三黄片在术后早期炎性肠梗阻治疗中的应用价值探讨

目的探讨三黄片在术后早期炎性肠梗阻治疗中的应用价值。方法对36例术后早期炎性肠梗阻患者的治疗进行回顾性总结。结果治疗组中18例患者经过保守治疗,痊愈15例,有效17例,有效率94．4％;对照组中18例治愈10例,有效率83．3％。结论三黄片在术后早期炎性肠梗阻治疗中具有一定的应用价值,值得推广。     

The Nature and Management of Complications in Carotid Artery Stenting

Intussusception is rare in adults and it can be a challenge to diagnose on admission. Non-specific and variable signs and symptoms, frequently only occurring episodically, may cause a considerable delay before treatment. However, in 90% a predisposing organic cause can be found in adults.

A case is presented of small bowel intussusception secondary to a lipoma in a 54-year-old man in whom diagnosis was suggested by CT-scan. The patient was treated with a laparoscopic-assisted reduction and extracorporeal partial small bowel resection, followed by a latero-lateral anastomosis.

This case serves as the basis of a review of small bowel intussusception in adults secondary to lipomas. It focuses on the rarity of the disease, but stresses the need for early referral and investigation in middle-aged patients with recurrent abdominal symptoms.     

PTGBD穿刺引流与腹腔镜胆囊切除术联合治疗危重胆囊炎的临床疗效分析

目的：分析PTGBD穿刺引流与腹腔镜胆囊切除术联合治疗危重胆囊炎的临床疗效。方法选取2013年1月—2014年12月间该院收治的危重胆囊炎患者共102例,根据手术方式不同分为PTGBD与LC联合组和急诊LC组。比较两组手术时间、手术出血量、腹腔引流量、腹腔引流引流时间、住院天数、费用、及患者满意度等。结果急诊LC组患者手术中出血量、腹腔引流时间以及肛门排气时间明显多于PTGDB联合LC组,差异有统计学意义（P＜0.05）;急诊LC组患者并发症发生率远高于PTGDB联合LC组,且患者的满意率也明显低于PTGDB联合LC组,差异有统计学意义（P＜0.05）。结论PTGBD联合LC术式是目前治疗危重胆囊炎最为有效的治疗手段,值得临床推广应用。     

Application of collagen triple helix repeat containing‐1 and mitotic spindle apparatus antibody in small cell lung cancer diagnosis

BackgroundThe clinical significance of serum collagen triple helix repeat protein‐1 (CTHRC1) and mitotic spindle apparatus antibody (MSA) in the diagnosis of small cell lung cancer (SCLC).MethodsOf the 229 lung tumor patients selected, 62 patients were divided into SCLC, 94 patients with non‐small cell lung cancer (NSCLC), and 73 patients with benign lung disease (BLD). The health controls (HC) had a span of 66 cases with normal physical condition. The serum extracted from each participator and enzyme‐linked immunosorbent assay was adopted for measuring the serum CTHRC1 and MSA; in the meantime, automatic electrochemiluminescence immunoassay was used for the quantitative determination of serum NSA and CEA. And then, the differences in serum CTHRC1, MSA, NSE, and CEA were compared among involved groups.Results① Compared with other groups, the concentrations of CTHRC1, MSA, and NSE showed a marked increase in the group of SCLC (all p < 0.01). Especially for SCLC patients with lymph node metastasis, CTHRC1 provided a notably higher level than those without metastasis. ② CTHRC1 and MSA established a diagnostic criterion with the specificity of 90.99% and 86.27% for SCLC, respectively. ③ In series, the specificity of CTHRC1 and NSE was the highest (99.30%), while MSA and NSE had the highest sensitivity (96.72%) in parallel. ④ Both CTHRC1 and MSA were hazardous factors interconnected with SCLC.ConclusionSerum CTHRC1 and MSA had a more exciting prospect of application. When used in conjunction with NSE and CEA, they could optimize the clinical diagnosis value of SCLC.     

CT与肿瘤标记物对非小细胞型肺癌N2淋巴结转移的预测作用探讨

目的：回顾性地探讨CT与肿瘤标记物结合能否提高对非小细胞性肺癌N2淋巴结转移的诊断率。方法：将1996～1999年支气管肺癌、CT诊断为N0-1淋巴结转移并行手术治疗的病人，术后根据病理结果重新分期为N0-1和N2；根据两组中血清β2-MG、CEA水平变化进行对照分析；结果：肿瘤的大小、β2-MG、CEA对CT诊断有一定的补充作用；结论：CT扫描对N2淋巴结转移有较高的预测作用，当不能确认N2转移时，肿瘤的大小、β2-MG、CEA是一种有效的补充。     

低位小切口甲状腺切除术探讨

目的总结低位小切口甲状腺切除术治疗甲状腺良性肿瘤的经验体会。方法回顾分析我院2004年7月～2008年10月取低位小切口为128例甲状腺良性肿瘤患者行甲状腺切除术,颈丛麻醉或气管插管全麻,取胸骨切迹上0.5cm横纹处弧形切口,长3.5～4.3cm,平均4.0cm。结果手术顺利,术后均恢复良好,无声音嘶哑、饮水呛咳和低钙性抽搐。结论低位小切口甲状腺切除术可以满足常规甲状腺手术所需要的切口暴露,能达到不影响甲状腺手术疗效的同时满足患者美容要求的目的。     

脑小血管疾病病理机制的研究进展

在过去十年中全球预期寿命大幅增加,与年龄相关性疾病对社会和卫生保健系统造成的挑战愈演愈烈.脑小血管疾病(cerebral small vessel disease,CSVD)是一种增龄性脑微血管病变,其患病率随年龄增长而增加,在50～90岁人群中患病率由5％升至几乎100％,是导致卒中和血管性痴呆的重要血管因素,并与步...     

宫颈小细胞癌介入化疗栓塞术后疗效分析

目的：研究宫颈小细胞癌介入化疗栓塞术的疗效。方法：18例宫颈小细胞癌患者,导管插管至双侧髂内动脉造影后超选至子宫动脉后灌注化疗药物,并使用明胶海绵栓塞子宫动脉。化疗方案为EP方案或者CAV方案。介入术后第1个月和第3个月复查病情,并按RECIST标准进行影像学检查评价疗效。结果：第1个月18例患者总有效率为88.9％,II期、III期、IV期患者有效率分别为100％、90％、80％;第3个月患者总有效率为66.7％,II期、III期、IV期患者有效率分别为100％、70％、40％。结论：宫颈小细胞癌介入化疗栓塞疗效好,是可选择的有效方案之一。     

Laparoscopic diagnosis and management of foramen of Winslow hernia - case report

Summary

Laparoscopy is a valuable tool in the diagnosis and management of abdominal pain. In this paper we report the first case of laparoscopic diagnosis and treatment of small bowel obstruction caused by a rare form of internal hernia, into the lesser sac through the foramen of Winslow.