经腹化疗栓塞治疗肝癌的疗效分析

我院自1988年～1993年经腹手术行肝癌化疗栓塞122例,手术死亡4例,余全部随访。1年生存率31％,2年生存率6.5％。肿瘤直径在10cm以下者1年生存率75％,膨胀型生长的病人1年生存率63.15％。合并重度肝硬化的病人1年生存率26.3％。肝动脉门静脉双栓塞的病人1年生存率53.3％。结果表明对于中晚期肝癌的病人尽管病变广泛,肝硬化严重,但治疗应取积极态度,经血管途径的化疗栓塞手术有明显的姑息治疗效果。     

腹股沟疝改良肖第氏术46例治疗体会

腹股沟商中为外科常见病，术式随局部解剖及生理认识之深入，而不断发展。但因术式各异，技术不等，病员选择不同，随访标准双不一致，故至今何种手术方式最佳，尚难定论。我字外科自１９８０年至１９９５年采用部分改良肖第氏术作股沟疝修补４６例获访３８例未见复发。本术式重点修复腹股沟后壁，重建内环，方法简便，符合解主生理要求。     

先天性冠状动脉左右心室瘘的外科治疗

本文报告4例少见的先天性冠状动脉左或右室瘘。1例为左冠状动脉前降枝右室瘘,行双结扎贯穿缝合;1例为右冠状动脉后降枝瘘入左室;2例为右冠状动脉后降枝瘘入右室;后3例在体外循环（CPB）下,切开瘤样扩张之冠状动脉（其中1例并切开右室）关闭瘘口。4例随诊平均7.8年均获满意疗效。文中重点讨论了诊断、手术适应证及手术方法的选择。     

电视胸腔镜手术35例临床分析

1997年6月至1998年7月共进行电视胸腔镜手术（Video－assistedthoracoscopicsungery，VATS）35例，均获成功。结果表明VATS为胸外科提供了一种微创手术方法，具有术野显示清楚、损伤轻、痛苦小、恢复快、住院时间短、并发症少等优点。尤其适用于年老体弱、心肺功能较差、不能耐受开胸手术的患者。病期在2～6周内的胳购，可以通过会师的方法对决VATB的手术入路．胸内小弯度针缝合严密，灵活准确，最大限度保留了正常肺组织。     

Vacuum-compression therapy for ischemic disease of the extremities：experience with 40 patients

Objective To study the clinical effects of vacuum-compression therapy for ischemic disease of the extremities. Methods A total of 40 cases of peripheral arterial disorders, including 23 thromboangiitis obliterans (31 limbs) and 17 arteriosclerosis obliterans (23 limit), were treated by a self-made vacuum-compression therapeutic apparatus. Results The effective rate in thromboangiltis obliterans and arteriosclerosis obliterans groups was 96.77% and 92.23%, respectively. The cuffs on the apparatus were improved to eliminate discomfort in the patients during treatment. "Rebound symptom" was observed during treatment, which had not been reported previously. Conclusion Vacuum-compression therapy has a good prospect for treating ischemia of the extremities.