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objective : To introduce a technique of High frequency capacitance pachydermatous treatment clamp sutureless closed hemorrhoidectomy as an alternative to the conventional Milligan open hemorrhoidectomy .

目的 介绍一项较 Milligan 开放痔核切除术更优越的高频电容场钳无缝线闭合痔核切除的新方法。方法选有痔核切除指征的 III 度以上环状混合痔病人 80 名,随机分成高频电容场钳无缝线闭合痔切除组(组 I : 40 例)和 Milligan 开放痔核切除组(组 II : 40 例)。由同一痔科医师操作。

Sensitive range from 49.1% to 100%, specificity range from 18.2% to 90%,accurate range from 45.5% to 88.3%, PPV range from 34.1% to 95.2,NPV range from 22.2% to 100%,the combine sensitive was 82.7%,specificity was 63.3%;there were not obvious publish bias in the 9 articles, and there was heterology of the 9 articles, the forest figure show RR was 2.34[1.43,3.05],and its 95% confidence interval did not include 1,the chance of malignancy nodules'SUV above 2.5 were more than benign nodules.

文献报道的敏感性49.1-100%,特异性18.2-90.0%,准确性45.5-88.3%,阳性预测值34.1-95.2%,阴性预测值22.2-100%,Meta分析合并后的敏感性82.7%,特异性为63.3%,准确性为71.8%,阳性预测值80.8%,阴性预测值57.0%;漏斗图成近似倒三角形,认为文献无明显发表偏移;对文献异质性检验,P小于0.05,认为文献来源存在异质性;选用随机效应模式得到森林图,RR为2.34[1.43,3.05],其95%的可信区间不包括1,认为肿瘤病人最大SUV 2.5法呈阳性的可能性大于非肿瘤病人,二者之间具有统计学差异;两篇来源于日本的文献显示日本国的18F-FDG PET肺占位显像假阴性率高于我国。

Metabolic disorder groups: a small number of patients have the typical "a little over 3"(polydipsia, polyuria, polyphagia, weight loss) symptoms, severe ketoacidosis and coma occurred, The majority of patients had no significant "more than three a little" symptoms, only in the physical examination or by the existence of chronic complications to medical treatment were diagnosed.

代谢紊乱组:一小部分病人有典型的"多一点3"(多饮,多尿,多食,体重减轻)症状,严重的酮症酸中毒,昏迷发生,多数病人无明显"超过三个一点点"症状,只有在体检或慢性并发症的存在,接受医疗诊断。

No difference of the occurrence of pyemia between the normal group and the MEFV mutant group was observed.

卡方检验结果显示,MEFV基因突变组脓毒症发生率与正常组之间的差异无统计学意义(P>0.05),尚不能认为有MEFV基因突变的病人烧伤后的脓毒症发生率高;非条件logistic回归分析表明,年龄和烧伤面积是影响烧伤病人预后的主要因素,而是否有MEFV基因突变尚不能确定为直接的影响因素。3。

Results The two methods had the positive effects on BPH patients, the IPSS and urinefollow-metry rate were improved obviously in the two groups, and the curative effects of tamsolusin was much better than ERTH in the improvement of IPSS, but the urinefollow rate improvement in the two grpups was not significantly different.

结果两组病人对热疗和α1A受体阻滞药物的治疗均有肯定的疗效,与治疗前对照症状及尿流率显著改善;盐酸坦索罗辛的IPSS改善优于热疗组,尿流率的改善程度两组相似,差别无统计学意义;两组病人并发症均较轻,多为一过性,并未影响治疗。

In this artical, the author reported a newly designed and manufactured extracorporeal shock wave lithotriptor, Its structure, function and clinical application were described, This is a kind of spark light dischange lithotrip-tot and may be employed without anesthesia and without immersion of pa-tients into the water, The electrodes can be used for a long period, First 30 patients of upper urolithiasis were healed with good results: stones all broken, no local subcutaneous ecchymosis, no uncomfortable feeli...

报道作者研制的体外震波碎石机的结构、性能和临床应用初步情况。该台碎石机属电极放电类型,但免除了水槽,电极寿命长,病人不用麻醉。临床首批治疗30例上尿路结石,结石均被粉碎,病员无痛苦不适,局部皮肤无灼伤、瘀血点,未见心电图异常改变,治疗后半小时至24小时开始排石。短期随访,12例于3天~30天内排尽结石,15例在继续排石中,3例肾盏结石排石量较少。取得了较满意的疗效。

After treatment, the therapeutic effect and result of X-ray image were compared in the two groups. A follow-up ranging from 1 month to 11 months showed that pain in the loin and back, decrease of vertebral height, complications of leaking of bone cement, and bed sore were not found in the patients receiving vertebroplasty.

经1~11个月的复查随访,所有经过椎体成形术治疗的胸腰椎压缩性骨折病人,腰背痛消除无复发,椎体高度恢复无丢失,未出现骨水泥泄漏等并发症,未出现对照组出现的长期卧床并发症。

Results (1) The prevalence of CBS 844 ins 68 and MS A2756G in the subjects of this study were somewhat lower than that of Western Caucasian populations. There was no siganificant differcences in the frequences of CBS844ins68, MS A7756G and MTHFR C677T mutations between the patient groups and control proup.

结果 1。本研究中CBS844ins68和MS A2756G的基因突变率较国外所报道者低;CBS 844ins 68、MS A2756G和MTHFR C677T的各种基因型频率在病人组与正常对照组之间的差异无显著性;正常对照组CBS844ins 68杂合突变率较病人组有升高趋势。2。

RESULTS: There were no procedural complications with delivery of (90)Y- microS, and treatment was well tolerated by all patients. Increased post-treatment bilirubin levels were observed across all treatments in five patients, four of whom had CT or AFP evidence of intrahepatic disease progression.

结果:在注射(90)Y- microS的治疗过程中无并发症发生,所有病人都能耐受治疗。5名病人治疗后检测到胆红素水平增加,其中的4名经CT或检测甲胎蛋白证实存在肝內病灶的进展。

To dec.2002 were analysed by means of wounding tract and fracture.results during 24 cases of gunshot wound, wounds of 20 cases healed without event after primary debridment and sewing wounds,3 cases healed and l case infected in 4 cases of primary debridment without suture,and 4 cases of primary internal fixed fracture had no osteomyelitis.the injury of soft tissue and contamination of wound track were serious in explosion wound than in gunshot wound,10 cases healed without event and 4 cased infected in l4 cases of primary closed explosion wounds,and 2 cases of primary inernal fixed fracture had no osteomyelitis.conclusion it is suggested that the management of firearm wound in cold and dry region may be delayed moderately in time of debridement.the firearm wound may be treated by internal fixation of fracture and primary closing of tract after early debridment when the soft tissue injury was light in peacetime, which decreased the infection,disability and promoted rehabilitation of patients.

结果 24例枪伤中,20例一期缝合伤口,均一期愈合,另外4例只清创未一期缝合的伤口,3例愈合,1例感染;4例骨折内固定均愈合良好,无骨髓炎发生。16例炸伤病人局部软组织损伤及污染比枪弹伤重,14例一期缝合伤口中,10例一期愈合,4例感染,骨折内固定2例,均愈合良好,无骨髓炎发生。结论寒冷干燥地区火器伤早期伤道清创时限可适当延长,在平时火器伤的救治中,对软组织条件较好的创面,早期清创后可一期闭合伤口和骨折内固定,这样可减少感染和伤残,促进康复。寒冷干燥地区;火器伤;早期救治

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