桃红四物汤加减治疗输卵管炎不孕症临床应用

输卵管不通或欠通,或通而不孕,据统计学调查约占女性不孕征的20%～40%左右。且由于种种社会生活原因而致未婚早孕,继而药流、人流后导致继发性输卵管炎的不孕患者日趋增     

肝膈面异位胆囊1例

患男，55岁，因持续上腹部疼痛3天，呕吐5次，于2000年4月13日入院。入院检查：急性病容。上腹部剑突下腹肌紧张，压痛明显，轻微反跳痛。肝脾无肿大，肠鸣音减弱。入院诊断：胃十二指肠球部溃疡伴穿孔。上腹部CT检查报告：①胆总管末端结石及肝内胆管多发性结石，②膈     

重型病毒性肝炎并发自发性细菌性腹膜炎44例临床分析

目的 探讨重型病毒性肝炎(重肝)并发自发性细菌性腹膜炎(SBP)的临床特点及其对重肝的治疗及预后的影响.方法 对44例重肝并发SBP患者的相关病历资料进行逐项登记归纳分析.结果 44例患者中发热31例(70.5%),腹胀39例(88.6%),腹痛15例(34.1%),腹部压痛27例(61.3%),腹部反跳痛14例(31.8%),腹水WBC＞0.5×109/L16例(36.4%),腹水细菌培养阳性6例(13.6%),死亡36例(81.8%).结论 重肝并发SBP的腹膜刺激症状常不典型或缺如,诊断困难,并发SBP可明显加重患者的病情,治疗棘手,病死率高,老年患者更高.     

双氯芬酸联合间苯三酚治疗急性肾绞痛的疗效观察

目的 探讨双氯芬酸联合间苯三酚治疗急性肾绞痛的疗效.方法 回顾性收集我院2019年1月～2020年1月收治的急性肾绞痛60例患者临床资料,根据治疗方式分为观察组31例和对照组29例.对照组采用间苯三酚治疗,观察组在对照组基础上,加用双氯芬酸治疗,治疗1 h后,比较两组临床疗效、疼痛评分及不良反应.结果 相较对照组,观察...     

经肝动脉化疗栓塞联合肿瘤间质治疗肝癌后免疫功能改变

目的 探讨单纯经肝动脉化疗栓塞(TACE)及联合肿瘤问质治疗后肝癌患者免疫功能的变化及意义.方法 对照组(A组)20例肝癌患者行单纯TACE治疗,实验组(B组)20例肝癌患者行经肝动脉化疗栓塞联合经皮肝瘤内药物注射碘油化疗药物肿瘤间质治疗.术前及术后1周抽取两组患者外周血,应用流式细胞仪检测外周血T淋巴细胞亚群(CD3~+T、CD4~+T、CD8~+T、CD4~+T/CD8~+T),单向扩散法检测免疫球蛋白水平变化.结果 A、B组手术后1周CD3、CD4及CD4/CD8升高,两组手术前后比较有显著性差异(P<0.05);A、B两组术后比较,除CD8外亦有显著性差异(P<0.05).A、B组术后免疫球蛋白和补体有所升高.A组手术前后无显著性差异(P>0.05);B组手术前后除C3外具有显著性差异(P<0.05),A、B两组术后比较无显著性差异(P>0.05).结论 单纯TACE治疗肝癌增强患者细胞免疫功能,对体液免疫影响较小:联合瘤内碘油化疗药物乳剂注射肿瘤间质治疗的方法可以更大程度地改善患者细胞免疫和体液免疫功能.

Abstract：

Objective To study the changes of immune function in patients with liver cancer after transcatheter arterial chemoembolizaton (TACE) combined with interstitial therapy. Methods Forty patients with liver cancer were randomly divided into groups A and B to received TACE and TACE combined with percutaneous lipiodol and anti-cancer agent injection into the tumor. The T lymphocyte cell subsets in the peripheral blood before and one week after the operation were measured by flow cytometry, and the immunoglobulin contents determined by single radial immunodiffusion. Results CD3, CD4, and CD4/8 levels increased significantly after the operation in both groups A and B (P<0.05). The postoperative CD3 and CD4 levels, but not that of CD8, differed significantly between the two groups (P<0.05). The operations also resulted in an increase in the contents of the immunoglobulins and complements in the two groups, but the changes were not significant in group A (P>0.05); in group B, significant increases occurred in the immunoglobulin and complement levels (P<0.05) with the exception of C3. Conclusion The combination of TACE and interstitial therapy with percutaneous intratumor injections of lipiodol and anti-cancer agents may better improve the cell-mediated immunity and humoral immune function of liver cancer patients.