58例多原发癌临床分析

Objective to Present 56 cases of multiple primary cancers,to make improvement of diagnosis and treatment.methods A total of 58 patients with multiple primary cancers admitted from 2003 to 2007 were analysed retrospectively in Beijing Tongren Hospital.Results Thirty-five cases were males,with sex ratio of male and female 1.5:1.The median age at the onset of the first disease was 61.5 years (ranged from 27 to 86).The onset age of the two primary cancers was mainly centered around 50～75 years,while half of the second cancers occurred within five years.Conclusion the treatment and prognosis of the two primary cancers are different from that of the recurred and metastatic malignancies and shoule be handled with care.     

58例多原发癌临床分析

Objective to Present 56 cases of multiple primary cancers,to make improvement of diagnosis and treatment.methods A total of 58 patients with multiple primary cancers admitted from 2003 to 2007 were analysed retrospectively in Beijing Tongren Hospital.Results Thirty-five cases were males,with sex ratio of male and female 1.5:1.The median age at the onset of the first disease was 61.5 years (ranged from 27 to 86).The onset age of the two primary cancers was mainly centered around 50～75 years,while half of the second cancers occurred within five years.Conclusion the treatment and prognosis of the two primary cancers are different from that of the recurred and metastatic malignancies and shoule be handled with care.     

腹股沟疝手术多模式镇痛及快通道外科研究进展

无张力疝修补术是20世纪80年代逐渐兴起的一种通过合成生物材料加固腹股沟后壁的新型手术方式,与传统疝修补术相比无张力疝修补术的适应证广泛、创伤小、并发症少且复发率低,是腹股沟疝外科的发展方向。虽然应用无张力疝修补术在很大程度上减少了创伤,但术后局部切口疼痛仍旧困扰着患者术后早期下床活动,影响患者生活质量”,文献显示腹股沟疝修补术后疼痛多为轻、中度,重度疼痛的发生率为2％～10％。     

铜离子电化学疗法治疗36例痔疗效观察

目的 观察铜离子电化学疗法治疗以痔出血或痔出血合并脱出为主要症状的内痔及混合痔的疗效.方法 应用铜离子电化学治疗仪与外痔切除或局部外剥内扎手术相结合治疗各期内痔及混合痔36例.结果 36例患者均顺利完成治疗,术中无不良反应.痔出血治愈36例,治愈率100%;痔脱出治愈27例,有效3例,总有效率100%.结论 铜离子电化学法是治疗内痔及混合痔的一种安全、有效的方法.     

58例多原发癌临床分析

Objective to Present 56 cases of multiple primary cancers,to make improvement of diagnosis and treatment.methods A total of 58 patients with multiple primary cancers admitted from 2003 to 2007 were analysed retrospectively in Beijing Tongren Hospital.Results Thirty-five cases were males,with sex ratio of male and female 1.5:1.The median age at the onset of the first disease was 61.5 years (ranged from 27 to 86).The onset age of the two primary cancers was mainly centered around 50～75 years,while half of the second cancers occurred within five years.Conclusion the treatment and prognosis of the two primary cancers are different from that of the recurred and metastatic malignancies and shoule be handled with care.     

58例多原发癌临床分析

Objective to Present 56 cases of multiple primary cancers,to make improvement of diagnosis and treatment.methods A total of 58 patients with multiple primary cancers admitted from 2003 to 2007 were analysed retrospectively in Beijing Tongren Hospital.Results Thirty-five cases were males,with sex ratio of male and female 1.5:1.The median age at the onset of the first disease was 61.5 years (ranged from 27 to 86).The onset age of the two primary cancers was mainly centered around 50～75 years,while half of the second cancers occurred within five years.Conclusion the treatment and prognosis of the two primary cancers are different from that of the recurred and metastatic malignancies and shoule be handled with care.     

58例多原发癌临床分析

Objective to Present 56 cases of multiple primary cancers,to make improvement of diagnosis and treatment.methods A total of 58 patients with multiple primary cancers admitted from 2003 to 2007 were analysed retrospectively in Beijing Tongren Hospital.Results Thirty-five cases were males,with sex ratio of male and female 1.5:1.The median age at the onset of the first disease was 61.5 years (ranged from 27 to 86).The onset age of the two primary cancers was mainly centered around 50～75 years,while half of the second cancers occurred within five years.Conclusion the treatment and prognosis of the two primary cancers are different from that of the recurred and metastatic malignancies and shoule be handled with care.     

良性甲状腺疾病术后是否放置引流的探讨

目的 探讨良性甲状腺疾病不放置引流的可行性和放置引流的适应证.方法 2009年8月至2010年8月收治的甲状腺良性疾病病人228例,分为未引流组和引流组,进行回顾性分析和观察.结果 引流组平均住院日[(8.25±1.58)天]高于未引流组[(6.92±1.54)天]且有统计学差异.未引流组手术后发生血清肿4例,血清肿发生率2.16%,经穿刺抽液后即缓解.未引流组病人术后第1、2天平均体温[(37.15±0.34)℃,(36.86±0.32)℃]均高于引流组[(36.88±0.25)℃,(36.69±0.14)℃]且有统计学差异.结论 甲状腺手术后引流的放置应该个体化,对没有指征的病人不应该常规放置引流.     

腹膜假性粘液瘤的诊断及治疗

探讨腹膜假性粘液瘤的诊断及治疗方法,并回顾有关文献。对北京协和医院１９８３～１９９８年收治并确诊 的１７例腹膜假性粘液瘤病例进行回顾性分析研究。结果：１７例患者中,男性１例,女性１６例。年龄２０～７１岁, 平均５２岁。１７例患者中,１４例伴卵巢粘液性囊腺瘤,其中４例合并阑尾粘液囊肿。１７例患者中包括１例卵 巢浆液性囊腺瘤,１例卵巢粘液腺癌,１例男性阑尾粘液囊肿。所有病人均经手术治疗１～６次,平均每人２．５次。 ２次手术间隔７个月～７年４个月,平均３．６年。术后１年内死亡３例。结论：尽管腹膜假性粘液瘤被认为是一 种分化较好的低度恶性或交界性肿瘤,但复发是极常见的现象,远处转移几乎不存在。其来源最多见于卵巢 和阑尾。外科手术切除仍是目前最有效的治疗手段。     

腹腔镜下小儿腹股沟疝内环口结扎术的技术进展

随着腹腔镜技术器械的发展和操作水平的进步,腹腔镜下治疗小儿腹股沟斜疝目前在国内得到了广泛的开展,其微创、复发率低、并发症少等优点已经得到了认可。但仍存在着各种制约因素需待解决。本文回顾国内外近5年部分相关进展,通过与传统手术的优劣比较,对各种手术方式的对比分析,发现目前存在的问题。