介入性肺脏病学在早期非小细胞肺癌诊断及治疗中的应用

肺癌的治疗非常复杂,需要多学科联合来提供综合治疗。介入性肺脏病学是利用微创的方式为疑似肺癌的患者进行初步诊断和分期,在目前仍是一个不断发展的学科领域。支气管超声引导下的对纵隔淋巴结采样进行分期,同时进行驱动突变检测是早期和晚期肺癌诊断及治疗的重要工具,支气管超声引导下支气管镜的进步使得可疑周围性病变的组织学采样的并发症发生率大大降低同时为立体定向放疗植入基准标记。此外,介入性肺脏病学可以缓解不可手术的癌症及晚期癌症。由于低剂量CT扫描用于肺癌的早期发现,对肺部结节的治疗有经验的肺病专科医师来说,最重要的是尽可能减少侵袭性采样,整合多学科诊治的模式进行分期。     

Prosthetic urology:past,present,and future

The global population is collectively getting older,and age is directly correlated with erectile dysfunction(ED).With the advent of effective oral agents and wide availability of the Internet,a larger portion of the population is becoming aware of the different treatment options for men with ED.     

Transplantation of an eight-organ multivisceraI graft in a patient with frozen abdomen after complicated Crohn's disease

To report an extended multivisceral transplantation (MVTx) including right kidney and ascending colon in a patient with complicated Crohn's disease (CD). A 36-year old female suffering from short bowel syndrome and frozen abdomen due to fistulizing CD after multiple abdominal operations underwent MVTx of eight organs including stomach, pancreatoduodenal complex, liver, intestine, ascending colon, right kidney, right adrenal gland, and greater omentum in November 2003. Immunosuppression consisted of alemtuzumab, tacrolimus and steroids. The patient was off parenteral nutrition by postoperative wk 3. She experienced one episode of pneumonia. The patient recovered completely and discharged 2.5 mo and was doing well 30 mo after MVTx. This is one of the very rare cases in which a complete mulitivisceral graft of eight abdominal organs was transplanted orthotopically.     

生殖健康教育与高危青少年和青年女性的性危险

目的：为探索高危青少年和青年女性的样本人群中生殖健康教育的途径、内容、开始的时间与其性相关危险行为和认识之间的关系。     

一周5次请举手！

做爱是表达爱情维系感情的重要途径之一。但做爱的次数是否会影响到感情生活？[编者按]     

来，把爱做到刚刚好

据调查,人的一生当中,约有十分之一的时间用来做爱,然而,真正能够享受鱼水之欢的时间却不到百分之一。究其原因,不是因为我们不相爱,而是爱的频率不匹配。性学专家说,做爱,做到刚刚好才是最有质量的爱     

生殖健康和疾病：生殖健康教育干预试验

为评估某生殖健康教育项目对提高印度昌迪加尔地区15～19岁的少女生殖健康知识水平的效果进行研究。     

左臂丛神经鞘瘤误诊左肺上沟癌1例

左臂丛神经鞘瘤误诊左肺上沟癌１例楼正龙崔健病人男，４３岁。左上胸部疼痛１０天。查体：左锁骨上可触及一１ｃｍ×２ｃｍ大小肿块，质硬、固定、无压痛；左腋下可触及一２ｃｍ×３ｃｍ×２ｃｍ大小肿块，质硬、界清、不易活动、无压痛。Ｘ线胸片示左上肺叶尖段一３ｃｍ...     

胃空肠Roux-y吻合治疗顽固性胃窦炎疗效观察

1980～1986年我科手术治疗久治不愈的顽固性胃窦炎34例,其中有22例行胃大部切除胃空肠Roux-y吻合(Roux-y组),余12例行胃大部切除毕氏Ⅰ或Ⅱ式吻合(毕氏组)。现以毕氏组作对照,观察Roux-y组在治疗顽固性胃窦炎的初步疗效。