下颌角截骨面下部轮廓重塑的研究

目的:下颌角截骨是面型轮廓重塑中最常见的一种手术,为了提高手术的精确性,避免不必要的损伤,我们对各种下颌角截骨术操作技巧进行探讨.方法:术前进行面部测量、下颌骨曲面断层X线和头颅正侧位定位X线片投影测量,设计截骨线和去骨量,术式选择口内切口下颌角截骨术、口内切口下颌角外板矢状劈开截骨术、耳后切口下颌角截骨术、耳后和口内联合切口下颌角截骨术;结果:面下部过宽同时下颌角肥大者单纯下颌角截骨效果往往不会很理想,需要同时进行下颌角外侧骨板部分去除,减少面下部的宽度,206例术后两侧对称,效果良好;1例面瘫;2例下颌骨骨折,术中做内固定;3例下颌骨体部成角,3个月后第二手术将突出部分磨平.结论:术前测量设计下颌角截骨的术式和截骨线是十分必要的,根据下颌角肥大的不同类型选择相适应的截骨术式.     

A case of dermatofibrosarcoma protuberans in the skin over the breast

Dermatofibrosarcoma protuberans (DFSP) is a slow-growing but locally aggressive, fibrous tumor that has a high rate of local recurrence after surgical resection. This tumor occurs most commonly in the trunk and proximal extremities. In this report we present a case of dermatofibrosarcoma protuberans in the skin over the breast which was re-excised after pathological diagnosis, considering cosmetic aspects. Only three other cases of dermatofibrosarcoma protuberans of the anterior chest wall have been encountered in our hospital, and all of these cases were male. The presence of this tumor in the skin over the breast appears to be rare in females. Careful complete resection is recommended for this type of tumor.     

化妆品中新银盐法测定砷的问题研究

目的：通过对聚乙烯醇-硝酸银-乙醇分光光度法测定化妆品中砷的存在问题的实验研究分析，完善国家卫生规范检验方法。方法：消化处理后样品中的五价砷在碘化钾和氯化亚锡的作用下还原为三价砷经聚乙烯醇-硝酸银-乙醇溶液吸收形成黄色胶态银，比色测定。对不同室温下的标准系列的显色数据进行了方差分析。结果：不同室温下混合吸收液对同一含量的砷氢的吸收显色存在的差异有统计学意义（P〈0．01）。结论：作为国家的卫生规范检验方法，聚乙烯醇＋硝酸银＋乙醇混合吸收分光光度法存在缺陷，为此建议增加相应的实验必要条件。     

光固化复合树脂临床口腔美容修复的研究

目的:探讨针对口腔美容修复中使用光固化复合树脂进行修复的临床疗效和应用价值。方法:选取2004年12月-2006年12月牙科接受治疗的128例患者,均实施光固化复合树脂分层实施塑性固化,对比不同牙科疾病的治疗结果,保持对患者1~6年的随访,观察分析长期效果。结果:45例前牙邻面龋患者治疗优秀36例(80.00%),总有效率91.11%;染色牙、四环素牙、斑釉牙40例患者治疗后优秀32例(80.00%),总有效率90.00%;15例颌面磨损患者治疗后优秀14例(93.33%),总有效率100%;15例折断牙患者治疗后优秀12例(80.00%),总有效率93.33%;8例牙缝间隙修补患者治疗后优秀7例(87.50%),总有效率100%;5例畸形牙患者治疗后优秀3例(60.00%),总有效率80.00%。其中颌面磨损修补优秀率最高,畸形牙修补优秀率最低,两者比较差异有统计学意义(P0.05)。随访显示共有10例失败,其中1例患者1年之后发生脱落,其余9例患者发生脱落时间为修复后5年。结论:光固化复合树脂用于口腔美容修复,总体临床效果较为理想。光固化复合树脂的选材较为简便,操作过程不复杂,安全性高,且长期效果不错,方便再次修复,值得推广应用。     

Looped,Broad, and Deep Buried Suturing Technique for Wound Closure

This study explores the clinical application of the circular wide and deep (looped, broad, and deep buried, LBD) suture technique for scar resection and examines its clinical effectiveness for scar treatment. From June 2017 to March 2019, a total of 68 patients with scars were sutured using LBD technique, and recovery was achieved 24 months postoperatively. In all 68 patients, postoperative scars were slightly evident in two cases of cervical scar, one case of leg scar, and one case of chest scar. In addition, the remaining 62 patients were completely satisfied with the outcome. The LBD suturing technique could provide sustained and stable tension-reducing effects postoperatively and significantly improve scar formation in patients. This method is most applicable to incisions with tension. Therefore, it should be more widely used for clinical scar treatment.