Nuss技术治疗小儿漏斗胸

目的:探讨应用NUSS方法治疗小儿漏斗胸的疗效.方法:15例漏斗胸均应用NUSS技术治疗.结果:15例疗效均满意,术后2年取支架后胸廓不变型.只有2例有轻度并发症,但不影响结果.结论:手术的优越性在于微创、美观.手术时间短,操作简单,矫形满意,值得推广.     

慢性皮肤溃疡中医特色护理研究概况

慢性皮肤溃疡是一种中医外科疑难病,病因复杂,现代医学尚缺乏疗效确切的治疗手段。中医药对该病有许多独特疗法,文章主要从中药膏外敷、中药熏洗与湿敷、按摩、针灸、情志饮食等各方面护理特色进行归纳、阐述,为本病的临床护理提供参考。     

基于Wiimote的手术仿真硬件接口设计

虚拟手术是虚拟现实技术在医学领域的一个重要应用,人机交互水平是决定仿真系统好坏的关键部分。介绍了手术仿真系统的硬件接口设计,该系统采用Wiimote控制器作为硬件接口,利用其陀螺仪数据捕获其在三维空间的旋转信息,其加速度感应器追踪其三维平移运动轨迹。结合二者的数据完整地实现手术器械6个自由度,可以为使用者提供较好的手术仿真体验。     

Medicine and surgery in the Livre des Assises de la Cour des Bourgeois de Jérusalem

The Livre des Assises, written in the thirteenth century in Acre, not only provides insights into the practice of medicine and surgery in the Crusader Kingdom of Jerusalem, but also suggests that the licensing and regulation of doctors reflected contemporary Islamic practice.     

Surgical management of gastric stump cancer： a report of 37 cases

Objective: To observe the clinicopathological characteristics of gastric stump cancer (GSC) and evaluate the benefits of radical surgery of GSC. Methods: The clinicopathological characteristics and postoperative survival time of 37 GSC patients who underwent surgery were investigated retrospectively. The survival time was compared according to the type of surgical pTMN stage. Survival curves were traced by using Kaplan-Meier methods. Results: Most GSC (32/37) was detected in patients who had received Billroth Ⅱ reconstruction after partial gastrectomy for benign gastric disease. The lesser curvature side and the suture line of anastomosis were the most frequent sites where GSC occurred (27/37). Differentiated adenocarcinoma was the dominant histopathological type (24/37). The postoperative 5-year survival rate of early stage GSC patients (n=9) was significantly higher than advanced stage GSC (n=12) (55.6% vs 16.5%, xL2=1 1.48, P＜0.01). Five-year survival rate of 21 GSC patients with radical resection were 75% (3/4) for stage Ⅰ, 60% (3/5) for stage Ⅱ, 14.2% (1/7) for stage Ⅲ, and 0% (0/5) for stage Ⅳ respectively.The median survival time of 21 GSC patients who underwent radical resection was longer than those undergoing palliative operation (43.0m vs 13.0m, xL2=36.31, P＜0.01), the median survival time of stage Ⅳ patients with radical resection was 23.8months. Conclusions: Without remote metastasis, radical resection for GSC is possible, and is an effective way to improve the prognosis of GSC. Even in stage Ⅳ GSC, radical resection can still prolong the survival time. It is necessary for the patients with benign gastric diseases who received partial gastrectomy to carry out the endoscopy follow-up, especially in patients with Billroth Ⅱ reconstruction procedure at 15-20 years.     

浅谈中药外治的疗效

中药外治是中医治疗学不可缺少的一部分,自古至今为人民的身体健康做出了卓越的贡献,中药外治可以直达病所,治外又治内,辩证施治方法灵活,简便易行,效果肯定并能起到某些西药起不到的作用,确实有很多的优越性,为广大的患者所采用.我们要继承和发展中药外治的方法,使它更科学化,更现代化,从而更好地为人民服务。     

手术结合聚精汤治疗精索静脉曲张不育合并精浆中性α-糖苷酶异常60例临床观察

目的:观察手术结合中药治疗精索静脉曲张合并精浆中性α-糖苷酶异常的不育症患者的临床疗效。方法:将60例符合纳入标准的精索静脉曲张并伴精浆中性α-糖苷酶异常的不育患者随机分为手术组(对照组A,n=20)、聚精汤组(对照组B,n=20)、手术与聚精汤结合组(治疗组,n=20)。手术均采用改良Palomo术,中药均以聚精汤(徐福松方)口服,一日一剂,分2次服用。三组患者共治疗12周,治疗结束后随访48周,观察其精液体积、精液p H值、精子总数、精子浓度、精子前向活动率(PR)、总活动率(PR+NP)、精浆中性α-糖苷酶活性及配偶怀孕情况等。结果:三组在治疗后组间对照比较,组间患者的精子浓度、精子前向活动率(PR)、总活动率(PR+NP)、精浆中性α-糖苷酶活性(一次射精)均有显著性的差异(P0.05),并且都以手术与聚精汤结合组为优。而精液体积、精液p H值无显著性差异(P0.05)。三组治疗后的精子浓度、精子前向活动率(PR)、总活动率(PR+NP)、精浆中性α-糖苷酶活性(一次射精)与治疗前相比均有明显提高,有显著性差异(P0.05)。精液量、精液p H值与治疗前相比无显著性差异(P0.05)。60例患者随访48周,其配偶怀孕共21人(总怀孕率35%),其中手术组6人(怀孕率30%);聚精汤组2人(怀孕率10%);手术与聚精汤结合组13人(怀孕率65%);三组间比较有显著性差异(P0.01),手术与聚精汤结合组优于聚精汤组或手术组。三组的总体疗效差异性显著(P0.01或P0.05),手术与聚精汤结合组的疗效最优。结论:手术结合聚精汤能够提高精索静脉曲张不育合并精浆中性α-糖苷酶异常患者的精液质量和精浆中性α-糖苷酶活性,改善睾丸附睾功能提高精子活力,同时也能提高配偶怀孕率;效果优于单纯手术或单纯中药治疗。     

The rhetorical limits of the “plastic body”

This essay analyzes the “plastic body” as it is produced in the discourse of plastic surgery. The contemporary industry has constructed a popular image of plastic surgery as a readily available and personally empowering means to resolve body image issues, on the presumption that any body can become a “better” body. The ideology underlying the industry emerges out of analysis of the rhetoric of surgeons and patients. The rhetorical efforts of amputee “wannabes,” who seek elective amputation and who use arguments similar to those of mainstream plastic surgery applicants, reveal the paradoxes and contradictions in decision‐making about who has access to these procedures. The essay concludes that the concept of the plastic body is based less on medical technology and skill than on rhetorical power and suggests that this body of discourse has important implications for medical and technological advances that have enlarged the possibilities for body alteration practices.     

论高等医学院校《外科学》试题库建设的必要性

考试能反映学生对知识的掌握情况,也能反映教师的教学水平。实现科学合理的设计考试题的方法之一是设立试题库。建立《外科学》试题库,可以实现教考分离,提高教学水平和教学质量。《外科学》试题库具有题量多、题型广、试题客观规范、知识点全面的优点。使用《外科学》试题库可以增强保密性,防止考试作弊行为的发生。《外科学》试题库的建设有利于依据考试成绩对教学效果进行客观分析,是提高教学质量的重要保障。     

特色学术会议提升科技期刊品牌影响力的实践 ——以《中华消化外科杂志》为例

品牌是科技期刊一项重要的无形资产,是衡量科技期刊竞争力的重要标志。树立品牌科技期刊有利于凝练核心价值,提升期刊竞争力、影响力。科技期刊和学术会议都是科研工作者进行学术交流的主要方式,两者相互联系、相互补充。在当前国内科技期刊竞争激烈的形势下,借助学术会议来发展期刊,提升期刊影响力是一种行之有效的途径。本文以《中华消化外科杂志》为例,总结并分享其通过举办大型高端会议、靶向会议、平台系列会议等特色学术会议,提升期刊学术影响力、社会影响力、综合影响力,实施品牌战略的相关措施,旨在为科技期刊的品牌建设实践提供参考。