术后治疗

Retrospectively reviewed and summarized the surgery approach, the curative results and advantages of the surgery treatment, comparing with the laser surgery and radiotherapy. The dynamic follow-up of the movement of the arytenoid cartilage, the reconstruction of the glottis rimae and the changes of the voice were analyzed. The preoperative and postoperative voice quality was compared with the software of Dr.

在手术方法、术后喉功能的恢复、治疗效果及治疗优势等方面进行了总结，并与激光、放疗等治疗方法进行了初步地比较分析；并且对术后声带的活动、声门裂的形态及嗓音变化作了动态观察随访，并应用Dr.speech嗓音质量评估软件对术前、术后嗓音质量做了分析对比。

objective:to investigate the therapeutic action of somatostatin in pancreatic leakage after pancreaticoduodenectomy.methods: to collect 100 patients with pancreaticoduodenectomy during 2003～2006,contrast 44 patients use somatostatin after pancreaticoduodenectomy as experimental group,and 56 patients with conventional therapy as control group.results:there were no pancreatic leakage case in the modified group of 44 cases.3 cases complicating pancreatic leakage occurd in control group,and the proportion of pancreatic leakage are different examined by statistic mathord.conclusions:use somatostatin after pd can restrain organism excrete diastase vera,and help anastomotic stoma to concrescent and decrease pancreatic leakage;pancreatic leakage should be treated by different grades,grade 1 can be cured by persistent drainage with somatostatin and nutritional support;grade 2 should be pay more energetic intervention.

作者单位：潍坊医学院，潍坊 261042；潍坊市人民医院肝胆外科，潍坊 261042 目的：探讨生长抑素在胰十二指肠切除术后减少胰漏的作用。方法：收集2003年1月～2006年12月施行pd患者100例，术后应用生长抑素持续泵入病人44例，并与同期施行的pd术后常规应用全肠外营养及抗生素治疗病人56例，结果进行了对比观察。结果：实验组病人44例无1例发生胰漏，对照组56例病人，3例发生不同程度的胰漏，发生率5.3%，统计学比较有显著差异（p＜0.05）。结论： pd后应用生长抑素持续泵入可以抑制胰酶的作用，使胰肠吻合口较好地愈合，从而有效地减少胰漏的发生；胰漏可进行分级治疗，ⅰ级胰漏采用通畅引流为主，同时使用生长抑素和营养支持等治疗多可治愈，ⅱ级胰漏需要积极治疗。

Abstract］ objective to investigate the clinical effect of esculin and digitalisglycosides eye drops for asthenopia after lasik.methods 100 eyes of 50 cases were given esculin and digitalisglycosides eye drops to treat asthenopia,compared with matched control subjects（100 eyes） of asthenopia and amplitude of accommodation.results in one and two weeks after lasik, esculin and digitalisglycosides eye drops were more effective compared with matched control subjects.conclusion esculin and digitalisglycosides eye drops are effective and safe for treatment of asthenopia after lasik.

目的 观察七叶洋地黄双苷滴眼液治疗lasik术后视疲劳的疗效。方法运用七叶洋地黄双苷滴眼液治疗lasik术后病人50例100眼，以视疲劳的自觉症状及眼调节幅度为观察指标，与对照组进行对比。结果术后1周及2周时七叶洋地黄双苷滴眼液治疗组较对照组主观症状及眼调节幅度有明显改善。结论七叶洋地黄双苷滴眼液治疗lasik术后视疲劳安全有效。

Nighty rats were randomly divided into the groups of control, myocardial infarction and doxycycline, which were given orally 48 hours before and 48 hours after MI with 30mg/Kg per day. Protein and mRNA extraction was done on left ventricular samples containing scar and myocardium together. Samples were assayed from 1 day to 4 weeks post-Mi. The activity of MMPs was measured by zymography and collagen amount by the method of chloramine T, the ratio of II III collagen was assessed by immunohistochemical stain. Protein and mRNA of MMP-2, 9, TIMP-1 were determined by Western-Blot and RT-PCR.

分为对照组、心梗组和治疗组(D组，术前两天至术后两天，口服Doxycycline，30mg／kg／天)，分别于术后第一天、术后一周、术后两周、术后四周取心肌组织，采用免疫组化测定胶原含量和Ⅰ／Ⅲ胶原比例，酶谱法测定心梗后MMP-2，9活性蛋白的表达规律，Western Blotting进一步确定酶谱法中所消化条带蛋白的属性，逆转录-聚合链反应法测定心梗后MMP-2，9和TIMP-1的mRNA的变化规律，运用Acuson Sequoia 512超声心动图机分别测定心梗组、治疗组在两周和四周时左室前壁、后壁厚度以及左心室舒张末内径和左室射血分数。

This program involves the study of plastic surgical pre-operative and post-operative treatments, skin care consultation and dermatological assistant care.

这一计划涉及塑料手术前研究手术和术后治疗，皮肤护理咨询和皮肤护理助理。

Methods From June 2005 to March 2008, treated 20 cases of the nontuberculous mycobacteria hand infection patients after the start of functional rehabilitation treatment time were divided into Group A, B, each of 10 cases, both surgical debridement and anti-Mycobacterium therapy, rewirable after the first day until the wound for wound healing time, follow-up to 6 months after the operation, observe the wound healing time and the recurrence; according to the joint activity score standard score comparison group A, B group of before and after six months of the functional differences.

对2005年6月～2008年3月收治的20例手部非结核分枝杆菌感染患者按术后开始进行功能康复治疗的时间随机分为A组（术后1周）、B组（术后3周），每组10例，均行手术清除病灶和抗分枝杆菌治疗，以术后第一日起至伤口拆线为伤口愈合时间，随访到术后6个月，观察伤口愈合时间、复发情况；根据关节活动度评分标准评分比较A组、B组术前与术后6个月功能的差异。

(1) Postsurgical treatments should be administrated for those with high risk factors to improve the prognosis.

(1) 对具有高危因素的患者，如特殊病理类型、手术－病理分期期别晚、组织学分级为G3和深肌层浸润，应辅以术后治疗以提高生存率。

objective to discuss treatment of acute perforation of peptic ulcer,to elevate i stage operation recovery rate.methods 208 cases in 20 years were retrospectively analysed,86 cases (41.35%) were recovered by subtotal gastrectomy;18 cases (20.93%) were undergone billroth i anastomosis;68 cases (79.07%) billroth ⅱ;42 cases (61.76%) billroth ⅱ precolonic anastomosis;26 cases (38.24%) retrocolic anastomosis.results in 86 cases,1 case was complicated by gastroparesis,others all recovered.all cases were followed up for 5 years.conclusion the procedure can shorten the recovery time and increase quality of life.

目的 探讨消化性溃疡急性穿孔的治疗方法，旨在提高ⅰ期手术治愈的成功率。方法回顾性总结分析20年间手术治疗消化性溃疡急性穿孔208例，其中86例（41.35%）采用胃大部连同病灶切除ⅰ期治愈，胃肠重建采用billrothⅰ式吻合18例（20.93%），billrothⅱ式吻合68例（79.07%），billrothⅱ式结肠前吻合42例（61.76%），结肠后吻合26例（38.24%）。结果 86例中除1例billrothⅱ式吻合术后发生胃瘫并发症，经保守治疗月余治愈外，其余病例术后恢复顺利，均随访5年以上情况良好。结论消化性溃疡急性穿孔的ⅰ期手术治疗，解决了因溃疡穿孔单行修补术后再次复发穿孔、出血、幽门梗阻、粘连、溃疡恶变而重复手术等问题，缩短了治愈周期，提高了生存质量。

The treatment group was added by subconjunctival autologous serum injection after surgery.

术后治疗组加自体血清球结膜下注射。

objective to evaluate the clinical effect of high myopia treated with lasik by a small optical zones flying spot scanner machine.methods 364 cases (721 eyes) of high myopia were treated with lasik by the schwind esiris laser machine with small optical flying spot scanner.the ablation zone was single zone or multi zone.the ablation depth was range of 78～187μm.all cases were followed up for 3～12 months.the changes of their visual acuities,subjective manifest refraction and complications were observed.results postoperatively,at one day and 3 month the visual acuities were 1.0 or better in 72.0%（519/721） and 81.7%（589/721）.the diopter within ±1.00 was 89.7%（647/721） and 90.7%（654/721）respectively.the complications include:decentral ablation 3 eyes (0.42%),decentral flap 5 eyes (0.69%),epithelial ingrowth 5 eyes(0.69%),glare 15 eyes(2.08%).conclusion the clinical effect of high myopia treated with lasik by a small optical zones flying-spot scanner machine was safety and efficacy,although it needs more corneal tissues.

目的 评价小光斑飞点扫描式准分子激光lasik治疗高度近视的效果。方法采用德国schwind esiris准分子激光机对364例（721眼）高度近视进行了lasik治疗。切削模式采用单区或多区切削，切削总量为78～187μm。随访3～12个月，观察术后视力、屈光度和并发症等情况。结果术后裸眼视力≥1.0者，术后1天、3个月时分别为72.0%（519/721）、81.7%（589/721）；术后屈光度在±1.00d以内者，术后1天、3个月时分别为：89.7%（647/721）、90.7%（654/721）。主要的并发症有：偏中心切削3眼(0.42%)、瓣位置偏离5眼(0.69%)、角膜上皮植入5眼(0.69%)、眩光15眼(2.08%)。结论小光斑飞点扫描式准分子激光lasik治疗高度近视的临床效果安全有效，但是需要切削较多的角膜组织。

The absorption and distribution of chromium were studied in ryeusing nutrient culture technique and pot experiment.

采用不同浓度K2CrO4(0，0.4，0.8和1.2 mmol/L)的Hoagland营养液处理黑麦幼苗，测定铬在黑麦体内的亚细胞分布、铬化学形态及不同部位的积累。

By analyzing theory foundation of mathematical morphology in the digital image processing, researching morphology arithmetic of the binary Image, discussing two basic forms for the least structure element: dilation and erosion.

通过分析数学形态学在图像中的理论基础，研究二值图像的形态分析算法，探讨最小结构元素的两种基本形态：膨胀和腐蚀；分析了数学形态学复杂算法的基本原理，把数学形态学的部分并行处理理念引入到家实际应用中。