腔镜下治疗甲状腺良性肿块的价值

目的 探讨腔镜下治疗甲状腺良性肿块的临床价值.方法 选择2011年1月～2013年12月本院收治的甲状腺肿块患者80例,将其随机分为观察组和对照组各40例,观察组采用腹腔镜手术治疗,对照组采用常规开放手术治疗,比较两组的手术相关情况及术后并发症情况.结果 观察组手术时间显著短于对照组,切口大小显著小于对照组,术中出血量显著少于对照组,差异有统计学意义（P＜0.05）.观察组术后感染、术后声音嘶哑及术中损伤甲状旁腺的发生率显著低于对照组,差异有统计学意义（P＜0.05）.结论 对甲状腺良性肿块患者进行腔镜手术,能显著减少术中出血,降低术后感染率,提高伤口美观度.

小儿疳症的分类和治疗

目的探讨中西结合治疗,消除疳积对儿童生长发育的影响。方法根据中医理论,结合60例疳积患儿的临床表现,将小儿疳积分为6类进行不同的中西医结合治疗。结果其中早期患儿36例,中期患儿18例,晚期患儿6例,疗效显著。结论根据小儿疳积的临床表现,选择不同的中西医药物配方是一种有效的、可靠的治疗方法,值得推广。

原发性小肠肿瘤67例诊治分析

Objective:To summarize clinical symptom and experience in the diagnosis and treatment of primary tumors of small intestine Methods:67 patients were retrospectively reviewed with primary tumors of small intestine confirmed by pathology post operation in our unite Jan 1992 to Dec 2003 Results:In this group, the major clinic signs of primary tumors of small intestine included: hemorrhage, abdomen pain, intestine obstruction and abdomen mass Though X-ray?B-ultrasound and radionuclide imaging examination have important significance to diagnose this disease, the positive rate is low 55 (82 1%) patients that were misdiagnosed to other disease before operation were diagnosed by laparotomy and pathology Conclusion:Primary tumors of small intestine has no special clinical symptom?sign and effective examination methods, so it is difficult to diagnose early and has rather bad prognosis Laparotomy is the first choice for these patients with suspicious tumors of small