中药百部酊治疗阴虱病50例

用中药百部于医用酒精中浸泡一周，制成百部酊，局部涂探治疗阴虱病，共治50例，9天为1个疗程，全部治愈。     

耻阴虱的扫描电镜观察

目的进一步观察耻阴虱及其卵的微细结构。方法取耻阴虱成虫、虫卵,经冲洗、固定、干燥、镀膜,用日产SSM-5600扫描电镜观察。结果扫描电镜观察,新发现并证实阴虱头部有触须,位于口器两侧;新发现第一对足转节基部有一凹窝,内有半哑铃状突起,似为感觉器官;胸部背部有1对背窝。结论详细观察和描述了耻阴虱的微细结构,为耻阴虱的形态结构研究提供了资料。     

髂骨和耻坐骨尤文氏肉瘤的影像学诊断及鉴别诊断

目的：探讨髂骨和耻坐骨尤文氏肉瘤的影像学表现及鉴别诊断,以提高本病的术前诊断率。方法回顾性分析本院经手术后病理证实的15例髂骨和耻坐骨尤文氏肉瘤的影像学表现。所有病例均行 X 线平片检查,12例行 CT 检查,11例行 MRI 检查。结果15例中髂骨尤文氏肉瘤8例,耻坐骨尤文氏肉瘤7例。X 线平片呈单纯溶骨性骨质破坏12例,混合型骨质破坏3例,病灶周围见软组织包块15例;CT 扫描见病灶边缘膨胀、内部溶骨性骨质破坏7例,骨质破坏周围见不规则瘤骨或骨硬化5例,病灶周围见不规则骨膜反应6例。病灶周围软组织包块环绕12例;MRI 扫描病灶呈长 T1长 T2信号7例,长 T1混杂 T2信号4例,抑脂序列呈不均匀高信号5例,11例均见骨质破坏及软组织包块。结论髂骨和耻坐骨尤文氏肉瘤较少见,具有一定的影像特点, X 线平片结合 CT 扫描可以提高术前诊断准确率,MRI 检查有助于手术范围确定和治疗。     

Chiropractic management of postpartum pubic symphysis diastasis: A case report

This case report describes the chiropractic management of a 30-year-old female patient with severe postpartum pelvic pain secondary to pubic symphysis diastasis. No literature was found on the chiropractic management of postpartum symphysis pubis diastasis. The existing literature concerning chiropractic care for symphysis pubis dysfunction during pregnancy is limited and indicates a potential benefit. Separation of the pubic symphysis may include ligamentous injury to the sacroiliac joints and may lead to chronic pain. Pubic symphysis separation of 17 millimeters was present on digital radiograph. Management consisted of chiropractic adjustments, trigger point release, electrical stimulation, moist heat, sacroiliac belt, and specific stabilizing exercises. The patient’s pain improved immediately following treatment on the initial visit. Pain was reduced from 8/10 VAS at the first visit to 2/10 at the fourth visit. She was able to resume normal activities and reached a final pain level of 1/10. The diastasis was reduced by 7 millimeters at 14-weeks post radiograph for a final separation of just under 10 millimeters. Collaboration between obstetricians, midwives and chiropractors may be warranted.     

Spontaneous Cutaneous Endometriosis in the Mons Pubis Region

Most cutaneous endometriosis develops at the site of an abdominal surgical scar. Spontaneous cutaneous endometriosis is extremely rare. We report a case of spontaneous cutaneous endometriosis in the mons pubis region. A 41‐year‐old woman presented with a mass in the right mons pubis, causing cyclic pain associated with menses. Fine‐needle aspiration (FNA) biopsy was performed. The smears contained three cellular components: honeycombed sheets of glandular epithelial cells, fragments of ovoid‐to‐spindle shaped stromal cells, and background inflammatory cells, including hemosiderin‐laden macrophages, histiocytes, and neutrophils. Biphasic clusters of glandular epithelial cells and stromal cells were identified. FNA cytology is a safe and useful adjunctive tool for diagnosing cutaneous endometriosis. Diagn. Cytopathol. 2014;42:615–618. © 2013 Wiley Periodicals, Inc.     

Pigmented and polypoid tumor of the pubis

Seborrheic keratosis is a common benign epidermal tumor occurring in patients aged over 50 years. It is located preferentially in the trunk, head and neck. The genital location is rare. We report a case of 59 year‐old‐men presenting a seborrheic keratosis of the pubis.     

高频超声对妊娠晚期耻骨联合分离症的诊断价值

选择 30例正常未孕育龄妇女及 30例晚期妊娠孕妇及临床上疑诊为耻骨联合分离症的晚期妊娠患者 18例 ,应用高频超声对耻骨联合缝隙的宽度及左右错合情况进行比较分析 ,结果显示晚期妊娠耻骨联合分离症患者耻骨联合缝隙明显增宽 ,其中最小宽度 11mm,最大宽度 2 4 mm,平均 19m m,且耻骨联合水平明显呈阶梯样改变 ;错位高度最小 3m m,最大 7mm,平均 5 mm。正常育龄未孕组耻骨联合缝隙宽度在 6 mm以下 ,正常晚期妊组耻骨联合缝隙在 9mm以下 ,以上两组的耻骨水平未见明显错位。认为高频超声对妊娠晚期耻骨联合分离症的诊断优于 X线 ,是一种无损伤、简便、准确的方法     

Implant retention and removal after internal fixation of the symphysis pubis

Although internal fixation of diastasis of the symphysis pubis is commonly performed, there are no clear guidelines regarding the indications for removal of these implants. The long-term physiologic effects of retaining these internal fixation devices are not well described. We surveyed the literature to assess the current thinking and recommendations regarding implant retention and removal. Twenty-four case series and two case reports were found, for a total of 482 cases. Complications arose as a result of implant retention in 7.5% of patients, with infection the most common complication. There is no consensus in the literature regarding implant retention and removal after internal fixation of diastasis of the symphysis pubis.     

Pediculosis Capitis among Schoolchildren in Urban and Rural Areas of Eastern Poland

The objective of this study was to compare the prevalence of head pediculosis in the rural and urban environments of Lublin Province (eastern Poland) in 1996-2000 and to examine socioeconomic factors influencing distribution among schoolchildren. A total of 95,153 schoolchildren living in urban and rural areas were examined twice yearly by school nurses. The overall rate of head pediculosis differs significantly between rural (1.59%) and urban (0.48%) schools in eastern Poland. Children between 8 and 12 years old were most frequently infested. Pediculosis was observed most frequently in girls both in the urban (63.5%) and rural (75.3%) schools and this was related with hairstyles. The prevalence of pediculosis decreased with increasing life standards, i.e. with high income, accessibility and consumption of water and better health care systems. Our findings showed that prevalence of pediculosis capitis depends on the age and sex of the schoolchildren and their living conditions. Hygienic controls of schoolchildren by nurses are important in the elimination of Pediculus humanus capitis. Our results confirmed pediculosis capitis is still a problem in different environments, particularly with lower life standards and poorer economic conditions of health care.     

Disturbances of the symphysis pubis in rheumatoid arthritis: report of two cases

We present two rheumatoid arthritis (RA) patients suffering from disturbances of the symphysis pubis. Radiography revealed one with pelvic ring disruption with symphysis pubis diastasis, and the other with osteolysis at both pubic rami and disruption of the superior aspect of the symphysis pubis. Both cases had received long-term corticosteroid therapy, including pulse therapy. We recommend reducing the corticosteroid dose to prevent disturbances of the symphysis pubis especially in RA patients on long-term steroid therapy.