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罕見的腹膜外異位闌尾1例報告

原發性乳腺惡性纖維組織細胞瘤1例報告

Diagnosis and Treatment of Cystosarcoma Phyllodes and GiantFibroadenomas of Breast (Report of 〖STHZ〗17 Cases)

目的　探討乳腺葉狀囊肉瘤和巨纖維腺瘤的診斷和治療。方法　回顧分析我院1985～2002年期間外科收治的9例乳腺葉狀囊肉瘤和8例乳腺巨纖維腺瘤的臨床資料。結果　9例乳腺葉狀囊肉瘤中行單純乳房切除術4例，保留乳頭皮下乳房切除術1例，保留乳頭和部分壓縮腺體＋腫塊切除術1例，改良根治術3例; 術后恢復良好，僅1例復發。8例乳腺巨纖維腺瘤中行單純乳房切除術2例，保留乳頭皮下乳房切除術1例，保留乳頭和部分壓縮腺體＋腫塊切除術2例，單純乳腺腫塊切除術3例； 術后恢復良好，術后2例復發。結論　乳腺葉狀囊肉瘤和巨纖維腺瘤臨床上均表現為無痛性包塊，除乳腺葉狀囊肉瘤發病年齡較大、腫塊范圍大及易惡變外，二者主要依據病理檢查結果相鑒別； 均以手術治療為主，根據患者年齡、腫塊大小以及病理檢查結果選擇不同的手術方式。

小腸禁錮癥伴胃賁門癌1例報告

Surgical Treatment of Peutz-Jeghers Syndrome (Report of 8 Cases)

目的總結黑斑息肉綜合征的外科治療經驗。方法回顧性分析我院 1986～2002年期間收治的8例黑斑息肉綜合征患者的臨床資料。結果8例中行部分小腸切除（其余段小腸多處切開，切除息肉）5例； 胃大部切除術2例； 右半結腸切除術1例。本組1例腸套疊致腸壞死急診行腸切除，術后2年，因小腸息肉引起腸套疊致腸壞死，再次手術切除壞死腸段； 1例術后內鏡隨訪中發現直腸息肉，給予內鏡下電灼切除； 其余6例未見復發。結論黑斑息肉綜合征手術主要是針對胃腸道息肉的治療，解除臨床癥狀； 并注意把握手術時機，嚴格遵循手術適應證，并加強術后的隨訪。

Effects of novel hypoglycemic drugs on cardiovascular outcomes in patients with type 2 diabetes mellitus and its possible mechanism

The risk of cardiovascular disease in patients with type 2 diabetes mellitus is significantly increased, which is the primary cause of death. Recent studies have shown that novel hypoglycemic drugs such as sodium-glucose linked transporter 2 inhibitors and glucagon-like peptide-1 receptor agonists have been proven to have cardiovascular protective effects through cardiovascular outcome trials. This article reviews the improvement effects of these drugs on cardiovascular outcomes and explores their possible mechanisms, such as improving myocardial metabolism and reducing inflammatory reactions, providing a reference for optimizing hypoglycemic regimens.

原發性腸系膜腫瘤的外科治療（附42例報告）