改进灼烙法对慢性扁桃体炎临床及免疫功能的研究

目的观察灼烙法治疗慢性扁桃体炎的疗效及其对患者T细胞亚群的影响.方法采用灼烙法治疗慢性扁桃体炎90例,随访6月评定疗效.治疗前及随访结束时分别检测患者T细胞亚群,评定其变化趋势.结果本组病例总有效率97.78%,治疗后T细胞亚群数明显提高.结论灼烙法治疗慢性扁桃体炎有效,并可提高患者T细胞亚群数目.     

Cauterization Versus Fibrin Glue for Aerostasis in Precision Resections for Secondary Lung Tumors

Background: Aerostasis control in multiple resections for metastatic pulmonary diseases is a real problem. Long-term air leaks prolong postoperative hospitalization and result in an additional financial burden on the healthcare system. We focused our study on the evaluation of fibrin glue (Tissucol) as an effective means to minimize or prevent air leaks.Methods: We initiated a case-control study whereby 100 patients underwent precision resections for lung metastases. The subjects were divided into 2 groups, both with 50 patients: group 1 was treated with fibrin glue and group 2 with cauterization. Evaluation parameters consisted of the following: air leak duration, expected complications, drain time, and in-hospital stay.Results: In group 1, air-leak time was 2.68 ± 1.72 days, versus 7.80 ± 8.52 for group 2 (P < .001). In group 1, there were 2% complications, whereas in group 2 there were 28% (P < .001). Drain time was 4.54 ± 1.83 days for group 1 and 9.54 ± 8.35 for group 2 (P < .001). In-hospital stay was 6.54 ± 1.83 days for group 1 and 11.54 ± 8.35 for group 2 (P < .001).Conclusions:In the group treated with fibrin glue, we observed significant advantages. Our experience shows that the use of fibrin glue can improve aerostasis control in nonanatomical resections with high risk of air leak.Presented at the 55th Annual Cancer Symposium of the Society of Surgical Oncology, Denver, Colorado, March 14–17, 2002.     

灼烙术矫正老年退行性睑内翻疗效观察

目的观察灼烙术在老年退行性睑内翻术中的应用效果。方法将灼烙术用于老年退行性睑内翻202例（380眼），全部病例经随访6-12mo。结果本组病例中，除1例因松弛皮肤切除量过少，1例因灼烙眼轮匝肌的热量和深度不够，导致术后复发外，余未发生术后血肿、感染以及睑外翻等并发症，有效率为99％。结论灼烙术矫正老年退行性睑内翻具有操作简便，手术时间短，术野清晰，出血少，患者痛苦少，双眼可一次完成手术等多种优点，值得推广和应用。     

鼻内窥镜下Nd:YAG激光烧灼筛前神经治疗常年性变应性鼻炎和血管运动性鼻炎

在鼻内窥镜下,用Nd:YAG激光烧灼筛前神经的方法治疗常年性变应性鼻炎和血管运动性鼻炎共59例。观察3～7个月,总有效率为89.83％。对筛前神经的解剖、病理生理以及手术并发症等进行了讨论。本方法是一种安全、有效的新方法。     

那他霉素滴眼液治疗角膜外伤后真菌性角膜炎

目的观察5％那他霉素滴眼液治疗角膜外伤后真菌性角膜炎的临床疗效。方法经角膜刮片确诊的真菌性角膜炎的37例（37眼）进行病灶刮除并碘酊烧灼联合国产5％那他霉素滴眼液滴眼,观察疗效。结果37例中30例痊愈,7例好转。结论病灶刮除并碘酊烧灼联合国产5％那他霉素滴眼液治疗轻中度外伤性真菌性角膜炎有效。     

Vigilancia y manejo en consulta de los tumores de vejiga Ta de bajo grado

ObjectivePatients with low-grade (LG), grade 1-2, Ta bladder cancer (BC) will frequently have a “recurrence”. However, they rarely progress in stage. Although current guidelines mention surveillance and office management for these new or recurrent tumors, transurethral resection is the most common treatment. The purpose of this study is to determine if surveillance and/or office cautery is safe.Materials and methodsThis study was conducted as a retrospective case series analysis of 45 patients who had recurrent LG Ta appearing BC and were managed primarily with surveillance and/or office cautery. Patients with carcinoma in-situ were excluded. The primary outcome was stage progression.ResultsMedian follow-up was 62 months. Forty-one (91%) patients did not progress in stage. Three patients recurred with high grade (HG) T1 BC; one is receiving systemic immunotherapy. One patient developed HG T2 BC and was treated with a bladder preservation protocol. Forty (89%) patients underwent office cauterization. Eleven received BCG and 26 received post-cautery intravesical chemotherapy. Five (11%) patients developed HG BC during follow-up. No patients died. None of the 17 (38%) Hispanic patients had progression.ConclusionsActive surveillance and/or office cautery for patients with small recurrent LG Ta bladder tumors is safe, reduces cost and improves quality of life by avoiding transurethral resections.     

鼻后部出血的治疗

目的：比较各种方法治疗后鼻孔出血的疗效。方法：110例患者分别采用后鼻孔栓塞、出血点烧灼、动脉结扎、动脉栓塞等方法。结果：110例患者全部治愈无后遗症。结论：后鼻孔栓塞有效率70%,并发症较多;鼻窦内窥镜下烧灼及血管结扎冶愈高,并发症少,值得推广;血管栓塞技术含量高,费用大,基层医院难以开展。     

割烙术治疗蚕蚀性角膜溃疡的观察(附二例报告)

本文对蚕蚀性角膜溃疡采取眼球筋膜割烙术治疗,临床观察效果甚佳,并结合文献进行了探讨,阐明了该术的优点及临床注意事项。     

妊马雌酮联合钬激光及电凝术治疗女性出血性放射性膀胱炎

目的 探讨出血性放射性膀胱炎治疗方法.方法 回顾性分析自2006年至今应用静脉滴注妊马雌酮(1 mg/kg体重1次/日)联合经尿道钬激光汽化及电凝术治疗女性出血性放射性膀胱炎28例.结果 本组27例患者出血迅速控制,1例转外科治疗,治愈率96.7%.结论 静脉滴注妊马雌酮联合经尿道钬激光及电凝术治疗女性出血性放射性膀胱...     

Prospective double blind randomized clinical trial comparing 75% versus 95% silver nitrate cauterization in the management of idiopathic childhood epistaxis

Objectives/hypothesis

Primary outcome measure: to evaluate which concentration of silver nitrate cauterization was more efficacious in the management of idiopathic childhood epistaxis. Secondary outcome measures: to evaluate side effects and pain scores of the differing concentrations.

Study design

Prospective double blind randomized clinical trial.

Participants and setting

All children 16 years of age or younger referred by the accident and emergency department or general practitioner, with recurrent idiopathic epistaxis, who met the inclusion criteria entered the trial.Patients were randomized to receive either the 75% or 95% silver nitrate cauterization. Patients were reviewed at two weeks and eight weeks post cauterization. Pain scores, side effects and success of each treatments were recorded at the follow up clinic.

Results

101 patients completed the trial. 52 patients were randomized to receive the 95% concentration, and 49 patients were randomized to receive the 75% cauterization. In the 75% concentration group, 98% of patients had total resolution of their symptoms at the eight-week follow up. Mean pain scores in this group was 1 out of 10. In the 95% group, 90% had total resolution of their symptoms at the eight-week follow up. Mean pain scores in this group was 5 out of 10. There was a statistical difference in efficacy and pain scores (0.01 and 0.001).

Conclusion

We would recommend the use of 75% silver nitrate cauterization in the management of childhood epistaxis, it appears to be more efficacious, has fewer side effects and is better tolerated.