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Results:(1) Progesterone-treated models showed intact nasal mucosa, regular ciliary lining and inactive glands;(2) Untreated or normal saline treated models showed disrupted mucosa, inverted cilia and massive mucosal infiltration of neutrophils;(3) Smearing of nasal discharge revealed limited vs abundant number of neutrophils in SD models treated with progesterone vs untreated or treated with normal saline.(4) Hoechst stain: significantly fewer apoptotic cells per field were found in progesterone-treated models (1.583 ± 0.28) compared with untreated or normal saline treated models (2.85 ± 0.285 and 4.8 ± 0.715, respectively).

结果:(1)用黄体酮滴液治疗的SD大鼠腔黏膜上皮完整,纤毛整齐,腺体开放不多;(2)用或不用生理盐水滴液治疗的SD大鼠腔黏膜上皮纤毛倒伏,上皮结构散乱,上皮层大量中性粒细胞浸润;(3)腔分泌物涂片示黄体酮滴液治疗的SD大鼠有少许中性粒细胞,而用或不用生理盐水滴液治疗的SD大鼠腔分泌物含有大量中性粒细胞;(4)Hoechst染色:用黄体酮滴液治疗的SD大鼠腔黏膜上皮凋亡细胞数[(1.583±0.28)/视野]明显少于用或不用生理盐水滴液治疗的SD大鼠[分别是(2.85±0.285)/视野和(4.8±0.715)/视野]。

Results The total 100 frontal sinuses were all revealed. Of 100 ostia, nasofrontal ducts, ethmoid infundibula, and middle nasal meatuses, 4 didn't show up and 96 could be viewed with air channel and bone channel structures well demonstrated in 70, and the remaining 26 still showed their bone channel structures though their air channel structures were vanished.Conclusion The structures of the ostium of frontal sinus, nasofrontal duct, ethmoid infundibulum, middle nasal meatus, etc.

结果 50例被检查者的50个额窦全部显示;100个窦口、额管、筛漏斗及中道结构,4个未显示,96个被显示,其中70个窦口、额管、筛漏斗及中道的气道结构和骨结构均清晰可见,26个窦口、额管、筛漏斗及中道的气道结构消失但骨结构仍可见。

Scar resection in upper lip, orbicularis oris muscle reconstruction, Z-plasty, V-Y plasty or double movable mucomuscular complex flaps for vermilion defects were applied to slight nasolabial deformities. In severe labionasal deformities, Forked flap was used at the upper lip to lengthen columella for patients who have enough upper lip tissue, while for those who have deficient upper lip tissue, the prolabium was advanced into columella for lengthening and an Abbé flap was adopted for upper lip reconstruction. Results Since 2000, we have treated 23 patients of secondary deformities of bilateral cleft lip.

对上唇及畸形较轻者,采用上唇瘢痕切除,口轮匝肌重建,V-Y成形、Z成形术或双侧肌蒂红唇肌粘膜瓣向中间推进矫正红唇口哨畸形;对唇畸形较严重但上唇组织较多者,采用底叉形瓣延长小柱进行矫治;对唇畸形严重并有上唇过紧者,采用前唇组织瓣延长小柱,下唇带蒂组织瓣旋转修复上唇正中缺损。

Pe Min Kam Wan, Lam Kam Sang Nasalin and Wo Chun Tong possess antiallergic activities. Senecio scandens and Selaginella may be the effective ingredients of Wo Chun Tong and Pe Min Kam Wan, and Xanthium sibiricum may also be one of the effective ingredients of Pe Min Kam Wan.

速效敏感丸、和春堂敏清片及林金生敏清胶囊具有抗过敏活性,九里明和卷柏可能为速效敏感丸及和春堂敏清片的有效组分,苍耳子亦可能为速效敏感丸的有效组份之一。

ResultsPe Min Kam Wan, Lam Kam Sang Nasalin and Wo Chun Tong clearly inhibited PCA in mice and reduced histamine release from rat mast cells induced by compound 48/80. But,Sinuwell did not affect the PCA. In addition, the ethanol extracts from Senecio scandens, Selaginella tamariscina and Xanthium sibiricum significantly inhibited PCA in mice, but the extracts from Angelica dahurica, Magnolia liliflora and Cassia tora failed to affect it.

结果速效敏感丸、林金生敏清胶囊及和春堂敏清片明显抑制小鼠异种被动皮肤过敏反应,减少compound 48/80诱导的组胺释放,而速效敏素胶囊对被动皮肤过敏反应无明显影响;速效敏感丸及和春堂敏清片主要组成药物九里明、卷柏和苍耳子显著抑制小鼠异种被动皮肤过敏反应,而白芷、辛夷和决明子无明显作用。

Objective To observe the effect of complications such as middle turbinate drift and adhesion in the treatment of middle turbinate dealtwith functional endoscopic sinus surgery.Methods In160cases dealt with FESS,to seek for what happened about the complications by resecting the lateral section and/or basilar section of middle turbinate,and keep its plate continuance by resecting the posterior ethmoid when the middle turbinate has been found to be laterotorsion,reverse,hypertrophy or vesicle change.

目的 观察实施功能性内镜窦手术时,中甲的处理对中甲漂移、粘连并发症的影响方法在160例患者实施FESS时,对中甲外翻、反向、肥、泡性改变,实施中甲外侧或并游离缘部分切除,保持中甲基板连续性,观察中甲漂移、粘连并发症发生情况。

Result:Among the 44 cases diagnosed by CT scan as nasopharyngeal carcinoma,their pathological findings revealed 35 cases of nasopharyngeal carcinoma, 2 cases of non-Hodgkin s disease, 3 cases of nasopharyngeal tuberculosis, 3 cases of nasopharyngeal lymphadenosis, and 1 case of nasophar...

结果 :CT诊断为咽癌 4 4例,经病理检查证实者 35例,其余为非霍奇金淋巴瘤 2例,咽结核 3例,咽淋巴增生 3例,咽囊肿 1例;CT报告咽炎症 11例,而经活检后病理确诊为咽癌 2例,慢性炎症 6例,咽结核 1例,咽囊肿 2例;CT诊断咽纤维血管瘤 4例,均得到病理证实。

Results The time of postoperative debridement of nasal cavity in patients with partial endonasal middle turbinectomy was shorter than those with preservation of middle turbinate (P<0.01). There was no synechia in cases with partial middle turbinectomy and 12 cases of synechia in cases with preservation of middle turbinate.

结果 ①术后腔清理时间,中甲部分切除侧(平均7.1 d)与中甲保留侧(平均9.4 d)差异有高度显著性(t=3.84,P<0.01);②中甲保留侧术后发生腔粘连12例,中甲部分切除侧无1例发生粘连;③中甲部分切除侧嗅觉改善与中甲保留侧差异无显著性,40例中未见嗅觉下降者。

Measure the items on before and after the two courses of treatment respectively as follows:① Syndromes Investigation: to adopt the scoring methods of symptoms and signs with the certain standard scoring table of symptoms and classifying table of signs for the patients, on the day before and after the two courses of treatment respectively ,② Signs Investigation: the mucoma visibility, swelling or hyperemia conditions, or gloyp and polypoid change in the inferior and middle nasal conchas, nasal septum, etc with a nasal endoscope on the day before and after the two courses of treatment respectively,③ Test of the lung functiaon on the previous day before and after the two courses of treatment respectively.

治疗组在治疗前、两个疗程结束后分别进行以下项目的观察:①临床症状的评定:治疗前及两个疗程结束后当天对患者塞、痒、流涕、喷嚏症状的程度进行评分;②体征的评定:治疗前及两个疗程结束后当天采用额镜肉眼观察患者下粘膜颜色、肿胀情况,及中甲是否可见,有否息肉样变等;③治疗前及两个疗程结束后即刻予以检测肺功能。

Measure the items on before and after the two courses of treatment respectively (one course for 15 days) as follows:①Syndromes Investigation: to adopt the scoring methods of symptoms and signs with the certain standard scoring table of symptoms and classifying table of signs for the patients, on the day before and after the two courses of treatment respectively,②Signs Investigation: the mucoma visibility, swelling or hyperemia conditions, or gloyp and polypoid change in the inferior and middle nasal conchas, nasal septum, etc with a nasal endoscope on the day before and after the two courses of treatment respectively,③Test of the interferon-γ、interleukine-4(IL-4) in serum of patients by the method of enzyme linked immunosorbent assay on the previous day before and after the two courses of treatment respectively.

治疗组在治疗前、两个疗程结束后分别进行以下项目的观察:①临床症状的评定:治疗前及两个疗程结束后当天对患者痒、塞、流涕、喷嚏症状的程度进行评分;②体征的评定:治疗前及两个疗程结束后当天采用额镜肉眼观察患者下粘膜颜色、肿胀情况,及中甲是否可见,有否息肉样变等;③治疗前及两个疗程结束后一天清晨空腹抽取患者肘静脉血4ml离心后,采用酶联免疫吸附试验检测患者血清IFN-γ、IL-4的含量。

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