翼状胬肉旋转撕脱联合自体角膜缘干细胞移植的临床研究

目的为减少胬肉术后复发，使手术更简便安全而寻找一种理想手术方式。方法对70例（77眼）原发性翼状胬肉患者施行改良的旋转撕脱法胬肉切除联合自体角膜缘干细胞移植术治疗。结果术后随访6～12个月，70例移植片全部存活，仅1例复发（1．3％），无其他并发症。结论运用改良的旋转撕脱法胬肉切除联合自体角膜缘干细胞移植术治疗翼状胬肉，使手术操作更简便安全易行，胬肉切除更干净彻底，角膜损伤小，上皮愈合时间短，取材方便，无排斥反应，术后胬肉复发率低。     

臀位自行纠正法用于胎儿臀位108例效果观察

据有关文献报道,臀先露是最常见的异常胎位,占妊娠足月分娩总数的3%～4%。臀先露分娩对母儿均有诸多不利影响,因此在孕期采取积极的方法纠正胎位十分重要。     

应用介入栓塞治疗巨大肝血管瘤

目的 笔者报道了9例巨大肝血管瘤实施13次经股动脉插管肝动脉栓塞治疗的经验。所用栓塞物为碘油一鱼肝油酸钠乳化液和平阳霉素 碘化油混合液，两者均为永久性栓塞物。9例栓塞后临床症状均有改善，效果满意。认为对巨大肝血管瘤经导管肝动脉栓塞治疗是一种可行的有效治疗方法。     

Phwarmaclogiic therapy in management of cancer—related pain

Background:According to small scale of investigation,world health organization(WHO)infers thwat moderate and serious pain is observed in about 1/3 of patients receiving active anti-cancer therapy and 60% in late stage.Cancer-related pain is a threat to patients‘ living quality and confidence,so rehabilition becomes an important part in treatment of cancer.Objective:To observe effect of pharmaologic therapy in management of cancer-related pain.Unit:Affiliated First Hospital of Dalizn Medical University.Subjects:230 cases of cancer diagnosed by pathological and physiochemical examination and complicated with cancer-reated pain were investigated,including 138 males,92 females aged 8-90(mean:67) years old.Somatic pain,81 cases,visceral pain,133 cases,neural pain,16 cases.All cases were the first time to receive ladders pharmacological therapy.NRS method was adopted and degrees of pain were expressed by nubbers(0-10) with 0 expressing painless,10 expressing sever pain.Grading of pain:0:no pain;1-3:minor pain;4-6:moderate(sleep was affected);7-10;severe pain(unable to sleep).Intervention:Different ladders of therapy were taken according to different pain graded.First ladder:suitable to minor and part of moderate grade of pain,non-opium drugs,Fenbid was used.Second ladder:suitable to moderate pain and minor opium was adopted codein/Ap-237.In treatment courses,if pain didn‘t alleviated completely,dosage was added or ladder was in creased.Third ladder:suitable to severe pain or cases not effective by second ladder ,,major opium was used,morphine or fentanyl, dosage of former,60-300mg/d,dosage of later,2.5-5.0mg/72h,dosage was modified according to 30%-50% of former dosage,until obvious effect was achieved.Strict drug-taking time was obeyed.When using fentanyl,if effect wasn‘t satisfying at 2th,3th day,morphine was supplied,dosage of fentanyl was modified by 24h total amount of morphine.Administration way:oral,anal were first choices and muscle injection of morphine was used when ecessary.Result:Alleviatin condition:Minor:before therapy,40 cases,after therapy,2 cases,alleviation rate.95.0%;Moderate before therapy,92 cases ,after therapy,26 cases,alleviation rate,71.7;Severe:before therapy,98 cases,after therapy,19 cases,alleviation rate,80.6% Conclusion:Ladders pharmacologic therapy was and effective method in treatment of cancer-related pain.     

463例PET/CT受检者鼻窦良性疾病患病率调查

目的:了解鼻窦良性病变的患病率,分布及其影响因素。方法:回顾性研究463例(年龄5～86岁)行~(18)氟-氟代脱氧葡萄糖正电子计算机体层摄影(~(18)F-FDG PET/CT)人员鼻窦良性病变的发病情况,其中肿瘤293例,非肿瘤170例。结果:肿瘤组56例患鼻窦良性病变,非肿瘤组41例患鼻窦良性病变。鼻窦良性病变患病率未受到罹患肿瘤(P=0.236)以及性别(P= 0.077)与年龄(P=0.331)影响;肿瘤累及鼻咽或鼻腔与否有极显著差异(P<0.01)。结论:鼻窦良性疾病患病率高(约21.0%),病变累及鼻咽或鼻腔的肿瘤是鼻窦良性疾病的高危因子。     

(?)静脉动脉瘤

作者报告两例经静脉造影发现及手术证实的腘静脉动脉瘤。病例1:37岁,女,呼吸困难,没有腓肠肌触痛,也无任何下肢可触知的异常,疑为深部静脉血栓形成。通气灌注扫描见多发节段性灌注失配,阻抗体积描记法结果阴性。一年后病人发生双侧非疲劳性下肢痛,物理检查阴性。实时超声显示与腘静脉连续的无回声结构,多普勒超声证实扩张的肿块内有血流,静脉造影显示右侧腘静脉8.5×3.5cm梭形动脉瘤,外侧壁有2.5×10cm的血块所致充盈缺损,手术证实。病例2:50岁,男,因严重气促、胸疼、咯血住院,通气灌注扫描见两侧     

重组人血管生成素的生物学功能研究

为深入了解血管生成素的生物学作用，探讨其在免疫、造血、血管新生和神经方面可能的生物学功能，我们选择了多种细胞和组织进行实验分析ANG研究。结果表明：其对ECV304和COS7细胞具有促增殖作用，并可观察到明显的促ECV304细胞贴壁的作用；Ang具有明显地促KG—1a增殖的作用，其具体的分子机制有待于进一步的深入研究；Ang对造血干细胞形成集落没有作用，同时发现亦不存在与GM—CSF的协同作用；Ang缺乏直接对鸡胚背根神经节的作用，但可能对胶质细胞的生长有一定的影响。     

优质护理在宫颈癌术后的应用价值

目的:分析优质护理在宫颈癌术后的应用价值。方法:选取我院2017年1月～2018年8月收治64例宫颈癌手术患者为研究对象,按照随机数字表法分为对照组和观察组,每组32例。对照组行常规护理,观察组行优质护理。比较两组生活希望水平HHI评分及生活舒适度。结果:护理后,观察组生活希望水平HHI评分和生理舒适、心理舒适、社会舒适及环境舒适均明显高于对照组,P0.05。结论:对宫颈癌术后患者采取优质护理,能够提高患者对未来生活的希望水平,应用价值高,值得推广。     

跟骨骨折106例治疗体会

目的总结跟骨骨折的治疗经验与体会。方法采用保守治疗、闭合穿针和手术复位的方法。结果经1．4a的随访，按张铁良标准译价确定为优6例，良25例，可8例，差12例，优良率81．1％。结论骨折类型对预后有直接影响，损伤程度重，则疗效相对较差。