Objective:To investigate the performance of high-frequency ultrasound in Achilles tendon rupture and the passive motion state of the broken end.Methods:A total of 50 patients with closed Achilles tendon rupture admitted to the Fifth People′s Hospital of Foshan from January 2019 to January 2020 were selected as the research objects.All patients were examined by ALOKA F15 color Doppler ultrasound, the manifestations of Achilles tendon rupture in high-frequency ultrasound were analyzed, and the passive motion of Achilles tendon broken end was dynamically observed.Results:Of the 50 patients, 40 had complete rupture and 10 had partial rupture of the Achilles tendon, and the results were consistent with the MRI and surgical diagnosis.Four weeks after Achilles tendon surgery was the initial stage of repair.The blood flow signal of Achilles tendon was rich, the blood vessel distribution was more, the blood flow velocity in systolic period was faster, and the resistance index was higher than that before surgery, but the Achilles tendon injury had not been recovered yet.After 6-8 weeks of removal of the cast, the patient had difficulty in exercising.Eight weeks after surgery, the blood flow at the broken end was reduced and collagen fibrous hyperplasia was observed.Twelve weeks after surgery, the patient entered the rapid repair stage, and the blood flow signal of the patient′s Achilles tendon basically recovered, with good vascular distribution.The systolic blood flow velocity was close to that before the Achilles tendon injury, and there was no obvious blood flow signal at this time.Conclusion:High-frequency ultrasound can bu used to diagnose patients with Achilles tendon rupture, which can show the rupture condition and the condition under passive motion.It is economical, fast and accurate.

目的:探究肌肉软组织病变患者行高频彩色多普勒超声(彩超)诊断的临床效果.方法:择取2016年5月～2019年1月期间某院收治的45例肌肉软组织病变患者为研究对象,分别为其开展二维灰阶超声和高频彩超检查,对比两种检查方式的诊断准确率,同时分析高频彩超扫描图像.结果:二维灰阶超声对肌肉软组织病变诊断准确率为80.00％(36/45),高频彩超的诊断准确率为95.56％(43/45),差异有统计学意义(P＜0.05).结论:高频彩超对肌肉软组织病变具有良好的诊断效果,可及时发现患者病变严重程度,为制定治疗方案和改善患者预后具有重要作用,因此该种诊断方式值得在临床中进行大力推广.

目的:探究运动损伤跟腱断裂术后康复治疗检测中高频超声技术的价值.方法:选取我院在2017年5月到2019年5月之间收治的30例行跟腱断裂术治疗的患者为研究对象,以患者健侧为对照组,观察组采用高频超声检测术后4周、12周与1年跟腱断裂连接位置血管分布情况、收缩期与舒张期血流速度与阻力指数,对照组于相同时间对相同位置实施检测.结果:术后4周、12周,观察组血管分布情况优于对照组,收缩期与舒张期血流速度与阻力指数均高于对照组,P<0.05,术后1年观察组与对照组各项指标已无显著差异,P>0.05.结论:高频超声可检测出患者患侧血流变化,为病情发生、发展情况提供诊断,充分显示出高频超声在运动损伤跟腱断裂术后康复治疗中的检测价值.

目的:探讨16排CT口服甘露醇造影与超声检查在急性阑尾炎患者的诊断效果及价值.方法:选择2019年1月至2020年3月急性阑尾炎患者60例作为对象,所有患者均经手术检查最终确诊,手术前患者分别行16排CT口服甘露醇造影与超声检查,将16排CT口服甘露醇造影与超声检查结果与手术结果进行比较.结果:60例患者均经手术检查最终确诊,超声检查最终确诊52例,诊断符合率86.67％(P<0.05);16排CT口服甘露醇造影最终确诊58例,诊断符合率为96.67％(P>0.05).结论:16排CT口服甘露醇造影用于急性阑尾炎患者中能获得较高的诊断符合率,能够减少肠管堆积,更好充盈回盲部及阑尾腔,能为临床诊疗提供影像依据,值得推广应用.

目的:分析探讨肌肉骨骼超声对老年痛风性关节炎的诊断效果.方法:选取自2018年5月-2019年2月期间45例患有痛风性关节炎的患者作为研究对象,将其设为观察组,另选取45例具有相同症状的骨关节炎、类风湿性关节炎疾病患者作为对照组;对2组患者均采用肌肉骨骼超声检查,对2组患者的超声表现进行观察,评估患者炎症程度及骨膜上的血流情况.结果:观察组滑膜、痛风石、韧带内、平行线等高回声点的发生率明显高于对照组,差异存在显著性差异(P<0.05);观察组腱鞘炎、骨侵蚀的发生率明显低于对照组,差异存在显著性差异(P<0.05).结论:对老年痛风性关节炎实行肌肉骨骼超声检查,其检查结果影像显示关节内出现痛风石、平行线、滑膜上及韧带内高回声点出现率较高,具有高敏感性和准确性,在诊断老年痛风性关节炎的诊断中极具推广意义.

目的 探讨数字钼靶X线诊断乳腺癌的临床价值.方法 于2015年6月～2018年6月选择我院35例确诊乳腺癌患者与35例确诊乳腺良性病变患者,实施数字钼靶X线检查、彩色多普勒超声检查,以临床确诊结果 为参照,比较数字钼靶X线、彩色多普勒超声对乳腺癌的诊断结果,分析诊断结果间的一致性.结果 以临床病理确诊结果为参照,数字钼靶X线、彩色多普勒超声对乳腺癌的诊断灵敏度、特异度、准确率比较,差异均无统计学意义(P>0.05).数字钼靶X线、彩色多普勒超声诊断结果与临床确诊结果间的一致性良好.数字钼靶X线对规则颗粒形、不规则颗粒形、模糊粉尘形等类型钙化病灶的检出率均高于彩色多普勒超声(P<0.05),而二者对环形、蠕虫形等钙化病灶的检出率比较差异无统计学意义(P>0.05).结论 数字钼靶X线检查用于乳腺癌的诊断价值良好,尤其是对乳腺癌钙化病灶.

Objective To observe the effect of injecting diprospan into lesion site guided by high frequency ultrasound on serum levels of serotonin (5-HT) and prostaglandin E2 (PGE2)in patients with frozen shoulder (FS).Methods 138 patients with frozen shoulder treated at our hospital from March,2010 to May,2017 were selected and randomly divided into a contorl group and an observation group,69 for each group.The control group were given injection treatment on the pain sit.The observation group were injected diprospan into lesion site guided by high frequency ultrasound.The levels of 5-HT and PGE2 were compared between the two groups.Results The serum levels of 5-HT and PGE2 were higher after than before the treatment in both groups and were higher in the observation group than in the control group afther the treatment (P ＜0.05).Conclusion Injecting diprospan into lesion site guided by high frequency ultrasound for patients with frozen shoulder can decrease the levels of 5-HT and PGE2 and reduce the inflammatory response and pain and has anti-inflammatory and analgesic effect.

美国商标法的立法意旨是基于保障一般消费大众及市场公平交易秩序,以及兼顾保护商标所有人的权利.商标所有人的权利包括使用权、排他权、转移权及许可他人使用的权利等.然而当商标被许可时,裸许可(naked licensing)或未监督许可导致丧失商标权.本文将介绍商标许可的概念及意义,其次讨论品质监督,裸许可及其法律效果,再其次为探讨根据法院判例,判定品质监督及判断裸许可的标准.最后也会简单介绍裸许可的相关案例.

目的:探索分析经阴道超声以及经腹超声检查诊断子宫内膜病变的临床价值,明确更好的检查方法. 方法:选择我院收治的子宫内膜病变患者作为研究对象,分别对患者进行经阴道超声检查和经腹超声检查,将其诊断结果分别与病理诊断结果进行对比. 将2种超声检查方式的准确率进行对比分析. 结果:经阴道超声检查子宫内膜增生准确率为100.00%、检查子宫内膜息肉准确率为96.77%;检查子宫黏膜下肌瘤准确率为87.50%、检查子宫内膜癌准确率为77.78%;均分别显著高于经腹超声检查准确率的83.93%、80.65%、58.33%和22.22%. 经阴道超声检查总准确率为95.00%,显著高于经腹超声的73.33%.差异均具有统计学意义(P<0.05). 结论:针对子宫内膜病变患者进行经阴道超声检查,可以显著提高检查准确率,有利于对症治疗,对于确保患者健康具有极为重要的现实意义.

Objective To explore the effect of cardiac color ultrasound in diagnosis of chronic heart failure and clinical application significance of left ventricle in diagnosis of multifactor heart failure. Methods 56 patients with congestive left heart failure, who were admitted to our hospital from October 2012 to October 2014, were allocated to research group, and 56 healthy people were allocated to control group. LVEF, LVDd and LAD of two groups were tested by cardiac color ultrasound, and evaluate its clinical application significance. Results LVEF, LVDd and LAD of both groups were relatively abnormal before treatment, and the difference was statistically significant (P < 0.01). In terms of LVEF, the difference between Ⅰ group and Ⅱ group before treatment was statistically significant (P < 0.01). LVEF in Ⅱ group was significantly increased after treatment (P < 0.01). The difference between LVEF in Ⅰ group before treatment and after treatment was not statistically significant (P > 0.05). LVEF in Ⅰ group was higher than that in Ⅱ group after treatment, which was statistically significant (P < 0.01). Conclusion Cardiac color ultrasound has no specificity in the diagnosis of multifactor heart failure, so it can not be referred as the signal evidence to diagnose, which can offer guidance to clinical treatment.

目的：探讨肾结核的围手术期的有效护理。方法：收集2009年1月~2012年7月我院收治患有肾结核病人40例，对术前和术后护理措施进行总结。结果：通过40例肾结核的术前和术后护理，减少并发症的发生。结论：适当的术前护理，术后护理，是减少术后的并发症，使病人早日康复出院。

目的：分析阴道彩超宫腔镜联合诊治子宫异常出血的安全性。方法选取2010年8月-2013年8月佛山市第五人民医院收治的88例子宫异常出血患者为研究对象，分别给予阴道彩色B超检查和宫腔镜检查。对比两种诊断方法下，宫腔内病变发现率。结果阴道彩超检查宫腔内病变发现率为45.7%，宫腔镜检查宫腔内病变发现率为92.1%，两种诊断方法宫腔内病变发生率比较，差异有统计学意义（P＜0.05）。结论与阴道彩色B超检查相比，宫腔镜对子宫异常出血临床诊断率较高，有助于临床确定安全的治疗方案，临床意义重大。

目的通过探讨外周静脉穿刺疼痛的相关因素进行相应的护理干预,达到减轻患者静脉穿刺时的痛苦。方法筛选部分接受静脉穿刺治疗的患者,对其穿刺时疼痛的相关因素进行护理干预,并对其护理效果进行观察分析。结果通过对200例静脉穿刺患者的对比观察,感受到护士良好素质和工作态度、患者积极的配合、患者穿刺静脉的充盈及穿刺部位的选择,是能影响患者静脉穿刺时疼痛的因素,减轻患者的痛苦。结论适当的护理干预,是减少患者静脉穿刺时的疼痛因素,减轻患者的痛苦,护理措施简单易行,患者易于接受,使患者积极配合治疗,对护理治疗工作满意度达98%以上。

目的:探讨肝硬化门脉高压症合并上消化道出血病人的临床观察要点和护理方法。方法:统计肝硬化合并上消化道出血46例病人的临床护理经验。结果:统计病人46例,年龄35～62岁,平均45岁,治愈出院32例,好转出院11例,自请出院2例,死亡1例。结论:加强对病人的病情观察和精心护理可为病人争取宝贵的抢救时间,提高抢救成功率。为了减少肝硬化病人上消化道出血症状的反复发生,可给予病人细致周到的基础护理、心理护理、饮食护理及做好出院病人的健康教育。

目的通过髋关节结核皮牵引的患者的护理,进行相应的护理措施,减轻患者的痛苦。方法筛选部分接受髋关节皮牵引的患者,进行心理护理,健康教育,并对其效果进行观察分析。结果通过78例髋关节结核皮牵引患者护理管理,适当心理护理和健康教育,减轻患者的痛苦,早日康复。结论适当护理,是减少患者的痛苦,护理措施简单易行,患者易于接受,使患者易于接受,积极配合治疗,对护理满意率达98%。

耐多药结核病是对标准治疗无反应的一类结核病,在结核细菌对至少两种最强有力的抗结核药物异烟肼和利福平具有耐药性时,产生耐多药结核。广泛耐药结核是除耐多药结核之外对任何氟喹诺酮类药物以及三种二线注射药物(硫酸卷曲霉素、卡那霉素和阿米卡星)中至少一种具耐药性的结核。耐多药结核病患者须用更昂贵且副作用更强的二线药物治疗,并且治疗时间也更长。这给当前结核病控制工作带来严重威胁。我们通过对100例入院的复治痰涂阳性耐多药患者的护理,总结出一套行之有效的方法帮助患者恢复健康。

目的:总结分析结核性脑膜炎患者的护理体会,减少结核性脑膜炎临床并发症和后遗症的发生。方法:通过临床对35例结核性脑膜炎患者的治疗护理总结的护理体会。结果:35例患者经过抗结核、降颅压、激素及对症支持治疗后32例好转,1例死亡,2例发生截瘫。结论:规范的抗结核治疗、细致的生活护理、药物护理,以及出院后的服药指导对结核性脑膜炎患者的痊愈起了重要作用。

PICC是一种由外周静脉插入导管末端定位于中心静脉(上腔静脉)的静脉通路建立技术。减轻患者因反复穿刺和住院时间延长所承受的压力和痛苦。按照正规的操作规程及无菌技术进行操作,此方法简单易行,患者易于接受,使患者对护理治疗工作满意率大大提高。

健康教育是指增进人们卫生保健知识和技能使其达到生理、心理在社会上的完整状态,即卫生保健宣传教育,健康教育是预防医学和临床医学的一个重要组成部分。对患者的健康教育更为重要。

目的探讨优质护理服务对老年骨折患者围手术期满意度的影响。方法选择本科未开展优质护理服务2009年1月～2010年1月收治的60名老年骨折患者和开展优质护理服务以来2010年5月～2011年2月收治的60名老年骨折患者为研究对象,随机分为常规组和干预组。观察2组老年患者对护理工作的满意度。结果老年患者认为开展优质护理服务以来护理人员工作主动性较强,对护理人员工作认可度提高,干预组满意度明显高于常规组。结论优质护理服务实施效果好,患者满意度提高,可进一步完善并推广。