例行

Cent of patient of 51 breast cancer is the method two groups, use medical group of biology albumen rubber 25 routine breast cancer is improved effect a radical cure glue of use biology albumen is achieved in the operation when art, did not use medical group of biology albumen rubber 26 routine breast cancer is improved effect a radical cure biology albumen gum is not used when art, the 1st day drainage after observing art always makes the discharge, hypodermic case that accumulate fluid after quantity, art, in order to decide medical biology albumen glue is improved to breast cancer the precautionary effect that effects a radical cure fluid is accumulated hypodermically after art.

方法51例乳腺癌患者分为两组，采用医用生物蛋白胶组25例行乳腺癌改良根治术时在手术创面使用生物蛋白胶，未用医用生物蛋白胶组26例行乳腺癌改良根治术时不使用生物蛋白胶，观察术后第1天引流量、术后总引流量、皮下积液情况，以确定医用生物蛋白胶对乳腺癌改良根治术后皮下积液的预防效果。

Eighteen patients had multilevel anterior cervical discectomies with or without internal fixation, 22 patients had decompressive surgery (12 laminectomies and 10 intersegmental decompressions) for multiseg- ment spinal stenosis, 15 patients had laminectomy with posterior spinal fixation, and remaining 9 patients had laminectomy and excision of spinal tumor.

18例患者行多极前颈椎间盘切除术伴或不伴内固定， 22例患者因多节段椎管狭窄行减压手术（ 12例椎板切除术和10例节间减压）， 15例行椎板切除、后脊柱固定术，其余9例行椎板切除术和脊髓肿瘤切除术。

Twenty patients were treated with nucleus pulposus extirpation alone, considering as control group; while, other 20 patients were treated with nucleus pulposus extirpation combined with Wallis interspinous dynamic stabilization, considering as experimental group.

选择2007-12/2008-12华中科技大学附属同济医院骨科收治的腰椎退变性疾病患者40例，随机选取20例行单纯髓核摘除，20例行突出髓核摘除加棘突间稳定系统Wallis固定。

Imaging presentations were compared with surgery and pathology. Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowth.

回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。

Imaging presentations were compared with surgery and pathology. Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowth.

回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现和手术所见及病理结果进行对照分析。

Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology （2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate）,were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth

徐 锋，罗德红，唐威，欧阳汉，周纯武目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。结果 46例口腔癌中，呈浸润性生长的溃疡型病变22例，外生性生长的肿物型病变24例。CT扫描32例，明确显示病变27例，遗漏病变5例，其中4例为表浅溃疡型病变。CT扫描病例中，10例有骨质侵犯，CT扫描准确评价8例，遗漏2例。MRI扫描14例，均准确评价肿瘤及其与周围结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、周围结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤，CT扫描尤其是CT平扫难以准确显示，应首选MRI。

Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology （2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate）,were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth

中华硕博网核心提示：徐锋，罗德红，唐威，欧阳汉，周纯武关键词：口腔肿瘤目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探徐锋，罗德红，唐威，欧阳汉，周纯武目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。结果46例口腔癌中，呈浸润性生长的溃疡型病变22例，外生性生长的肿物型病变24例。CT扫描32例，明确显示病变27例，遗漏病变5例，其中4例为表浅溃疡型病变。CT扫描病例中，10例有骨质侵犯，CT扫描准确评价8例，遗漏2例。MRI扫描14例，均准确评价肿瘤及其与四周结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、四周结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤，CT扫描尤其是CT平扫难以准确显示，应首选MRI。

Results Monopolar stimulation was used in 32 patients who underwent unilateral operation, while in 30 patients undergoing bilateral operations, 25 were stimulated by bipolar model, 2 by monopolar model, and 3 by monopolar stimulation in one side and bipolar in another side. Superior shift of electrode contact point was found in 7 cases.

结果 32例行单侧手术者均接受单极刺激；30例行双侧手术病人中，接受双侧双极刺激25例，双侧单极刺激2例，一侧单极刺激、另一侧双极刺激3例。7例触点调整均为上移。

Methods: forty nine patients with prostatic cancer, 14 patients at pathologic stage c, 35 stage d, were analyzed retrospectively. twenty one of them were treated by bilateral orchidectomy and castration of drug; twenty three of them were treated by consist castration of drug;five patients were treated by intermittent androgen suppression.

对49例中晚期前列腺癌患者的临床资料进行回顾性分析。49例分为a、b、c 3组，a组21例行双侧睾丸切除+药物去势，b组23例给予持续性药物雄激素阻断，c组5例行间歇性药物雄激素阻断，分析3组的症状缓解率、影像学评价有效率、前列腺特异抗原psa）反应率及1、2、3年的生存率。

Results: The total effective rate was 87.50%(28/32). After infusion embolotherapy, 12 cases underwent panhysterectomy and 15 cases radiotherapy. In 15 cases with radiotherapy, 7 cases then received panhysterectomy, 2 cases systemic chemotherapy, 1 case palliative therapy. 2 cases gave up therapy for various reasons. 21 cases with hemorrhage were hemostasis and 9 cases with inferior belly and lower limbs pain had all relieved after infusion embolotherapy.

结果：总有效率87.50%(28/32)，灌注栓塞后12例行广泛性全子宫切除术，15例行放射治疗，2例作全身化疗，1例作姑息性治疗，2例因各种原因放弃继续治疗，其中放疗后7例再行广泛性全子宫切除术。21例伴出血患者灌注栓塞后全部停止出血，9例伴下腹及下肢疼痛症状全部缓解。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失