中西医结合治疗输卵管炎性不孕

输卵管炎性不孕是由于输卵管发炎引起输卵管产生疤痕挛缩,管壁增厚、变硬,导致输卵管阻塞,继而影响精子和卵子结合及输送而导致的不孕症。 笔者于 １９９５年～１９９９年,采用中医辨证施治用药,与西药宫内注射及经期抗炎相结合的方法,治疗本病３０例,取得良好疗效。现报道如下。１ 临床资料 本组３０例,年龄２３岁～３０岁。婚龄最短者２年,最长者８年。患者均经子宫输卵管碘油造影及Ｂ超检查证实为输卵管炎性不孕,其中原发性不孕５例,继发性不孕２５例。Ｂ超检查：伴有附件炎性包块者６例。２ 治疗方法２．１ 内服中药 输卵管…     

人口老龄化影响医保基金的作用机理与路径研究

目的:为了探求人口老龄化对我国医疗保险基金支出的作用机理和影响关系进而提出医疗保险的改进策略。方法:基于2005—2015年全国31个省级地区多项相关指标构建了结构方程模型。结果:人口老龄化对医疗保险基金的间接影响效应高于直接影响,医疗费用支出对医疗保险基金的影响程度最大,人均GDP与医疗保险基金之间存在作用与反作用的关系,其中医疗保险基金对人均GDP的反作用程度高于人均GDP对医疗保险基金的作用。结论:政府应区别构建多层次的适合老年人的疾病防控模式、进一步加大政府对医疗保险的财政补贴力度和继续完善医疗保障的覆盖面,进一步健全医疗保险筹资机制,从而更好地推进我国医疗保险基金可持续运行。     

卵巢粘液性囊腺瘤恶变和肠上皮化生的关系

Ninety cases of ovarian mucinous tumors were studied histologically and histochemically. Intestinal metaplasia was found in 48.2% (14/29) of benign. 73.6% (14/19) of borderline and 92.9% (39/42) of malignant mucinous cystadenomas. The differences between these three groups are statistically significant (P less than 0.01). Among 67 cases of intestinal metaplastic mucinous tumors, 43 contained argyrophil cells, and 36 contained argentaffin cells. The coexistence of intestinal metaplasic and uterocervical canal type epithelia was observed in 2/3 of borderline and 1/3 of malignant intestinal mucinous cystadenomas. In addition, there were 5 cases of borderline and 3 cases of malignant uterocervical canal type mucinous cystadenomas among the 90 cases. It is evident that the malignant transformation of ovarian mucinous cystadenoma was closely related to intestinal metaplasia. Anyhow, it seems not necessary for malignant transformation of all ovarian mucinous cystadenomas to pass through a stage of intestinal metaplasia: some of the malignant mucinous cystadenomas were considered probably originating from the uterocervical canal type epithelium.     

卵巢良性和恶性粘液性囊腺瘤酸性粘蛋白的组化改变

用4种酸性粘蛋白组织化学染色法,观察90例卵巢良性和恶性粘渡性囊腺瘤酸性粘蛋白的含量和成分。发现粘液性囊腺癌酸性粘蛋白含量明显高于交界性粘液性囊腺瘤和钻液性囊腺瘤。绝大多数粘液性囊腺瘤酸性粘蛋白的主要成分是唾液酸粘蛋白,或唾液酸和硫酸两种粘蛋白的混合,仅少数瘤含有较多硫酸粘蛋白。与囊腺癌上皮比较,良性囊腺瘤上皮中唾液酸粘蛋白含量增多,或两种酸性粘蛋白均减少。据认为:①当囊腺瘤恶变时,酸性粘蛋白逐渐增加;②唾液酸粘蛋白(部分肿瘤含硫酸粘蛋白)增多是卵巢粘液性囊腺癌的组化特点;③酸性粘蛋白含量可能与肿瘤生物学行为有关。     

宫颈恶性腺瘤组织学和组织化学研究

报道９例子宫颈恶性腺瘤。血性和水样粘液性白带增多是最常见的临床症状。临床检查发现宫颈肥大和糜烂，４例可见宫颈息肉样或瘤样结节。镜下见宫颈腺体自鳞状－柱状上皮交界处以上一侧增生，数量增多，并沿水平方向扩展至子宫腔，同时浸润宫颈深层间质和子宫肌层，腺瘤上皮细胞呈单层排列，类似于正常宫颈管腺体，但可见部分形状不规则的胞核和大小不一的腺体，仔细观察将可见到核分裂象，患者预后和肿瘤临床分期密切相关，粘液组织