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外伤性主动脉弓和支气管同时破裂治疗成功一例

肺切除术后并发乳糜胸的治疗

肋软骨肉瘤的手术治疗

【摘要】　目的　分析肋骨软骨肉瘤患者的临床特点及外科治疗效果，总结其手术治疗经验。　方法　回顾分析2006年1月-2009年3月收治的6例肋骨软骨肉瘤患者的临床资料。其中男5例，女1例；年龄20～58岁，平均38岁。病程1~5年，平均3年。根据胸部X线片和CT检查结果，采用切除病变肋骨手术治疗。　结果　6例肋骨软骨肉瘤术后病检示：黏液型3例，间充质型2例，去分化型1例。所有患者术后10 d均顺利出院。术后随访1～3年，其中1例复查胸廓外形稍改变，心肺功能稍差；另5例复查胸廓外形无改变，心肺功能良好。6例软骨肉瘤均未见复发。　结论　早期明确诊断，彻底切除肋骨肿瘤，可获得满意效果。

Expression of Tob mRNA in Human Colorectal Cancer

【Abstract】ObjectiveTo investigate the expression of Tob mRNA in human colorectal cancer tissues, and their corresponding paracancerous normal tissues which was 10 cm above the tumor and pathologically proved and to explore the role of Tob mRNA in the pathogenesis of colorectal cancer. MethodsQuantitative real time RTPCR was used to detect the expression of Tob mRNA in 31 colorectal cancers. ResultsCompared with paracancerous tissue, the expression of Tob mRNA in colorectal cancer tissues was significantly increased. Moreover, the expression levels of Tob in Dukes A, B, C, D were 1.146±0.067, 1.120±0.073, 1.052±0.020 and 1.047±0.010 respectively. Analyzed by oneway ANOVA, there were significant differences in expression of Tob in different Dukes stage. ConclusionThe upregulation expression of Tob mRNA may be closely associated with tumorigenesis of colorectal carcinoma.

Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study

ObjectiveTo investigate the efficacy of total thoracoscopy (VATS) lobectomy and the thoracotomy for the treatment of benign lung disease. MethodsWe retrospectively analyzed the clinical data of 70 patients with benign lung diseases in the First People's Hospital of Qujing between January 2012 and September 2013. According to the surgical way, the patients were divided into two groups including a total VATS group involved in 35 patients with 25 males and 10 females, aged 18 to 71 years, mean age of 41.3±6.4 years and a thoracotomy group involved in 35 patients with 26 males and 9 females, aged 19 to 72 years, mean age of 42.4±5.6 years. Then we compared the efficacy of the two groups. ResultsThere was no statistical difference (P > 0.05) in operative time and postoperative survival rate comparison. While in the total VATS group, the total thoracoscopic incision length, bleeding volume or pain time, postoperative day time of analgesia, thoracic drainage volume, postoperative drainage tube pulling time and hospitalization time were all lower than those in the thoracotomy group with statistical differeces (P < 0.05). ConclusionThe thoracoscopic lobectomy for treatment of benign pulmonary lesions is superior to the conventional thoracotomy with much less bleeding and pain, more faster postoperative recovery and less impact on the patient's body. It's suitable for clinical application in normal hospital.