喉部肿块2130例分析

统计分析10年喉部肿块病理诊断2130例,并与国内外统计报告相比较。声带息肉及良性肿瘤较国内统计资料为低,淀粉样变性非极罕见。恶性肿瘤为良性肿瘤的3.5倍,男女之比为10.93:1;声门区癌较声门上区癌多见。     

头颈癌患者血清可溶性白细胞介素2受体的初步研究（摘要）

头颈癌患者血清可溶性白细胞介素２受体的初步研究（摘要）杨新明，张敏，张宇，游孟高，李舜农，赵晓明白细胞介素２受体（ＩＬ－２Ｒ）在白细胞介素２（ＩＬ－２）介导的免疫反应中起重要作用。可溶性白细胞介素２受体（ｓＩＬ－２Ｒ）自１９８５年发现以来已应用于临床...     

嗅神经母细胞瘤（附6例报告）

本文报告嗅神经母细胞瘤６例，男女各３例，年龄１７岁～５９岁．检测ＮＳＥ（神经纤维烯醇化酶）、ＮＦ（神经纤维蛋白）和Ｓ～１００（Ｓ～１００蛋白）等阳性结果有助本病的诊断。全组病例均以鼻侧切开或颅面联合进路彻底切除肿瘤．结果：Ｂ期２例术后加放疗已生存１年和毛年．Ｃ期２例加术后放疗者已各随访５年和６．５年仍健在；Ｃ期单纯手术的２例于术后半年及１年内因肿瘤局部复发死亡．认为术后进行放疗能增加本病的治愈率．     

损伤性喉或气管狭窄的手术疗法

本文所谈的是气管切开术后或在损伤喉或气管后所引起的喉或气管狭窄,及对于狭窄所用的几种手术疗法.过去关于损伤性喉及气管狭窄的治疗方法,不胜数举,总的说来不外两种方法,即保守疗法与手术疗法。保守疗法:在不切开管腔而是在直接喉镜下,重复地用探条扩张,用弯的扩张管直接由口腔内送     

中西医合作治疗白喉176例报告

(一)前言白喉一证,原为疫病,传染迅速不治杀人,预防不严则尤易流行,尤以现代交通畅达更易蔓延。从1958年11月至1959年一月,两个多月的时间内,我们在党的领导下,已将醴陵××地方的白喉基本上扑滅。我们先后治疗了白喉患者176例,对于每例白喉患者我们都是中西医结合,共     

喉癌患者血清可溶性白细胞介素2受体（sIL－2R）的表达及其意义

应用双抗体夹心ＥＬＩＳＡ方法测定了３０例喉癌患者血清可溶性白细胞介素２受体（ＳＩＬ－ＺＲ）水平。结果表明：喉癌患者血清ＳＩＬ－ＺＲ水平明显高于正常人（Ｐ＜０．０１）；与临床分期有关，病期越晚，ｓＩＬ－２Ｒ水平越高；ｓＩＬ－２Ｒ水平超过１０００Ｕ／ｍｌ者，多预后不良；９例术后２～８月再次采血检验，６例无癌生存者ｓＩＬ－２Ｒ水平明显下降（Ｐ＜０．０１），３例复发的患者血清ｓＩＬ－２Ｒ升高。提示：喉癌患者血清ｓＩＬ－２Ｒ的测定对预后判断和疗效观察有重要意义。     

气管切开术中处理某些特殊情况的体会

气管切开术是耳鼻喉科常用的手术,虽然手术不大,但遇到的问题不少,今将我们在临床中处理某些特殊情况的体会介绍于下:对颈部组织高度肿胀的患者怎样进行气管切开术?颈部急性蜂窝织炎、颌下脓肿、严重的颈外伤或颈部肿瘤等压迫喉气管引起呼吸道梗阻。在这种情况下,尽快找到气管,立即作气管切开术是抢救成功与否的关键。我们的体会是:1.由于颈部组织高度肿胀正常解剖标志已消失,因而无法进行插管。此时患者头部不能后仰,不能按常规手术。在这种情况下作气     

头颈部肿瘤7878例分析

7878 patients with tumors in the head and neck confirmed by pathology from Jan. 1961 to Dec. 1981 are analysed. In this series, there were 5485 malignant tumors and 2393 benign. In malignant tumors, the ratio of male to female was 2.84:1 while the mean age incidence was 53.38 years. Nearly half of malignant tumors were in the nasopharynx (49.32%). Of the 2716 nasopharyngeal malignant tumors, 2698 were carcinoma and only 18 sarcoma. Male was 3.5 times higher than female. The mean age of NPC was 53.64 years in male and 52.33 years in female. Nine of them were under 10 years of age and the youngest was 3 years old. There was 87.06% of squamous cell carcinoma in NPC. Adenocarcinoma was predominant in the minor salivary gland carcinomas. The malignant tumors in the eyeball were glioma retinae of which 96.15% was under 10 years of age. The common metastatic tumor in the neck was squamous cell carcinoma. The incidence of head and neck tumors was 37.66% and that of the head and neck malignancies was 26.22% of tumors in the whole body. This study indicates that the incidence of malignant tumor in the head and neck is rather high.     

中耳积液EB病毒壳抗原的免疫球蛋白A(VCA-IgA)抗体测定的临床应用

采用免疫酶法检测疗前鼻咽癌39例、放疗后鼻咽癌19例和分泌性中耳炎22例的中耳积液 EBVCA-IgA 抗体滴度与相应血清的滴度基本相同。鼻咽癌组的抗体阳性率和几何平均滴度均明显高于对照组分泌性中耳炎。这项检测方法可用于鼻咽癌的早期诊断、鉴别诊断和放疗后判断疗效与复发。     

鼻、筛窦动脉瘤性骨囊肿一例

动脉瘤性骨囊肿是一种少见的良性膨胀性溶骨的瘤样病变,好发于长骨及脊柱,于颅骨者很少见。此病在临床、X线和病理上易与骨的各种良性或恶性病变混淆。作者曾遇到一例鼻、筛窦部位的动脉瘤性骨囊肿,今报导如下。