膀胱癌术后吡柔比星灌注预防肿瘤复发

30例膀胱癌患者术后定期应用吡柔比星(30mg/40ml)膀胱内灌注 ,并进行疗效观察,结果灌注化疗后1年内无肿瘤复发率93 3 % ,2年内无肿瘤复发率80 0 % ,未见有全身性药物不良反应。     

前列腺术后大出血17例的护理

前列腺手术,不论是开放手术还是经尿道电切(ＴＵＲＰ),术后出血仍然是一个严重问题,其对患者的危害性更甚于术中出血。1986年1月至1999年6月,我院共实施前列腺切除术611例,术后发生大出血17例。现将其护理体会总结报告如下。1　临床资料　　本组患者17例,年龄(61～79)岁,平均70岁;行耻骨后前列腺切除术10例,耻骨上前列腺切除术6例,ＴＵＲＰ术1例;2例术前留置导尿管,留置时间分别为10ｄ和30ｄ,1例术前膀胱造瘘半年;术前前列腺增生程度Ⅱ度～Ⅲ度。病理:前列腺增生或伴慢性炎症15例,前列腺癌1例,前列腺结核1例。出血原因:大便或咳嗽等使腹压增…     

COA: The S-ROM modular stem total hip arthroplasty together with transverse bone dissection inferior to femoral tuberosity for the treatment of Crowe type IV congenital dislocation of the hip

Background: This work was carried out to evaluate the clinical efficacy and the complications of S-ROM modular hip arthroplasty combined with transverse subtrochanteric shortening for Crowe type IV congenital dislocation of the hip (CDH). Methods: We have applied this surgical technique for the treatment of consecutive 28 cases of Crowe type IV CDH from June 2003 to June 2010. The follow-up was conducted at 3 d, 1 m, 6 m, 12 m after the operation and later annually at the outpatient of our hospital. Sequential pelvic plain film and normotopia film of the affected hip joint were taken. We also assessed the limp and the Trendelenburg sign, evaluated the ischiadic nerve injury by electromyogram, and recorded Harris Hip Scores. Results: After operation, both the alignment and the position of the transverse osteotomies were good. None of the patients had presented complications of joint infection, prosthesis loosening, joint dislocation or nerve injury. Conclusions: Our results showed that S-ROM modular hip arthroplasty combined with transverse subtrochanteric shortening was a satisfactory and safe technique for the Crowe type IV congenital hip dislocation within a mean follow up of 53 months. Transverse subtrochanteric shortening could effectively prevent the distraction injury of sciatic nerve.