简介:摘要:外阴白斑是临床常见疾病,也是疑难杂病,其病因及发病机制尚不清楚,因其瘙痒难耐的特点严重危害了女性的身体健康,极大地降低了女性的生活质量,外阴白斑在中医属于阴痒的范畴,中医多联合治疗,疗效显著。
简介:摘要目的探讨甲状腺手术中对喉返神经和喉上神经的保护.方法加强各级医生对于喉神经变异的识别、保护方法的选择,提升其运用显露技术的经验,并给予其相应的规范与指导.结果通过上述方法的实施与应用,能够对传统手术方式的不足之处加以改进,使医生在临床治疗过程中改变甲状腺囊内切除等一系列盲目的操作方法,显著提升了医生对患者甲状腺手术中喉返神经和喉上神经的保护意识.结论临床上在进行甲状腺手术操作时,手术医师若能全面掌握患者喉神经的解剖特征,提高手术的操作理念及技巧,通过常规显露喉神经,并辅以相应的神经监测手段,能够有效的减少患者术后的喉神经损伤发生率,增强手术的安全性,从而取得更加理想的治疗效果,值得在临床上大力推广.关键词甲状腺手术;喉返神经;喉上神经Abstractobjectivetostudyoflaryngealrecurrentnerveinthyroidsurgeryandlaryngealnerveprotection.MethodsstrengtheningdoctorsatalllevelsforlaGryngealnervevariationoftheprotectmethodsofidentification,selection,increaseitsuseshowtechnologyexperience,andgivethecorrespondingspecificationandguidance.Resultsthroughtheimplementationandapplicationoftheabovemethods,toimproveonthedeficiencyoftraditionaloperationmethod,makethedoctorintheclinicaltreatmentintheprocessofchangewithinthethyroidcystsresection,andaseriesofblindoperationmethod,doctorofpatientssignificantlyincreasedlaryngealrecurrentnerveandlaryngealnerveinthyroidsurgerytoprotectconsciousness.Conclusionsinclinicalthyroidsurgery,surgerydoctorifcanfullygrasptheanatomicalcharacteristicsofthepatientswithlaryngealnerveandimprovesurgicaloperationconceptandskills,withregularshowlaryngealnerve,supplemenGtedbythecorrespondingneuralmonitoringmethod,caneffectivelyreducetheincidenceofpostoperativelaryngealnerveinjurypatients,enhancetheoperationsafeGty,soaKseytowaocrhdisevebettertreatmenteffect,isworthpromotinginclinic.thyroidsurgery;Laryngealrecurrentnerve;Laryngealnerveon中图分类号R581文献标识码B文章编号1008-6315(2015)12-0028-02
简介: 摘要:目的 对竹红菌素软膏治疗外阴白斑病的临床效果进行观察和分析。 方法 选择 60例外阴白斑病患者按照治疗方法的不同分为观察组和治疗组,比较两组患者的临床疗效。结果 治疗组患者中,临床治愈 15例,显效 7例,有效 6例,无效 2例,临床总有效率为 93.33%。观察组患者中,临床治愈 5例,显效 8例,有效 10例,无效 7例,临床总有效率为 76.67%。治疗组患者的临床总有效率明显高于观察组患者( P<0.05)。结论 竹红菌素软膏治疗外阴白斑病有显著的治疗效果,值得临床推广。 关键词:竹红菌素软膏;外阴白斑病 ABSTRACT: Objective To observe and analyze the clinical effect of hypocrellin ointment in the treatment of vulvar leukoplakia. Methods 60 patients with pudendal leukoplakia were divided into observation group and treatment group according to different treatment methods. The clinical efficacy of the two groups was compared. Results In the treatment group, 15 cases were cured, 7 cases were markedly effective, 6 cases were effective and 2 cases were ineffective. The total clinical effective rate was 93.33%. In the observation group, 5 cases were clinically cured, 8 cases were markedly effective, 10 cases were effective and 7 cases were ineffective. The total clinical effective rate was 76.67%. The clinical total effective rate of the treatment group was significantly higher than that of the observation group (P < 0.05). Conclusion Hypocrellin ointment has a significant therapeutic effect on vulvar leukoplakia, which is worthy of clinical promotion. -
简介:目的:探讨甲状腺手术中喉返神经(RLN)、喉上神经(SLN)的保护方法,以避免或减少术后永久性神经损伤的发生率。方法对东南大学医学院附属南京同仁医院耳鼻咽喉头颈外科,2013年6月—2014年11月行甲状腺精细化操作手术治疗141例患者的临床资料进行回顾性分析。其中男37例、女104例,年龄9~78岁。行甲状腺全切54例,甲状腺腺叶切除58例,甲状腺腺叶切除+对侧部分切除29例;其中二次手术者10例,行Ⅵ区清扫者18例。术中RLN显露者121例,未显露者20例。结果本组141例均顺利完成手术。术后并发RLN暂时性损伤5侧,占2.56%(5/195),给予激素、神经营养药物治疗,并配合发音训练,3个月内神经功能均恢复正常;其中RLN显露组占2.5%(3/121),未显露组占5%(1/20),组间比较差异无统计学意义(χ2=0.396,P〉0.05)。无一例并发RLN永久性损伤和SLN损伤。结论熟悉RLN、SLN与甲状腺的正常解剖与变异情况,应用被膜解剖技术精细操作,术后可以避免神经的永久性损伤。一旦发生神经损伤,及时给予对症处理,提高患者的生活质量。
简介: [摘要 ] 目的 探讨口腔粘膜白斑的临床治疗方法及效果。方法 将我院收治 80例口腔粘膜白斑患者按照随机数字法分为两组。对照组患者给予综合治疗,观察组给予综合 +CO2激光手术治疗,观察两组的临床效果和不良反应情况。结果 观察组总有效率 92.5%,对照组总有效率为 80.0%,对照组和观察组的数据比较,差异有统计学意义( P<0.05);对照组不良反应发生率和观察组不良反应发生率比较,差异无统计学意义( P>0.05)。 结论 临床中口腔粘膜白斑患者应用综合 +CO2激光手术治疗是可行的,效果显著,不良反应少,值得临床中应用。 [关键词 ] 口腔粘膜白斑;综合治疗; CO2激光治疗;疗效观察 [Abstract] Objective To explore the clinical treatment and effect of oral leukoplakia. Methods 80 patients with oral leukoplakia were randomly divided into two groups. The patients in the control group were given comprehensive treatment, the patients in the observation group were given comprehensive + CO2 laser surgery, and the clinical effect and adverse reactions of the two groups were observed. Results the total effective rate of the observation group was 92.5%, the total effective rate of the control group was 80.0%. There was statistical significance between the data of the control group and the observation group (P < 0.05); there was no statistical significance between the adverse reaction rate of the control group and the observation group (P > 0.05). Conclusion it is feasible to use comprehensive + CO2 laser in the treatment of leukoplakia of oral mucosa in clinic, with remarkable effect and less adverse reactions, which is worthy of clinical application.
简介:摘要:外阴白斑是一种常见的皮肤病,临床治疗效果有限。本研究旨在观察中医药内外联合治疗外阴白斑的临床疗效。选取50例外阴白斑患者,随机分为观察组和对照组,观察组采用中医药内外联合治疗,对照组采用传统外用药物治疗。观察治疗前后的症状、体征及皮损面积变化情况,并进行统计学分析。结果显示,观察组治疗后症状明显改善,体征消失,皮损面积显著缩小,总有效率为92%,而对照组的总有效率为72%。观察组的疗效明显优于对照组,差异有统计学意义(P<0.05)。因此,中医药内外联合治疗外阴白斑具有显著的临床疗效,值得临床推广与应用。