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Adverse reactions after laser, IPL and LED procedures 激光、IPL和LED手术后的不良反应
Pub Date : 2021-08-19 DOI: 10.14748/VMF.V10I2.7888
Zhenya Stoyanova, I. Bakardzhiev
The fast-paced everyday life and the modern perception of beauty impose increasingly faster, effective and affordable methods for maintaining a good appearance. Laser systems providing great therapeutic possibilities meet the expectations and needs of doctors and patients. When used wisely and being familiar with their contraindications in details, side effects after laser therapy are relatively rare. However, some of them can be serious and significantly impair the quality of life. Although these methods are often called „laser procedures”, the devices used are not always real lasers - for example IPL, LED, Titan, infrared energy-based technologies and radio frequency procedures, such as Thermage. Among the widely used laser systems are Nd:YAG, Er:YAG, Alexandrite, CO2 and diode lasers. We distinguish mainly two types of systems used for cosmetic purposes: ablative and non-ablative. Each laser system has its own profile of complications specific to the treated skin lesion. Possible complications should be fully discussed with the patient as part of the informed consent procedure.
快节奏的日常生活和现代人的审美要求越来越快,有效和负担得起的方法来保持良好的外表。激光系统提供了巨大的治疗可能性,满足了医生和患者的期望和需求。当明智地使用和熟悉他们的禁忌症的细节,激光治疗后的副作用是相对罕见的。然而,其中一些可能会严重地损害生活质量。虽然这些方法通常被称为“激光程序”,但所使用的设备并不总是真正的激光-例如IPL, LED, Titan,基于红外能量的技术和射频程序,如Thermage。广泛应用的激光系统有Nd:YAG、Er:YAG、亚历山大变石、CO2和二极管激光器。我们主要区分两种用于美容目的的系统:烧蚀和非烧蚀。每个激光系统都有其自身的并发症,具体到治疗的皮肤病变。作为知情同意程序的一部分,应与患者充分讨论可能出现的并发症。
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引用次数: 0
Epidemiological characteristics of viral hepatitis in the Varna region for 2014-2019. Part two 2014-2019年瓦尔纳地区病毒性肝炎流行病学特征分析第二部分
Pub Date : 2021-08-19 DOI: 10.14748/VMF.V10I2.7897
Militca Dimitrova, M. Kolarova, D. Monov
Viral hepatitis is identified as a major global public health problem affecting several hundred million people. The severity of the hepatitis infection is not evenly distributed worldwide. Every year, 1.4 million people die from viral cirrhosis and hepatitis-related liver cancer. However, the majority of the infected population is unaware of their status. Therefore, prevention remains the best strategy to reduce viral hepatitis. Aim To study the epidemiology of viral hepatitis in Varna for the period 2014-2019. Materials Quick notifications, registration documents, reports, analyzes of laboratory tests of the Regional Center for Transfusion Hematology (RCTH) Varna and Virology Laboratory of RHI Varna, NCIPD Sofia, health education materials. Methods Documentary, statistical, laboratory, partial epidemiological analysis, graphic presentation of results. Results Viral hepatitis by settlement have a high relative share of 86.12% in cities as opposed to 11.55% in villages. A total of 1557 people were contacted, and 99.2% of them were examined according to the normative requirements. Mainly adult men with small fluctuations in age are ill. Morbidity in men between 30-34 years of age is (37.97%ооо) in 2014, for 2015 the leading age is 45-49 years with morbidity (33.47%ооо) in 2017, > 65-year-olds with morbidity (13.20% ооо) in 2016 and 2019. Conclusions The comparative shares of ill people when divided into groups are: for students - (5.11%), for Kindergarteners - (1.37%), for workers in a food establishment - (0.37%). Age-related morbidity shows that there are no diseases up to 1 year, while there are single cases for the age group of 1-4 year-olds. A prophylactic study in RHI and RCTH in blood donation revealed a total of 857 positive samples for HBsAg and HCV.
病毒性肝炎被确定为影响数亿人的主要全球公共卫生问题。肝炎感染的严重程度在世界范围内分布不均匀。每年有140万人死于病毒性肝硬化和肝炎相关肝癌。然而,大多数受感染人口并不知道自己的状况。因此,预防仍然是减少病毒性肝炎的最佳策略。目的了解瓦尔纳市2014-2019年病毒性肝炎流行病学。快速通知、注册文件、报告、瓦尔纳输血血液学区域中心和瓦尔纳RHI病毒学实验室的实验室检测分析、NCIPD索非亚、健康教育材料。方法文献法、统计法、实验室法、部分流行病学分析法、图表法。结果城市居民病毒性肝炎的相对发病率为86.12%,而乡村居民的相对发病率为11.55%。共联系1557人,99.2%的人按照规范要求进行了检查。患病的主要是年龄波动不大的成年男性。2014年30-34岁男性的发病率为(37.97%),2015年的主要年龄为45-49岁,2017年的发病率为(33.47%),2016年和2019年的发病率为(13.20%)65岁。在分组时,患病人数的比较比例为:学生(5.11%),幼儿园儿童(1.37%),食品企业工人(0.37%)。与年龄有关的发病率表明,1岁以下没有疾病,而1-4岁年龄组只有一例。一项关于RHI和RCTH在献血中的预防性研究显示,总共有857例HBsAg和HCV阳性样本。
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引用次数: 0
Chiropractic as a system of manual techniques 指压疗法是一种手工技术系统
Pub Date : 2021-08-19 DOI: 10.14748/VMF.V10I2.7890
Yani Shivachev, A. Dimitrov
A historical review of the birth and development of chiropractic reveals its ancient roots. Chiropractors, in accordance with their knowledge and competence as neuromuscular specialists, focus primarily on muscle and joint pain. Over the years, evidence has been accumulating to support the effectiveness of chiropractic techniques in the pathology of the spine. The techniques are most commonly used in conditions linked to impaired „joint play“ of the vertebrae and pain in the spine, accompanied by dizziness and headache. The aim of the article is to explore chiropractic as a system of manual techniques. Material and Methods Documentary content analysis of bibliographic descriptions and relevant articles about historical development, concepts and theories, essence, distribution and application of chiropractic. Results Chiropractic is established as training and practice in many countries around the world. There is still no licensed training and practice of chiropractic in Bulgaria. In Bulgarian conditions, the closest term corresponding to the concept of chiropractic is manual therapy performed by a doctor. Conclusion A review of the literature reveals the possibilities of chiropractic techniques in musculoskeletal dysfunction of the spine in order to overcome musculoskeletal blockage and change in quality of life. Chiropractic is an established profession in many countries around the world - USA, Canada, Russia and Germany, but in Bulgaria there is no legislative framework for regulating the profession of chiropractor, as well as training in higher medical institutions. In Bulgarian conditions the chiropractic manipulative techniques are performed by doctors in the specialties Physical and Rehabilitation Medicine, Orthopedics, Rheumatology and Neurology.
对脊椎指压疗法诞生和发展的历史回顾揭示了其古老的根源。根据他们作为神经肌肉专家的知识和能力,脊医主要关注肌肉和关节疼痛。多年来,越来越多的证据支持捏脊技术在脊柱病理学方面的有效性。这些技术最常用于椎骨“关节活动”受损和脊柱疼痛,并伴有头晕和头痛的情况。本文的目的是探讨捏脊作为一个系统的手工技术。材料与方法对脊骨疗法的历史发展、概念与理论、本质、分布与应用等文献描述及相关文章进行文献内容分析。结果脊椎指压疗法在世界上许多国家已被确立为培训和实践。保加利亚仍然没有脊椎指压疗法的执照培训和实践。在保加利亚的条件下,与脊椎指压疗法概念最接近的术语是由医生进行的手工疗法。结论文献回顾揭示了脊椎指压技术治疗脊柱肌肉骨骼功能障碍的可能性,以克服肌肉骨骼阻塞和改变生活质量。脊医在世界上许多国家——美国、加拿大、俄罗斯和德国——都是一个成熟的职业,但在保加利亚,没有立法框架来规范脊医职业,以及在高等医疗机构的培训。在保加利亚的情况下,脊椎按摩技术由物理和康复医学、矫形外科、风湿病学和神经病学专业的医生进行。
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引用次数: 0
Epidemiological characteristics of viral hepatitis in Varna region for 2014-2019. First part. Incidence of viral hepatitis in Varna and Bulgaria for 2014-2019 - a comparative analysis 2014-2019年瓦尔纳地区病毒性肝炎流行病学特征分析第一部分。2014-2019年瓦尔纳和保加利亚病毒性肝炎发病率的比较分析
Pub Date : 2021-08-19 DOI: 10.14748/VMF.V10I2.7896
Hristina Monova, D. Monov, M. Kolarova
Hepatitis is a polyetiological disease. Viral hepatitis is one of the most common infectious diseases in the world, including in our country. Hepatitis is highly contagious (with hepatitis B being 100 times more contagious than HIV). Hepatitis B and C together are one of the biggest global health threats, killing approximately 1 million people a year. In Bulgaria in 1951. mandatory registration begins of hepatitis called „epidemic hepatitis“. Separate registration by three types of hepatitis began in 1981: VHA, VHV, VH Indefinite. Aim To make a comparative characteristic of the registered incidence of viral hepatitis in Varna and Bulgaria for the period 2014-2019. Materials Quick notifications, registration documents, reports, analyzes of laboratory tests of RCTH Varna and Virology Laboratory of RHI Varna, NCIPD Sofia, health education materials. Methods Documentary, statistical, laboratory, partial epidemiological analysis, graphic presentation of the results. Results There is a great variety of types of hepatitis in different years. The morbidity is small. VHA is leading with significantly lower incidence, followed by VHV, VHN and VHC. No registered VHD for the entire period. Conclusions 1. The incidence of VHA in Varna district is two to four times lower than in the country for 2014-2019. 2. The incidence of VHN is higher than that for the country, as autoimmune, toxic, metabolic, and other non-infectious hepatitis are included here. 3. Good organization has been established for registration, examination, hospitalization and study of epidemic outbreaks in the district of Varna, pursuant to Ordinance 43/1995 of the Ministry of Health.
肝炎是一种多病。病毒性肝炎是包括我国在内的世界上最常见的传染病之一。肝炎具有高度传染性(乙型肝炎的传染性是艾滋病毒的100倍)。乙型和丙型肝炎是全球最大的健康威胁之一,每年造成约100万人死亡。1951年在保加利亚。被称为"流行性肝炎"的肝炎开始强制登记。1981年开始按三种肝炎类型分别登记:VHA, VHV, VH无限期。目的比较2014-2019年瓦尔纳和保加利亚病毒性肝炎登记发病率的特点。资料:快速通知、注册文件、报告、瓦尔纳皇家卫生学院和瓦尔纳皇家卫生学院病毒学实验室化验分析、索非亚国家cipd、健康教育资料。方法文献法、统计法、实验室法、部分流行病学分析法、图表法。结果不同年份肝炎的类型有很大差异。发病率很小。VHA发病率最高,明显较低,其次为VHV、VHN和VHC。整个期间没有注册VHD。结论1。2014-2019年,瓦尔纳县的VHA发病率比全国低2至4倍。2. VHN的发病率高于国家,因为这里包括自身免疫性肝炎、毒性肝炎、代谢性肝炎和其他非传染性肝炎。3.根据卫生部第43/1995号法令,为瓦尔纳区流行病的登记、检查、住院和研究建立了良好的组织。
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引用次数: 0
Methods for complex treatment of children with obstetric paralysis 小儿产科瘫痪的综合治疗方法
Pub Date : 2021-08-19 DOI: 10.14748/VMF.V10I2.7891
R. Tork
During childbirth in case of incorrect birth management, pelvio-fetal disproportion, breech or leg presentation, etc. it is possible to damage the Plexus brachialis. Peripheral nerve damage most often occurs during manual fetal retrieval. The trauma leads to compression, stretching or rupture of the brachial /shoulder/ plexus with the resulting consequences: flaccid paresis or paralysis of the muscles of the upper limb of the child with involvement of the peripheral nerves. For several days after birth, the whole arm is paralyzed and difficult to move. Recovery depends on the severity of the damage. With proper and timely treatment, the chance of a full recovery is huge. Our study aims to establish the importance of massage as part of a comprehensive outpatient treatment of children with obstetric paralysis. We used a documentary method, analyzing literature sources examining the subject of the present study and monitoring in a rehabilitation center, where complex treatment was applied. Timely diagnosis and immediate care and rehabilitation, including massage and/ or passive and active kinesitherapy, lead to the appearance of active movements. In order to build the most correct behavior towards the sick child, the parents need to be acquainted with the nature of the disease, the home regime, the nutrition, etc. Conservative therapy and rehabilitation up to the 3rd year are effective, in more severe cases at this age a surgical intervention is most appropriate (2). From the present study we can draw the following conclusions: 1. Massage plays a leading role, especially at an early age. 2. Kinesitherapy is the most important and is the basis of treatment. 3. The parents contribute greatly to the healing process.
在分娩过程中,如果不正确的分娩管理,骨盆-胎儿比例失调,臀位或腿位等,都有可能损伤肱丛肌。周围神经损伤最常发生在人工取胎过程中。创伤导致肱/肩/神经丛受压、拉伸或断裂,其结果是:儿童上肢肌肉松弛性麻痹或麻痹,并累及周围神经。出生后几天,整个手臂瘫痪,难以移动。恢复取决于损害的严重程度。通过适当和及时的治疗,完全康复的机会是巨大的。我们的研究旨在建立按摩作为产科瘫痪儿童综合门诊治疗的一部分的重要性。我们采用文献法,分析文献来源,检查本研究的主题,并在康复中心进行监测,其中应用了复杂的治疗。及时诊断和立即护理和康复,包括按摩和/或被动和主动运动疗法,导致主动运动的出现。为了对生病的孩子建立最正确的行为,父母需要了解疾病的性质、家庭制度、营养等。保守治疗和康复治疗一直持续到第3年是有效的,在这个年龄段病情较严重的情况下,手术干预是最合适的(2)。按摩起着主导作用,尤其是在早期。2. 运动疗法是最重要的,也是治疗的基础。3.父母对治愈过程的贡献很大。
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引用次数: 0
Lesions of Ligamentum capitis femoris as a cause of the necrotic changes in Articulatio coxae 股骨头韧带病变是髋关节坏死改变的一个原因
Pub Date : 2021-08-18 DOI: 10.14748/VMF.V10I2.7885
Dimo Krаstev, A. Alexieva, Zlatka Traikova-Todorova
Aim of the research There is more and more research on one rather underestimated object, which is a part of the hip joint - namely Ligamentum capitis femoris. Many doctors still believe that it plays a minor role in joint trophism, but a number of studies disprove this. The present study aims to demonstrate the lesions that occur in the hip joint when the Ligamentum capitis femoris (also known in literature as Ligamentum teres) is found damaged, with a focus on the blood vessels going alongside the ligament and supplying the head of the hip joint. The aim of the study is to demonstrate the pathological changes that occur in the hip joint due to obstruction of the arterial vessel entering the joint together with the ligament. This vascular change can be a result of many factors - traumatic, septic and aseptic. Materials and Methods To achieve our goals we set the following main tasks: to examine the structure of Ligamentum capitis femoris with an optical microscope after staining the samples with Hematoxylin Eosin and AZAN and to make a comparative complex analysis of the morphological characteristics of Ligamentum capitis femoris in humans. Results The examination of ligaments from cadavers - which have pathological changes in the hip joint - clearly shows the damage of the Ligamentum capitis femoris. Conclusions From the histological examination we conducted, we found that Ligamentum capitis femoris has a biological, mechanical and trophic role in the hip joint and its preservation is important in preventing future complications.
研究目的越来越多的研究对象被低估了,这是髋关节的一部分,即股头韧带。许多医生仍然认为它在关节营养中起着次要作用,但一些研究反驳了这一观点。本研究旨在证明当股头韧带(在文献中也被称为圆韧带)被发现受损时,髋关节发生的病变,重点关注韧带周围和供应髋关节头部的血管。本研究的目的是证明髋关节由于动脉血管与韧带一起进入关节的阻塞而发生的病理改变。这种血管改变可能是许多因素造成的——创伤性、败血性和无菌性。材料和方法为了达到我们的目的,我们确定了以下主要任务:用苏木精伊红和AZAN对样品进行染色后,在光学显微镜下检查股头韧带的结构,并对人类股头韧带的形态特征进行比较复杂的分析。结果对尸体韧带的检查显示,股骨头韧带损伤明显。结论通过组织学检查,我们发现股头韧带在髋关节中具有生物学、力学和营养作用,保存股头韧带对预防未来并发症具有重要意义。
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引用次数: 0
Acinetobacter baumannii – a problematic microorganism with increasing antibiotic resistance 鲍曼不动杆菌-一种抗生素耐药性增加的问题微生物
Pub Date : 2021-08-18 DOI: 10.14748/VMF.V10I2.7868
D. Dimitrova-Stefanova, E. Keuleyan, E. Ivanova, Helia Toskova, Kamelia Donkova
Introduction In the last years, the growing antibiotic resistance of Acinetobacter baumannii isolates has been registered all over the world, incl. in our country. This increases the cost of treatment, burdens health care facilities and staff, and - on an individual level - worsens the quality of life of patients, especially the risk of death. The aim of this study is to discuss up-to-date data on the problematic and increasing antibiotic resistance of Acinetobacter baumannii and their containment. Materials and Methods Information from the last five years is selected from scientific databases: CDC, ECDC, Elsevier, PubMed, Sciencedirect, BulSTAR, Medical Institute of Ministry of Internal Affairs. Results and Discussion According to experts, emergence of carbapenem-resistant A. baumannii should be contained using complex measures: screening of risky patients, increased measures in infection control and antimicrobial stewardship. The COVID-19 pandemic over the past year has contributed to increase in resistance due to the heightened and in many cases irrational use of often broad-spectrum antibiotics. The need for laboratory testing of susceptibility/ resistance of carbapenem-resistant Acinetobacter baumannii hospital isolates to antimicrobials is frequently overlooked. Conclusions Strict control of infections is needed to limit the increasing resistance of Acinetobacter baumannii, including through monitoring, and an early and accurate laboratory diagnosis. It is necessary to raise the level of awareness regarding antibiotic policy, both among medical professionals and among people in society as a whole, through information events and materials.
近年来,鲍曼不动杆菌的耐药性在世界各地都有报道,包括在我国。这增加了治疗费用,加重了保健设施和工作人员的负担,并且在个人层面上恶化了病人的生活质量,特别是死亡的风险。本研究的目的是讨论鲍曼不动杆菌的问题和不断增加的抗生素耐药性及其控制的最新数据。近5年的资料选自以下科学数据库:CDC、ECDC、Elsevier、PubMed、Sciencedirect、BulSTAR、内务部医学研究所。结果和讨论专家认为,耐碳青霉烯鲍曼不动杆菌的出现应通过复杂的措施加以控制:筛查高危患者,加强感染控制措施和抗菌药物管理。过去一年的COVID-19大流行导致耐药性增加,原因是往往是广谱抗生素的使用增加,而且在许多情况下是不合理的。实验室检测耐碳青霉烯鲍曼不动杆菌医院分离物对抗菌素的敏感性/耐药性的必要性经常被忽视。结论需要严格控制感染,以限制鲍曼不动杆菌日益增加的耐药性,包括通过监测和早期准确的实验室诊断。有必要通过宣传活动和材料,提高医疗专业人员和整个社会人民对抗生素政策的认识水平。
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引用次数: 0
Development and kinesitherapeutic treatment of glenhumeral instability 肩关节不稳的发展及运动疗法
Pub Date : 2021-08-18 DOI: 10.14748/VMF.V10I2.7879
Yuliyana Pashkunova
The upright position of a person frees the upper limb to perform precise activities. As a result, the arm can be placed at any point in an almost complete circle with a diameter determined by the length of the upper limb. This predetermines the development of mobility in the shoulder kinematic complex. However, the large volume of movement causes a compromise with stability, which is a prerequisite for the complex’s fragility. The shoulder joint can be luxated much more often than other joints due to the shallow joint fossa, and low congruence and bone stabilization. The main passive stabilizing structures are the fibrous joint capsule and ligaments, and the main dynamic stabilizer is the rotator cuff of the joint, which surrounds it on all sides. Therefore, the emphasis in kinesiotherapy is on restoring its function (4). The dislocation of the upper limb also has a significant social aspect, associated with job loss, financial difficulties, changes in the lifestyle of the individual and their family, etc. Unfortunately, there are no exact data on the loss of labor, cash benefits and loss in production, both in the world and in Bulgaria. Treatment of traumatic dislocation can be conservative, through adjustment and immobilization. If it fails and the subluxations become chronic, the patient is examined by magnetic resonance imaging and arthroscopy for surgical treatment. Surgical treatment of shoulder instability has been a problem that has attracted the attention of doctors since ancient times. Hippocrates was the first to pay serious attention to recurrent luxation and offer a technique for its treatment. In such patients, he caused burns with white-hot metal rods in several places around the joint in order to obtain coalescence that stabilized it. Restoration of anterior glenohumeral stabilization by the arthroscopic method is one of the most modern methods of treatment (1).
一个人的直立姿势可以解放上肢来进行精确的活动。因此,手臂可以放置在一个几乎完整的圆周上的任何一点,这个圆周的直径由上肢的长度决定。这预先决定了肩关节运动复合体活动能力的发展。然而,大量的运动导致稳定性的妥协,这是综合体脆弱性的先决条件。肩关节比其他关节更容易脱位,因为肩关节窝较浅,一致性和骨稳定度较低。主要的被动稳定结构是纤维关节囊和韧带,主要的动态稳定结构是关节的旋转袖套,它环绕在关节的四周。因此,运动疗法的重点是恢复其功能(4)。上肢脱位也有重要的社会方面,与失业、经济困难、个人及其家庭生活方式的改变等有关。不幸的是,在世界和保加利亚都没有关于劳动力损失、现金收益和生产损失的确切数据。外伤性脱位的治疗可以保守,通过调整和固定。如果治疗失败,半脱位变成慢性,患者需要接受磁共振成像和关节镜检查,以便进行手术治疗。肩关节不稳的手术治疗自古以来就是医学界关注的问题。希波克拉底是第一个认真关注复发性脱位并提供治疗技术的人。在这些病人中,他在关节周围的几个地方用白热金属棒进行烧伤,以获得稳定关节的愈合。关节镜下固定术是目前最先进的治疗方法之一(1)。
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引用次数: 0
Image methods for diagnosis of congenital and acquired disorders of the hip joint in children 儿童先天性和后天性髋关节疾病的影像学诊断方法
Pub Date : 2021-08-18 DOI: 10.14748/VMF.V10I2.7869
Nevenka Boninska, Milena Miladinova
Luxation is one of the most common congenital hip dislocations in newborns. The aim of the review is to acquaint the audience with the imaging methods for the diagnosis of congenital and acquired dislocations of the hip joints in children. A documentary method is used. Literary and Internet sources describing the disease, its origin and imaging methods used for diagnosis and timely treatment have been studied. The diagnosis is made not only by symptoms or examination, but also by using imaging methods such as: ultrasound, radiography, magnetic resonance imaging /MRI/, and in some cases computed tomography /CT/. Ultrasound diagnosis is the preferred method because it is a cheap and non-ionizing method. Radiography gives us enough information to diagnose diseases of the hip joint in children, but is preferable in children above the age of 9-10 months. It is desirable, if possible, to replace the radiation diagnostics with another, non-ionizing method. Each imaging method provides sufficient and important information necessary for the accurate diagnosis and timely treatment of congenital and acquired dislocations of the hip joints.
脱位是新生儿最常见的先天性髋关节脱位之一。这篇综述的目的是让读者了解儿童先天性和后天性髋关节脱位的影像学诊断方法。采用跟单法。文献和网络资源描述的疾病,其起源和成像方法用于诊断和及时治疗进行了研究。诊断不仅通过症状或检查,而且还通过成像方法,如:超声、放射照相、磁共振成像/MRI/,在某些情况下还可通过计算机断层扫描/CT/。超声诊断是首选的方法,因为它是一种廉价和非电离的方法。x线摄影为诊断儿童髋关节疾病提供了足够的信息,但在9-10个月以上的儿童中更可取。如果可能的话,希望用另一种非电离方法代替辐射诊断。每种成像方法都为准确诊断和及时治疗先天性和后天性髋关节脱位提供了充分而重要的信息。
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引用次数: 0
Monitoring the effect of therapy on a patient with a neuroendocrine tumor of the pancreas with PET/CT, 68Ga-DOTATATE - case report 用PET/CT监测胰腺神经内分泌肿瘤的治疗效果,68Ga-DOTATATE - 1例报告
Pub Date : 2021-08-18 DOI: 10.14748/VMF.V10I2.7870
S. Chausheva, Т. Stoeva, M. Dyankova, B. Chausev, Z. Dancheva, T. Jordanova, A. Klisarova, G. Valchev
Neuroendocrine tumors (NET) are a rare diagnosis, often without symptoms or mimicking other different symptoms. Тhey are a heterogeneous group of tumors derived from neuroendocrine cells, most commonly of the gastrointestinal tract, but may originate also from other organs including the pancreas, lungs, ovaries, thyroid, pituitary, and adrenal glands (3). Due to the difficult diagnosis, NET‘s are detected at a late stage in their development, often already locally advanced or metastasized. PET/CT with 68 Gallium DOTATATE proved to be an effective imaging method not only for the primary diagnosis of NET and subsequent therapeutic behavior, but also for evaluating the effect of the treatment. (1) We present a case of a positive PET/CT scan, performed with Ga-68 DOTATATE in the topical location of the tail of the pancreas after therapy with Sandostain lar.
神经内分泌肿瘤(NET)是一种罕见的诊断,通常没有症状或模仿其他不同的症状。Тhey是一种来自神经内分泌细胞的异质性肿瘤,最常见的是胃肠道,但也可能起源于其他器官,包括胰腺、肺、卵巢、甲状腺、垂体和肾上腺(3)。由于诊断困难,NET在其发展的后期才被发现,通常已经局部进展或转移。68 DOTATATE镓PET/CT不仅是NET的初步诊断和后续治疗行为的有效影像学手段,而且是评价治疗效果的有效影像学手段。(1)我们报告了一个阳性的PET/CT扫描病例,使用Ga-68 DOTATATE在胰岛尾部局部位置进行了Sandostain lar治疗。
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引用次数: 0
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Varna Medical Forum
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