带肌及深筋膜蒂胫骨瓣移植修复胫骨缺损

目的 报道带蒂胫骨瓣移植治疗胫骨缺损的临床效果。方法 采用带肌蒂和深筋膜蒂胫骨瓣移植，修复胫骨缺损13例，胫骨瓣的血供来自胫前动脉4例、来自胫后动脉7例及来自腓浅血管2例。结果 全部病例在2．5-4个月内获骨性愈合，效果满意。结论 应用带肌和深筋膜蒂胫骨瓣移植用于修复胫骨缺损可获得较好的临床效果。     

艾滋病患者合并阴茎癌24例临床分析

目的 探讨艾滋病患者合并阴茎癌的临床诊断与治疗.方法 收集作者2012年3月至2015年2月援助博茨瓦纳期间所诊治的艾滋病合并阴茎癌患者共24例,对其临床表现、诊断、手术治疗方案、术后疗效等影响因素进行分析总结.结果 24例患者平均年龄38.6岁.临床表现为局部肿块(11/24,45.8％)、溃疡(9/24,37.5％)及丘疹(4/24,16.7％).发病时22例患者正接受HAART治疗,18例(75.0％)患者CD4水平较低(低于350/μL),存在明显的免疫抑制状态.病理类型为鳞状细胞癌22例,鳞癌合并卡波西肉瘤2例.22例患者进行手术治疗,2例T4期患者未手术治疗.2例阴茎鳞癌合并卡波西肉瘤,于发病后4个月和6个月得到确诊,并行阴茎全切加尿道会阴部造口术,术后恢复良好,未见肿瘤转移.结论 卡波西肉瘤是艾滋病患者常见的皮肤病损,阴茎卡波西肉瘤容易掩盖阴茎鳞状细胞癌的症状,从而耽误阴茎癌诊断与治疗,需要引起足够的注意.     

胸腰椎骨折合并脊髓损伤的手术时机探讨

目的 探讨胸腰椎骨折合并脊髓损伤的手术时机与临床效果的关系。方法 回顾性分析207例胸腰椎骨折合并脊髓损伤患者的临床资料，对其中获得随访的157例，根据手术时间分为早期手术组（受伤～3d内手术）59例和晚期手术组（受伤3d后手术）98例，分析不同手术时机对治疗效果的影响。结果 早期手术组有效率91．5％，晚期手术组有效率78．4％，两组比较差异有显著性（P＜0．05）。结论 胸腰椎骨折合并脊髓患者损伤应早期手术治疗。     

膀胱尿路上皮癌患者外周血T淋巴细胞凋亡蛋白Fas的表达

Objective To investigate the relationship between the Fas expression in peripheral blood T cells and bladder transitional cell carcinoma (TCC). Methods The Fas expression in peripheral blood T cells of 52 patients with TCC and 37 healthy people was detected by flowcytometry. The Fas-posi-tive rate was compared by t test between two designed groups. Results The Fas expression in CD4+ [(20.74±9.02)%] and CD8+[ (7.51±5.93 )% ] was increased in TCC patients as compared with controls ( P < 0. 01 ). Fas-positive CD8+ ceils were reduced in invasive TCC as compared with superficial TCC [ ( 5. 83±3.95 ) % vs ( 5. 83±3.95 ) %, P < 0.05 ], but there was no difference between primary and recurrent cases ( P > 0.05 ). Conclusion The abnormal Fas expression in peripheral blood T cells may play an important role in the development and progression of TCC.     

膀胱尿路上皮癌患者外周血T淋巴细胞凋亡蛋白Fas的表达

Objective To investigate the relationship between the Fas expression in peripheral blood T cells and bladder transitional cell carcinoma (TCC). Methods The Fas expression in peripheral blood T cells of 52 patients with TCC and 37 healthy people was detected by flowcytometry. The Fas-posi-tive rate was compared by t test between two designed groups. Results The Fas expression in CD4+ [(20.74±9.02)%] and CD8+[ (7.51±5.93 )% ] was increased in TCC patients as compared with controls ( P < 0. 01 ). Fas-positive CD8+ ceils were reduced in invasive TCC as compared with superficial TCC [ ( 5. 83±3.95 ) % vs ( 5. 83±3.95 ) %, P < 0.05 ], but there was no difference between primary and recurrent cases ( P > 0.05 ). Conclusion The abnormal Fas expression in peripheral blood T cells may play an important role in the development and progression of TCC.     

膀胱尿路上皮癌患者外周血T淋巴细胞凋亡蛋白Fas的表达

Objective To investigate the relationship between the Fas expression in peripheral blood T cells and bladder transitional cell carcinoma (TCC). Methods The Fas expression in peripheral blood T cells of 52 patients with TCC and 37 healthy people was detected by flowcytometry. The Fas-posi-tive rate was compared by t test between two designed groups. Results The Fas expression in CD4+ [(20.74±9.02)%] and CD8+[ (7.51±5.93 )% ] was increased in TCC patients as compared with controls ( P < 0. 01 ). Fas-positive CD8+ ceils were reduced in invasive TCC as compared with superficial TCC [ ( 5. 83±3.95 ) % vs ( 5. 83±3.95 ) %, P < 0.05 ], but there was no difference between primary and recurrent cases ( P > 0.05 ). Conclusion The abnormal Fas expression in peripheral blood T cells may play an important role in the development and progression of TCC.     

膀胱尿路上皮癌患者外周血T淋巴细胞凋亡蛋白Fas的表达

Objective To investigate the relationship between the Fas expression in peripheral blood T cells and bladder transitional cell carcinoma (TCC). Methods The Fas expression in peripheral blood T cells of 52 patients with TCC and 37 healthy people was detected by flowcytometry. The Fas-posi-tive rate was compared by t test between two designed groups. Results The Fas expression in CD4+ [(20.74±9.02)%] and CD8+[ (7.51±5.93 )% ] was increased in TCC patients as compared with controls ( P < 0. 01 ). Fas-positive CD8+ ceils were reduced in invasive TCC as compared with superficial TCC [ ( 5. 83±3.95 ) % vs ( 5. 83±3.95 ) %, P < 0.05 ], but there was no difference between primary and recurrent cases ( P > 0.05 ). Conclusion The abnormal Fas expression in peripheral blood T cells may play an important role in the development and progression of TCC.     

合并尿道损伤阴茎折断4例报告

阴茎折断合并尿道损伤者少见.我院1999年1月至2009年1月共收治阴茎折断病例28例,其中4例合并尿道海绵体裂伤. 1 资料与方法4例男性患者,年龄22～39岁,均为单侧阴茎海绵体破裂合并尿道海绵体裂伤,右侧3例,左侧1例.受伤原因:3例为性交失误,1例为手淫时过度扳折勃起的阴茎所致.     

膀胱尿路上皮癌患者外周血T淋巴细胞凋亡蛋白Fas的表达

Objective To investigate the relationship between the Fas expression in peripheral blood T cells and bladder transitional cell carcinoma (TCC). Methods The Fas expression in peripheral blood T cells of 52 patients with TCC and 37 healthy people was detected by flowcytometry. The Fas-posi-tive rate was compared by t test between two designed groups. Results The Fas expression in CD4+ [(20.74±9.02)%] and CD8+[ (7.51±5.93 )% ] was increased in TCC patients as compared with controls ( P < 0. 01 ). Fas-positive CD8+ ceils were reduced in invasive TCC as compared with superficial TCC [ ( 5. 83±3.95 ) % vs ( 5. 83±3.95 ) %, P < 0.05 ], but there was no difference between primary and recurrent cases ( P > 0.05 ). Conclusion The abnormal Fas expression in peripheral blood T cells may play an important role in the development and progression of TCC.     

旋入式自锁髓内针逆行导入法治疗肱骨干骨折的疗效分析

目的 探讨旋人式自锁髓内针治疗眩骨干骨折的优点及手术方法。方法 采用切开复位旋人式自锁髓内针逆行导人方法治疗15例肱骨干骨折。结果 随访15例，其中14例完全骨性愈合，1例骨折延迟愈合，13例肩关节功能恢复正常，无疼痛，2例肩关节外展上举功能受限。结论 旋入式自锁髓内针逆行导人法治疗肱骨干骨折，其操作简单，创伤小，疗效可靠。