聚丙烯补片悬吊支撑治疗气管软化症

我们于2000年～2003年应用聚丙烯补片（polypropylene mesh）行气管软骨环外悬吊、支撑固定治疗甲状腺肿瘤伴气管软化症，取得较为满意的效果，现报告如下。     

应用输尿管镜放置双J管早期治疗输尿管阴道瘘

Objective To evaluate the clinical effect of placing double J stent using a ureteroscope in early managing ureterovaginal fistula.Methods Twenty-eight patients cases with ureterovaginal fistula from 2002 to 2008 were treated early with placing double J stent using a ureteroscope and the clinical data were reviewed.Results Twenty-two of 28 cases were treated and double J stent was placed in them by a uretero-scope and 75% (21/28)of cases were cured.Four of 21 cases were treated twice by a ureteroscope and were cured finally.7 cases with failure ureterovaginal treatment underwent ureterocystostomy and were cured.The follow-up from 6 months to 33 months (average 10.1±6.4 months)showed that all of the 28 cases had been cured and had no urinary fistula.Conclusion Placing double J stent using a ureteroscope is the first choice of operative procedure for the early treatment of ureterovaginal fistula.     

处女膜修补手术及麻醉方法的改进

目的；增大处女膜粘膜瓣的接触面，减少因麻醉造成的处女膜粘膜水肿，提高修复手术的成功率。方法：手术全部采用1％的卡因行粘膜表面麻醉。53例采用瓦合粘膜瓣法，3例用瓦合粘膜瓣联合阴道粘膜瓣修复法。结果：56例术后一月随访，53例处女膜孔径为一指，成功率94．64％。结论：采用1％的卡因粘膜表面麻醉，瓦合粘膜瓣法及瓦合粘膜联合阴道粘膜瓣修复法对处女膜修复是行之有效的。     

加味消瘰丸合新癀片治疗子宫肌瘤36例

笔者用加味消瘰丸合新癀片治疗子宫肌瘤36例，取效较好，现报告如下。     

奥平栓配合微波治疗慢性宫颈炎的疗效观察

慢性宫颈炎是已婚妇女的常见病与多发病 ,积极防治该病对提高妇女健康水平有重要意义。慢性宫颈炎分为宫颈糜烂、宫颈肥大、宫颈息肉、宫颈纳氏囊肿和宫颈管炎 ,对于宫颈息肉、宫颈纳氏囊肿、中重度宫颈糜烂的病例 ,微波治疗效果较好 ,但存在术后有多量水样白带及长时间出血、创面愈合时间较长的缺点。鉴于慢性宫颈炎的发生可能与单纯疱疹病毒、人乳头瘤病毒、巨细胞病毒的感染密切相关[1] ,笔者采用奥平栓配合微波的治疗中、重度宫颈糜烂、宫颈息肉及宫颈纳氏囊肿可减少术后阴道排液量 ,缩短出血及创面愈合时间 ,明显改善临床症状。1　资料…     

椎动脉型颈椎病影像学检查的临床意义

目的：探讨X线平片、MRI、MRA及DSA在椎动脉型颈椎病临床诊断和手术治疗中的价值。方法：本组74例患者，74例行X线平片及DSA检查；40例行MRI检查；4例行MRA检查，根据不同病因及发病机制，结合椎动脉所表现的影像学特点，在采取不同方式解除椎动脉机械性压迫的同时，均进行了椎动脉外膜显微剥离术。结果：X线平片、MRI、MRA及DSA从不同角度直接或问接反映了椎动脉的受累情况。诊断符合率高，手术过程顺利，按Nagashima疗效评定标准：分优、良、差三级，优良率达92．6％，疗效满意。结论：影像学检查全面分析椎动脉的影像学特点，提高了椎动脉型颈椎病的临床诊断准确性，为选择最佳手术方式提供了客观依据。