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Hypertrophied anal papillae and fibrous anal polyps,should they be removed during anal fissure surgery?

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World journal of Gastroenterology 2004年第16期10卷 2412-2414页

作者： Pravin j.Gupta Proctologist Gupta Nursing HomeD/9LaxminagarNAGPUR-440022India

AIM:Hypertrophied anal papillae and fibrous anal polyps are not given due importance in the proctology practice. They are mostly ignored being considered as normal *** present study was aimed to demonstrate that hypertrophied anal papillae and fibrous anal polyps could cause symptoms to the patients and that they should be removed in treatment of patients with chronic fissure in anus. METHODS:Two groups of patients were studied.A hundred patients were studied in group A in which the associated fibrous polyp or papillae were removed by radio frequency surgical device after a lateral subcutaneous sphincterotomy for relieving the sphincter *** group of a hundred patients who also had papillae or fibrous polyps,were treated by lateral sphincterotomy *** were followed up for one year. RESULTS:Eighty-nine percent patients from group A expressed their satisfaction with the treatment in comparison to only 64% from group B who underwent sphincterotomy alone with the papillae or anal polyps left *** A patients showed a marked reduction with regard to pain and irritation during defecation (P=0.0011), pricking or foreign body sensation in the anus (P=0.0006) and pruritus or wetness around the anal verge (P=0.0008). CONCLUSION:Hypertrophied anal papillae and fibrous anal polyps should be removed during treatment of chronic anal *** would add to effectiveness and completeness of the procedure.

关键词： Adult Anal Canal female fissure in ano follow-Up Studies Humans Hypertrophy Intestinal Polyps Male Pain Patient Satisfaction Retrospective Studies Time factors

脊髓拴系是否为引起fG综合征中线缺损的原因

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世界核心医学期刊文摘（儿科学分册） 2005年第8期1卷 37-38页

作者： Visootsak j. Danielpour M. Graham jr. j.M. 平智广 Cedars Sinai Medical Center 444 South San Vicente Blvd # 1001 Los Angeles CA 90 048 United States Dr.

Objectives: fG syndrome is an X- linked recessive mental retardation syndrom e with ano- rectal anomalies, constipation, and occasional urinary incontinence . Because tethered spinal cord syndrome (TCS) has similar symptoms, we evaluated imaging for TCS in patients with fG syndrome. Study design: Patients were recru ited from the International fG Syndrome Support Group, and an fG Syndrome Consen sus Group reviewed clinical histories, medical records, and photographs of each responding patient. Results of cranial and spinal imaging studies were available for 12 patients. Results: Of 12 boys with fG syndrome, 6 had hypoplasia of the corpus callosum, and 3 of these had TCS (all with constipation and urinary sympt oms). The other 9 did not have urinary symptoms. After surgical untethering, bow el and bladder symptoms improved. Conclusions: Tethered spinal cord syndrome occ urred in 25% of patients with fG syndrome associated with hypoplasia of the co rpus callosum and causing bowel and bladder incontinence. A high index of suspic ion is necessary for early diagnosis, and timely intervention results in signifi cant improvement in symptomatology.

关键词： fG综合征脊髓拴系发育不全手术松解小便失禁用成知情同意隐性遗传早期诊断影像学检查

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颏孔与颏神经之方向在进化中的变化

解剖学报 1953年第1期 78-81页

作者：张查理西北医学院解剖科

1.一切下等动物之颏孔的方向都朝前上,或一直朝前.婴儿颏孔之方向与下等动物相似。2.婴儿时代以後,颏孔之方向乃转向上後,与下等动物完全不同。3.颏神经初出颏孔时之行路的方向,在婴儿时代,是朝前上与下等动物相同,6岁以後则转向上後,... 详细信息

1.一切下等动物之颏孔的方向都朝前上,或一直朝前.婴儿颏孔之方向与下等动物相似。2.婴儿时代以後,颏孔之方向乃转向上後,与下等动物完全不同。3.颏神经初出颏孔时之行路的方向,在婴儿时代,是朝前上与下等动物相同,6岁以後则转向上後,而异於禽兽矣。4.颏孔与颏神经之方向的变更具有进化适应的意义。

关键词：颏神经颏孔下颏骨

儿童脑静脉窦血栓的发病危险因素、临床表现、诊断和预后

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世界核心医学期刊文摘（神经病学分册） 2005年第9期1卷 25-26页

作者： Sébire G. Tabarki B. Saunders D.E. .j. Kirkham 黄卫东 Wolfson Centre Mecklenburgh Square London WC1N 2AP United Kingdom Dr.

Neuroimaging and management advances require review of indications for excluding cerebral venous sinus (sinovenous)-thrombosis (CSVT) in children. Our goals were to examine (i) clinical pres entations of CSVT, (ii) prothrombotic risk factors and other predisposing events , (iii) clinical and radiological features of brain lesions in CSVT compared wit h arterial stroke, and (iv) predictors of outcome. We studied 42 children with C SVT from five European paediatric neurology stroke registries. Patients aged fro m 3 weeks to 13 (median 5.75) years (27 boys; 64%) presented with lethargy, ano rexia, headache, vomiting, seizures, focal signs or coma and with CSVT on neuroi maging. Seventeen had prior chronic conditions; of the 25 previously well patien ts, 23 had recent infections, eight became dehydrated and six had both. Two chil dren had a history compatible with prior CSVT. Anaemia and/or microcytosis (21 probable iron deficiency, five haemolytic, including two with sickle cell disease and one with β-thalassaemia) was as common (62%) as prot hrombotic disorder (13/21 screened). High factor VIII and homozygosity for the t hermolabile methylene tetrahydrofolate reductase polymorphism were the commonest prothrombotic disorders. The superficial venous system was involved in 32 patie nts, the deep in six, and both in four. Data on the 13 children with bland infar ction and the 12 with haemorrhage in the context of CSVT were compared with thos e from 88 children with ischaemic (AIS) and 24 with haemorrhagic (AHS) arterial stroke. In multiple logistic regression, iron deficiency, parietal infarction an d lack of caudate involvement independently predicted CSVT rather than arterial disease. five patients died, three acutely, one after recurrence and one after 6 months being quadriparetic and blind. follow-up ranged from 0.5 to 10 (median 1) years. Twenty-six patients (62%) had sequelae: pseudotumour cerebri in 12 a nd cognitive and/or behavioural disabilities in 14, associate

关键词：静脉窦发病危险因素影像学检查近期感染动脉性顶叶梗死动脉疾病血管造影检查局灶症状铁缺乏

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食管闭锁患儿永存左上腔静脉的发生率

世界核心医学期刊文摘（儿科学分册） 2006年第8期2卷 48-48页

作者： Mowery N. Billmire D. f. Schamberger M. 贺莉(译) -j. PEDIATR. SURG. 2006 41/3 (484-486) 不详

Purpose:Esophageal atresia is known to be associated with a variety of additi onal congenital anomalies in multiple organ *** on cardiovascular anomalies has been focused on aortic arch and intrinsic cardiac malformations.P ersistent left superior vena cava(PLSVC)is the most common venous thoracic ano maly in the general population and creates a problem when central venous access is *** review was undertaken to define the incidence of PLSVC in infa nts with esophageal atresia and to determine if any subgroup of associated anoma lies poses additional ***:A retrospective,institutional review board-approved review of all children treated for esophageal atresia from 1993 to 20 02 at Riley Hospital for Children was *** 118 children,89 had suffic ient data for *** were reviewed for gestational age,weight,type of atresia,echocardiogram,and associated *** analysis was p erformed using the fisher’s Exact ***:Of 89 children,8(9.9%;conf idence interval,4%-17%)had PLSVC compared with the reported incidence of 0.3%in the general *** of additional organ system anomalies did not significantly increase relative risk for ***:The incidence of PLSVC is significantly increased in children with esophageal atresia when compa red with the general *** increased incidence of PLSVC is not influe nced by the presence of cardiac or other associated *** finding shou ld be kept in mind when central venous access is required in this patient popula tion.

关键词：永存左上腔静脉食管闭锁发生率患儿 PLSVC fisher 先天异常心血管异常评审委员会超声心动图

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煤中形态硫分析及脱除能力研究

燃料化学学报 1996年第2期24卷 150-154页

作者：张德祥 Riley,jT 淮南矿业学院化工系

在实验室自动定硫仪上采用形态硫直接测定法，测定了７种煤样的脂肪硫、黄铁矿硫与噻吩硫的含量及它们脱除难易程度（能力），结果表明采用本实验方法测得的形态硫结果与Ｘ－射线吸收精细结构能谱（ＸＡＦＳ）所分析的结果一致。煤中形... 详细信息

在实验室自动定硫仪上采用形态硫直接测定法，测定了７种煤样的脂肪硫、黄铁矿硫与噻吩硫的含量及它们脱除难易程度（能力），结果表明采用本实验方法测得的形态硫结果与Ｘ－射线吸收精细结构能谱（ＸＡＦＳ）所分析的结果一致。煤中形态硫在加热条件下脱除能力为：脂肪硫＞黄铁矿硫＞噻吩硫＞硫酸盐硫，而在弱碱性氧化脱硫条件下各形态硫脱除能力为：黄铁矿硫＞脂肪硫＞噻吩硫＞硫酸盐硫。

关键词：煤有机硫形态硫脱硫能力测定