复发

Celiac were much more than outer stomach in the part recurrence. The Ⅱ,Ⅲ,Ⅳ type were much more in Bormann classification. Low polarization tumors were much more. Part recurrence were less after complete gastrectomy except celiac recurrence. Cardia circumambience and liver-duodenum ligaments (No. 1, 12) lymph node were more in the outer stomach recurrence.

局部复发病例中以腹膜腔复发多见，胃外复发次之；Bormann分型以2、3、4型复发多见；低分化肿瘤复发多见，全胃切除后除腹膜腔复发外局部复发少；胃外复发病例中以贲门周围和肝十二指肠韧带即第No.1、12淋巴结复发多见。

In other 10 cases, ipsilateral and contralateral lobe relapse, and nodal metastasis occurred in 3, 2 and 5 cases, respectively.

另有10例复发患者，同侧腺叶复发3例，对侧腺叶复发2例，局部淋巴结复发5例。

Local recurrences mainly occurred in the nasopharyngeal cavity and the skull base bone. Dosimetric analysis showed 9 cases of in-field failure, 4 cases of marginal failure, and 2 cases of out-field failure. For the 6 cases of marginal and out-field failure, the main reasons of recurrence were low dose area in target volume due to not strictly following the guidelines of defining field limit, or inappropriately estimating the involved regions of lesions.

局部复发的主要部位为鼻咽腔、颅底骨质；局部复发灶和照射野模拟剂量学分析发现野内复发9例，边缘复发4例，野外复发2例。6例边缘和野外复发的患者，经过进一步分析发现复发与未严格遵循常规设野原则或对病灶范围判断失误造成不适当的照射野边界导致靶区出现低剂量区有关。

Clinicopathologic features of 81 surgically treated patients (25 with recurrent and 56 with nonrecurrent SCC) were evaluated; 56 patients (19 with recurrent and 37 with nonrecurrent tumors) additionally received groin dissections.

我们评价了81例阴茎SCC患者（25例为复发性，56例为非复发性）的临床病理特征，这些患者都接受了肿瘤切除，其中56例（19例为复发性，37例为非复发性）还清扫了腹股沟淋巴结。

Comparison of recurrent and nonrecurrent tumors showed that high grade tumors tended to be significantly associated with recurrent tumors, whereas low grade variants were more frequent in the nonrecurrent group; recurrent tumors invaded into deeper anatomic levels than nonrecurrent tumors.

复发性肿瘤与非复发者相较，高级别肿瘤与复发显著相关，而低级别肿瘤更易出现在非复发组中；复发性肿瘤浸润正常组织的深度大于非复发性肿瘤。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

objective to explore the related factors of recurrence of chronic subdural hematoma after neurosurgery.methods the related aspects that affected the recurrence in 113 cases with chronic subdural hematomas after neurosurgery were reviewed,and the factors were evaluated by the medical literature.results 5 patients recured after neurosurgery,and 1 patient died.rate of recurrence and death were 4.4% and 0.9% respectively.conclusion age,abnornmal blood coagulation mechanism,density,pneumatosis and drainage volume would affect the prognosis.

目的 探讨影响慢性硬膜下血肿（chronic subdural hematoma，csdh）术后复发的因素。方法回顾2003～2004年本院手术治疗的113例csdh患者，并结合有关文献进行相关分析。结果术后复发5例，死亡1例，复发率和死亡率分别为4.4%和0.9%。复发的5例患者平均年龄69.6岁。其中因服用抗凝剂复发1例，因术后大量颅内积气复发1例，高密度复发1例，等密度到混杂密度复发2例。结论患者的年龄、凝血机制异常、血肿的密度、术后积气和引流量的多少影响csdh患者的预后。

Results:Serum CYFRA21-1 level was significantly higher in the patients with protopathic breast cancer before operation(the positive rate was 21%)than the patients with benign breast diseases (serum CYFRA21-1 were all negative).

结果：乳腺良性疾病无1例阳性；乳腺癌术前阳性率仅21%，但两者血清 CYFRA21-1 水平有明显差异；47例乳腺癌患者手术前与术后 4周血清 CYFRA21-1 水平相比有显著差异；56例乳腺癌患者术后随访 8例转移复发者中 6例阳性，无转移复发者均阴性，转移复发者血清 CYFRA21-1 水平较无转移复发者明显增高，两者相比差异有极显著性。

Result Among 384 MB patients, 4 had relapsed in Xingyi City. The mean relapse rate was 0.15/100 person-years. In Puan County, 1 out of 297 MB patients had relapse. The mean relapse rate was 0.05/100 py. A total of 5 cases of relapse in these counties, and these figures were not included in the man-year relapse rate study.

结果 兴义市384人实施MB方案，MB方案MDT后监测10年，有4人复发，平均复发率为0.015/100人年；普安县297名MB中有1人复发，平均复发率为0.05/100人年。10年监测期后，两县／市共有5人复发，未计算在人年复发率中。

Results 59 cases were cuerd in the treated group'the ratio of curative was 88.06%'effective 6 cases'the ratio of effective was 8.95%'ineffetive 2 cases.The average time in hospital was 19 days'the raio of rel asp e was 9.25%'during one year.25 cases were cured in the control group'the ratio of curative was 58.14%.12 cases were effective'the rateio of effective was 27.90%'6 cases was ineffective'the average treatment time was 31 days.

结果 治疗组治愈59眼'治愈率为88.06%，有效6眼，有效率8.96%，无效2眼，治疗天数平均19天，随访1年54眼中复发5眼，复发率9.26%；对照组治愈25眼，治愈率58.14%，有效12眼，有效率27.91%，无效6眼，治疗平均天数31天，随访1年23眼复发7眼，复发率30.43%；两者比较治疗组疗程和疗效均优于对照组（P.01）治愈患者随访1年，治疗组复发率比对照组明显低。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。