G1级阑尾神经内分泌肿瘤致急性阑尾炎1例

神经内分泌肿瘤(NET)在全身多个器官或组织均可发生,虽然阑尾NET比较少见,但却是阑尾最常见的肿瘤。这种肿瘤的临床特征并不特异,与急性炎症的临床特征高度相似。相比之下,急性阑尾炎是一种常见的手术指征,多是由阑尾腔梗阻引起的。然而,阑尾NET的术前诊断是非常困难的。在本病例中,报告了一例45岁男性患者,在紧急阑尾切除术后通过组织病理学检查被诊断为阑尾NET,分级为G1,行右半结肠切除术后好转出院。Neuroendocrine tumors (NETs) can occur in multiple organs or tissues throughout the body, and although appendiceal NETs are relatively rare, they are the most common tumor in the appendix. The clinical features of this tumor are not specific and highly similar to those of acute inflammation. In contrast, acute appendicitis is a common surgical indication, often caused by appendiceal obstruction. However, preoperative diagnosis of appendiceal NET is very difficult. In this case, a 45 years old male patient was reported who was diagnosed with appendiceal NET and graded as G1 through histopathological examination after emergency appendectomy.

脐尿管窦感染合并脐尿管结石1例

脐尿管异常在成年人群中并不常见,较难诊断,脐尿管窦病例很少有报道,除非出现并发症,否则通常无症状,最有可能是感染性的。感染脐尿管窦的临床表现为脓性脐分泌物、腹痛和脐周肿块。我们报告了一例成年男性脐尿管窦感染合并脐尿管结石的病例。临床和影像学特征诊断明确。抗生素治疗后,进行了手术切除,术后好转出院。Urethral abnormalities are not common in the adult population and are difficult to diagnose. Cases of urachal sinus are rarely reported, and unless complications occur, they are usually asymptomatic and most likely infectious. The clinical manifestations of infected urachal sinus include purulent umbilical discharge, abdominal pain, and periumbilical mass. We report a case of an adult male with urachal sinus infection and concomitant urachal calculi. Clear diagnosis based on clinical and imaging features. After antibiotic treatment, surgical resection was performed and the patient improved and was discharged from the hospital.

嵌顿性闭孔疝伴回肠坏死1例并文献复习

本病例报告了一例罕见病例,回肠嵌顿于左侧闭孔伴坏死穿孔。闭孔疝如果诊疗延迟,会导致严重并发症,甚至死亡,因此需要紧急诊治。为帮助临床医生提高对闭孔疝的诊疗意识,本文结合文献探讨了闭孔疝的诊疗进展。This case reports a rare case of ileal impaction with necrotic perforation in the left obturator foramen. If the diagnosis and treatment of obturator hernia are delayed, it can lead to serious complications and even death, so urgent diagnosis and treatment are needed. To help clinical doctors improve their awareness of the diagnosis and treatment of obturator hernia, this article explores the progress of diagnosis and treatment of obturator hernia based on literature.

精索静脉曲张性不孕症的病因及治疗研究进展

男性不育症不仅对个人的身心健康造成严重影响,而且对家庭的和谐甚至社会的发展也极为不利。在众多引起男性不育的病因中,精索静脉曲张(VC)是其中一个较为重要的病因。目前国内外采用多种方法治疗VC所致的男性不育症,取得了一定的效果。本文通过检索近年来新发表的文献,就VC性男性不育症的病因和治疗方法在此进行综述。Male infertility not only has a serious impact on the physical and mental health of individuals, but is also extremely detrimental to family harmony and even social development. Among the many causes of male infertility, varicocele (VC) is one of the most important causes. At present, a variety of methods are used at home and abroad to treat male infertility caused by VC, and certain effects have been achieved. This article reviews the causes and treatments of VC-related male infertility by searching newly published literature in recent years.

鱼骨致小肠穿孔保守治疗1例及文献复习

目的:报告1例小肠鱼骨穿孔并总结其临床表现、疾病特点、诊断及其治疗方法。方法:回顾性分析1例小肠鱼骨穿孔的临床资料及诊治流程并结合相关文献复习。结果:患者入院后通过保守治疗,并且顺利出院。结论:完善相关检查后予患者行保守治疗,出院后随访1月余,患者出院后复查未见明显异常,病情恢复良好,无特殊不适。Objective: To report a case of small intestine fishbone perforation and summarize its clinical manifestations, disease characteristics, diagnosis, and treatment methods. Method: A retrospective analysis was conducted on the clinical data and diagnosis and treatment process of a case of small intestine fishbone perforation, combined with relevant literature review. Result: The patient received conservative treatment upon admission and was discharged smoothly. Conclusion: Performing conservative treatment on patients after completing relevant examinations, after more than one month of follow-up after discharge, the patient did not show any significant abnormalities in the follow-up examination after discharge, and the condition recovered well without any special discomfort.

评价不同手术方式对精索静脉曲张复发率的影响

目前国内外对于精索静脉曲张的诊断和治疗已达成初步共识,尽管精索静脉曲张的诊断和治疗方式多样,但国内外基本一致认为显微镜下精索静脉曲张结扎术拥有较好的疗效和较低的复发率,在临床工作中不时有患者及临床医生对精索静脉曲张复发的相关原因而苦恼,本文就精索静脉曲张复发的原因做出相关总结,为临床工作提供参考。

精囊镜技术治疗顽固性前列腺炎可行性分析

目的:探讨经尿道精囊镜技术治疗顽固性前列腺炎患者的临床疗效。方法:选取2016年3月至2019年8月就诊于大理大学第一附属医院泌尿男科的58例顽固性前列腺炎患者为研究对象,随机分为治疗组和对照组。治疗组28例患者均采用精囊镜技术行手术治疗,对照组30例患者均采用综合保守方法治疗。两组患者分别在治疗前及治疗后6个月,根据美国国家卫生研究院慢性前列腺炎症状指数、国际勃起功能评分表、抑郁自评量表评分以及卵磷脂小体、白介素-10水平进行比较,判断两组患者临床疗效。结果:完成治疗6个月后,治疗组各项指标改善程度均优于对照组。结论:经尿道精囊镜技术治疗顽固性前列腺炎临床疗效明显优于综合保守治疗,可以有效改善患者的临床症状及生活质量。

外伤导致闭合性肾损伤的保守治疗护理体会

目的:研究外伤导致闭合性肾损伤临床护理的有效方法,预防继发性出血及感染等并发症的发生,以提高闭合性肾损伤的临床护理能力。方法:分析大理大学第一附属医院2016年1月至2019年10月诊治的36例外伤导致闭合性肾损伤患者的临床资料,回顾性总结临床护理经验。结果:通过严密观察患者生命体征、监测患者尿液颜色变化、心理护理等,33例患者保肾成功,所有患者康复出院。结论:加强对闭合性肾损伤患者在治疗、住院期间病情变化的详细观察、心理疏导,对患者出血、血尿、疼痛护理、饮食指导及预防感染等细致周到的临床护理,对促进患者身体康复有重要意义。

不同附睾吻合部位治疗附睾梗阻性无精症的病例分析

目的:探讨附睾-输精管吻合术中不同附睾吻合部位对复通率及其配偶自然受孕率的影响。方法:回顾性分析2015年1月至2018年6大理大学第一附属医院泌尿男科确诊并行附睾-输精管吻合术患者的术中情况及吻合部位,依据吻合部位分为附睾头部组(A组)、附睾体部组(B组)、附睾尾部组(C组),随访期间予以精液常规检查,明确复通情况,通过电话了解其配偶受孕情况。结果:术后33例患者复通成功,复通率为68.75%,其中A、B、C 3组复通率分别为33.33%(3/9),66.67%(12/18)和85.71%(18/21),3组之间复通率差异有统计学意义(χ^(2)=7.647,P=0.017<0.05)。20例患者配偶自然怀孕,自然受孕率为41.67%(20/48),A、B、C 3组配偶自然受孕率分别为11.11%(1/9)、33.33%(6/18)和61.90%(13/21),3组之间配偶自然受孕率比较差异有统计学意义(χ^(2)=7.510,P=0.023<0.05)。结论:在相同吻合条件下,体尾部吻合较头部吻合能明显增加复通率及其配偶自然受孕率。

睾丸鞘膜上皮样肉瘤1例报告并文献复习

目的:分析1例罕见的睾丸鞘膜上皮样肉瘤患者的临床表现、体征、诊断及治疗方法。方法:通过报告1例睾丸鞘膜上皮样肉瘤的临床表现、体征、诊断过程以及治疗经过,分析其临床病理结果,通过文献复习的形式对此病进行总结。结果:患者入院后予“左侧睾丸切除术”,术后病理结果示:左侧阴囊鞘膜、囊壁样组织见上皮样细胞构成簇状结节状病灶,细胞温和,胞质红染,核中等大小,核仁明显,部分局域黏液样变,确诊为睾丸鞘膜上皮样肉瘤。结论:患者术后经病理免疫组化确诊,出院后随访12个月,目前生存状况良好,通过定期复查未见肺部、肝脏、腹膜后淋巴结转移。

雄性睾丸氧化损伤的因素及其抗氧化治疗的研究进展

随着社会的发展及生活水平的提高,中青年男性群体因各种因素导致睾丸性弱精、少精、甚至无精症的问题越来越突出。引起睾丸性不育症的病因是复杂多样的,近年来男性的睾丸抗氧化–氧化机制的失衡成为了睾丸性不育症的研究热点,而抗氧化治疗在睾丸性不育症治疗上仍存在一定的争议。因此,本文就睾丸氧化损伤的病因及其抗氧化治疗的相关研究进展进行综述。