探讨消化内镜技术用于消化道早癌诊断治疗价值

目的:探讨消化内镜技术用于消化道早癌的诊断治疗价值。方法:收治消化道早癌患者100例,根据治疗方法分为两组。对照组给予外科剖腹手术治疗,观察组给予内镜下黏膜切除术。比较两组影像质量评分、手术时间、住院时间以及并发症发生率情况。结果:观察组胃小凹分型影像评分、毛细血管影像评分以及形态评分高于对照组,差异有统计学意义(P<0.05)。观察组手术时间、住院时间、并发症发生率优于对照组,差异有统计学意义(P<0.05)。结论:消化内镜技术用于消化道早癌的诊断治疗价值较高,安全可靠。

消化内镜技术用于消化道早癌诊断治疗价值研究

当前我国癌症高发,而癌症早期诊断对于减少患者痛苦,提升癌症治愈率都有很好的作用。在消化道早癌的诊断以及治疗工作中,消化内镜技术的应用具有一定的价值。本文就多名消化道疾病患者进行了采用消化内镜技术的早癌检查对比试验,并就试验对比结果进行了研究。

神经肌电图在腕管综合征中的诊断价值

腕管综合征是临床上最常见的嵌压性周围神经病,主要是腕部以下正中神经的受压,从而引起感觉异常和功能障碍。神经肌电图检查有助于嵌压征的定性、定位诊断,对早期诊断及治疗腕管综合征具有重要价值。

高频环形电切与冷刀锥切诊治子宫颈原位癌

目的探讨在诊治子宫颈原位癌中高频环形电切术与冷刀锥切术的价值比较。方法对2006年12月～2008年12月间在延边肿瘤医院妇瘤科门诊经阴道镜下多点活检诊断为子宫颈原位癌的患者38例随机分为两组，其中18例行高频环形电切术＋全子宫切除术（高频环形电切术组），20例行冷刀锥切术＋全子宫切除术（冷刀锥切术组），对两组的术中和术后情况进行比较。结果①高频环行电切术组平均手术时间为8．13±5．07分钟，术中出血量为10．50±5．25mL；冷刀锥切术组平均手术时间为22．50±10．18分钟，术中出血量为40．40±14．75mL，经比较差异有统计学意义（t分别为4．421、5．912，均P〈0．05）。两组术后病理分别出现微小浸润癌各1例（X2=0．006，P=0．939）；②高频环行电切术组和冷刀锥切术组切缘阳性率分别为22．22％和5．00％（X2=2．459，P=0．117），切除子宫标本中残存子宫颈病灶分别为16．67％和5．00％（X2=1．369，P=0．242）。术后切缘阳性者残存子宫颈同级别病灶率分别为75．00％（3／4）和0（0／1）。结论对阴道镜检查诊断为子宫颈原位癌的患者进行诊断性锥切手术时高频环形电切术应作为首选，对年轻有生育要求、并有随访条件的子宫颈原位癌患者，两种术式均可作为治疗性手术。保留生育功能，保证生活质量，但应严密随访，监测病情变化。

Value of whole body diffusion weighted imaging in diagnostic and therapeutic evaluation of malignant lymphoma

Objective:The aim was to evaluate the role of whole body diffusion weighted imaging(WB-DWI) of magnetic resonance in the diagnosis and efficacy evaluation of malignant lymphoma.Methods:The clinical manifestation of whole body diffusion weighted imaging of 47 patients with malignant lymphoma being pathologically proved were carried on by retrospective analysis and to compare with 10 healthy volunteers.There were 8 cases of Hodgkin's lymphoma(HD) patients,of which WB-DWI examination of 5 cases were carried out before and after treatment and 3 cases were done after treatment.There were 39 cases of non-Hodgkin's lymphoma(NHL) patients,of which WB-DWI examination in 19 cases were acted before treatment,11 cases were done before and after treatment and 9 cases done after treatment.In apparent diffusion coefficient(ADC) diagram the ADC values of lymph nodes in patients with malignant lymphoma and healthy volunteers were measured respectively,among 16 patients the ADC values of parts of lymph node being consistent with the initial inspection were determined again and compared the values before and after,and compared with healthy volunteers.Results:Whole body magnetic resonance diffusion weighted imaging(MR-DWI) showed more sensitive to lymphoma,and 372 lymph nodes greater than 1 cm were detected with MR-DWI.Before treatment,mean ADC value of 35 patients with malignant lymphoma was(0.86 ± 0.21) × 10-3 mm2/s,of which an average ADC values of 28 cases after treatment was(1.22 ± 0.31) × 10-3 mm2/s,before and after treatment difference of the average ADC values of patients was statistically significant(P < 0.05);the average ADC value of cervical lymph nodes of 10 healthy volunteers(1.29 ± 0.12) × 10-3 mm2/s and of 30 patients with malignant lymphoma before treatment was statistically significant(P < 0.05),and to compare with 28 patients after treatment difference of the ADC values was not statistically significant(P > 0.05).Conclusion:WB-DWI and ADC values being measured in the clinical diagnosis of malignant lymphoma,staging and evaluation of efficacy of monitoring is a fast and effective technology,with some clinical value.

The diagnosis and treatment for hilar cholangiocarcinoma:a report of 136 cases

Objective： The aim of the study was to compare the effects of several kinds of diagnosis and treatment measures on hilar cholangiocarcinoma. Methods： The 136 patients with hilar cholangiocarcinoma were operated in our hospital （Department of Hepatobiliary Surgery, Affiliated Hospital of Luzhou Medical College, China） from 1990 to 2011. Among of them, 48 cases with tumour resection, 9 cases with intrahepatic biliary-enteric bypass, 61 with external biliary drainage, 18 with explora- tion. Results： The total in-hospital mortality was 0%. The 97 cases were follow-up after operation： in 44 patients with turnout resection （15 with positive margins, 29 with negative margins）, 1, 2, 3 years survival rates were respectively 58.26%, 28.34% and 6.38%; 43 patients with biliary drainage （7 patients with intrahepatic biliary-enteric bypass, 28 cases with external and jejunostomy, 8 patients with simple external biliary drainage）, 1, 2 years survival rates were respectively 30.39% and 0%. Ten patients with exploration died within 21-68 days. Conclusien： To combine cholangiopancreatography, ultrasonography and Burke T-staging have practical value for assessment for tumour resectability. To resect a piece of wedge hepatic tissue but not total segment I might gain the effect of increasing curative resection and reserving segment I hepatic tissue.

Diagnosis and Treatment Value of Ultrasound for Hepatobiliary and Pancreatic Disease

As an innovative technology, ultrasound has been applied to agriculture, medical, military, aerospace, machinery and other fields widely, as well as the medical industry, such as ultrasound diagnosis, ultrasound therapy. Ultrasonic technology has many advantages, and it certainly will promote the progress in medical area as a new method.