双支甲状腺最下动脉尸解观察

作者观察92具尸体的甲状腺动脉,发现有甲状腺最下动脉者11例,其中双支甲状腺最下动脉者2例。作者提醒临床医师,在颈前部手术时应充分注意此罕见的动脉。     

烧伤晚期患者14例重睑成形术

为烧伤晚期患者做重睑成形术，可改善其上睑外形。考虑到这类病人的上睑皮肤弹性较差，所以皮肤切口的宽度和外形要有相应的变化。同时，下移眶隔脂肪，改善上睑的弧度。利用上睑周围皮肤，以形成上睑的皱褶。结合应用Ｚ－Ｐｌａｓｔｙ矫正内外眦角畸形。自１９９１年以来，共为１４例烧伤晚期患者施行重睑术，获得满意结果。     

Surgical vermillion augmentation: Different possibilities

In 1981 the author described a surgical technique to augment thin lips: a double YV mucosal plasty. Satisfactory and lasting results are achieved with this technique, mainly in young patients. Today, the author sometimes uses a fascia temporalis graft for lip augmentation. In patients over 40 he recommends that the temporalis fascia craft be combined with the double YV mucosal plasty.     

双J管在输尿管结石术中的应用（附167例报告）

目的：探讨双J管内引流在输尿管结石手术中的置管方法、时间、适应症、禁忌症、并发症及处理。方法：对167例输尿管采用开放性手术及腔内手术中应用双J管作内支架和内引流，置管时间1－3个月。结果：术后无伤口感染、漏尿等并发症。结论：双J管具有内支架和内引流的双重作用、操作简单、并发症少等特点，宜于推广应用。     

The organization of the rat lateral geniculate body by immunohistochemical analysis of neuroactive substances

The organization of neuroactive substances in the rat lateral geniculate body (LGB) was studied with available immunohistochemical stainings. In the dorsal lateral geniculate nucleus (DLG), there existed only γ-aminobutyric acid (GABA)-like immunoreactive neurons. Immunoreactive fiber plexuses for substance P (SP), cholecystokinin-8 (CCK) and vasoactive intestinal polypeptide (VIP) were present in the lateral margin of the DLG, just beneath the optic tract. There were immunoreactive neurons and fibers for GABA, SP, leucine-enkephalin (ENK) and neuropeptide Y (NPY) in the intergeniculate leaflet (IGL). ENK-, NPY- and SP-like immunoreactive neurons in the IGL were mainly medium-sized, and bipolar or spindle-shaped kwith a few dendrites oriented dorsoventrally. In the IGL, use of double-labeled immunofluorescence demonstrated that a few neurons exhibited both ENK- and SP-like immunoreactivities, and a few neurons had both GABA- and ENK-like immunoreactivities. Although the morphologyh of ENK-like immunoreactive neurons resembled to NPY-like immunoreactive neurons, both neurons were clearly different neurons. Many GABA-, ENK- and SP-like immunoreactive neurons and fibers were found in the ventral lateral geniculate nucleus (VLG). These immunoreactive neurons were mainly medium-sized, and bipolar in shape, while a few immunoreactive neurons were multipolar shape. Neurons containing ENK and fibers containing SP mainly existed in the lateral half of the parvocellular part and in the medial half of magnocellular part of the VLG. In this region, abotu one-thrid of teh GABA-like immunoreactive neurons contained ENK-like immunoreactivity. Many SP neurons mainly existed in the medial half of the parvocellular part of the VLG. CCK- and VIP-like immunoreactive fibers were present in the lateral half of the magnocellular part of the VLG. Immunoreactive fibers for calcitonin gene-related peptide, corticotropin-releasing factor, neurotensin and tyrosine hydroxylase were disseminated throughout the LGB. The subdivisions of the LGB were discussed, based upon the distribution of neuroactive substances.     

人胰岛内分泌细胞的双重免疫组化研究

本文采用单酶双标法对成人胰岛内分泌细胞进行了双重免疫组化染色．结果发现：（1）成人胰岛为鞘型胰岛．即A、D细胞位于胰岛的周围部形成鞘．且二者间存在位置分布上的一致性；B细胞位于胰岛的中央部。（2）即使由于有结缔组织隔将胰岛分隔成不同的“亚单位”．其每一“亚单位”的周围部仍为A、D细胞，中央部仍为B细胞。     

双吻合器技术在低位直肠癌前切除术中的应用

目的：评价双吻合器技术在低位结直肠吻合术中的应用。方法：回顾分析1996年5月至2003年5月治疗148例直肠癌应用双吻合器技术行结直肠吻合术的临床经过。结果：术后发生吻合口漏1例(0．68％)，吻合口狭窄2例(1．4％)，无手术死亡。结论：双吻合器技术扩大了保肛手术的应用范围。     

胃镜引导插管小肠双对比造影方法研究

目的：探讨小肠双对比造影检查的有效方法。方法：72例受检者被随机分成2组；试验组(36例)应用研制的小肠造影导管，在胃镜直视下钳夹导管头端并送达十二指肠水平部，头端气囊充气固定导管，退出胃镜后，经导管灌注适量稀钡胶浆及空气行小肠双对比造影。对照组(36例)采用改进的F9心导管在透视下插管。结果：实验组插管成功35例(成功率97．1％)，对照组插管成功27例(成功率75％)。结论：研制专用的小肠造影导管并经胃镜引导插管行小肠双对比造影检查，其成功率明显高于普通插管方法。     

应用免疫组化技术进行白血病免疫分型的初步研究

本文用 APAAP 免疫组化方法对20例急性白血病进行免疫分型初步研究,结果表明17例(85%)急性白血病有特征性或相关性标志,其中非 T-ALL10例(Ⅰ、Ⅱ、Ⅲ型为3、2和5例),T-ALL 2、AML 1、AMMoL 及双表型各2例。不能确定表型1例(5%)及无标志者2例(10%),认为免疫组化有利于鉴别形态特殊的白血病。临床(瑞氏染色)诊断、细胞化学及免疫组化检测三项结果一致者9/16(56.25%),临床诊断与免疫组化两项一致者3例,临床诊断与细胞化学结果一致,而免疫表型不能确定及无标志者2例,三项结果均不一致者2例。10例住院患者的临床表现及预后与免疫表型无相关性。     

不同整复方法治疗尺桡骨干双骨折90例分析

采用手法与手术两种不同整复方式分别治疗尺桡骨干双骨折２１例、６９例、结果优良者１６例，６２例，优良率分别为７６．１％，９２．９％，说明手术整复比手法复位疗效更可靠。而６９例手术整良者分别采用钢板髓内针，双髓内针，双钢板内固定，结果优良率分别为９３．３％，８６．７％，８３．３％，说明三种内固定方式均有较好疗效，施用时应根据具体情况而定。