不同丙烯酸材料的人工晶状体应用于联合手术的对比性研究

目的:探讨两种不同丙烯酸材料的人工晶状体应用于白内障超声乳化摘除联合玻璃体切割及人工晶状体植入术(以下简称"联合手术")治疗玻璃体视网膜疾病合并白内障的临床疗效。方法:回顾性分析联合手术治疗玻璃体视网膜疾病合并白内障患者54例55眼,C-flex组26例26眼,SA60AT组28例29眼,术后定期随访,观察视力、IOL囊袋稳定性及后发性白内障等手术并发症。结果:术后随访9～15平均(11.8±2.0)mo。最佳矫正视力:C-flex组提高20眼(77%),SA60AT组提高24眼(83%),两组间差异无统计学意义(Z=-2.97,P>0.05);人工晶状体偏心量两组间差异无统计学意义(Z=-0.01,P>0.05);预防前囊膜混浊(ACO)C-flex组优于SA60AT组(Z=-2.03,P<0.05);预防后囊膜混浊(PCO)SA60AT组优于C-flex组(Z=-2.08,P<0.05);手术主要并发症两组间差异无统计学意义(P>0.05)。结论:两种人工晶状体应用于联合手术治疗玻璃体视网膜病变合并白内障安全、有效。预防ACO,C-flex略优于SA60AT,而预防PCO,SA60AT略优于C-flex,但其作用仍待于长期观察。     

狗尾草治疗寻常疣与鸡眼的临床观察

目的：为了探究狗尾草治疗寻常疣与鸡眼的临床疗效；方法：采用狗尾草新鲜茎汁治疗寻常疣，并与鸭胆子进行比较；采用鲜品狗尾草治疗鸡眼。结果：狗尾草与鸭胆子治疗寻常疣有效率都比较高，疗效基本相当；狗尾草治疗鸡眼有很好疗效。结论：狗尾草治疗寻常疣与鸡眼等方面具有独到的疗效。     

两种方法治疗尖锐湿疣的对比观察

本文报道采用两种方法治疗尖锐湿疣65例,并作了对比观察.结果:单纯局部电灼法近期治愈率91.4%.临床痊愈率68.6%.局部电灼加聚肌胞肌肉注射联合疗法近期治愈率100%,临床痊愈率96.5%.两种方法近期治愈率比较无显著性差异(P>0.05),而临床痊愈率比较差异非常显著(P<0.01)     

MEBO在面部扁平疣微波治疗后的应用体会

目的：观察美宝湿润烧伤膏（MEBO）外用治疗面部扁平疣微波治疗后创面的疗效。方法：80例患者微波治疗术后创面均外涂MEBO。结果：80例患者随访一年，一次性治愈72例（面部扁平疣全部消退；无瘢痕，无色素沉着），占90％。二次治愈8例占10％。总有效率100％，无副作用。全部患者创面9天左右结痂愈合，无一例出现创面感染。结论：MEBO外涂治疗面部扁平疣微波治疗术后创面疗程短，疗效可靠，使用方便，无副作用，为较好的治疗方法。     

Appearance of age‐related macular degeneration in vitrectomized and nonvitrectomized eyes: an intraindividual case study

Purpose: This study analyses the consequences of vitreoretinal traction on the macula and in particular the impact of a vitrectomy on the development of the age‐related macular degeneration (ARMD). Methods: In this retrospective case study, 42 eyes of 21 subjects were examined. The vitreous of one eye must have been removed by vitrectomy at least 8 years ago. At that point in time, the patients had to be at least 50 years old, with a healthy vitreous body of the other eye and a healthy macula in both eyes. Both eyes were examined using an optical coherence tomography (OCT) scan, B‐scan ultrasound, a binocular slit‐lamp funduscopy and a fluorescence angiography (FAG) to evaluate the potential development stage of an ARMD and the vitreous status. Results: In the follow‐up examination, the patients had an average age of 73.6 years. In 0 of 21 vitrectomized eyes (0%), there were signs for an early ARMD. In 5 of 21 nonvitrectomized eyes (23.8%), we found ARMD‐like changes in the angiography and slit‐lamp examinations. Of these 21 eyes, five eyes presented persistent attachment of the posterior vitreous cortex to the macula, while 16 eyes showed complete posterior vitreous detachment. All five eyes (100%) with premonitory signs of an ARMD showed persistent attachment of the posterior vitreous to the macula. Conclusion: We demonstrated a positive relationship between a persistent attachment of the posterior vitreous cortex to the macula and early signs of ARMD. Although the precise mechanism of this relationship remains unclear, the role of chronic low‐grade inflammation, chronic oxidative and mechanical stress and an increase in VEGF is discussed. Persistent vitreous attachment is likely to be another risk factor for ARMD.     

针刺治疗扁平疣临床观察

目的:观察针刺治疗扁平疣的疗效。方法:以随机的分组方式将54例患者分为针刺组和药物组,针刺组以阿是、足三里、血海、中渚、合谷、曲池为主穴,根据辨证和病变部位相结合的方法取穴,隔日针刺1次,每次15～20min,10次为1个疗程,共治疗2个疗程。药物组单纯接受药物治疗,连续治疗60d。结果:针刺组有效率80.65%,药物组有效率52.17%,两组疗效差异有统计学意义(P<0.05)。结论:针刺疗法对扁平疣的数目减少、疣面积缩小有明显疗效。     

经睫状体平坦部取硅油联合白内障超声乳化术的临床观察

目的：探讨经睫状体平坦部硅油取出,巩膜隧道切口白内障超声乳化术及折叠人工晶体植入联合术的治疗观察及优点。方法：29例硅油填充眼完成硅油取出联合白内障超声乳化及人工晶体植入术。结果：术后视力不同程度提高,8例术中晶体后囊破裂,人工晶体植入在睫状沟内,10例病人角膜内皮皱褶,2例病人视网膜再脱离2次手术后成功复位。结论：经睫状体平坦部硅油取出联合白内障超声乳化及折叠人工晶体植入术是安全有效的治疗方法。     

重组人干扰素α-2b凝胶联合电离子治疗扁平疣疗效观察

目的：观察重组人干扰素α-2b凝胶联合电离子治疗扁平疣的疗效。方法：将92例扁平疣患者随机分为两组,治疗组：46例,用电离子破坏疣体表面后,重组人干扰素α-2b凝胶早晚各外涂一次于疣体表面;对照组：46例,单用重组人干扰素α-2b凝胶外涂。结果：治疗组患者治愈率为71.74%,有效率为91.3%;对照组治愈率为23.91%,有效率为56.52%。两组在治愈率及有效率上均有显著性差异。结论：重组人干扰素α-2b凝胶联合电离子术治疗扁平疣在疗效上明显优于单用重组人干扰素α-2b凝胶治疗。     

解毒活血汤治疗扁平疣疗效观察

目的:观察自拟解毒活血汤治疗扁平疣的临床疗效。方法:232例扁平疣患者随机分为治疗组116例,对照组116例。治疗组采用自拟解毒活血汤,1剂/d,温服,并用部分药液每天擦1次,15d为1疗程。对照组采用聚肌胞注射液2mg,肌注,隔天1次,15d为1疗程。结果:治疗组有效率93.1%,对照组有效率40.5%。两组差异具有显著性(P<0.01),治疗组明显优于对照组。结论:自拟解毒活血汤治疗扁平疣,疗效肯定。