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    20 April 2013, Volume 13 Issue 02
    论文
    Diagnosis and treatment of pregnancy-associated hyperlipidemic severe acute pancreatitis
    Pan Yuguo, Qian Yide
    2013, 13(02):  81-83. 
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    【Abstract】 Objective To investigate the management of pregnancy-associated hyperlipidemic severe acute pancreatitis. Methods We retrospectively analyzed the clinical data of 27 cases of pregnancy-associated hyperlipidemic severe acute pancreatitis admitted January 2002 to January 2013, the Third Affiliated Hospital of Guangzhou Medical University. Results Among the 27 paPtients, 4 patients died, the cure rate of 85.1%. 17 cases of surgical treatment, hemodialysis filtration in the treatment of 21 cases, the average length of stay of 43 days survival cases. Conclusion Treatment of pregnancy-associated hyperlipidemic severe acute pancreatitis focused on reducing TG levels, treatment of pancreatitis, mainly to protect pregnant women and fetuses; timely development of a comprehensive treatment program for gestational hyperlipidemic severe acute pancreatitis, carefully choose the timing of surgery and the surgical approach, simultaneously multidisciplinary collaboration rescue help to improve efficacy.

    Methods and skills of selective laparoscopic peridicardial devascularization
    Wang Weidong
    2013, 13(02):  84-86.  DOI: 10.3969/j.issn.1009-976X.2013.
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    [Abstract] Total Laparoscopic pericardial devascularization for treatment of portal hypertension, with some advantages such as minimally invastion  and faster recovery and shorter hospital stay , has been performed more and more year by year. Its indications and contraindications are similar to that of open surgery. However, postoperative recurrent bleeding rate raised obviously due to persistence high pressure of portal system and restitutions of esophagogastric collateral circulation and varicose vein. With developments of laparoscopic technique, selective laparoscopic peridicardial devascularization is looking forward to be a ideal procedure for treatment of portal hypertension. This paper emphasizes on introducing methods and skills of selective laparoscopic peridicardial devascularization.

    Differential expressions of Vps4 between HCC tissues and adjacent noncancerous tissues and its clinical significance
    2013, 13(02):  87-90.  DOI: j.issn.1009-976X.2013.02.003
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    【Abstract】Objective To investigate the differential expressions of vacuolar protein sorting 4 (Vps4)between HCC tissues and adjacent noncancerous tissues and to explore the clinical significance of Vps4 expression. Methods The expressional levels of Vps4 were detected using three step method of immunohistochemistry in 56 pairs of HCC tissues and adjacent noncancerous tissues who underwent surgical excision and were pathologically diagnosed as HCC, and the 11 normal liver tissues were also detected by the same method. Results 1) Vps4 can be expressed in HCC tissues,noncancerous tissues, normal liver tissues, bile duct tumor thrombi,vascular thrombi and metastatic lymph nodes. 2)Vps4 expressed more in adjacent noncancerous tissues than in HCC tissues.Vps4 also expressed more in normal liver tissues than in HCC tissues. Both of the difference were statistically significant (P<0.05). Vps4 expressed in adjacent noncancerous tissues and normal liver tissues were no statistical significance(P>0.05). 3) Vps4 expression was correlated with HBV-DNA copies. Conclusion Vps4 were expressed significantly different between HCC tissues and noncancerous tissues,and it was related with HBV-DNA copies, it may be involved in the genesis and the development of HCC.

    The expression of FAP-1 in hepatocellular carcinoma and its clinical significance
    2013, 13(02):  91-94.  DOI: j.issn.1009-976X.2013.02.004
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    【Abstract】 Objective To investigate the expression of FAP-1 in hepatocellular carcinoma (HCC) and its clinical significance. Methods Immunohistochemistry was used to detect the expression of FAP-1 in primary tumor tissue of 66 patients with HCC and the expression levels were analyzed in combination with the clinicopathologic variables of HCC. Results Up regulation of FAP-1 protein expression was correlated strongly with TNM stage,tumor number and tumor recurrence.FAP-1 negative expression patients showed a significantly better prognosis than the FAP-1 positive patients. Multivariate analysis showed that FAP-1 expression, vascular invasion, tumor size, and TNM stage were significant independent variables for survival. Conclusion The expression of FAP-1 in HCC would affect pathologic feature of liver cancer cells and further affect the prognosis of patients with liver cancer.

    Changes of rat cortical GLUT3 expression during cardiopulmonary resuscitation
    Chen Ruixia; Ye Xijiu
    2013, 13(02):  95-98.  DOI: j.issn.1009-976X.2013.02.005
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     【Abstract】 Objective To investigate changes of the expression of rat cortical GLUT3 mRNA and protein during cardiopulmonary resuscitation of cardiac arrest. Methods Thirty of SD rats were randomly divided into sham operation group(S group,n=5), resuscitation group (R group, n=25),and resuscitation group was further divided into five subgroups at restoration of spontaneous circulation(ROSC) 3,6,12,24,48 h. The rat model of asphyxial cardiac arrest and cardiopulmonary resuscitation (CPR) was established and the animals were sacrificed at each time point after CPR,and brain tissues were taken..Real-time qPCR and immunohistochemistry staining were performed to evaluate cortical GLUT3 expression of parietal lobe. Results In R group, GLUT3 increased gradually at ROSC 3 h,peaked at ROSC6 and 24 h, while dropped at ROSC 12 h. An upregulation of GLUT3 still existed at ROSC 24 h,although dropped at ROSC 12 h. Conclusion GLUT3 expression increased after cerebral ischemia and hypoxia caused by cardiac arrest and CPR, which may be a protective response to ischemic injury.

    Expression and its significance of HLA-G in colon carcinoma
    Zhang Guangxian; Yang Haifeng; Zeng Xiancheng
    2013, 13(02):  99-102.  DOI: j.issn.1009-976X.2013.02.007
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    【Abstract】 Objective To study the expression of -G protein in normal tissues, normal paracarcinoma tissues and carcinoma tissues derived from colon carcinoma specimens and to explore its effects with occurrence and development of colon carcinoma. Methods Immunohistochemical method was used to detect the expression of -G protein in distal tissues, paracarcinoma tissues and carcinoma tissues of colon carcinoma. Results There were significant differences of the expression of -G protein in carcinoma tissues compared with distal tissues or paracarcinoma tissues (P<0.01) and significant difference between paracarcinoma tissues and distal tissues (P<0.01). The expression of -G protein in colon carcinoma tissue was positively correlated with tumor vascular invasion, lymph node metastasis and clinical staging (P<0.01), without relationship gender, age, tumor size, tumor location, histological grade, and preoperative CEA. Conclusion -G expression was progressively increased from distal tissue,paracarcinomatissue to colon carcinoma tissues,which associates with the tumor vascular invasion, lymph node metastasis, clinical staging.

    Effect of lean body weight as a criterion to calculate intravenous induction dose in general anesthesia for severe obese patients
    Xu Xiaoying, Li Yujuan, Zhao Guoqing
    2013, 13(02):  103-106.  DOI: j.issn.1009-976X.2013.02.007
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    【Abstract】Objective To investigate the cardiovascular response and extubation time of severe obese patients undergoing tracheal intubation by using lean body weight(LBW) as a criterion to calculate intravenous induction dose. Methods Thirty patients, ASA I~II, aged from 18 to 60 years old, BMI>40, who were scheduled to perform general and orthopedic surgery undergoing general anesthesia,were involved in this study. Patients who were given anesthetics according to their lean body weight (LBW), total body weight (TBW) and ideal body weight (IBW), were assigned into 3 groups:group LBW, groupTBW and groupIBW respectively. The average of three record of systolic pressure (SBP), diastolic pressure (DBP) and heart rate (HR) were taken as base values (T1). The SBP, DBP and HR of patients in three groups at the moment just before intubation (T2) and at the moment intubation (T3) as well as extubation time (time from the end of surgery to extubation) were recorded. Results (1) The decreases of SBP, DBP and HR in groupTBW at T2 were much more than that in groupLBW and groupIBW compared with T1 (P<0.01). (2) The decreases of SBP, DBP and HR in groupTBW were much more significant than that in groupLBW at T3 compared with T1 (P <0.01). While those were increased over 15% in groupIBW compared with T1(P<0.01). (3)The incidence of SBP>30% baseline, HR>100/min and RPP>12000 were highest in groupIBW(60%,50%, 80%, P<0.01), the incidence of SBP<30% baseline and HR<60/min were highest in group TBW(70%, 50%, P<0.01). (4) Extubation time in group TBW was longest (26.2±12.5 min, P<0.01) among the three groups. Conclusion LBM may be considered as a reasonable criterion for ASA Ⅰ~Ⅱ, severe obese patients to calculate the induction dose of intravenous anesthetics since it has less impact on cardiovascular reaction,lower incidence of adverse reaction and faster recovery from general anesthesia.

    Experience of primary closure following laparoscopic common bile duct exploration (Report of 57 cases)
    Ling Lixing, Zang Xian, Ma Jing, Huang Zejian, Zhang Lei
    2013, 13(02):  107-108.  DOI: j.issn.1009-976X.2013.02.008
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    【Abstract】Objective To Summarized the experience of the primary closure following laparoscopic common bile duct exploration (LCBDE). Methods Clinical data of consecutive 57 patients undergoing primary closure following LCBDE were retrospectively analyzed. Results The success rate of surgery was in all cases. Mean operation time was 62±27 min. Postoperative hospital stay was 6±3 d. No bile leakage was found after operation. No residual calculi and biliary stenosis were found during six months to 3 years of follow-up period. Conclusion Primary closure following LCBDE would be feasible and safe under suitable conditions.

    A comparative study on the clinical effects of arthroscopic reconstructions of anterior cruciate ligament with single-bundle and double-bundle single tibial tunnel
    Song Yang, Du Qingjun, Huang Mingguang, Zeng Qiutao, Zhao Hongbin, Jiang Huan
    2013, 13(02):  109-112.  DOI: j.issn.1009-976X.2013.02.009
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    【Abstract】Objective To discuss the clinic differences between arthroscopic ACL reconstructions with single-bundle and double-bundle single tibial tunnel after ACL injury. Methods A total of 38 cases of arthroscopic ACL reconstruction were involved in this study from January 2008 to June 2011, including 21 double-bundle ones (Group A) and 17 single-bundle ones (Group B). The IKDC2000, Larson and Lysholm scores were compared for every patient before and after operation. Results All the 38 patients were followed up from 12 to 35 months (an average of 25), which contained 38 examples of knee joints. The mobility of joint was normal in patients of both group A and B after operation. As regard of IKDC2000, Larson and Lysholm scores, the differences in group A or Group B were significant before and after operation (P<0.001). In the comparison between group A and group B, postoperative Larson score of group A was superior to the group B and the other scores were no statistical difference. Conclusion Both double-bundle and single-bundle single tunnel reconstruction by arthroscope could achieve excellent clinical effect in treatment of ACL injury. The double-bundle method looks better than single-bundle method according Larson score, but it needs to be further confirmed.

    Comparision between simple internal fixtion and limited internal fixtion combined with external fixtion for treatment of high?鄄energy closed pilon fracture
    Hou Nianzong, Chen Binghao, Hong Jingsong, Chen Hao, Liu Wenzhou, Song Weidong
    2013, 13(02):  113-116.  DOI: j.issn.1009-976X.2013.02.010
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    【Abstract】Objective To compare the clinical outcomes of high-energy closed pilon fracture treated with simple internal fixtion and limited internal  fixtion combined  with external fixtion.  Methods From Dec. 2001 to Dec. 2010,the clinical data of 42 cases with high-energy closed  pilon fracture were analyzed retrospectively..According to the surgical methods,.these patients were divided into two groups. Group A were treated by open reduction and simple internal fixtion(ORIF) in 26 cases,.and Group B were treated by open reduction and limited internal fixtion combined external fixtion (LORIF plus EX) in 16 cases..The incidence of post-operative complications were statistically analyzed,.including infection,.bone delayed union,.traumatic arthritis,.ankylosis and the range of ankle activity and the function were measured according to AOFAS hindfoot score system 8 months after operation. Results No significant difference were found between two groups in gender,.age, fracture type, time from injury to surgery (P>0.05)..The patients were followed up for 8-109 months,average 37.6 months..The differences of the two methods were no differences in the incidence rate of postoperative complications and the articular activity  and AOFAS scores of ankle.  Conclusions For the treatment of high-energy closed Pilon fracture,.the curative effects of ORIF and ORIF plus EX were similar and postoperative complications were no diffferences. But for the pilon fracture associated  with severe soft tissue injury, ORIF plus EX is a better choice.

    Laparoscopic resection of insulinoma:a report of 13 cases
    Ye Yong, Ye Lin, Tang Wanrong, Ye Jiexiong
    2013, 13(02):  117-119.  DOI: j.issn.1009-976X.2013.02.011
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    【Abstract】Objective To explore the feasibility and security of totally laparoscopic resection of insulinoma. Methods From January 2008 to september 2012, 13 cases of insulinoma which had laparoscopic resection were analyzed retrospectively. The main surgical technique was summarized. Results Thirteen cases of insulinomas were operated successfully guided by laparoscopic ultrasound. Amnong them, 7 cases underwent simple lumpectomy, 4 cases underwent resecton of body and tail of pancreas plus spleen and 2 cases underwent resection of body and tail of pancreas with spleen-preserving. Postoperative pancreatic leakage was found in 3 cases, which were cured by conservative treatment. The status of postoperative blood sugar was stable. There were no severe infection and massive bleeding in the abdominal cavity after operation. No recurrence was found during follow-up period. Conclusioins Laparoscopic resection of insulinoma is safe,minimally invasive and feasible. Combined with laparoscopic and intraoperative ultrasound, it would contribute to correct localization of insulinoma and choose a suitable surgical procedure.

    Analysis of complications of transurethral biploar plasma kinetic  enucleation  of prostate
    CaoJiazheng, Pang Jian, Wu Ronghai, Cheng Zhouping, Lin Qiping, Lin Weiguang,etc
    2013, 13(02):  120-123.  DOI: j.issn.1009-976X.2013.02.012
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     【Abstract】Objective To investigate the clinical efficacy of transurethral  bipolar plasma kinetic enucleation of prostate(TUPKEP) for the treatment of benign prostatic hyperplasia (BPH). Methods The clinical data of 368 cases with BPH treated with TUPKEP were analyzed retrospectively. Results The operations were completed in all cases. The operation time was 55.1±19.2 min, the blood loss was 88±26 mL, the resected prostate tissues weight was 60.5±26.3 g, the catheter retention time was 4.8±1.3 days and the postoperative hospitalization time was 5.9±1.8 days. The perforetion of the prostatic capsule happened in four cases..Among them,1 case occurred perforation in the bladder -prostate junction and the abdominal drainage was performed. Thirty -eight patients had mild urinary incontinence,.12 patients had stress incontinence..No permanence incontinence happened. Five cases had bladder neck contracture and six cases needed blood transfusion during operation. Eighty -six cases had retrograde ejaculation and 10 cases had urethral stenosis,39 cases had erectile dysfunction .(ED)..No TUR syndrome happened and no re -operation was performed in these cases. There were statistical significances of IPSS, QOL, PVR and Qmax between pre -operation and post -operation. Conclusion TUPKEP has advantages in operation time,.bleeding,.post -operative hospitalization time,the mean bladder irrigating time and few complications and it is an effective and safe therapy for BPH. Complications of TUPKEP are controllable and preventable.

    The imaging features of pseudomyxoma peritonei(Report of three cases and review of literature)
    Shi Jie, Bai Zhiqiang, Li Yong
    2013, 13(02):  124-127.  DOI: j.issn.1009-976X.2013.02.013
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    【Abstract】Objective To investigate the imaging findings of pseudomyxoma peritonei (PMP), and improve the differential diagnosis of this desease. Methods Three cases of PMP were confirmed by operation and pathological examination in our hospital from January 2003 to April 2012. Among them, two cases undevwent ultrasound and MR examination before operation, one case had underwent CT scan. The findings clinical and imaging data were retrospectively analyzed. Results Three cases with primary tumors were diagnosed as ovary cyst, gastric cancer and borderline cystadenoma of ovary. CT and MRI examinations showed a multilocular solid and cystic lesion with slight enhancement on cyst wall, omentum and peritoneum. The borders of liver and spleen was scallop-like impress in one case. Large volumes of mucinous ascites were found around the organs, omental interspaces and pelvic cavity.The diffuse thickening peritoneum and omentum showed cake shaped change and the intestine was displaced by pressure. Conclusion PMP has imaging feature in both CT and MRI. The preoperative imaging evaluation has certain value on the establishment of clinieal therapeutic project.

    Application of retroperitoneal single-port laparoscope in nephrectomy
    Mai Yuan, Yin Jie, He Guowei, Mai Nengbin, Chen Xiangxin, Lin Jingbo
    2013, 13(02):  128-130.  DOI: j.issn.1009-976X.2013.02.014
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    【Abstract】Objective To summarize the experience on the application of retroperitoneal single-port laparoscope in nephrectomy. Methods Fifteen patients were treated with traditional retroperitoneal laparoscopic nephrectomy and other 15 cases with  retroperitoneal single-port laparoscopic nephrectomy from Jan 2010 to Oct 2012.The clinical data were comparatively analyzed including operation time, blood loss,.length of incision,.removing time of drainage tube,.intraoperative and post-operative complications,postoperative activity time and hospitalization time.Results All operations were completed successfully..No significant differences were found between two groups,.while the retroperitoneal single-port laparoscopic nephrectomy had longer operative time and smaller operative incision.Conclusion Retroperitoneal single-port laparoscopic nephrectomy is a safe,.feasible,.clinical effective operation that satisfies patient's expectation in minimally-invasion and better cosmetic outcome. 

    Epicanthus Correction of asymmetric rhomboidal incision
    Huang Qili, Wang Tingting, Liang Jiebao, Deng Yingshan.
    2013, 13(02):  131-132.  DOI: j.issn.1009-976X.2013.02.015
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    【Abstract】Objective To investigate the clinical effect on the epicanthus correction with asymmetric rhomboidal incision. Methods From June 2009 to November 2011, the clinical data of 67 cases received epicanthus correction with asymmetric rhomboidal incision were analyzed retrospectively. Results The follow-up was got in all cases. The follow-up time was from 3 to 24 months. Sixty-six cases of the epicanthuses were corrected well after operation. And the incisional scars were not obvious. Improvement of bilateral epicanthuses were not satisfactory in one case. Conclusion Epicanthus correction of asymmetric rhomboidal incision has a good efficacy, no obvious scar and few recurrence.

    Internal fixation of fracture of multiple ribs under video-assisted thoracoscopy
    Wu Xiaoqina, Zhang Guangyunb, Xue Rui
    2013, 13(02):  133-135.  DOI: j.issn.1009-976X.2013.02.016
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    【Abstract】Objective To investigate the curative effects on multiple rib fractures under video-assisted thoracoscopy (VATS). Methods From March 2008 to February 2012,56 patients with multiple rib fracture under VATS using Tin shape memory alloy embracing fixator for internal fixation were analyzed retrospectively. Results The average operative time was 53 min (35-110 min). The mean blood loss was 40 mL(10-85 mL). The postoperative average hospitalization time was in 19.6 d (12 to 23 d). Fourty seven patients were followed up for 3 to 6 months, an average of 4.8 months. The first intention of incision was got in all cases. In this group,complicated ARDS was in 13 cases. Excepting 6 cases died from severe multiple organ injuries, the other cases were reeoverred well. Fourty one cases were followed-up for 3-6 months (Average 4.8 months). No severe sequelae of cardiopulmonay complications were found during follow-up period. No remnant obvious deformity of chest wall occurred and the respiratory function was well. Conclusion Internal fixation of multiple rib fracture under VATS is accurate positioning and effective minimally invasive treatment.

    Comparison of clinical results between PPH and Milligan?鄄Morgan haemorrhoidectomy in the treatment of hemorrhoids
    Gu Shuyong, Yang Yifeng, Lin Jirong, Pan Feng'e
    2013, 13(02):  135-137.  DOI: j.issn.1009-976X.2013.02.017
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    【Abstract】 Objective To compare the results of PPH and Milligan-Morgan haemorrhoidectomy in the treatment of hemorrhoids. Methods From January 2009 to June 2012,the clinical date of 152 cases with hemorrhoids received operative treatment were analyzed retrospectively. Among them,82 cases underwent PPH and 70 cases underwent Milligan-Morgan hemorrhoidectomy (MMH). The curative effects, operative time,postoperative hospitalization time, hospitalization cost, intraoperative blood loss and post-operative complications were compared between two groups. Results All patient's original symptoms had been effectively controlled. PPH group had shorter surgical time, less postoperative hospitalization, less postoperative complications and more costs than MM group. The cure rate,postoperative urinary retention and anal tenesmus were no difference between two groups. Conclusion Compared with Milligan-Morgan haemorrhoidectomy,PPH has a better efficacy,less trauma and postoperative quick recovery.

    Analysis of operative biopsy results for cervical mass in 155 cases
    Li Peng, Wei Wei, Liu Qiaogui, Yu Zhiqiang
    2013, 13(02):  138-140.  DOI: j.issn.1009-976X.2013.02.018
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    【Abstract】Objective To study the clinical diagnostic value in the operative biopsy   results of cervical mass. Methods A total of 155 cases with cervical mass (suspicious tumor) underwent lumpectomy and the clinical diagnosis and operative biopsy results were analyzed comparatively. Results In the 155 cases of biopsy results, 67 cases were nonspecific inflammation, 21 cases were tuberculosis of cervical lymph nodes, 34 cases were malignant tumors, 9 cases were thyroglossal duct cyst, 4 cases were hemangioma. The rest included lymph water cyst in 5 cases, schwannoma in 8, branchial cleft cyst in 3, desmoid fibroma in one,.ectopic thyroid in 2,.esophageal diverticulum in one..Forty-seven of 155 cases were misdiagnosed before biopsy examination. Conclusion Reasonable diagnose and treatment process, experience and multidisciplinary cooperation are beneficial to promoting the diagnostic level of cervical mass.

    Clinical efficacy of double J tube (ureteric stent) in coordinating extracorporeal shock wave lithotripsy (ESWL) for treatment of renal stones
    Zhang Bina, Li Zhengmingb, Shi Guoqiang
    2013, 13(02):  140-142.  DOI: j.issn.1009-976X.2013.02.019
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    【Abstract】Objective To observe the clinical effects on the double J tube drainage in coordinating ESWL for treatment of diameter in 2 cm to 3.5 cm simple renal stones. Methods From June 2011 to October 2012, 40 cases with simple renal stones were collected. The double J tube as internal stent and drainage was used before the treatment. Results The KUB was re-xaminaed in 40 cases 1 week after treatment of ESWL One time lithotripsy was in 32 cases. Twice lithotripsy was in 6 cases. The stones were removed completely which 1,2,3-month were in 29, 6 and 3 cases respectively. Two cases with residual stone underwent PCNL. Follwo-up time was in 3 months. According to the condition of removing stones, the double J tube was extracted by the cystoscopy within 1 to 3-month. No ureteral stone-street, severe urinary infection and severe hematuria were found. Twenty four cases occurred irritation sign of bladder in different degree. Conclusion With double J tube internal drainage in coordinating ESWL for treatment of simple renal stones in diameter 2 cm to  3.5 cm, it would contribute to prevent and treat the complieation of ureteral stone-street and has a satisfactory result.

    Analysis in the treatment of hypertensive cerebral hemorrhage of basal ganglia region with modified stereotaxic frontal soft-channel
    Qing Zhonghua, Cheng Qinghui, Pen Jianmin, Pan Guobin, Huang Bin
    2013, 13(02):  143-145.  DOI: j.issn.1009-976X.2013.02.020
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    【Abstract】Objective To investigate the curative effects on the treatment of hypertensive cerebral hemorrhage of basal ganglia region with modified stereotaxic frontal soft-channel. Methods A total of 104 cases with hypentensive cerebral hemorrhage of basal ganglia region were divided into two groups,namely treatment group and control group.The treatment group was treated by modified stereotaxic frontal soft-channel and the control group was treated by traditional craniotomy.The therapeutic efficacies were compared between two surgical procedures. Results In the compared with control group,the treatment group had a lower postoperative complications,fatality rate and disability rate.And postoperative self-care viability had a significant improvement.Conclusion Modified stereotaxic frontal soft-channel possess accurate positioning,short operative time,less trauma,quick postoperative recovery and low fatality rate in the treatment of hypertensive cerebral hemorrhage of basal ganglia region and it is most suitable for elderly critical patients and intolerable craniotomy patients.

    Clinical experience of minimally invasive Surgery on hypertensive cerebral hemorrhage
    Cao Lianghui, Shen Weijun
    2013, 13(02):  146-147.  DOI: j.issn.1009-976X.2013.02.021
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    【Abstract】 Objective To intestigate the carative effects on the evacuation of cerebral bematoma with minimally invasive sphenotresia in the treatment of hypertensive cerebral hemorrhage. Methods March 2007 to March 2011,the clinical date of 58 cases with hypertensive care bral hemorrhage were analyzed retrospectively. All cases received evacuation of cerebral hemotoma through minimally invasive sphenotresia. The cerebral hematoma was dissolved by injecting urokinase after operation. The drainage tube was extracted after 3-5 days.The currative effects were observed. Results Among the 58 patients,.19 cases were cured,27 cases were improved,7 cases were severe disability and 5 cases died. The total effective rate were in 79.31%. Conclusion For the patients with mild to moderate cerebral hemorrhage, the evacuation of cerehral hematoma with minimally invasive sphenotresia has an exact efficacy, simple manipulation, less trauma and low cost.

    Study on the TST in treatment of severe prolapsed hemorrhoids
    Zhang Yan
    2013, 13(02):  148-150.  DOI: j.issn.1009-976X.2013.02.022
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    【Abstract】 Objective To investigate the efficacy of TST (tissue-selecting therapy stapler) in the treatment of severe prolapsed hemorrhoids. Methods Fifty-eight cases with Ⅲ or Ⅳ degree hemorrhoids were operated by TST procedure and 60 cases were operated by PPH. The operative effects were analyzed comparatively. Results Blood loss in PPH group and TST group were 18.55±3.19 mL and 10.17±2.82 mL, and there was significant difference between two groups (P<0.05). VAPS score in PPH and TST group were 1-3 and 4-6, and the differences were significant between two groups. However, the anal resting pressure and rectal resting pressure had no significant difference before and after operation. All the patients were followed-up for 6 mouths. No case had anal stenosis, infection or perianal abscess. Conclusion In the curative effects, TST is similar to the PPH  procedure in the treatment of severe prolapsed hemorrhoid and it has safety, reliable, lower complications and less blood loss.

    Tension-free hernia repair and perioperative management of incisional hernia of abdominal wall
    Liang Hongwei, Cheng Guichou, Feng Shijian
    2013, 13(02):  151-152.  DOI: j.issn.1009-976X.2013.02.023
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    【Abstract】Objective To summary the clinical experience and manner of tension-free hernia repair for patients with incisional hernia of abdominal wall. Methods The clinieal data of 90 cases with incisional hernia of abdominal wall received operation were retrospectively analyzed,including surgical procedure,perioperative management,postoperative complications,the drainage and recurrence. Results All operations were completed successfully,without the serious complications..Ninety cases were followed for ranging from two to four years..One case occurred incisional mild infection and fat liquefaciton. The recurrence was found in one case at 5 months after operation and 1 case Occurred mildinfection associated with fatliquefaction. Conclusion Application of artificial material as tcnsion-free hernia repair has a good effect for treatment of incisional hernia of abdominal wall. The artificial material putting in the different level of abdominal wall would obtain a good curative effect. Also,a correct perioperative management is important for therapeutic efficacy.

    Comparison of clinical results between the Introducer and Pull method on the percutaneous endoscopic gastrostomy (PEG)
    Cen Jianci
    2013, 13(02):  153-155.  DOI: j.issn.1009-976X.2013.02.024
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    【Abstract】Objective To investigate the comparison of clinical results of percutaneous endoscopic gastrostomy (PEG) between the Introducer method and the Pull method. Methods Forty-six patients underwent percutaneous endoscopic gastrostomy (PEG), which 23 cases were performed by Introducer method (A group) and another 23 performed by the Pull method (B group) from January 2010 to November 2012. The clinical effects were observed. Results No significant differences were found in operative time,.hospital stay and the time of nutrient injection between two groups. In the average time of changing gastrostomy tube, the group A and group B were in 6 minutes and 17 minutes respectively.No olisthy, displacement of gastrostomy tube and gastric ulcer were found in group A after operation..But mentioned above postoperative complications were found in one case respectively on group B.Conclusion In the clinical efficacies of percutaneous endoscopic gastrostomy,.the group A is similar to that of the group B..However in the changing time of gastrostomy tube, the group A is shorter than that group B..And in the postoperative complications,.the group A is less than that group B.

    Skills of camera assistant in laparoscopic total intraperitoneal repair of inguinal hernia
    Guan Jiansong,Rong Zhenxiang, XiongYan Zhong, Jian, Guan Weijun, Mai Xianqiang
    2013, 13(02):  156-157.  DOI: j.issn.1009-976X.2013.02.025
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    【Abstract】Objective To investigate the action and skills of camera assistant in the laparoscopic totally extraperitoneal inguinal hernia repair (TEP). Methods From November 2011 to May 2012,.a total of 67 cases with inguinal hernia underwent laparoscopic total extraperitoneal inguinal hernia repair,.including indirect inguinal hernia in 43 cases,.direct inguinal hernia in 22 cases and femoral hernia in 2 cases. The skills of camera assistant during operation were sammarized. Results All the operations were successfully completed without serious complications. Conclusion Regarding for skills of camera assistant, understanding the operational habit of operator, understanding operating procedure and operation characteristics is the key to complete laparoscopic total extraperitoneal inguinal hernia repair.

    Subzero nonfreezing cryopreservation of hearts
    2013, 13(02):  158-159.  DOI: j.issn.1009-976X.2013.02.025
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    The preservation of isolated hearts can provide the patients who prepare the heart transplant for heart source,Improving heart preservation technology not only can extend the preservation of the heart's time, expand the source for heart, but also can improve the success rate of transplantation operation and long-term survival.With the emergence of freezing technology,the technology of Subzero nonfreezing cryopreservation of hearts Is developing。 However, the technology has not been in the implementation of clinical,In some ways there are still unknown and controversy.This paper briefly introduce the method of subzero nonfreezing cryopreservation of hearts,and analyzes its difference from clinical cardiac preservation method , compare its advantages and disadvantages.

    Research advances in the mechanism of photodynamic therapy for treating maligant tumors
    Hui Shuan, Hou Dongsheng
    2013, 13(02):  161-164.  DOI: j.issn.1009-976X.2013.02.027
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    【Abstract】 Photodynamic therapy (PDT) is a new mode of anti-tumor secondary to traditional anti-tumor method such as surgery, radiotherapy and chemotherapy. The mechanism of PDT is not entirely clear. According to tumor cell's uptake of photosensitizer in the appropriate wavelength laser irradiation,the photosensitizer generates singlet oxygen or other reactive oxygen species, leading to tumor necrosis or apoptosis through non-apoptotic pathway, or directly inducible apoptotic pathway. In addition,PDT can also damage the vascular endothelial cells of tumor and mediate autoimmune response to anti-tumor.

    The progresses in the postoperative complications of colorectal cancer surgery under laparoscopy
    Wei Hongfa, Huang Yanpeng, Li Wei
    2013, 13(02):  165-167.  DOI: j.issn.1009-976X.2013.02.028
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    【Abstract】Colorectal cancer is the one of the most common malignant tumor and surgical operation has been the most effective therapy for it. In the recent years, more and more data from literatures show that there are not significant difference between laparoscopic and open colorectal radical resection. This article is to explain the prophylaxis and treatment of complications inthe radical resction of colorectal cancer laparoscopy.

    Application of intraoperative began to stretch socks for preventing deep vein thrombosis of the significance of the patients after operation in the Department of Neurosurgery
    2013, 13(02):  168-169. 
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    TO discusses on intraoperative began to use elastic stockings in the prevention of Department of neurosurgery for deep venous thrombosis in postoperative patients with application value. Methods One hundred and eighty cases of planned craniotomy operation were randomly divided into 3 groups: conventional nursing group ( control group), intraoperative application group ( group A), postoperative application of group (group B). The control group were given routine nursing and prevention measures; surgery operation in group began in routine nursing and prevention measures based on the use of medical elastic stockings; postoperative application of groups in postoperative began in the routine nursing and prevention measures based on the use of medical elastic stockings. To understand the occurrence of deep vein thrombosis of the lower limbs by color Doppler ultrasonography or venography.Deactivate the stretch socks after 1 weeks of double lower limbs with color Doppler ultrasound examination. Results In A group of postoperative deep venous thrombosis incidence was lower than that in the control group,the difference was statistically significant ( P<0.05 ); and group A postoperative deep venous thrombosis incidence were lower than those of B group, the difference was statistically significant ( P<0.05 ). Conclusion Intraoperative application of medical elastic stockings can more safely and effectively prevent the Department of neurosurgery in patients with postoperative deep venous thrombosis.