Objective To discuss the possible function of frenulum of prepuce in penile erection. Methods Nine patients had premature ejaculation whose frenula were short. Two patients suffered unsatisfied intercourse whose frenu...Objective To discuss the possible function of frenulum of prepuce in penile erection. Methods Nine patients had premature ejaculation whose frenula were short. Two patients suffered unsatisfied intercourse whose frenula were injured and departed 12 and 6 months ago. Three males endured premature ejaculation whose frenula were hurt in coition 30 min ago.We prolonged short frenulum and reconstructed the ruptured frenulum. To the fresh wound,we debrided the cut,then sutured the injured frenulum vertically. Results Investigated 3 to 6 months,all patients got satisfied sexual intercourse. Conclusion Frenulum is important in erecting time.展开更多
Objective： To determine whether the nodule and eminence on the frenulum labii superioris, location of Yinjiao （DU28） according to the meridian theory, could be used to prognosticate the recurrence of patients with ...Objective： To determine whether the nodule and eminence on the frenulum labii superioris, location of Yinjiao （DU28） according to the meridian theory, could be used to prognosticate the recurrence of patients with colorectal cancer. Methods： The data of 101 patients with colorectal cancer in Tianjin Medical University Cancer Institute and Hospital from May 2011 to November 2011 was analyzed. The photos of all patients＇ frenulum labii superioris were taken. Nodule and eminence on frenulum labii superioris were the positive standard. Biopsy and pathological testing for the nodule were carried out on one patient with large nodule on frenulum labii superioris. Results： Patients with positive frenulum labii superioris had a higher risk of recurrence and/or metastasis than patients with negative frenulum labii superioris. There were no significant differences in diagnosis of recurrence and/or metastasis between the status of frenulum labii superioris and the traditional diagnostic criteria （P=0.238）. The Kappa was 0.606 （P〈0.001）. The sensitivity was 76.0% and the specificity was 85.4%. The pathological report demonstrated that the nodule on frenulum labii superioris was mucosal excrescence with normal structure. Conclusion： Nodule and eminence on frenulum labii superioris are potential diagnostic markers for metastatic colorectal cancer.展开更多
目的:通过对一例舌系带过短(ankyloglossia)伴构音障碍儿童舌尖前音/s/构音训练效果分析及行舌系带矫正术前后的声学特点比较,探究此类儿童构音矫正方法及声学客观分析对构音效果的评估与监控作用。方法:记录在行舌系带矫正术前,该儿童...目的:通过对一例舌系带过短(ankyloglossia)伴构音障碍儿童舌尖前音/s/构音训练效果分析及行舌系带矫正术前后的声学特点比较,探究此类儿童构音矫正方法及声学客观分析对构音效果的评估与监控作用。方法:记录在行舌系带矫正术前,该儿童舌尖前音/s/训练前后单音节准确率变化,同时记录在舌系带矫正术前后,该儿童/su/音频谱重心(Spectrum Center of Gravity)及主观听感变化,进行前后对比。结果:在行舌系带矫正术前,针对该儿童舌尖前音的构音训练效果显著,/s/单音节准确率在通过训练后逐步提升,但在主观听感上较为含糊、粗糙,偏向/sh/音;在行舌系带矫正术后该儿童/su/音频谱重心有明显提升,并且在主观听感上清晰度有所提升。结论:该舌系带过短伴构音障碍儿童通过针对性的构音训练发音水平得到显著提升,但由于舌系带的物理牵制,舌尖形态扁平并限制舌尖进一步上抬,导致发/s/音时气流不够集中,频谱重心偏低,对该儿童行舌系带矫正术后/s/音听感上更为清晰,频谱重心也有较大提升。采用Praat软件对舌尖音声学分析,可更形象、精确地监控患者的发音变化,并为构音矫治提供指导。展开更多
目的:探讨一次性包皮环切缝合器行包皮环切术造成系带过短的原因以及手术方法的改进。方法:回顾性分析2020年1~9月320例包茎及包皮过长患者的临床资料,分为儿童组160例和成人组160例,儿童组和成人组各随机分为两组:观察组80例和对照组8...目的:探讨一次性包皮环切缝合器行包皮环切术造成系带过短的原因以及手术方法的改进。方法:回顾性分析2020年1~9月320例包茎及包皮过长患者的临床资料,分为儿童组160例和成人组160例,儿童组和成人组各随机分为两组:观察组80例和对照组80例。观察组采用系带处缝线定位的包皮环切术(一次性包皮环切缝合器),对照组采用常规方法的包皮环切术(一次性包皮环切缝合器)。观察4组的手术时间,系带过短的发生率,术后6 h视觉模拟疼痛评分(VAS)。结果:儿童组:观察组与对照组术后6 h VAS评分[3.00(3.00,4.00)分vs 3.00(3.00,3.75)分]比较,差异无统计学意义(P>0.05),手术时间[12.00(11.00,13.00)min vs 8.50(8.50,9.00)min]及系带过短的发生率(0 vs 10%)比较,差异有统计学意义(P<0.05)。成人组:观察组与对照组术后6 h VAS评分[2.00(2.00,3.00)分vs 2.00(2.00,3.00)分]比较,差异无统计学意义(P>0.05),手术时间[12.00(11.00,12.00)min vs 6.25(6.00,7.00)min]及系带过短的发生率(0 vs 7.5%)比较,差异有统计学意义(P<0.05)。结论:一次性包皮环切缝合器行包皮环切术造成系带过短的主要原因是由于固定带结扎固定包皮引起的。采用系带处缝线定位的包皮环切术(一次性包皮环切缝合器)是一种安全有效的方法,临床上值得推广。展开更多
文摘Objective To discuss the possible function of frenulum of prepuce in penile erection. Methods Nine patients had premature ejaculation whose frenula were short. Two patients suffered unsatisfied intercourse whose frenula were injured and departed 12 and 6 months ago. Three males endured premature ejaculation whose frenula were hurt in coition 30 min ago.We prolonged short frenulum and reconstructed the ruptured frenulum. To the fresh wound,we debrided the cut,then sutured the injured frenulum vertically. Results Investigated 3 to 6 months,all patients got satisfied sexual intercourse. Conclusion Frenulum is important in erecting time.
基金Supported by the National Natural Science Foundation of China(No.81173376)New Century Excellent Talent(NCET-11-1068)
文摘Objective： To determine whether the nodule and eminence on the frenulum labii superioris, location of Yinjiao （DU28） according to the meridian theory, could be used to prognosticate the recurrence of patients with colorectal cancer. Methods： The data of 101 patients with colorectal cancer in Tianjin Medical University Cancer Institute and Hospital from May 2011 to November 2011 was analyzed. The photos of all patients＇ frenulum labii superioris were taken. Nodule and eminence on frenulum labii superioris were the positive standard. Biopsy and pathological testing for the nodule were carried out on one patient with large nodule on frenulum labii superioris. Results： Patients with positive frenulum labii superioris had a higher risk of recurrence and/or metastasis than patients with negative frenulum labii superioris. There were no significant differences in diagnosis of recurrence and/or metastasis between the status of frenulum labii superioris and the traditional diagnostic criteria （P=0.238）. The Kappa was 0.606 （P〈0.001）. The sensitivity was 76.0% and the specificity was 85.4%. The pathological report demonstrated that the nodule on frenulum labii superioris was mucosal excrescence with normal structure. Conclusion： Nodule and eminence on frenulum labii superioris are potential diagnostic markers for metastatic colorectal cancer.
文摘目的:通过对一例舌系带过短(ankyloglossia)伴构音障碍儿童舌尖前音/s/构音训练效果分析及行舌系带矫正术前后的声学特点比较,探究此类儿童构音矫正方法及声学客观分析对构音效果的评估与监控作用。方法:记录在行舌系带矫正术前,该儿童舌尖前音/s/训练前后单音节准确率变化,同时记录在舌系带矫正术前后,该儿童/su/音频谱重心(Spectrum Center of Gravity)及主观听感变化,进行前后对比。结果:在行舌系带矫正术前,针对该儿童舌尖前音的构音训练效果显著,/s/单音节准确率在通过训练后逐步提升,但在主观听感上较为含糊、粗糙,偏向/sh/音;在行舌系带矫正术后该儿童/su/音频谱重心有明显提升,并且在主观听感上清晰度有所提升。结论:该舌系带过短伴构音障碍儿童通过针对性的构音训练发音水平得到显著提升,但由于舌系带的物理牵制,舌尖形态扁平并限制舌尖进一步上抬,导致发/s/音时气流不够集中,频谱重心偏低,对该儿童行舌系带矫正术后/s/音听感上更为清晰,频谱重心也有较大提升。采用Praat软件对舌尖音声学分析,可更形象、精确地监控患者的发音变化,并为构音矫治提供指导。
文摘目的:探讨一次性包皮环切缝合器行包皮环切术造成系带过短的原因以及手术方法的改进。方法:回顾性分析2020年1~9月320例包茎及包皮过长患者的临床资料,分为儿童组160例和成人组160例,儿童组和成人组各随机分为两组:观察组80例和对照组80例。观察组采用系带处缝线定位的包皮环切术(一次性包皮环切缝合器),对照组采用常规方法的包皮环切术(一次性包皮环切缝合器)。观察4组的手术时间,系带过短的发生率,术后6 h视觉模拟疼痛评分(VAS)。结果:儿童组:观察组与对照组术后6 h VAS评分[3.00(3.00,4.00)分vs 3.00(3.00,3.75)分]比较,差异无统计学意义(P>0.05),手术时间[12.00(11.00,13.00)min vs 8.50(8.50,9.00)min]及系带过短的发生率(0 vs 10%)比较,差异有统计学意义(P<0.05)。成人组:观察组与对照组术后6 h VAS评分[2.00(2.00,3.00)分vs 2.00(2.00,3.00)分]比较,差异无统计学意义(P>0.05),手术时间[12.00(11.00,12.00)min vs 6.25(6.00,7.00)min]及系带过短的发生率(0 vs 7.5%)比较,差异有统计学意义(P<0.05)。结论:一次性包皮环切缝合器行包皮环切术造成系带过短的主要原因是由于固定带结扎固定包皮引起的。采用系带处缝线定位的包皮环切术(一次性包皮环切缝合器)是一种安全有效的方法,临床上值得推广。
