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The malignant tumors included osteogenic osteosarcoma,metastasis tumor(six patients,two with pathologic fractures),chondrosarcoma,malignant fibrous histiocytoma (three patients,one with pathologic fracture),fibrosarcoma,and solitary myeloma.all patients received limb savage procedure with custom knee prosthesis including sevnteen cases of hinge joint and twenty?

结果 9 例良性肿瘤患者1 例失访,1 例死于其他不相关疾病,其余7 例病人随访时膝关节功能按Enneking制定的标准进行评定,优5 例,良1 例,差1 例,保肢成功率为100%;29 例恶性骨肿瘤患者,骨肉瘤患者失访7 例,2 例患者术后局部复发,行截肢术;其余20 例患者生存期间膝关节功能优10 例,良4 例,差6 例。7 例效果评价差的病人为有6 例为铰链式膝关节假体。

The malignant tumors included osteogenic osteosarcoma,metastasis tumor(six patients,two with pathologic fractures),chondrosarcoma,malignant fibrous histiocytoma (three patients,one with pathologic fracture),fibrosarcoma,and solitary myeloma.all patients received limb savage procedure with custom knee prosthesis including sevnteen cases of hinge joint and twentyone cases of posterior stability joints.

回顾分析我院接受定制型人工关节置换进行保肢治疗的股骨远端肿瘤患者38 例,其中良性肿瘤9 例,分别是骨巨细胞瘤7例(复发性骨巨细胞瘤5 例,骨折2例),骨巨细胞瘤合并动脉瘤样骨囊肿1 例,骨母细胞瘤1 例;恶性肿瘤29 例,分别是成骨性骨肉瘤16 例,转移性肿瘤6例(骨折2例),软骨肉瘤2 例,恶性纤维组织细胞瘤3例(骨折1例),纤维肉瘤1 例,局灶性骨髓瘤1 例。

One patient taking infliximab developed tuberculosis and one developed histoplasmosis. Five patients (four taking infliximab and one taking placebo) developed cancer. New autoimmune disorders developed in two patients taking infliximab and one patient taking placebo. Two patients developed optic neuritis and one developed a multifocal motor neuropathy; all three were taking the study drug.

英夫利昔单抗组1例患者发生结核病,1例发生组织胞浆菌病。5例患者(英夫利昔单抗组4例,安慰剂组1例)发生癌症。2例英夫利昔单抗组患者和1例安慰剂组患者新发自身免疫性疾病。2例患者发生视神经炎,1例发生多灶性运动神经病;这3例患者均服用了英夫利昔单抗。

After stent was implanted, icteric index and itch of skin were relieved quickly in 148 patients with malignant biliary obstruction, infection of biliary tract were controlled in 23 patients with bile duct stone, and 4 patients with bile leakage were cured.

严格掌握支架置放指征,合理选择支架型号和所需引流的胆管分支,规范操作流程是保证支架成功置放和有效引流的关键。

Results Forty patients with Crohn's disease, seen women and 33 men, underwent DBE, and the ileum was inestigated in 38 patients. There were 25 cases of ileitis, 2 of colitis, and 13 of ileocolitis. Jejunal lesions were found in two and ileal lesions proximal to the terminal ileum were found in 24 patients with Crohn's disease. DBE was superior to radiological study to detect aphthae, erosions, and small ulcers in the ileum.

结果 通过双气囊小肠镜检查发现的40例克罗恩病患者中女性7例,男性33例,其中对38例患者进行回肠检查。25例回肠炎,2例结肠炎,13例回肠结肠炎。2例有空肠病变,24例回肠病变发生在末段回肠。

Results 185 patients accepted anterior excision of rectal cancer, 15 patients developed anastomotic fistula. 13 patients were cured with effective pelvic drainage and 2 cases with ileostomy.

结果 对185例直肠癌行前切除保肛手术,15例出现吻合口瘘,13例通过及时有效的引流、局部处理治愈,2例经结肠造口治愈。

Methods The 100 patients with CI and 107 control subjects without any blood disease or tumors were evaluated by applying the Chart of Typical Behaviors of TABP, meanwhile the endothelin and thrombomodulin contents in plasma of the patients were measured for the mark of the damage of blood vessel endothelium. The CI group, control groups and part of CI group with the same level of blood pressure were subgroup by the result of questionnaire, correlation analysis was made between the amounts of blood markers and ill performance characteristics of TABP. Results 40% CI patients were TABP.

对100例CI患者和107例无血液病和肿瘤的对照者进行A型行为评定量表测定,并同时对两组人员的血管内皮细胞损伤的血浆标志物内皮素和血栓调节蛋白含量进行测定;再根据A型行为问卷调查结果,分别对CI组和对照组患者,以及在同一血压水平的CI患者按照个体的行为特征进行分组,然后对其血浆标志物浓度进行相关分析。

Results: 22 of 46 patients with central venous catheterization were completely relaxed, 19 patients were partly relaxed, 14 patients were inefficacy and advanced.

抽液腔内注药组32例中完全缓解11例,部分缓解7例,无效和进展14例。

Results: these 30 old patients with bedsore got(16.97±3.24) grade averaged. there were 3 patients (10%) got 13 grade, 14 (46.7%) got 14~18 grade, 5 (16.7%) got 19~23 grade. most of them had the innutrition, hypoproteinemia, decrease of serum calcium, change of muscular tension and gatism in different degree. all of them had no self-care ability and had to lie down and take transfusion, 10 of them had to be bound their extremity. there was close correlation between the factors happened to the patients and the incidence of bedsore.

结果:30例老年压疮病人诺顿评分平均(16.97±3.24)分,其中,3人(10%)≤13分,有很高风险,14人(46.7%)14~18分,有较高风险,5人(16.7%)19~23分,有中等风险;30例老年病人不同程度存在中重度营养不良、低蛋白血症、血清钙降低、肌张力改变、大小便失禁等情况;30例病人均长期卧床,丧失生活自理能力,住院后接受输液治疗,其中10例因躁动需要约束四肢等,这些因素均与压疮的发生相关。

Results: of 135 cases, reduction a shot 75 patients (55.5%),reduction again after intermittent insufflation , massage with hands or intramuscular injection with 654-2 48 patients (35.5%), failure reduction 12 patients(9%).

结果:本组135例中一次注气成功整复75例(55.5%),进行间歇性注气、辅助手法按摩或肌注654-2后成功整复48例(35.5%),不能整复12例(9%)。

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