肾结核的CT诊断

肾结核是结核杆菌引起的慢性、进行性、破坏性疾病,大多继发于肺结核.本文收集了经临床、病理证实的肾结核25例,探讨了肾结核的CT诊断及鉴别诊断.     

自制"愈糜灵"治疗宫颈糜烂的疗效观察

宫颈糜烂是已婚妇女常见病、多发病.长期慢性刺激和损伤是其主要诱因,如:分娩、流产、妇科手术;机械损伤;全身抵抗力下降;病原体的侵入;激素水平因素;阴道酸碱度改变等有关.主要临床表现:白带增多,呈乳白色粘液样、黄色脓性或血性分泌物,接触性出血,累及盆腔结缔组织时下腹及腰骶部疼痛,部分患者有膀胱刺激症状.长期以来治疗本病的方法很多.笔者自2000年7月～2004年9月应用自制"愈糜灵"(其主要成份为25%三氯乙酸水溶液),于病变处涂抹治疗宫颈糜烂218例,取得良好疗效,现报告如下.     

雏鸭病毒性肝炎的诊疗

本文以实例介绍鸭病毒性肝炎病的流行情况、临床症状、剖检变化、动物实验、诊断与鉴别诊断、治疗措施。     

脊源性腰腿痛的解剖分析

腰腿痛是我们生活中比较常见和多发的病症。可由各系统的许多疾病引起。从前人的研究结果中,我们发现腰腿痛的主要发病根源在于脊柱。不同疼痛特点的腰腿痛症状与脊柱的相关解剖结构有着密切的关系,可以说是由脊柱各相关解剖结构发生异常所引起的。本研究的主要目的是阐述腰椎间盘、关节突关节、脊柱相关神经、脊柱周围肌肉等诸多相关结构的解剖结构与腰腿痛的关系。并分析其各自的疼痛特点,为预防和鉴别诊断治疗腰腿痛提供一定的依据．     

教师职业病——慢性咽喉炎的防治

教师职业病——慢性咽喉炎的防治黑龙江省中医药大学附属第一医院洪束群周凌慢性咽喉炎是教师的常见病,多发病,也称之为职业病。轻者引起咽喉疼痛、不适感、声音嘶哑等症状;重者则无法继续从事教师工作。因此积极预防治疗慢性咽喉炎对教师非常重要。慢性咽炎主要表现为...     

浅析软组织损伤疼痛

疼痛是机体遇到伤害性刺激时,产生的一种神经反应的警报信号。在运动损伤中大部分伴随着出现疼痛表现,在这其中所出现的一系列病理生理变化对病人有害。疼痛在各种急性和慢性运动伤病中的诊断、治疗、康复预判中都具有较重要的指导意义。近几十年来医学界对疼痛都做了多方位的研究,得出疼痛表现出两大现象:局部的疼痛感觉和疼痛反射。     

常见急性腹痛的诊断与鉴别诊断

急性腹痛是常见的临床症状,引起急性腹痛的原因是腹内脏器病变与腹外脏器病变所致.其共同特点是发病急、变化快和病情重、临床表现错综复杂.如果延误诊断就会给病人带来不必要的痛苦甚至造成严重后果.医务工作者面对每一个急性腹痛的病人,必须认真仔细进行调查研空、询问病史,体格检查和有选择的做一些必要辅助检查.根据急性腹痛的部位、性质、程度、病因进行综合分析,明确作出诊断与鉴别诊断,对症下药使病人早日康复.     

附红细胞体病研究进展

附红细胞体病(Eperythrozoonsis)是由附红细胞体感染机体而引起的人畜共患传染病.附红细胞体(Eperythrozoon)是寄生于红细胞表面、血浆及骨髓中的一群微生物.该病主要以发热、贫血和黄疸为其主要特征.为提高临床医生对此病的认识,在今后实际医疗工作中,对发热的鉴别诊断须重视此病.本文从病原学、流行病学、临床症状、实验室诊断及防治措施等方面的研究进展进行了综述.     

如何上好中学口语交际课

嗵ト焉镏Ｏ铡Ｗ凵峡芍骨痪凳钦镏味嗄衣殉沧酆险鞑辉械囊恢钟行Х椒ā?腹腔镜在诊治不孕症的进展4.1微型腹腔镜随着腔镜技术出现了直径<5mm的腹腔镜[15-17],即微型腹腔镜。3mm微型腹腔镜的图像清晰度与常规腹腔镜类似[18],因此不会影响诊断的准确性和手术速度;另外,3mm的手术器械具有足够的抓提力,因此也能保证手术效果。与常规腹腔镜比较,3mm微型腹腔镜创伤更小,术后疼痛程度更轻,恢复更快。4.2经阴道注水腹腔镜(THL)THL是用穿刺套管经阴道进入盆腔,注入温生理盐水作为盆腔膨胀介质,放入3mm的微型腹腔镜观察盆腔,进行诊断和治疗的妇…     

乳腺小管癌5例临床病理分析

目的:探讨乳腺小管癌的临床病理特征,诊断与鉴别诊断要点.方法:通过对5例小管癌常规HE染色和免疫组化进行临床病理分析,结合文献对其临床表现,病理形态特点及鉴别诊断进行探讨.结果:乳腺小管癌组织形态学特征为小管结构由单层上皮细胞构成,部分小管呈锐角状;免疫组化显示小管结构缺乏肌上皮,E-Cadherin阳性.病理诊断上需与硬化性腺病,微腺型腺病等进行鉴别.结论:乳腺小管癌是一种高分化小管结构乳腺癌,其预后良好.     

Pelvic fractures in infants as a sign of physical abuse

OBJECTIVE: The purpose of this article is to describe pelvic fractures in two abused male infants, and to determine if the literature describes pelvic fractures in infants as suspicious for child physical abuse. RESULTS: Two infants are described with unexplained pelvic fractures. While in one case child abuse was obvious, careful attention to the radiological evaluation and case history led to the correct diagnosis of child abuse in the second case. A search for information regarding pelvic fractures in children resulted in information limited to the radiological and surgical literature. CONCLUSIONS: Medical providers frequently encounter children with fractures suspicious for child abuse. The most common fractures seen in abused children are metaphyseal, rib, skull, and long bone fractures. This report illustrates that pelvic fractures occurring in the absence of serious, well documented accidents should be considered highly suspicious for child physical abuse.     

Chest wall abscess due to Prevotella bivia

Prevotella bivia is associated with pelvic inflammatory disease. A 77-year-old man developed a rapidly growing chest wall abscess due to P. Bivia within days. He underwent surgical resection of the infected area; his postoperative course was un-eventful. This is the first case of chest wall abscess due to P. Bivia infection. Its correct diagnosis cannot be underestimated be-cause fulminam infections can occur in aged or immunocompromised patients if treated incorrectly. Prompt, appropriate surgical management, and antibiotic therapy affect treatment outcome.     

Chest wall abscess due to Prevotella bivia

Prevotella bivia is associated with pelvic inflammatory disease. A 77-year-old man developed a rapidly growing chest wall abscess due to P. bivia within days. He underwent surgical resection of the infected area; his postoperative course was uneventful. This is the first case of chest wall abscess due to P. bivia infection. Its correct diagnosis cannot be underestimated because fulminant infections can occur in aged or immunocompromised patients if treated incorrectly. Prompt, appropriate surgical management, and antibiotic therapy affect treatment outcome.      

Demonstration of pelvic anatomy by modified midline transection that maintains intact internal pelvic organs

Gross dissection for demonstrating anatomy of the human pelvis has traditionally involved one of two approaches, each with advantages and disadvantages. Classic hemisection in the median plane through the pelvic ring transects the visceral organs but maintains two symmetric pelvic halves. An alternative paramedial transection compromises one side of the bony pelvis but leaves the internal organs intact. The authors propose a modified technique that combines advantages of both classical dissections. This novel approach involves dividing the pubic symphysis and sacrum in the median plane after shifting all internal organs to one side. The hemipelvis without internal organs is immediately available for further dissection of the lower limb. The hemipelvis with intact internal organs is ideal for showing the complex spatial relationships of the pelvic organs and vessels relative to the intact pelvic floor. Anat Sci Educ 3:254–260, 2010. © 2010 American Association of Anatomists.     

盆腔器官脱垂的研究进展

对盆底脏器脱垂疾病（简称POP）的临床诊断和症状学进行调查研究,评估该疾病对日常生活的影响及治疗后,临床疗效的观察;能够客观反映POP程度的国际量化分期系统,在临床研究中应用较为广泛;引起POP的相关危险因素,制定相应的预防措施;POP的治疗方式,包括非手术治疗和手术治疗的适应症及适用人群,比较了传统手术方式的利与弊,论述了现较为流行的网片修补技术的不足,展望了新兴的盆底重建外科学的发展前景及临床应用价值。     

中国鹅四肢骨骼的解剖研究

中国鹅的四肢骨骼,分前肢骨骼和后肢骨骼。前肢骨骼由于适应飞翔而变成翼骨,它和足形前肢一样,分为肩带骨和游离部骨。肩带部骨由肩胛骨、鸟喙骨和锁骨组成;游离部骨自近向远,分为臂骨、前臂骨、腕骨、掌骨和指骨。后肢骨骼也分为骨盆带骨和游离部骨。骨盆带骨由骼骨、坐骨和趾骨组成;游离部骨自上至上,分为股骨、小腿骨、髌骨、跖骨和耻骨。本文较详尽地叙述各骨块的形态结构特点。     

中药保留灌肠治疗盆腔炎的疗效观察及护理

目的:评价中药保留灌肠对盆腔炎患者的疗效。方法:将100例盆腔炎患者,随机分为治疗组和对照组各50例,对照组患者给予常规抗感染治疗,治疗组患者给予辨证用药中药灌肠给药疗,分析其两组的疗效并作对比分析。结果:治疗组患者的治疗有效率优于对照组患者的治疗有效率,前者的总有效率优于后者(P0.01),结论:中药保留灌肠给药对盆腔炎患者的治疗效果优于常规抗感染治疗。     

Explorable three‐dimensional digital model of the female pelvis,pelvic contents,and perineum for anatomical education

The anatomy of the pelvis is complex, multilayered, and its three‐dimensional organization is conceptually difficult for students to grasp. The aim of this project was to create an explorable and projectable stereoscopic, three‐dimensional (3D) model of the female pelvis and pelvic contents for anatomical education. The model was created using cryosection images obtained from the Visible Human Project, in conjunction with a general‐purpose three‐dimensional segmentation and surface‐rendering program. Anatomical areas of interest were identified and labeled on consecutive images. Each 2D slice was reassembled, forming a three‐dimensional model. The model includes the pelvic girdle, organs of the pelvic cavity, surrounding musculature, the perineum, neurovascular structures, and the peritoneum. Each structure can be controlled separately (e.g. added, subtracted, made transparent) to reveal organization and/or relationships between structures. The model can be manipulated and/or projected stereoscopically to visualize structures and relationships from different angles with excellent spatial perception. Because of its ease of use and versatility, we expect this model may provide a powerful teaching tool for learning in the classroom or in the laboratory. Anat Sci Educ. © 2010 American Association of Anatomists.     

Engaging Undergraduate Kinesiology Students in Clinically-based Research

Many undergraduate students in kinesiology are interested in clinical careers and seek research opportunities for advanced study and unique learning experiences. This article describes a process of engaging undergraduate students in a multi-disciplinary, National Institutes of Health (NIH)-funded program project investigating factors that may affect pelvic floor support and symptoms in primiparous women during the first year postpartum. Students complete general and protocol-specific training prior to engagement, have specific tasks that reinforce skill development and require independence, and are invited to participate in additional opportunities with the investigative team. The topic of pelvic floor health is novel to most students and participation in this research expands their knowledge beyond a mainstream kinesiology curriculum. Institutionalizing this type of program could formalize undergraduate student research experiences and facilitate ongoing clinical research efforts with a kinesiology focus.     

Evaluation of pelvic lymph node coverage of conventional radiotherapy fields based on bony landmarks in Chinese cervical cancer patients using CT simulation

ncer. CT simulation may be a feasible technique for planning pelvic fields optimally and individually.