Schweizerische medizinische Wochenschrift. Supplementum最新文献

英文中文

[Cystic fibrosis: current therapy. Diabetes]. 囊性纤维化:目前的治疗方法。糖尿病)。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

U Zumsteg

引用次数: 0

[Cystic fibrosis: current therapy. Fertility versus sterility]. 囊性纤维化:目前的治疗方法。生育与不育]。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

A Rüdeberg

引用次数: 0

[Cystic fibrosis: current therapy. Bronchodilators]. 囊性纤维化:目前的治疗方法。支气管扩张剂)。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

P A Eng

引用次数: 0

[Cystic fibrosis: current therapy. Inhalation therapy with recombinant DNAse]. 囊性纤维化:目前的治疗方法。吸入治疗重组DNAse]。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

M Rutishauser

引用次数: 0

[Hypothyroidism after combined surgical and radiotherapy treatment of cancer of the ORL area]. [手术放疗联合治疗ORL区癌后甲状腺功能减退]。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

S Auberson, H Kündig

Introduction: Hypothyroidism is a well described complication of head and neck cancer treatment, but routine testing of thyroid function is generally not done. The combination of surgery and radiotherapy seems to increase the risk of thyroid hypofunction.

Methods: Thyroid function was measured in 82 patients treated for head and neck cancer (different types of surgical resection combined with pre- or postoperative radiotherapy). The treatment was undertaken 1 to 220 months before measurement of THS and T4.

Results: 43 out of the 82 patients (52%) had abnormal thyroid tests. Hormonal replacement was necessary in 20/43 cases (24%). More than 85% of patients treated by total laryngectomy or pharyngo-laryngectomy, associated with hemithyroidectomy or not, had hypothyroidism and replacement therapy was necessary in more than half of these patients. For the other types of surgery the incidence of hypothyroidism was 32% with 10% of patients needing substitution.

Discussion: A high percentage of patients treated by surgery and radiotherapy develop hypothyroidism. In our experience, routine thyroid function testing is necessary in this group.

简介:甲状腺功能减退是头颈癌治疗的一种常见并发症，但甲状腺功能的常规检测通常不做。手术和放疗相结合似乎会增加甲状腺功能减退的风险。方法:对82例头颈癌患者(不同术式切除联合术前或术后放疗)进行甲状腺功能测定。治疗前1 ~ 220个月测量甲状腺素和T4。结果:82例患者中43例(52%)甲状腺检查异常。43例中有20例(24%)需要激素替代。接受全喉切除术或咽喉切除术的患者，不论是否伴有甲状腺切除术，超过85%的患者有甲状腺功能减退，其中超过一半的患者需要替代治疗。对于其他类型的手术，甲状腺功能减退的发生率为32%，10%的患者需要替代。讨论:高百分比的患者接受手术和放疗发展甲状腺功能减退。根据我们的经验，常规甲状腺功能检查是必要的。

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引用次数: 0

[Stapes surgery in anomalies of the course of the facial nerve]. 面神经走行异常的镫骨手术。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

B Blaser, R Rahnama, R Häusler

In 548 stapes operations performed in Berne during the period 1994-1998, an anomaly of the course of the facial nerve was observed in 37 cases. 29 exhibited partial prolapse of the nerve over the oval window, with or without dehiscence of the bony canal, while 5 showed total prolapse of the nerve over the oval window. In one case the nerve was duplicated round the oval window and in a further instance the facial nerve was situated over the promontory and also over the oval window. In one other case the nerve was spread widely over the oval window. Concomitant anomalies of the stapes were frequently observed. The following surgical techniques were employed: in the case of partial prolapse of the nerve, a small piston was placed in the lower part of or in the oval window, which was widened towards the promontory. In cases of total prolapse of the facial nerve the prosthesis was drilled straight into the promontory. Where the nerve was duplicated the prosthesis was placed in the footplate between the nerve branches, and where the nerve ran over the promontory and over the oval window the prosthesis was placed above the oval window. In the case where the nerve was spread widely over the oval window, no prosthesis was inserted. 78% of patients had a residual air-bone gap of 20 dB or less; in only three cases did hearing fail to improve. One patient with Crouzon disease involving a complex anomaly had a hearing impairment of 22 dB. There was no deafness, facial paralysis or vertigo with nystagmus.

1994-1998年在伯尔尼进行548例镫骨手术，其中37例出现面神经走行异常。29例表现为神经在卵圆窗上部分脱垂，伴或不伴骨管破裂，5例表现为神经在卵圆窗上完全脱垂。在一种情况下，神经在椭圆形窗口周围复制在另一种情况下，面神经位于角状和椭圆形窗口上方。在另一个病例中，神经广泛分布在椭圆形的窗户上。镫骨常伴有异常。采用以下手术技术:在神经部分脱垂的情况下，在卵圆窗的下部或卵圆窗中放置一个小活塞，向海岬方向加宽。在面神经完全脱垂的情况下，假体直接钻入海岬。在神经复制的地方假体被放置在神经分支之间的踏板上，在神经穿过海岬和椭圆形窗口的地方假体被放置在椭圆形窗口的上面。在神经广泛分布于椭圆形窗的情况下，不插入假体。78%的患者残余气骨间隙小于等于20db;只有三个病例的听力没有得到改善。一名伴有复杂异常的Crouzon病患者的听力损伤为22 dB。患者无耳聋、面瘫或眩晕伴眼球震颤。

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引用次数: 0

[In Process Citation] [在制引文]

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

Balague, Troussier

引用次数: 0

[In Process Citation] [在制引文]

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

Klinkmann-Eggers

引用次数: 0

[Cystic fibrosis: current therapy. Antibiotics]. 囊性纤维化:目前的治疗方法。抗生素)。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

M Tamm, F Héritier, I Rappaz, U B Schaad

引用次数: 0

[Cystic fibrosis: current therapy. Inhalation therapy]. 囊性纤维化:目前的治疗方法。吸入疗法)。

Schweizerische medizinische Wochenschrift. Supplementum

Pub Date : 2000-01-01

J Wildhaber

引用次数: 0

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