国产吻缝合器在超低位直肠癌根治术中的应用

目的：探讨国产吻、缝合器在超低位直肠前切除术中的应用。方法：对27例直肠癌患者行超低位直肠前切除,应用上海产金钟牌缝合器、吻合器,进行结肠－直肠吻合。结果：本组根治性切除25例（92．6％）;1例发生吻合口瘘,发生率为3．7％;吻合口狭窄3例,发生率为11．1％,均经保守治疗治愈。结论：合理使用国产缝合器、吻合器可完成超低位直肠癌的保肛手术,可达保肛、根治、降低费用、减少并发症的目的。     

武警某部战士,学员体脂成分的研究

目的：评价武警阅队成员体脂成分现状,为科学选兵,合理制定训练计划和正确指导膳食营养提供资料,方法：以皮褶厚度测量法推算体脂指标。结果：武警甘部战士,学员在多项体脂指标方面都优于同龄地方大学生和通讯兵某部战士,对体脂百分率评价,男性均值尚属正常,肥胖占２．２％;女性均值超标了２．６６％,肥胖占１２．４％,结论：武警某部战士、学员体脂成分现尚好,但应注意严格选兵标准,科学调整膳食,加大耐力性训练力度。     

持续性枕后位的处理

目的：探讨如何处理持续性枕后位,以尽可能减少母儿并发症。方法：总结分析了１２０例持续性枕后位的孕周、胎儿体重、产重长短对分娩方式的影响以及不同分娩方式对母儿的影响。结果：当孕周大于等于４０周,胎儿体重大于等于３５００ｇ,潜伏期大于８ｈ,活跃期大于４ｈ时,剖宫产率明显增高,持续性枕后位所致的产程延长及手术助产增加了新生儿窒息率和产妇的并发症。结论：对持续性枕后位应正确观察处理各产程,早期诊断,充分估计其阴道分娩的可能性,对不适于阴道分娩者,应果断行剖宫产术,以降低母儿并发症。［     

高血压病人胰岛素抵抗状态分析

目的了解高血压患者同时存在多种代谢异常时胰岛素敏感性。方法测定４１例高血压患者和４０例健康者胰岛素敏感性指数。再将高血压组分为单纯高血压、合并高血糖、合并高脂血症、合并高血糖高血脂、合并肥胖组。结果合并高血糖高血脂组胰岛素敏感性降低的发生率明显增高（Ｐ〈０．０５）。直线相关分析结果显示,无论是高血压组还是正常组的体重指数与胰岛素敏感性指数呈明显负相关（高血压组ｒ＝－０．３７,Ｐ〈０．０５;正常组ｒ     

生物电子阻抗测定用于评估腹部肿瘤病人手术前后的营养状况

目的：评估生物电子阻抗测定对腹部肿瘤病人手术前,后营养状况分析的有效性。方法;选择２４例腹部肿瘤病人,用ＢＩＡ分别测得术前和术后第５天的电阻和感应电阻,通过计算机ＲＪＬ系统计算出身体细胞质量,脂肪和身体总水含量值,并与白蛋白和体重的变化相比较。结果;术后５天时,ＢＣＭ的下降具有显著性差异,这与白蛋白,ＦＡＴ,ＴＢＷ和体重的下降是一致的。     

颅骨翼区形态观测

目的：积累解剖学资料,为临床诊断与治疗提供解剖学基础。方法：对翼区及其周围形态结构进行解剖学观测及统计学处理。结果：进行了翼区分型、翼区中点定位、翼区中点与脑膜中动脉沟前支关系、颧骨额突上角、下角及颧弓形态的观察。结论：翼区分型结果与文献记载相似,翼上骨各型比例与文献记载有异,翼区中定位以双水平距与垂直距共同定位较为简便而准确,翼区中点多位于脑膜中动脉沟前支前上方,颧骨额突上、下角及颧弓形态各不相同。     

Total Corporal Contouring with Megaliposuction (120 Consecutive Cases)

The purpose of this study is to present the authors' long-term experience with total corporal contouring with megaliposuction. The evolution of body reshaping in one operative setting including simultaneous head and neck contouring, upper and lower extremity recontouring, and creation of an aesthetic trunk and abdominal form is discussed. Patient evaluation, operative techniques, postoperative management, and long-term results are emphasized. From February 1994 to February 1997, 120 consecutive patients underwent total corporal contouring with tumescent (Hunstad formula)-technique, classic liposuction. There were 10 males and 110 females. The average age of all patients was 28 years. Preoperative evaluation emphasized corporal shape and proportions. No other open procedures were performed simultaneously in these patients. The authors' postoperative regimen is discussed. The average amount of aspirated material in these series was 14,000 ml (range, 8000–20,000 ml). No blood transfusions were required. Complications included only hypopigmentation (N= 2) and postoperative seromas requiring aspiration (N= 12). Follow-up examination took place at 3 months to 3 years, with an average of 14 months. All patients underwent a metamorphosis from an amorphic shape to one that follows the normal body contours and profiles. The goals of megaliposuction are no longer just to reduce body fat and body mass. Individually planned surgery for these patients should be based upon obtaining normal symmetrical body proportions. Total corporal contouring and reshaping can now be safely performed, offering hope and predictable outcomes to this patient population. Patient evaluation, operative technique, postoperative care, and long-term results are presented.