简介：客观：研究诊断和渗透肛门直肠的创伤的有效治疗。方法：回顾的分析在从1985～2004渗透肛门直肠的创伤的16种情况中被做。肛门直肠、膀胱的创伤，烘便、尿的溪流的有效转向和足够的presacral排水的清创术和缝术在所有情况中被执行。结果：所有16个盒子被治好。在他们之中，有在presacral空间的感染的2个盒子被足够的排水在操作以后治好，在肛门括约肌失败地被修理以后，一个盒子被第二等的修理治好并且有书籍的右页的一个盒子膀胱的管与保守治疗被治好。任何一个都没他们受不了象肛门狭窄那样的复杂并发症，尿痛orimportence等等。结论：为渗透肛门直肠的创伤，到主人，伴随物的早识别伤害，到精选适当外科的干预，加强perioperativetreatment是钥匙改进药品效果。

简介：Objective:Todiscussthediagnosisandmanagementoftraumaticcarotidcavernousfistula(TCCF).Methods:Inall15patientswithTCCFconfirmedbyangiography,8patientsgotearlydiagnosisandcure.WithSeldingertechniqueadpotedinthepunctureoffemoralartery,Magic3F-1.8FBDcatheterscombiningwithballoonwereusedtoembolizethefistulaortheinternalcarotidartery.Results:Earlydiagnosisandcurewereachievedin8patientswithinoneweekandnosequelaeoccurred.Sevenpatientswithdelayeddiagnosiswhowerecuredbeyondoneweekhadsomesequelaesuchashypopsiain5cases,incompleteoculomotorparalysesin3andincompleteabducentparalysesin2.Amongallthe15cases,theinternalcarotidarterywaspreservedin12casesacountingfor80%.Occludingthefistulawithsacrificeoftheinternalcarotidarterywasperformedin3casesandnorepatencyofthefistulaoccurredbyfollowingupbeyondthreemonths.Conclusions:ThepreferredtherapyforTCCFistooccludethefistulausingdetachableballoon.ThediagnosisandtreatmentforTCCFcansignificantlyreduceoccurrencerateofthecomplicationsandsequelae.

简介：Traumatichematomaofposteriorfossa(THPF)isaspecialkindofcraniocerebralinjurywithitsowncharacteristicsinclinicalmanifestations,diagnosisandtreatment.Ingeneral,theprognosisofTHPFispoor.Withoutearlydiagnosisandprompttreatment,theoutcomewouldbeverypoor,withhighoccurrenceofmorbidityandmortality.Sincetheavailabilityofcomputedtomography(CT)in1983,wehavereceivedandsuccessfullytreated44patientswithTHPFuntilNovember2000.

简介：Objective:Toimprovethediagnosisandtreatmentofseverecerebralfatembolism(SCFE).Methods:ThedataofninepatientswithSCFEwereretrospectivelyanalyzed.Themanifestationsofthecentralnervesystem,respiratorysystemandhemorrhagewererecorded,atthesametime,accessoryexaminationincludingarterialoxygen,fatmacroglobulesinvenousbloodandimageexaminationwasadapted.Thepatientsweretreatedwithexopexy,pharmocotherapyandoxygentherapy.Results:Twooftheninepatientsdiedofseverecomplications,theothersevenrecoveredwithoutseveresequela.Conclusions:GurdstandardshouldbeimprovedforearlydiagnosisofSCFE.Ifsverecomplicationscanbeprevented,patientswhoreceiveearlytreatmentwillhavefavourableprognosis.

简介：Traumatictricuspidvalveinsufficiency(TTVI)isarelativelyuncommondisease.

简介：客观：为了改进痊愈，与由craniocerebral损害复杂的腹的内脏的损害病人评价。方法：由craniocerebral损害复杂的腹的内脏的损害的176个盒子的临床的数据回顾地被分析。结果：在这个系列，44个盒子死了，死亡是25.0%。死亡的主要原因是与吃惊相结合的腹的内脏的损害和严重craniocerebral损害。结论：在早舞台由精确诊断改进痊愈率是必要的。腹的帕拉穿刺术和CT应该即时并且动态地被执行。优先级应该被给life-threateninginjuries的治疗。

简介：ＴＤｅｐａｒｔｍｅｎｔｏｆＣｌｉｎｉｃａｌＲａｄｉｏｌｏｇｙ，ＦｉｒｓｔＨｏｓｐｉｔａｌ，ＢｅｉｊｉｎｇＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ，８ＸｉｓｈｉｋｕＳｔｒｅｅｔＢｅｉｊｉｎｇ１０００３４，Ｃｈｉｎａ（ＷａｎｇＲＧ，ＧａｏＹＪａｎｄＬｉＳＮ）Ｄ...

简介：Objective:ToinvestigatethediagnosticvalueofmultidetectorspiralCT(MSCT)inacutethoracolumbarspinalfractureandfracture-dislocation.Methods:CTimagingfilesof152consecutivetraumaticpatientswiththoracolumbarfractureswereretrospectivelyreviewed.MSCTscanningswereperformedwithacollimationof3-5mmandapitchof5.5.Thepostprocessingincludedsagittalandcoronalmultiplannarreconstruction,and3-Dreconstruction.Result:Therewere88casesofcompressionfracture,54casesofburstfractureand10casesoffracasdislocation.TransverseimagesofMSCTcouldvisualizeallfracturesdirectlyanddeterminewhetherspinalcanalwasintact.Postprocessingimagewashelpfulindepictingthedisplacementoffragmentandorientationofdislocation.Conclusions:MSCTplaysanimportantroleindiagnosisandmanagementofacutethoracolumbarspinalfractureandfracture-dislocation.

简介：Thisisareviewarticledescribingsomenewandinterestingaspectsinthediagnosisandtreatmentinsystemicvasculitisanddemonstratingseveralcasesthatwehaveencountered.ParticularemphasiswillbeputonTakayasuarteritis(alsoknownasaortitissyndrome)mostcommonlyobservedinJapanandotherorientalcountries.CTandMRIbetterdemonstratethevesselwallabnormalityofTakayasuarteritisthanangiography.Importanceofplainchestradiographshouldalsobekeptinmind;itcouldprovideaclueinthediagnosisofTakayasuarteritisinitsearlystage.

简介：【摘要】目的：探究无创DNA产前检测（non-invasive prenatal testing，NIPT)在高龄孕妇胎儿非整倍体染色体疾病产前诊断中的临床应用价值，为高龄孕妇进行无创DNA临床应用提供依据。方法：收集2018年1月至2022年10月在我院自愿进行无创DNA产前检测的单胎高龄孕妇1183例，按年龄将孕妇分为35-39岁组(n=1100)与年龄≥40岁组(n=83)。采用NIPT高通量测序检测孕妇外周血中胎儿游离DNA。检测结果提示染色体高风险者行羊膜腔穿刺抽取羊水进行胎儿染色体核型分析。对检测结果提示低风险者通过电话随访进行验证。观察其胎儿染色体非整倍体疾病诊断。结果：1183例受检者NIPT检测结果提示，胎儿非整倍体染色体异常者12例，其中，21-三体5例，18-三体2例，13-三体1例，性染色体异常4例（2例47，XXX/XXY；1例47，XYY；1例45，XO）。NIPT检测在高龄孕妇中阳性率为1.01%(12/1183)。12例高风险孕妇其中自然流产1例，其余11例均做羊水穿刺，5例21-三体高风险均经羊水穿刺确诊，21-三体在高龄孕妇中的阳性预测值达到100%(5/5)，18-三体在高龄孕妇中的阳性预测值为50%(1/2)，1例13-三体经羊水穿刺排除，性染色体阳性预测值为50%(2/4)。35～39岁年龄组染色体异常高风险发生率为0.73%(8/1100)，年龄≥40岁组染色体异常高风险发生率为4.82%（4/83），两组比较，差异有统计学意义(P＜0.05﹚。结论：NIPT检测对高龄孕妇胎儿 21-三体、18-三体及性染色体符合率较高，可明显减少高龄孕妇介入性产前诊断，但对 13- 三体和性染色体数目减少的符合率偏低，NIPT检测异常的孕妇仍需行羊水穿刺确诊，避免不必要的流产。