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囊瘤

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Results :3 cases Simple ovarian cysts , 3 cases postoperatively diagnosed as endometriotic cyst , 7 cases teratoma , 7 cases crinoid cysts , 7 eases corpus luteum cysts , 1 case brenner tumor , 1 case mucinous cystadenoma and 1 case ovarian mutinous syst, 8 parovarian.

结果:术后诊断单纯性卵巢囊肿3例,卵巢巧克力囊肿3例,其中2例为双侧卵巢巧克力囊肿,卵巢成熟畸胎瘤7例,卵巢黄体囊肿7例,卵巢冠囊肿7例,卵巢膜纤维瘤,卵巢粘液性囊昧瘤及卵巢粘液性囊肿各1例,输卵管系膜囊肿8例。

The five most common benign lesions were dermoid cyst and epidermoid cyst, cavernous hemangioma, lymphangioma, pleomorphic adenoma, orbital inflammation. The five most common malignant lesions were lymphoma, lacrimal adenoid cystic carcinoma, rhabdomyosarcoma, melanoma, sebaceous gland carcinoma.

位于良性病变前5位的分别是皮样囊肿及表皮样囊肿、海绵状血管瘤、淋巴管瘤、泪腺混合瘤、慢性炎症和炎性假瘤;位于恶性肿瘤前5位的分别是淋巴瘤、泪腺囊腺癌、横纹肌肉瘤、黑色素瘤、皮脂腺腺癌。

The electrical activities and sequences of oesophagus, reticulum and the four compartments of rumen in sheep were recorded with polygram system RM-6008 during rest, feed, rumination and eructation.

用RM-6008型记录仪记录了绵羊在安静、进食、反刍和嗳气等状态下的食管、网胃和瘤胃的前背囊、后背盲囊、后腹盲囊、前腹囊的电活动及其先后次序。

Results The tumors were divided into three types according to the CT findings. Type I: regular, homogeneous density and well-defined,there were 30 patients, included benign mixed tumor(n=29) and adenolymphomas(n=1); Type II:irregular, heterogeneous dentsity, poordefined, there were 15 patients, included benign mixed tumor(n=7), malignant mixed tumor (n=2),adenolymphomas(n=3), hemagioma(n=2),mucoepidermoid carcinoma(n=1). Type III: irregular and could not definded, there were 7 patients, included malignant mixed tumor(n=2), mucoepidermoid carcinoma(n=2), adenoid cystic carcinoma(n=1), malignant lymphoma(n=1), acinic cell carcinoma(n=1). Conclusion CT have important values in location and qualitative analyses of parotid gland.

结果 肿瘤按CT表现分三类:52例患者中,I类30例,形态规则呈类圆形,密度均匀,边缘清楚,除1例腺淋巴瘤外,29例均为良性混合瘤;II类15例,形态不规则,呈分叶状,密度欠均,边界较清或模糊,其中7例良性混合瘤,2例恶性混合瘤,3例腺淋巴瘤,2例血管瘤,1例黏液表皮样癌;III类7例,形态不规则,边缘无法确定,其中恶性混合瘤2例,黏液表皮样癌2例,囊腺癌1例,恶性淋巴瘤1例,腺泡细胞癌1例。

The available operation range in clivus and anterior cranial base by transsphenoidal opproach was also observed during the operation under the help of neuronavigational pointer. Forty-one patients underwent sublabial, transseptal, transsphenoidal approach to the pituitary region guided by Surgical Microscope Navigation was studied. The piriform aperture was 27. 2mm±3. 1 , the origin of inferior nasal concha 30mm±4. 1, the origin of middle nasal concha 27. 9mm±4. 3. These data are important for transsphenoidal approach, because the piriform aperture and the origin of both inferior and middle nasal conchas restricted the opening width of the Hardy specula. If any distance of these bony structures was much less than the mean one, may cause inadequate opening of the specula blade and resulting dissatisfied operative field. Microadenomas or cystic tumors perhaps can be operated even in a narrow exposure, but large or giant solid adenomas may need a proper evaluation including changing the operative approach or performing a bilateral submucous inferior conchotomy or posterior ethmoidectomy firstly.

手术中还利用CT导航系统观察棒研究了经口—鼻蝶窦入路在斜坡区和前颅底能够达到的实际有效操作范围,为扩大经蝶窦入路手术在斜坡区和前颅底的应用奠定基础,在国内外尚未见同类报道。41例垂体瘤患者梨状孔平均宽度27.2mm±3.1,下鼻甲根部附着处间距30mm±4.1,中鼻甲根部附着处间距27.9mm±4.3,这是经口—鼻蝶窦入路手术中,对Hardy双瓣鼻窥器张开限制的主要骨性结构,若患者这些径线值明显小于平均值,则可能因为鼻窥器打开不充分而影响手术暴露,当然对于垂体微腺瘤和以囊变为主的垂体瘤可能影响不大,但对于大和巨大垂体瘤必须要有充分的准备,包括评估是否改用其他入路,或先行鼻甲切除再行经蝶手术。

The fundamental imaging features of osteosarcoma were showed bone destruction, periosteal reaction, neoplastic bone and soft-tissue mass. Among 49 cases examined by radiography, osteoblastic pattern sarcoma was found in 19 cases, osteolytic pattern sarcoma was found in 13 cases and mixed pattern sarcoma was found in 17 cases. The detection rates of bone destruction, periosteal reaction, soft-tissue mass, neoplastic bone and Codman triangle by radiography were respectively 61.2%, 95.9%, 71.4%, 73.5%and 27.7%. All 10 cases with CT scan were showed bone destruction, soft - tissue mass and neoplastic bone. The detection rates of periosteal reaction,憇ieve sign挶 and Codman triangle with CT scan were respectively 90%, 90% and 11%. The tiny neoplastic bone and"sieve sign"were showed sensitively by CT, but Codman triangle was showed by radiography superior to CT.32 cases with MRI scan presented the normal marrow was replaced by the tumor, which was showed low to intermediate signal intensity on T1-weighted images and promiscuity signal intensity on T2-weighted images. 7 cases presented hemorrhage and 24 cases presented necrosis.

骨肉瘤基本影像表现为骨质破坏、骨膜反应、瘤骨和软组织肿块。49例X线表现为成骨型19例,溶骨型13例,混合型17例;X线对骨质破坏、骨膜反应、软组织肿块、瘤骨和Codman三角的检出率分别为61.2%、95.9%、71.4%、73.5%和27.7%;10例CT表现均可见骨质破坏、软组织肿块及瘤骨,CT对骨膜反应、筛孔征和Codman三角的检出率为90%、90%和11%;CT对显示细小肿瘤骨和筛孔征最敏感,但对Codman三角的显示不如X线平片;32例MRI表现为骨髓腔内正常的骨髓高信号被肿瘤信号所取代,T1WI呈低~等信号,T2WI呈混杂信号,7例合并出血,24例中央坏死囊变,32例增强扫描均呈不均匀强化及瘤周可见水肿区。

Benign SO showed itself to be solid,cystiform or cystiform-solid.They were typically filled with gelatinoid and light green-yellow fluid.

其中,7例良性,体呈囊性、实性、囊实性,囊内为黄褐色胶样物和淡黄绿色液体;组织学类型有单纯型、腺瘤型、囊性变型。

Results 7of22cases were angiomyolipoma,6were xanthogranulomatous pyelonephritis,4were multilocular cystic nephroˉma,2were leiomyoma of kidney,2were renal abscess,one case were renal fibrolipoma.

结果 误诊为肾癌的良性占位病变22例,其中肾血管平滑肌脂肪瘤合并出血7例,局灶型黄色肉芽肿性肾盂肾炎6例,肾多发性囊性肾瘤4例,肾平滑肌瘤2例,肾脓肿2例,肾纤维脂肪瘤1例。

Stereotactic Intracystic Irradiation Treatment of Cystic and Cystosolid CraniopharyngiomaCAI Xiaodong, GAO Yongzhong, LI Weiping, et al.

目的:探讨立体定向囊内放射治疗囊性和囊实性颅咽管瘤的方法和疗效。

Cystic lymphangioma of intestine and mesentery is a rare cystic disorder of abdomen; most of them are multi-leaved and plurilocular thin wall cysts. CT scanning can precisely display the morphologic characteristic of the pathological changes, provide relevant diagnostic evidence and help to differentiate from other cystic diseases.

肠及肠系膜囊性淋巴管瘤是腹部少见囊性病变,多呈分叶状、多房性薄壁囊肿,CT能够准确地显示病变的形态学特徵,并能够提供相应的诊断依据,帮助与其他囊性疾病鉴别。

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