目的分析胃癌卵巢转移患者的临床特点及治疗选择,以探索可能对其生存有益的治疗模式.方法收集并整理1995年9月至2011年9月北京大学肿瘤医院消化肿瘤内科连续性临床病例资料,统计分析其中发生卵巢转移的胃癌患者的临床病理特点、治疗情况及生存资料.结果1862例胃癌患者中共有495例(26.6%)女性患者,男女发病比为2.76:1.其中,发生卵巢转移患者119例,与中老年女性相比,青年女性易出现卵巢转移(46.9%:22.1%).在出现卵巢转移的患者中,卵巢转移切除术对患者生存有益(24.4个月:12.4个月,P=0.002).结论女性胃癌患者易发生卵巢转移,接受卵巢转移切除术可使其生存获益.

目的 分析晚期胃癌姑息性放疗患者的临床病理特征和预后.方法 回顾性分析2000年1月至2010年12月于本院接受姑息性放疗的145例晚期胃腺癌患者的临床病理资料,分析影响晚期胃癌姑息性放疗患者生存时间及预后的因素.结果 145例接受姑息性放疗的晚期胃癌患者中,共有138例患者在放疗前后或同时接受化疗.全组患者中位生存时间为16.4个月(95%CI:13.8~18.9).多因素分析显示:放疗前化疗疗效、放疗后疾病控制情况是影响预后的独立因素.最常见的姑息性放疗部位为淋巴结(共77例,53.1%).30例一线化疗稳定后行淋巴结放疗的患者与同期匹配的53例单纯化疗患者比较,前者无进展生存时间明显延长(9.9个月:6.1个月,P=0.018),二者的总生存时间无显著差异(15.4个月:14.5个月,P=0.383).结论 根据患者具体情况采用姑息性放化疗联合治疗,可以获得较长的生存时间.对于存在淋巴结转移的患者,与单纯一线化疗相比,一线化疗稳定后针对淋巴结放疗可以延长患者的疾病控制时间,患者总生存时间有延长趋势.

病历摘要患者男,68岁.因“结肠癌术后2年半,发现腹腔积液10个月,胸腔积液3个月,加重40 d”于2010年9月29日入院.患者2年半前于北京大学肿瘤医院行乙状结肠癌根治术,术中见肿物为2.5 cm ×2.0 cm,术后病理提示为隆起型中分化腺癌,有脉管癌栓,侵犯肠壁肌层,淋巴结未受累(0/10),分期为T3N0M0.术后FOLFOX6方案(奥沙利铂150 mg,亚叶酸钙0.4g,替加氟4.6g)规律化疗11次.

Objective To revise the Romantic Partner Conflict Scale into chinese version and to examine its reliability and validity in Chinese people.Methods Translation and back-translation,expert assessment and pre-experiment were used to work out the original Chinese version of the Romantic Partner Conflict Scale.223 married Chinese subjects were assessed to select items and to perform the exploratory factor analysis to work out the formal Chinese version.Then additionally,454 married Chinese people were assessed to examine the reliability and validity of the Chinese version.The retest reliability was tested in 77 subjects 1 month later.Results Exploratory factor analysis revealed that the Chinese version of Romantic Partner Conflict Scale consisted of 7 factors explaining 60.887% of the total variance,which was different from its 6-factor English version.However,confirmatory factor analysis showed that the 6-factor Chinese version was better than 7-factor Chinese version in model fitting.Therefore,the Chinese version of Romantic Partner Conflict Scale was finally decided to consist of 30 items and 6 factors including compromise,domination,submission,avoidance,separation and interactional reactivity.The Cronbach's α,split-half reliability and retest reliability of the Chinese version were 0.604~0.872,0.613~0.808 and 0.611~0.672 respectively,all of which had statistical significance.Conclusion The Chinese version of Romantic Partner Conflict Scale has good reliability and validity and can be used to evaluate the conflict resolution behavior in Chinese couples.

Objectives:The study aims to investigate the present situation of conflict resolution in Chinese People,to analyze conflict resolution' s influence on marital quality and its mediate effect between attachment style and marital quality.Methods: 909 subjects have been collected with scales of ECR,the romantic partner conflict scale and ENRICH.Frequency analysis, correlation analysis,ANOVA and structure equation model were run for statistical processing.Results:1) 45.8%subjects used compromise to solve conflicts in marriage;avoidance,separating,control,obey and interactive behavior followed successively. 2) Compromise is correlated to marital quality positively and the other 5 methods are correlated to marital quality negatively.3) Subjects with high marital quality use compromise more likely and those with low high marital quality use the other 5 more likely. 4) Conflict resolution mediated attachment style' s effect on marital quality.Conclusion:Different conflict resolution methods have different influence on marital quality and it is also influenced by attachment style at the same time.

Objective To explore the influence of couple's adult attachment,marital attribution,conflict coping style on marital quality by using actor-partner interdependence model constructed by the method of structural equation.Method 324 married couples were investigated with Experiences in Close Relationships(ECR),Romantic Partner Conflict Scale(RPCS),Relationship Attribution Measure(RAM) and ENRICH Marital Inventory to collect the information of their adult attachment,conflict coping style,marital attribution and marital quality.The data were analyzed with t-test and correlation analysis to construct the actor-partner interdependence model.Results(1) Couples' adult attachment,martial attribution and marital quality were consistent with each other.The couples proned to use identical conflict coping style.(2) The actor effect of model showed that adult attachment negatively predicted couple's conflict coping style,conflict coping style positively predicted couple's marital quality,and husband's marital attribution negatively predicted marital quality.(3) After controlling the actor effect,the partner effect showed that individuals' adult attachment negatively predicted their spouses' conflict coping style and marital attribution,individuals' conflict coping style negatively predicted their spouses' marital attribution and positively predicted their spouses' marital quality,individuals' marital attribution positively predicted their spouses' marital quality.Conclusion Couple's marital quality is influenced mutually.

Marital conflict is inevitable in marriage.How to deal with marital conflicts plays a critical role in keeping marriage long-lasting and happy.Therefore,this article introduces and analyzes the research results of marital conflict resolution studies in terms of study methods,classification,the effects of different resolution approaches on marital quality and children's psychological health with an aim to provide some guidance for future research.At present,the scholars in China have already noticed the important effect of conflict resolution on the couples' marriage quality and their children's health.However,since our study in this field lags behind,there are only general and superficial studies regarding this subject.Little has been done on the influencing factors for conflict resolution behaviors and on the interaction between couple in marital conflict resolution process.

>患者男,68岁。因"结肠癌术后2年半,发现腹腔积液10个月,胸腔积液3个月,加重40 d"于2010年9月29日入院。患者2年半前于北京大学肿瘤医院行乙状结肠癌根治术,术中见肿物为2.5 cm×2.0 cm,术后病理提示为隆起型中分化腺癌,有脉管癌栓,侵犯肠壁肌层,淋巴结未受累（0/10）,分期为T 3 N 0 M 0 。术后FOLFOX6方案（奥沙利铂150 mg,亚叶酸钙0.4 g,替加氟4.6 g）规律化疗11次。后

Objective The research is aimed to construct an instrument measuring the mental health of cosmetic surgery patients and to establish its reliabilities and validities.Methods Literature review,case review and experts assessment were used to collect and select items.A total of 403 patients participated in this research and part of them also completed other three scales on anxiety,depression and body image dysfunction.Results Exploratory factor analysis revealed that the Mental Health Scale of cosmetic surgery patients consisted of five factors:image concern,emotional disturbance,cognitive disturbance,behavioral disturbance and image inferiority,which explained 55.550% of the total variance.The correlation coefficients between five factors and the whole scale were 0.724～0.851,Cronbach's α,split-half reliability and retest reliability were 0.765～0.941,0.719～0.871 and 0.548～0.832 respectively and all of which received statistical significance.90.6% of items' content validity ratio was more than 0.6.Positive correlation was found between whole scale and the scores of Anxiety,Depression and Body Image Dysfunction,and was statistically significant.Conclusion Mental Health Scale of Cosmetic Surgery Patients has good reliability and validity and can be used as a measure instrument of mental health scale of cosmetic surgery patients.

The author has summarized theories and studies about love’s type described in the original book, interpreted in details and developed Robert J. Sternberg’s Triangular theory of love. Sternberg’s Triangular theory of love, mainly originating from westerners’ affection and life experience, divides love into four status which cannot be called love and four types of affection experience which can be called love, on the basis of different combinations of intimacy, passion and commitment. However, because of difference between eastern and western culture, Chinese people have their own affection experience and specific love types. Then warps will appear when we try to use Triangular theory to analyze China’s love type. Therefore this article pays much attention to analyze the characteristics of China’s love and the cultural origin for Chinese people’s search for pure spiritual love which is the bondage of feudal ethical code.

在物业管理活动中,业主、业主委员会与物业管理公司定位一直是一个悬而未决的问题。已经出台即将于2007年10月1日施行的《中华人民共和国物权法》明确规定了建筑物区分所有权,在法律层面上明确了物业管理活动的权利基础,明晰了各方主体的地位及相互关系。

对物业进行管理的权利基础为物业管理权,物业管理权为业主所有。物业公司获得业主的委托,获得这种专有的物业管理权,履行合同内容。对于物业管理服务的具体义务,由全体业主与物业服务企业在合同中明确约定。本文就物业管理中的权利与义务问题进行探讨。