调经筋手法配合针刺治疗根性颈椎病的观察

在澳大利亚,颈椎病很常见,占骨科门诊就诊率的较大比例.笔者用"调经筋"手法为主,配合针刺经穴治疗50例根性颈椎病,疗效满意,报道如下.     

睾丸横纹肌肉瘤2例

横纹肌肉瘤是一种罕见的软组织恶性肿瘤,占所有恶性肿瘤的4%.在泌尿男性生殖系统中,阴囊内横纹肌肉瘤占第三位.我们曾收治睾丸横纹肌肉瘤2例,报告如下:例1,29岁,1989年6月23日收住院.入院前3个月自觉右侧阴囊无痛性肿大.体检发现右侧阴囊内肿块,位于右侧睾丸下极,质韧,3cm×5cm×7cm大小,与周围组织无粘连.B超检查发现占位性病变,报告右侧睾丸下极回声强弱不一的实体性肿物,左侧睾丸正常,其它检查未见异常.手术切除右侧睾丸、肿瘤组织病理检查提示:睾丸畸胎瘤拌有大量横纹肌肉瘤成分,横纹肌肉瘤细胞可见明显的肌横纹的存在.目前患者仍生存.     

原发性输尿管癌的诊断

目的:提高原发性输尿管癌术前诊断水平。方法:对1973～1997年收治的50例原发性输尿管癌的诊断经验进行总结。结果:50例均作IVU检查,其中31例患侧肾脏不显影,仅有7例显示输尿管充盈缺损或狭窄。26例行逆行造影,有16例输尿管充盈缺损或狭窄。48例作B超检查,有43例显示肾积水,35例显示输尿管扩张积水,25例显示输尿管低回声或略强回声的实质性肿物。27例作CT检查,有17例显示输尿管软组织密度实质性肿物。44例作膀胱镜检查,有8例肿瘤自输尿管管口脱出,11例患侧输尿管管口喷血。47例作尿脱落细胞学检查,阳性率为40.4%。结论:术前联合应用IVU、B超、逆行造影、CT、膀胱镜和尿脱落细胞学等检查可提高原发性输尿管癌的正确诊断率。     

Effect of different Scarf osteotomy angles on orthopedic surgery for flat foot北大核心

BACKGROUND: Scarf osteotomy is an effective procedure for correcting the valgus of the flat foot, which is a three-dimensional orthopedic procedure. Whether the angle of the osteotomy will affect the orthopedic strength needs to be studied. OBJECTIVE: To simulate Scarf osteotomy at different angles in 3-matic software, and to analyze the effect of Scarf osteotomy angle on flat foot orthopedics. METHODS: Three-dimensional models of the flat foot on weight-bearing state were imported into 3-matic software to obtain the sketches of the frontal lateral and coronal rear foot. The relevant indexes of flat feet were measured as the flat feet indexes before operation. In the same model, the traditional Evans combined with medial displacement calcaneal osteotomy, as well as different angles of Scarf osteotomy, such as 45°, 60°, 75°, 90°, 105°, 120° were performed. After the osteotomy was completed, the flat foot-related indicators were measured again, and compared with those before the operation. RESULTS AND CONCLUSION: Simple bone surgery had little effect on the talus pitch angle and the talo-first metatarsal angle on lateral side. Evans operation had greater correction of fore foot abduction, while Scarf osteotomy had no significant effect on it. For the effect on the hind foot valgus, Scarf osteotomy showed greater effects than the traditional Evans combined with medial displacement calcaneal osteotomy. The contact area of the osteotomy was larger than that of the traditional one, and decreased gradually with the increase of the angle of Scarf osteotomy. In addition, this study found that perpendicular to the lateral wall of the opposite bone after osteotomy, along the perpendicular to the lateral wall of the external bone can play a part in the role of deepening the arch. © 2023, Publishing House of Chinese Journal of Tissue Engineering Research. All rights reserved.     

成人先天性巨输尿管症(附35例报告)

目的：探讨成人先天性巨输尿管症的诊治特点，方法：35例成人先天性巨输尿管症，其中左侧14,全然中侧11例，双侧10例，所有病例均行B超，IVU检查，手术治疗31例39侧，其中肾输尿管切除术12例，输尿管剪裁整形或折叠后行输尿管膀胱再植术27例，结果：29例获得随访，随访时间1－5年，术侧肾输尿管积水37侧减轻，2侧无明显变化。结论：B超，IVU检查是成人先天性巨输尿管症的首先检查方法。治疗本症的原则是解除梗阻，尽量保留肾功能，手术方式是输尿管剪裁或折叠加输尿管膀胱吻合术，肾功能良好者也可保守治疗。     

原发性输尿管癌的诊断(附50例报告)

提高原发性输尿管癌术前诊断水平。方法对１９７３－１９９７年收治的５０例原发性输尿管癌的诊断经验进行总结。结果５０例均作ＩＶＵ检查,其中３１例侧肾脏不显影,仅有７例显示输尿管充盈缺损或狭窄。     

吴良村治疗肿瘤术后验案举例

吾师吴良村教授系全国老中医药专家学术经验继承工作指导老师。笔者随师侍诊,受益匪浅。现举肿瘤术后验案数则于下。     

化积健脾方联合低热量肠内营养支持对原发性肝癌肝动脉栓塞化疗术后患者营养状况和细胞免疫功能的影响

目的:观察化积健脾方联合低热量肠内营养支持对原发性肝癌肝动脉栓塞化疗(TACE)术后患者营养状况和细胞免疫功能的影响。方法:将80例原发性肝癌(肝郁脾虚、瘀血阻滞型)行TACE的患者随机分为2组各40例。对照组术后采用低热量肠内营养支持治疗,观察组在对照组治疗方案的基础上联合化积健脾方口服治疗,治疗4周为1疗程。比较2组治疗前后免疫功能T淋巴细胞CD4~+、CD3~+、CD4~+/CD8~+改善情况,比较2组血红蛋白(Hb)、白蛋白(Alb)、血清总蛋白(TP)等营养指标改善的情况,比较2组临床疗效及并发症发生的情况。结果:治疗后,观察组各项免疫指标T淋巴细胞CD4~+、CD3~+、CD4~+/CD8~+,各项营养指标Hb、Alb、TP均升高,且高于对照组,差异均有统计学意义(P0.05)。临床疗效总有效率对照组70.0%,观察组90.0%,2组比较,差异有统计学意义(P0.05)。并发症总发生率对照组25.0%,观察组7.5%,2组比较,差异有统计学意义(P0.05)。结论:化积健脾方联合低热量肠内营养支持治疗原发性肝癌TACE术后患者疗效显著,可更好地改善营养状态及免疫功能,并降低并发症发生率。     

青光眼滤过术后浅前房34例临床分析

青光眼滤过术后浅前房是术后早期较为常见的并发症[1],较为严重的浅前房如不及时处理或处理不当,可产生诸如角膜内皮损伤、虹膜周边前粘连或后粘连、白内障加速形成及恶性青光眼等严重后果[2],因此正确认识与处理青光眼术后浅前房,不但关系到抗青光眼术的成败,而且可保护视觉功