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Tumstatin肽对视网膜微血管内皮细胞增生的影响

糖尿病视网膜病变眼底荧光血管造影148例临床分析

ARTERY-DIVERSION OF VEIN IN SITU FOR REESTABLISHMENT OF BLOOD CIR- CULATION OF LOWER EXTREMITY

In order to salvage the extremity of dog with marked ischemia from extensive damage of the artery, an operation, diversion of saphenous artery and vein with the anterior tibial artery and vein was tried. The results showed that this operative technique was feasible as a method of treatment. Basing on this fact, the diversion of the saphenous vein in situ with the femoral artery, combined with selective extirpation of the valve of thd vein was used to treat 14 cases (15 limb) of high obliteration of artery of the lower extremities with good results.

彩色多普勒超声在胆囊小隆起性病变中的诊断价值

目的 评价彩色多普勒超声在胆囊小隆起性病变中的诊断价值。 方法 2003年3月-2008年7月收治56例胆囊小隆起性病变患者，其中胆固醇息肉35例，胆囊炎性息肉8例，腺瘤7例，腺肌增生症4例，胆囊癌2例，观察病灶二维图像及彩血流分布及血流频谱特征，均经手术、病理证实。 结果 胆囊息肉常多发，基底窄或有蒂，CDFI不或很少显示血流信号。腺瘤单发为主，基底较宽或有蒂，CDFI不或很少显示血流信号；腺肌增生症（局限型）单发，基底较宽，CDFI不显示血流信号；胆囊癌基底宽，CDFI显示丰富血流信号，多普勒频谱呈低阻动脉频谱。 结论 彩色多普勒超声结合传统二维声像图对胆囊小隆起性病变有较高的诊断价值。

中心浆液性视网膜脉络病变患者免疫功能初步测定

我们对25例中心性浆液性视网膜脉络膜病变患者进行了血清免疫球蛋白、补体系统、E-玫瑰花结形成试验检测。血IgG、IgA和Igm，补体C3、C1q，以及E-玫瑰花结形成率均降低。初步结果提示中浆患者体液免疫及细胞免疫功能低下。这些改变是否与患者精神紧张肾上腺素分泌增高或病毒感染有关，尚待研究。检测结果支持对本病不宜用糖皮质类固醇治疗的观点。 （中华眼底病杂志，1993，9：91-92）

It Is Feasible, Peaceful Coexistence with Most of Space-Occupying Lesion of The Liver

动态脉压差与糖尿病视网膜病变的关系

眼底血管样条纹合并黄斑病变一例

报告1例眼底血管样条纹合并黄斑病变患者.右眼黄斑为浆液性脱离,左眼黄斑为机化瘢痕色素沉着,均严重影响视力.并对本病病因、诊断及治疗进行简要讨论. （中华眼底病杂志，1993，9：182-182）

Analysis of Cause of High Incidence of Cervical Cancer of Xinjiang Area from 2000 to 2005

摘要:目的: 调查新疆地区维吾尔族与汉族子宫颈癌及癌前病变发病情况,分析宫颈癌高发原因。 方法 : 2000年1月至2005年12月新疆自治区人民医院妇产科门诊及病房行宫颈细胞学检查的维吾尔族、汉族妇女进行筛查,对宫颈病变阳性者(CINI以上)行病理组织学检查,对结果进行对比分析、综合评价。 结果 : 宫颈涂片人数共计23 205例,其中维吾尔族6 999例、汉族16 206例。宫颈病变阳性者237例,经阴道镜下病理活组织检查证实CINI以上(包括CINI、CINII、CINIII、原位癌、鳞癌、腺癌)病变人数173例,最小年龄31岁,原位癌(维吾尔族)、最大年龄76岁,宫颈磷癌(汉族)。维吾尔族105例(6069%)、汉族68例(3931%)。每年阳性例数中维吾尔族均高于汉族,其中2000年、2001年、2004年、2005年有极显著性差异(P lt;001),2002年、2003年有显著性差异(P lt;005),维吾尔族、汉族在各年龄组中的发病情况无显著性差异(P gt;005)。 结论 : 新疆地区宫颈癌及癌前病变的高发原因是由地区环境、医疗条件、医学发展、救助措施等因素综合作用的结果。Abstract: Objective: To investigate the incidence of cervical cancer and cervical precancerous lesion of uigur nationality and han nationality, in addition, to analysis the cause of cervical cancer’s high incidence. Methods : At first screen cervical cytology of Uigur and Han outpatient and inpatient of department of gynecology and obstetrics in the People’s Hospital of Xinjiang Uigur Autonomous Region from January 1, 2000 to December 31, 2004Secondly biopsy for those patients that cervix pathological change shows positive, then contrast analysis and comprehensive evaluation. Results : Cervix smears are 23205 samples. Uigur nation has 6999 samples and Han nation has 16206 samples. There are 237 patients whose cervix pathological changes shows positive. Among them 173 samples were over CINⅠ(include CINⅠ,CINⅡ,CIN Ⅲ,carcinoma in situ, squamous carcinoma and adenocarcinoma) through colposcopy. The youngest was 31 and diagnosed carcinoma in situ(Uigur), the eldest was 76 and diagnosed squamous carcinoma(Han).The samples of Uigur is 105(6069%) and Han is 68(3931%).The positive samples in Uigur is higher than Han each year, the incidence has extremely significant difference among 2000,2001 and 2004(P lt;001), while it has significant difference between 2002 and 2003 (P lt;005), but in each age group it has no significant difference between Uigur and Han (P gt;005). Conclusion : The high incidence of cervical cancer and cervical precancerous lesion in xinjiang is contribute to environment, medical condition, medical development and aid measures coaffect.

风湿性三尖瓣器质性病变的外科治疗

目的 根据三尖瓣不同类型病变,探讨对三尖瓣器质性病变比较合理的处理方法. 方法 根据超声心动图检查及手术探查结果进行分析,依据不同病理改变决定手术方式,行三尖瓣器质性病变瓣膜成形术和瓣膜置换术53例.以瓣环扩大、瓣叶增厚、关闭不全为主的患者采用改良Kay法或节段性DeVega成形术;交界粘连融合以狭窄为主则切开交界融合,切开处以小垫片缩环,交界对拢缝合使前后瓣组成统一瓣;成形失败者行三尖瓣置换术.结果 采用改良Kay法或节段性 DeVega成形术43例,切开粘连交界对拢缝合5例,置换生物瓣1例,机械瓣4例.术后早期死亡3例.随访50例,随访时间5个月～9年,随访率为94%,其中1例5年后死于心力衰竭.超声心动图示三尖瓣无反流41例,轻至中度反流8例.心功能恢复到Ⅰ～Ⅱ级44例,Ⅲ级5例. 结论 三尖瓣器质性病变绝大部分均可采用瓣膜成形术,三尖瓣置换术的远期效果较为满意.