面部凹陷自体脂肪颗粒填充术的临床分析

目的探讨自体脂肪颗粒注射填充矫正面部凹陷畸形的临床效果。方法首先在患者脂肪丰厚的部位。注射器抽取脂肪颗粒，经清洗液反复冲洗后，将脂肪颗粒分点多层注入皮下。结果本组85例患者，55例注射1次，25例注射2次，5例注射3次。72例随访6～24个月，3例上下睑凹陷出现局部不平整，2例患者出现无菌性炎症，其余效果满意。结论面部凹陷畸形采用自体脂肪颗粒填充矫正，方法简单，安全有效。     

自体脂肪颗粒移植在面部凹陷畸形中的应用

目的 探讨自体脂肪颗粒移植在面部软组织凹陷畸形矫正中的作用.方法 采用注射器法从供区皮下抽吸脂肪颗粒,经过冲洗后少量多层次的注射移植到面部凹陷部位.结果 18例患者均进行了随访,最短者1.5个月,最长者2年,平均14个月,全部患者面部凹陷畸形得到不同程度的矫正,充填后丰满平坦,双侧对称者占77.8%;凹陷术后较丰满,双侧基本对称占16.7%;凹陷较丰满双侧轻度不对称者占5.5%.无1例出现血肿、脂肪液化、感染等并发症,效果比较满意.结论 自体脂肪颗粒注射游离移植对面部凹陷畸形的矫正可取得较好的临床效果,副作用最小,不失为一种安全、有效的方法.     

自体脂肪颗粒注射移植修复面部凹陷

目的：探讨自体脂肪颗粒注射移植修复面部凹陷的疗效。方法：从患者自体取得脂肪颗粒，用脂肪抽吸针注射移植修复面部凹陷。结果：本组21例，19例一次手术成功，另2例补充填充一次，外形明显改善。结论：自体脂肪颗粒注射移植修复面部凹陷，手术易行，创伤小，效果较好，值得推广。     

自体脂肪颗粒移植治疗面部凹陷的临床应用

目的：观察总结自体脂肪颗粒移植填充治疗各种面部凹陷的临床效果。方法：用注射器抽取自体脂肪颗粒,清洗纯化后分层注射到面部凹陷部位。结果：本组43例患者,注射治疗1～3次,随访3～36个月,效果基本满意。结论：采用自体脂肪颗粒移植治疗面部凹陷是一种较为理想的方法。     

自体颗粒脂肪移植充填矫治面部凹陷

目的：观察自体脂肪移植充填矫治面部凹陷的临床效果。方法：在肿胀麻醉下，利用注射器抽吸脂肪颗粒。过滤纯化后将脂肪颗粒注射在面部凹陷部位。结果：采用自体脂肪颗粒移植矫正面部凹陷153例，注射1～3次均获良好效果。结论：利用自体脂肪移植充填矫治面部凹陷是一种理想的方法。     

自体脂肪颗粒面部注射移植30例临床分析

目的 探讨自体脂肪颗粒注射移植填充面部凹陷畸形的方法 和临床效果.方法 选择下腹部、大腿前外侧部、臀部作为脂肪供区,在静脉麻醉或局部浸润麻醉下行脂肪抽吸术,将抽吸的脂肪经生理盐水冲洗直至清亮,静置后将脂肪注射移植于颞部、面颊部、鼻唇沟等部位,注射量视局部情况而定.自2011年10月至2012年5月,共对30例求美者行自体脂肪颗粒面部注射移植取得了满意的效果.结果 本组共30例求美者,术后填充部位充盈,质地柔软,局部无硬结、感染、脂肪液化等并发症发生;术后随访3～6个月,外观自然,效果满意.结论 自体脂肪颗粒注射移植是矫治面部软组织凹陷及皱纹的有效方法,值得临床推广应用.     

面部凹陷畸形的修复

目的 探讨面部凹陷畸形的修复方法及其效果.方法 对面部凹陷畸形患者11例,采用自体脂肪颗粒注射移植9例:其中1例注射4次,3例注射2次,其余5例均注射1次.同侧岛状颞筋膜瓣修复2例.结果 9例自体脂肪颗粒注射移植者,效果满意.2例同侧岛状颞筋膜瓣修复者,其中1例术后形成血肿,予以清除,效果亦均较满意.结论 自体脂肪颗粒注射移植及同侧岛状颞筋膜瓣移植对轻、中度面部凹陷畸形的修复不失为一良好方法,值得推广.     

自体颗粒脂肪移植在美容外科的应用探讨

目的：探讨自体颗粒脂肪注射移植术在美容外科中应用的适应证和疗效。方法：以注射器抽吸取得患者自体颗粒脂肪,经漂洗纯化后,注射移植于面部局部凹陷、小乳畸形等部位。结果：本组患者24例,5例一次手术成功,余19例行手术填充2～4次,随访3～16个月,外形均得到不同程度改善。结论：自体脂肪颗粒注射移植术操作简单,创伤小,效果较好,值得推广。     

自体脂肪颗粒移植修复颞部凹陷

目的探讨自体脂肪颗粒移植充填先天性颞部凹陷畸形的临床效果。方法采用注射器法抽取自体脂肪颗粒,经清洗后植入颞部。由于脂肪颗粒移植后有部分被吸收,一般每次超量注射20％。结果共充填修复颞部凹陷152例,1次充填者139例,2次充填者9例,3次充填者4例;每次每侧注射脂肪颗粒6～28ml;疗效满意。结论自体脂肪颗粒移植是治疗先天性颞部凹陷畸形的一种安全有效的方法。     

自体脂肪颗粒移植在改善鼻唇沟凹陷中的应用

目的 探讨应用自体脂肪颗粒移植改善鼻唇沟凹陷的效果。方法 2011年11月至2014年12月,利用自体脂肪颗粒注射填充鼻唇沟凹陷91例。选取腰腹部或大腿作为脂肪供区,利用负压吸脂机获取脂肪颗粒,吸水浓缩法纯化后,多层次、多隧道、多点少量注射填充91例患者的鼻唇沟凹陷。结果 术后随访6~36个月,56例患者一次注射填充即达满意效果,35例患者经过两次注射填充达到满意效果。每侧注射量1.2~4.6 m L。本组患者均无严重并发症。结论自体脂肪颗粒移植注射填充鼻唇沟凹陷,效果优良,并发症少,值得临床推广应用。     

Rare type of congenital aneurysm of the right sinus of Valsalva protruding superiorly into the pericardial space

We report a rare type of aneurysm of the sinus of Valsalva. The orifice of the aneurysm was in the right sinus of Valsalva and protruded superiorly, which is a direction not typical of right sinus of Valsalva aneurysms. Intraoperatively, it became clear that the aneurysm was located in the right sinus of Valsalva with extracardiac protrusion. Inspection through the aortotomy revealed that the orifice of the aneurysm opened between the orifice of the right coronary artery and the commissure between the right and left coronary cusps. The aneurysm was obliterated with a pledgeted suture from outside the orifice of the aneurysm. Early prophylactic surgical treatment of the aneurysm makes the operation simple and prevents subsequent development of complications, such as compression of the coronary artery, thrombosis, and/or spontaneous rupture.     

胰十二指肠切除术治疗胰头和壶腹部癌230例分析

了解胰十二指肠切除术治疗胰头和壶腹部癌的效果和影响病人生存的因素。方法:分析230例胰头和壶腹部癌的主要表现,辅助检查、手术并发症、手术死亡率,调查术后生存情况及影响病人长期生存的因素。结果:本组病人出现黄疽90.9％,腹痛56.1％,发热32.6％,白陶土样大便13.5％。B超、CT和ERCP检查准确率分别为68.3％、79.3％和66.6％。手术并发症72例(31.3％),死亡20例(8.7％)。术后1、3、5年存活率分别为46.7％,17.4％和52％。肿瘤直径、淋巴结转移和切缘状态是影响病人术后生存的因素,而肿瘤分化程度和病人年龄对生存率无明显影响。结论:胰头和壶腹部癌临床表现有多样性,B超和CT等辅助检查有局限性,手术有高并发症,5年生存率低下,手术治疗远近期效果都不理想。     

Replacement of the ureter using the urinary bladder

Summary The combination of two well established methods — the bladder-psoas-hitch procedure and the Boari flap — succeeded in replacing 2/3 of the lower ureter. After encouraging results on dogs, we performed this method successfully in one patient.Dedicated to Professor Dr. Wilhelm Brosig, on his 60th birthday, November 27th, 1973.     

Anurea caused by primary amyloidosis of the lower third of the ureters,the ureterovesical junction and the urinary bladder

Amyloidosis is a systemic disease affecting many organs, characterized by the deposition and accumulation of hyaline, eosiniphilic and proteinaceous material in various tissues. This report presents a patient with anurea caused by primary amyloidosis of the lower third of the ureters, the ureterovesical junction and the urinary bladder.     

大米安全过夏中的贮藏技术

根据大米不同粮情、水分、粮温、粮质、密闭性能、贮存期限为依据,对我库确保大米安全过夏的常用技术进行了研究,并估算出了低、中、高投药量     

带蹬吊带体系治疗先天性髋脱位

采用带蹬吊带体系治疗出生2月～3岁间婴幼儿先天性髋脱位（congenitaldislocationofthehip，CDH）418例，均获满意复位，并对其中的168例进行了2～11年远期随访。结果表明：近期复位率为100％，远期优良率为95％；患侧髋臼发育与健侧相比无显著性差异。从而证实该体系是治疗CDH的一种比较全面的方法，成功率高、远期效果好及并发症低。同时强调CDH必须早期诊断，及时治疗。     

中药周期性阶段疗法治疗肝肾阴虚型黄褐斑疗效观察

目的：观察中药周期性阶段疗法治疗黄褐斑的临床疗效。方法：将123例患者随机分为两组,治疗组62例,采用月经后服用补精血颗粒与月经前及经期服用理气养血活血颗粒的周期性阶段治疗;对照组61例,采用补精活血颗粒的持续性给药治疗,2个疗程后判定临床疗效。结果：总有效率治疗组为95.08%,对照组为93.22%,两组比较差异无统计学意义（P〉0.05）。结论：两组临床疗效相当,均能有效治疗黄褐斑。     

关节镜下治疗胫骨髁间嵴撕脱骨折

1993年1月至1996年12月,关节镜下钢丝内固定治疗胫骨髁间嵴骨折12例,其中Ⅱ°6例,Ⅲ°6例。常规膝关节前外侧入路进入关节镜检查,前内侧人路引入器械进行骨折两断端清创、复位。然后由胫骨粗隆两侧钻孔,分别引入细钢丝达关节内,通过撕脱骨折片基部,关节内套入,拉紧,由一端拉出钢丝达骨外,在骨外将两端拧紧,完成撕脱骨折片固定。然后石膏外固定6～12周。本组12例均愈合,功能佳,效果可靠,损伤小。     

Resection of the head of the pancreas in three patients with anomalous arrangement or occlusive diseases of the major abdominal visceral arteries

We resected the head of the pancreas in three patients with occlusive diseases or anomalous arrangement of the abdominal visceral arteries. The first patient who was diagnosed with cancer of the head of the pancreas; pancreatoduodenectomy (PD) was performed. Preoperative celiac angiography showed no significant occlusion of the celiac axis, while superior mesenteric arteriography visualized the common hepatic artery, with delayed retrograde filling. At the completion of the PD, an unsuspected atherosclerotic celiac occlusion was identified. Celiac reconstruction was performed. The second patient was diagnosed with cystadenoma of the head of the pancreas and had congenital ostial occlusion of the superior mesenteric artery (SMA), with dilated pancreaticoduodenal (PD) arcades as a celiacomesenteric collateral pathway. Duodenum-preserving resection of the head of the pancreas was performed, with preservation of the PD arcades. The third patient was diagnosed with cancer of the common bile duct, and exhibited a replaced common hepatic artery that arose from the SMA and formed PD arcades. PD was performed, with revascularization of the common hepatic artery. Following surgery, the three patients have done well for 18, 27, and 9 months, respectively. Careful preoperative investigation to identify abnormalities of the visceral arteries is necessary before resection of the head of the pancreas is performed.