假设[1-2].20世纪80年代,超声热疗技术蓬勃发展,而超声消融研究则几乎停滞不前.20世纪90年代,中国在聚焦超声技术的理论和应用方面均取得重大突破,解决了超声波在组织内形成生物学焦域(biological focal region,BFR)即"刀尖"的难题,并成功应用于临床[3].通过"刀尖"的机械运动扫描,适形"切除"肿瘤.2000年,第1例应用聚焦超声消融治疗子宫肌瘤成功[4].历经10年,在治疗设备、临床方案、安全性、有效性、剂量学等方面的研究均有了长足的发展.     

高强度聚焦超声联合无水乙醇局部注射治疗子宫腺肌病的临床价值

目的探讨高强度聚焦超声(HIFU)联合无水乙醇注射(PEI)在子宫腺肌病治疗中的临床价值。方法选取我院确诊为子宫腺肌病的患者78例,其中31例单纯行HIFU治疗(HIFU组),47例行PEI后再进行HIFU治疗(联合组),比较两组消融的辐照时间、治疗时间、治疗能量、能效因子、术中反应等,术后1周内行盆腔增强MRI检查判断消融的效果。结果两组患者均顺利完成治疗,均未出现严重不良反应。联合组的辐照时间、治疗时间、治疗能量、能效因子均明显低于HIFU组,差异均有统计学意义(均P0.05)。HIFU组病灶消融率为(47.11±11.20)%,低于联合组(74.64±16.30)%,差异有统计学意义(P0.05)。结论 HIFU联合PEI治疗子宫腺肌病安全、有效,较单独HIFU治疗具有更好的消融效果,值得临床推广应用。     

高强度聚焦超声消融治疗子宫后壁腺肌病的安全性及疗效观察

目的探讨高强度聚焦超声(HIFU)消融治疗子宫后壁腺肌病的安全性及疗效观察。方法 60例子宫后壁腺肌病患者,HIFU对其消融治疗,消融后当日行增强MRI评价病灶体积消融率。治疗前及治疗后3、6个月超声评估病灶及子宫大小变化;分别比较治疗前后患者症状缓解及不良反应发生情况。依据国际介入放射治疗学会(SIR)标准评价治疗相关的不良反应。结果 1安全性:全部患者均在2 h内完成治疗,治疗后2 h可以正常活动,其中31例有治疗区不适或轻度胀痛,占51.66%(31/60),未见SIR D-F类严重不良反应,C类不良反应发生率为1.7%,A-B类一般不良反应发生率为48.33%;2有效性:病灶体积消融率为98.33%;治疗后3、6个月病灶体积均较治疗前缩小(P0.05);子宫体积均较治疗前缩小(P0.05);症状评分改善有效率85.0%。结论 HIFU消融治疗子宫后壁腺肌病是安全和有效的,为子宫后壁肌病提供新的保守性治疗选择。     

血液透析593例次分析

血液透析是肾功能衰竭的重要治疗手段之一。我院于1988年9月至1990年3月对18例急、慢性肾功能衰竭(ARF、CRF)患者进行了593例次血液透析,现将其资料加以总结分析。     

甲状腺疾病患者血浆内皮素水平初探

为探讨血浆内皮素(ET)在弥漫性甲状腺肿伴甲亢(Graves病)、单纯性甲状腺肿及慢性淋巴细胞性甲状腺炎(桥本氏病)患者中的变化及与甲状腺激素(FT_3FT_4)的关系.使用放射免疫法检测了52例Graves病,47例单纯性甲状腺肿,12例桥本氏病患者ET、FT_3、FT_4水平,并与30例正常人进行比较.结果Graves病及单纯性甲状腺肿患者ET均显著高于正常人.桥本氏病患者ET显著低于正常组.各组的ET与FT_3、FT_4 呈正相关.提示甲状腺疾病有ET的参与.     

胸片与体层的高千伏摄影对支气管肺癌的诊断价值

在支气管病变尤其是肺癌的Ｘ线诊断中，体层摄影尤为重要，但实际工作中常遇到气管、支气管断层摄影时使用低千伏，隆突角与肺内支气管不容易同时显示清楚。为了提高诊断准确率，笔者收集我院１９８６～１９９７年手术后病理证实为支气管肺癌８８例术前使用的高千伏常规胸...     

耳部冲洗治疗化脓性中耳炎临床观察

我院于 1997年 8月— 2 0 0 1年 10月 ,采用一次性注射器局部冲洗加环丙沙星滴眼液治疗化脓性中耳炎 4 8例 5 6耳 ,并配合药物治疗。取得良好效果 ,现报告如下。1　资料与方法1.1.　一般资料　 4 8例 5 6耳均为门诊患者 ,男 2 6例 ,女 2 2例 ;年龄 2～ 6 5岁 ,病程 3ｄ～ 2 4年 ;急性化脓性中耳炎 14例19耳 ,慢性化脓性中耳炎 (均为单纯型 ) 34例 37耳。全部病例检查均有鼓膜穿孔流脓 ,听力有不同程度下降。其中 4 7例5 4耳均有不同程度的耳道损伤及耳道口狭窄 ,个别有耳道口糜烂、红肿等。1.2.　材料　取 10ｍｌ一次性注射器 2支 (分别标记…     

Functional rehabilitation of upper limbs after operation of mastocarcinoma

Background:The aim of treatment of mastocarcinouma is to lengthen the lifetime of the patients,and improve their quality of life.Function training is very important in postoperative rehabilitation treatment for the mastocarcinoma patients.The degree than functions recover shows direct proportion to the rehabilitation training.Objective:To study the therapeutic effect of rehabilitation training after operation of mastocarcinoma.Unit:First Affiliated Hospital of Fujian Medical University. Subjects:All 58 cades were married females,with 4 cases aging 2-30 years,18 cases 31-40 years.25 cases 40-50 years,11 cases 50-78 years.In order to follow up the recovery degree of the upper limb function of the mastocarcinoma patients before and after operation,all the subjects were photographed by X-ray(LORAD-MIV type,the U.S.A.).in axis and oblique position,and in psoition of small angle or lateral psoition or amplified photograph when necessary.All the 58 cases were treated with operations including 10 cases of halsted,18 cases of improved radical operation I.12 cases of improved radical operation Ⅱ，4 cases of halsted plus cervical lymphadenectomy,14 cases of extensive resection of the tumor plus axillary lymphademectomy with the mammary maintained.Intervention:The patients were told to do motion exercises of the forearms and the elbows and exercises of making a fist both for 5-10 times once and repeat for 5-6 times with equal intervals one or two days after operation.On the 3rd day on the patients were told to lift the hand of the operational side up to the same level of the head by the hadn of healthy side,3 times once,3-4times a day.On the 4th day,the healthy hand grasped the thumb of the attacked hand and lift it up with the attacked arm in an extension state,3 times once,3-4 times a day.On the 5th day,the healthy hand supported the elbow of the attacked arm and lifted it up slowly till it was higher than the head with the attacked arm extending as straight as possible,2 times once,3-4 times a day.On the 6th day,the finger tips of the attacked side slid upward along the wall,and the height was gradually increased,2 times once,for 3-4 times.On the 7-8days,abduction of the subulder was performed.On the 9 th day,rotation of the shoulder was per formed.On the 10th,rope drawing movement was performed com bining the upmentioned exercises.On the 14th,the patients could have exercises,in groups.In order to obtain satisfied effect,each must performed the exercises according to the operation and postoperative time of her own.The functions of up-lifting,abduction,adduction,intorsion,and extorsion were detected and recorded for 3 times i.e.before operation,the 8t day after operation,and before discharge.Result:After functional exercieses,reexamination(1-2 months later)showed that 33 of the 38 patients(86%)had the same functions of up-lifting,abduction,supination,and pronation as that before operation or of the healthy side.5 cases had less extorsion of 20-30 degrees,counted for 9%.2 cases had too late movement because of lymph vessel injury during operation and the edema persisted for 3 years.Conclusion:The new concept of early carcinoma must be set up,susceptible factors and the knowledge of mamman hygiene must be grasped in order to prevent mastocarcinoma and improve the quality of the patients‘ life.The patients‘ limb function exercises should be guided corectly.