Objective To explore the possibility and advantages of the treatment of video-assisted minithoracotomy(VAMT) and ultracision-harmonic scalpel in spontaneous pneumothorax and to summarize its clinical experience.Methods Clinical data of 40 patients with spontaneous pneumothorax performed VAMT and ultracision-harmonic scalpel treatment of excision of bullae lung and pleurodesis were analyzed retrospectively in the Ningde Municipal Hospital from May 2007 to March 2010.Results The operation took 90-180 min,with the chest tube indwelled for 3-12 days and stayed in the hospital for 8-20 days.Air leakage occurred in two cases and reexpansion pulmonary edema occurred in one case.All patients recovered well.When followed for 6-30 months,there were no relapse during an average length of 18 months.Conclusion The VAMT and ultracision-harmonic scalpel treatment in spontaneous pneumothorax has advantages of shorter operation time,less bleeding,rapid recovery,short hospitalizing time.

目的探讨乳腺癌前哨淋巴结活组织病理检查(SLNB)的临床意义.方法用1%亚甲蓝染色方法对70例乳腺癌病人术中行SLNB,分析前哨淋巴结(SLN)的分布与病人的年龄、乳房大小以及肿瘤大小、部位和腋窝淋巴结有无转移的关系.结果(1)SLN检出率90%,假阴性率10.4%,准确率87.5%.(2)SLN位于腋下群为90%,腋中群10%.(3)肿瘤位于外侧象限者,SLN位于腋下群为82.2%,位于腋中群为17.8%;肿瘤位于内侧象限者,SLN位于腋下群为66.7%,位于腋中群为33.3%,两者比较有统计学意义(P<0.05).(4)肿瘤位于乳房外侧象限SLN检出率为95.7%,位于内侧者检出率81.8%(P<0.05).(5)肿瘤位于乳房内侧象限SLN假阴性率为5.6%,位于外侧者为11.1%(P<0.05).结论>90%乳腺癌SLN位于腋下群,尤其是肿瘤位于乳房外侧象限者.乳房内侧乳腺癌有相当部分的SLN位于腋中群;SLN假阴性多见于肿瘤位于乳房外侧象限者.

我院1995-01～1998-01采用局部进展期大肠癌常温下腹腔灌注化疗,疗效较好,总结如下.

目的　随着肿瘤化疗水平的不断提高，胃癌的治疗取得较大进展，探讨胃癌浆膜外侵润腹腔置管注药疗效的临床意义。方法　对60例进展期胃癌浸润浆膜外，给根治性切除的患者，分为腹腔置管投药组和对照组各30例；投药用顺铂i80～300 g/m2，白介素-280～300万单位，地塞米松10～15 mg。结果　投药组3年、5年生存率明显优于对照组。结论　胃癌浆膜外侵润采用术中腹腔内置药加术后继续腹腔灌注化疗，疗效显著。