复发

Objective To evaluate the diagnostic approaches and influencing factors of prognosis after repeated hepatectomy for recurrent liver cancer.

目的 探讨复发性肝癌发现的途径，再切除的路径和手术方法，再切除的疗效以及影响再切除肝癌预后的因素。

OBJECTIVE?To investigate the diagnostic value for the recurrence after hepatica resection with B model ultrosoundgraphy, CT and hepatic arteriography.?

探讨B型超声波、CT检查和肝动脉造影术在肝癌术后肝内复发诊断中的价值。

Results Laparoscopic herniotomy resulted in smaller incision, short operative duration, speedy recovery and no recurrence.

结果 本手术方法的切口和创伤小，手术操纵简单，手术时间短，恢复快，术后无需缝线，术后无瘢痕，无复发。

The 5-year overall survival rate was 65.61%. The 5-year overall, distant metastasis-free, and local progression-free survival rates were significantly higher in diploid group than in heteroploid group 80.92% vs.

全组5年总生存率65.61%，其中二倍体组为80.92%，异倍体组为42.86%(P=0.002)；5年无远处转移生存率二倍体组为84.26%，异倍体组为44.53%(P=0.003)；5年无复发生存率二倍体组为92.59%，异倍体组为72.65%(P=0.118)。

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.Results One of nine patients with benign tumors was lost for followedup,one patient died of unrelated disease,the remained patients have excellent function in five patients,good function in one case,and one poor according to the Enneking evaluating system.the limb salvage rate was 100％.Seven patients were lost for followedup in twentynine of malignant tumors,two patient with malignant fibrous histiocytoma received amputation due to local recurrence nine months postoperatively.Ten patients had excellent function,four good and six poor among the followedup patients.The type of prosthesis in six of all patients with poor function was hinge.

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。

Microscopic examination revealed intermingling histiocyte and small lymphocyte.

结果 病变侵犯鼻窦，手术切除后复发，HE染色见大量组织细胞和小淋巴细胞增生。

One of these tumors, a 16 cm diverticular tumor, had mitotic activity of only 1/50 HPFs, and this tumor recurred 4 times.

其中1例呈憩室性，16cm大小，其核分裂像只有1/50个HPFs，但这例却复发了4次。

The relapsed PVR and retinal detachment caused by remained posterior hyaloid membrane occurred at postoperative 4-12wk.

玻璃体后界膜残留所致的复发性PVR和视网膜脱离，多发生在术后4～12wk。

I am accused of being overreligious," she said in her quiet, frank manner,"but that does not prevent me thinking the children very cruel who obstinately commit such suicide.""

客人们在卡罗利娜·埃凯家里，举止就文雅一些，因为卡罗利娜的母亲治家很严厉。

Designed by French fashion house Herm è s, this elegant uniform was manufactured in our home, Hong Kong, and was the first without a hat.

由著名品牌 Herm è s 设计，这件高贵的制服是香港本土制造，是我们第一套不配帽子的制服。