Objective: To explore the effects of different transplant sites on survivaland androgen section of Leydig cell of adult rat testis. Methods: Healthy adult rats were randomly divided into control group, sham group, subcutaneous group, and kidney capsule group. Rats in control groupkept intact, the remaining rats underwent castration 1 week before testis transplantation. The dorsal skin of rats in control group and sham group were cut, but no testiswastransplanted subcutaneously; 1/3 testis was transplanted subcutaneously at each side of dorsal skin of rats in subcutaneous group, while testis of the same volume was transplanted under the kidney capsule of rats in the kidney capsule group. The grafts were obtained 4 weeks later. Then the Leydig cell were examined by using HE staining and immunohistochemistry staining. And the testosterone concentration of recipient serum was analyzed by ELISA. Results: Interstitial tissues intact were not found in grafts in subcutaneous group and kidney capsule group. Butnumerous HSD-17β1-positive cells were observed in samples of both groups. And the number of HSD-17β1-positive cell of control group, subcutaneous group, and kidney capsule were (3.81±1.32), (9.83±4.05), and (12.67±2.81) separately. The testosterone concentration of rat serum of control group, sham group, subcutaneous group, and kidney capsule group were (3.81±1.32), (0.28±0.08), (0.44±0.13), and (0.90±0.31) ng/m L separately.The testosterone concentration of kidney capsule group was higher than that in sham group (p＜0.01) and subcutaneous group (p＜0.05), while the testosterone concentration of serum in subcutaneous group was higher than that in sham group, but the difference between the two groups was not statistically significant (p＞0.05). Conclusions: Leydig cells in testis grafts could survive under the kidney capsule or back skin of recipients. However, the microenvironment of under kidney capsule might be more suitable for Leydig cell survival and androgen secretion.

目的：消除妇科宫腔镜手术患者的心理顾虑，积极配合手术，提高患者宫腔镜手术成功率，减少术后并发症。方法：选取2006年3月-2012年2月在我科进行宫腔镜手术患者125例，护理人员对其进行针对性的术前、术中、术后心理护理和护理指导。结果：通过对宫腔镜手术患者进行积极有效的心理护理和指导，使术后护理达到预期效果，患者都能如期治愈出院。结论：良好的情绪状态不仅利于手术成功，而且利于疾病的恢复，减少并发症的发生，促进了术后机体的康复。

目的:讨论脊柱损伤患者的优质护理与整体护理模式,提高患者的生存质量。方法:选择2009年1月～2012年10月实行优质护理与整体护理的184例脊柱损伤患者。结果:优质护理与整体护理后患者的心理、配合医生治疗、功能的康复和社会适应能力有明显的提高。结论:优质护理与整体护理在脊柱损伤中有者举足轻重的作用。

通过改善护理服务态度、提高护理技术水平、加强管理力度,并不断总结经验,以患者为中心,进而提升护士的整体素质,提高护理服务质量,达到优质护理服务的目的。

对现在在职护理工作人员的工作状态和胜任能力的了解和分析,发现护理中存在的缺陷,通过学习教育寻找解决方法,提升工作能力和培养团队管理能力。

目的 探讨真菌性鼻窦炎(FRS)的临床特征及鼻内镜手术疗效.方法 回顾性分析2003～2008年采用鼻内镜手术治疗的76例FRs的临床资料和随访结果.结果 76例FRS临床表现为头痛或眼部痛43例次,涕中带血36例次;CT扫描鼻窦高密度影,窦内有斑点状或条块状钙化影70例.76例均在鼻内镜下手术,开放窦腔,清除真菌团块,未见手术并发症;术后随访3～18个月,患者头痛和涕中带血消失,手术腔黏膜恢复良好,无复发.结论 头痛和涕中带血是FRS最常见的临床症状,CT扫描存在特征性的表现,是诊断FRS的主要影像学方法;鼻内镜鼻窦开放手术具有微创和疗效好的特点,应为首选的手术方法.

目的探讨保湿技术在鼻中隔穿孔修补中的作用。方法采用鼻内窥镜下修补鼻中隔穿孔后予以硅胶片固定保湿,术后抗感染治疗。结果修补固定保湿处理后创面愈合好。结论保湿技术在鼻中隔穿孔修补中作用非常重要。

Objective Grass-roots hospital infection in the operating room management problems and improvements.Methods In-depth investigation,The hospital operating room primary infection management problems and take the appropriate measures and countermeasures.Results The operating room to strengthen the training of medical personnel and hospital infection management can effectively control the grass-roots hospital surgical infection.Conclusion Grass-roots hospital operating room of hospital infection management to be further strengthened at all levels should pay due attention,good control of operating room of the hospital infection to ensure the quality of medical care and security.