Table of Content

20 October 2013, Volume 13 Issue 05

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论文

The feasibility analysis of simultaneous laparoscopy combined with open resection on colorectal cancer with liver metastasis

Ye Yibiao, Liang Min, Chen Jie, Wang Jie, Chen Tao

2013, 13(05):  375-378.  DOI: j.issn.1009-976X.2013.05.001

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【Abstract】 Objective To study the clinical value of simultaneous laparoscopy combined with open on colorectal cancer asiociated with liver metastasis. Methods The data was selected from 34 cases of preoperative diagnosis of colorectal cancer patients asiociated with liver metastasis from January 2009 to December 2012 in our hospital..Among 34 cases,.19 cases receiving simultaneous laparoscopy combined with open resection served as the treatment group,.the other 15 cases receiving traditional open resection served as the control group. The surgical time, blood loss, postoperative first passing flatus time and postoperative complications were recorded and analyzed in two groups. Results In the treatment group, surgical time.(97±2 min), blood loss (106±2 mL), the first postoperative passing flatus time (2.65±1.58 d), hospitalization time (11.26±1.89 d) were better than that in the control group (P<0.05). Complication rate in the treatment group (10.53%) was significantly lower than that control group (P<0.05). Conclusion Simultaneous laparoscopy combined with open resection on colorectal liver metastases is safe and effective,.and with rapid postoperative recovery,.short hospital stay, low complication rate, and is more secure and reliable than triditional open surgery treatment. For some patients with late stage colorectal cancer, this surgicalprocedure provides a better option.

Study on related factors of refractures after vertebral body augmentation of osteoporotic vertebral compression fractures

Jiang Yuwen, Liu Haifeng, Huang Mingguang, Li Fei, Zhao Hongbing, Zhang Peixia

2013, 13(05):  379-382.  DOI: j.issn.1009-976X.2013.05.002

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【Abstract】 Objective To investigate the clinical features and risk factors of refracture after vertebroplasty (PVP)/kyphoplasty (PKP) for osteoporotic vertebral compression fractures. Methods From August 2008 to August 2011,.171 with vertebral fracture patients undergoing percutaneous vertebral augmentation (PKP/PVP) were analyzed retrospective. The patients were divided two groups: the refracture groups (19 patients, 27 vertebrae, group A).and the non refracture group (152 patients, group B). The follow-up was got in all cases from 6 to 16 months (average 13 months). The clinical data, injected volume of bone cement, the height of anterior margin of vertebral column and cobb angle were recorded and multifactor logistic regression analysis were performed. VAS score of before and after the first day of reoperation and last time of follow-up were recorded. Results Sixteen vertebral fracture occured in neighbouring vertebral body(84%) after PVP and among them, 9 vertebral body refracture occured 2 months after operation..Exudative bone cement into intervertebral disc had significant difference (P<0.05) between two groups. Vertebral body augmentation in the VSA score of refracture before and after operation had significant difference (P<0.05). Conclusion In the occurrence of vertebral body refracture, osteoporosis is one of main risk factors. Vetebral body augmentation would get a satisfactory therapeutic result. At the same time, it is very important to intensify the treatment of anti-osteoporotic drugs.

Comparison of diagnostic values between acoustic radiation force impulse and contrast-enhanced ultrasonography for breast masses

Ou Bing, Zhi Hui, Xiao Xiaoyun, Luo Baoming

2013, 13(05):  383-386.  DOI: j.issn.1009-976X.2013.05.003

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【Abstract】 Objective To compare the diagnostic value between acoustic radiation farce impulse(ARFI) and contrast-enhanced ultrasonography in the differential diagnosis of breast masses. Methods Forty patients with 48 masses were examined with ARFI technique and contrast-enhanced ultrasonography. The receiver operator characteristic (ROC) curves were constructed to evaluate diagnostic value with pathological result as the golden standard. Results The area of ROC curve for ARFI and contrast-enhanced ultrasonography were in 0.862 and 0.929, respectively..There was no statistically significant difference of the diagnostic values between the two methods (P.>0.05). There were also no statistically significant differences in specificity and sensitivity between the two methods (P>0.05). Conclusion The ARFI technique and contrast-enhanced ultrasonography are useful in the differential diagnosis of breast masses.

Comparative study of lightweight and heavy weight mesh on chronic pain after inguinal hernia repair

Cai Chudong, Fang Xi, Zhang Junshuo, Peng Huaidu

2013, 13(05):  386-389.  DOI: j.issn.1009-976X.2013.05.004

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【Abstract】Objective To investigate the postoperative effect on the use of the lightweight or heavyweight mesh after inguinal hernia repair. Methods From October 2008 to October 2010, 120 cases of inguinal hernia were randomly divided into 2 groups, one group used the lightweight (Ultrapro, 30 g/m2) for repair, the other group used the heavyweight (Prolene, 100 g/m2) mesh. The patients underwent clinical examination and pain questionnaire to obtain follow-up data. Early postoperative follow-up and long-term follow-up were performed on all the patients. The postoperative chronic pain and discomfort were assessed. Results Compared with the heavyweight mesh group,.the lightweight mesh group showed reduces in the degree of postoperative chronic pain and discomfort..And fewer patients had foreign body sensation in the groin area. Conclusion Lichtenstein hernia repair using lightweight mesh would improve postoperative pain and discomfort. After 12 months, the ratio of postoperative pain on exercise also could be decreased (P<0.05), and fewer patients report the feeling of a foreign body in inguinal region.

Pancreatico-jejunostomy of stent-free pancreatic duct plasty in the application of pancreatic-oduodenectomy

Pu Miaoshui, Huo Feng, He Zoujun,.Hu Xiaojun

2013, 13(05):  390-392.  DOI: j.issn.1009-976X.2013.05.005

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【Abstract】 Objective To investigate the effects of pancreaticojejunostomy with a pancreatic duct plastic operation during pancreaticoduodenectomy on prevention of pancreatic fistula. Methods From January 2012 to December 2012,.27 patients underwent pancreaticoduodenectomy with pancreatic duct plastic operation without any stent for internal or external drainage for pancreaticojejunostomy. Results All 27 patients were performed the pancreatic duct plastic operation and the operations were completed successfully..The inner diameter of the main pancreatic duct ranged from 2.5 mm to 8.0 mm. According to the International and domestic diagnostic criteria pancreatic fistula,.the pancreatic fistula occurred in 2 cases (Grade A)..The postoperative hospital length of stay was 10 to 14 days. Conclusion The pancreatic duct plastic operation with pancreaticojejunostomy without any stent for internal or external drainage simplifys operation procedure for pancreaticoduodenectomy,.and it has a low pancreatic fistula, and might shorten postoperative hospitalization time.

Observation of therapeutic efficacy on laparoscopic and open splenectomy

Ye Yibiao,.Luo Shujuan, Chen Jie, Chen Tao, Wang Jie

2013, 13(05):  393-396.  DOI: j.issn.1009-976X.2013.05.006

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【Abstract】 Objective To investigate the feasibility,.safety and the therapeutic efficacy of laparoscopic splenectomy in nontraumatic splenomegaly. Methods The clinical data were selected from January 2009 to June 2013 in our hospital. Forty patients underwent laparoscopic or open splenectomy for nontraumatic splenomegaly..Among 40 cases,.22 cases received laparoscopic splenectomy as laparoscope group.(LS),.the other 18 cases received traditional open splenectomy as the operation group.(OS)..The perioperative indexes of the two groups were observed and analyzed. Results In the LS group,.2 cases (9.1%) were converted to open splenectomy due to bleeding during operation,.6 cases received simultaneously laparoscopic porta-azygous devascularization, 4 cases received simultaneously laparoscopic cholecystectomy. While in the OS group, 7 cases underwent simultaneously porta-azygous devascularization,.3 cases underwent simultaneously cholecystectomy..The spleen weight, volume and length were not statistically significant.(P>0.05) between two groups..Although the average operative time of LS was longer than that of OS, but the intraoperative blood loss and blood transfusion of LS were less than that of OS,.the differences were statistically significant(P<0.05)..The mean postoperative hospital stay of LS was 7.6±1.8.(d),.and was less than that of OS 10.1±2.1.(d),.the difference was statistically significant (P<0.01)..The postoperative complication rate of LS was lower than that of OS (18.2% vs 38.9%,.P<0.05)..There were no dead case in two groups. Conclusion Laparoscopic splenectomy for non-traumatic splenomegaly is feasible,.safe.

Experience of endoscopic resection in huge thyroid lesions

Li Junjiu, Chen Minghui, Tang Shilong, Mo Dachao, Zhang Wanyu, Liao Cong

2013, 13(05):  397-399.  DOI: j.issn.1009-976X.2013.05.007

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【Abstract】 Objective To investigate the feassbility of endoscopic resection in huge thyroid lesions. Methods Fifteen cases of benign thyroid lesions with 10 cm in maximum diameter underwent surgical treatment. The breast-areola approach was used for endoscopic resection of thyroid. Results All operations were completed successfully. No case conversed to the open surgery. Blood loss ranged from 5 to 600 (75±20) mL. Operative time ranged from 55 to 180 (88±21) min. Postoperative hospital stay ranged from 3 to 6 (3.8±0.5) d. Postoperative subcutaneous hydropsy occurred in one case one week after operation, and it was cured by drainage. All patients were satisfactory in surgical cosmetic results. Conclusions It is feasible to use of endoscopic stepwise resection method for huge thyroid lesions. But the benign lesion is a good choice.

Observation of long-term effects on maintained treatment of low dose of finasteride in treatment for benign prostatic hyperplasia

Chen Huanqing, Chen Yucheng, Fu Shaoping, Liao Ruiming, Li Wenping

2013, 13(05):  400-402.  DOI: j.issn.1009-976X.2013.05.008

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【Abstract】 Objective To investigate the clinical efficacy of intermittent use of finasteride for benign prostatic hyperplasia (BPH). Methods A total of 105 patients with BPH were divided into three groups according to administering the dose of finasteride,.Group A (finasteride 5 mg 1/d), group B (5 mg/2 days) and group C.(5 mg/3 days)..After 3 years of treatment,.IPSS score,.maximum flow rate,.prostate volume,B-mode ultrasound measured residual urine volume and IIEF-5 were measured and analyzed. Results Group C was canceled ahead of schedule for high incidence of exacerbation. After treatment,.there were no statistically significant differences between group A and group B in terms of IPSS score, prostate volume, B-mode ultrasound measured residual urine volume and IIEF-5(P>0.05). Compared with group A, the maxium flow rate significantly decreased in group B after 3 years treatment (P<0.05). Conclusion The usage of 5 mg/2 days of finasteride may be as effective as daily administration for the treatment of BPH.

Arthroscopic technique and three column locking plate fixation in the treatment of tibial plateau fractures

Cai Shupeng

2013, 13(05):  403-405.  DOI: j.issn.1009-976X.2013.05.009

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【Abstract】 Objective To investigate the efficacy of three columns of locking plate under arthroscopic technique in the treatment of tibial plateau fracture. Methods Using arthroscopic techniques and three column locking plate fixation, 51 patients with tibial plateau fracture underwent surgical procedure from Jan 2007 to Feb 2012 including 35 cases of Schatzker Ⅰ~Ⅲ and 16 cases of IV-VI. Among them,.tibial intercondylar crest fracture with anterior cruciate ligament injury and posterior cruciate ligament insertion avulsion fracture were in 8 cases respectively and meniscus injury in 5 case. Results All patients were followed up for 12-24 months,an average of 13.6 months. Knee function was evaluated by Rasmussen score, excellent in 24 cases, good in 20 cases, moderate in 6 cases, and poor 1 case, excellent and good rates were in 86.3%. No necrosis was found on the skin of incision, one case occurred wound infection No failure of plate fixation and bone exposure occurred in all patients. Conclusion The locking plate and three column fixation under arthroscopy technique is a reliable method in treatment of tibial plateau fracture.

Comparative study of therapeutic effects between methylprednisolone and dexamethasone on the treatment of early postoperative inflammatory small bowel obstruction

Lu Lu, Xu Heyang, Chu Zhonghua

2013, 13(05):  406-408.  DOI: j.issn.1009-976X.2013.05.010

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【Abstract】 Objective To investigate the therapeutic effects between methylprednisolone and dexamethasone on early postoperative inflammatory small bowel obstruction (EPISBO) after abdominal surgery. Methods The clinical data of 66 patients suffered EPISBO from Jul 2002 to Jul 2012 were retrospectively analyzed. According to the use of different steroids, the patients were divided into methylprednisolone group and dexamethasone group. The therapeutic effects and the side effects were compared between two groups. Results All of 66 patients were cured by conservative treatment, no one underwent reoperation with laparotomy. The methylprednisolone group was less than that dexamethasone group(P<0.05) in the abdominal pain, abdominal distension, passing flatus time and cured time (P<0.05). Conclusion The therapeutic effects of methylprednisolone are better than dexamethasone in treatment of EPISBO.

Comparative study on simple decompression and decompression with fusion for patients with simple degenerative lumbar spinal canal stenosis

Lai Huanle, Liu Dongguang, Chen Liduan, Chen Huanqiu

2013, 13(05):  409-412.  DOI: j.issn.1009-976X.2013.05.011

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【Abstract】 Objective To compare the clinical effects between simple spinal canal decompression and decompression with fusion in the treatment of simple degenerative lumbar spinal stenosis. Methods From March 2006 to May 2011, 63 cases with degenerative lumbar spinal stenosis undergoing surgical operation were analyzed retrospectively..And the patients were followed up one year after operation. Among them,.28 cases underwent simple lumbar spinal canal decompression and 35 cases underwent spinal canal decompression with fusion..The clinical effects of two surgical procedures were evaluated by JOA (Japanese Orthopedic Association) score, ODI (Oswestry Disability Index) score and SF-36 (Short Form-36) score before and after operation. Results Better results were got in both two groups in one year follow-up period after operation..In the spinal canal decompression plus fusion group, postoperative ODI score was improved in 31.2 scores (P<0.001) and the patients- dysfunction was improved from severe to mild. In the spinal canal decompression group,.the postoperative ODI score was improved in 14.9 scores (P=0.004) and the patients- dysfunction was improved from severe to middle. Decompression plus fusion group was significantly better than that simple decompression group (P<0.01)..Postoperative SF-36 score was similar between two groups. Conclusion Surgery was effective on the patients with lumbar spinal stenosis..Compared with decompression plus fusion and simple decompression, the former-s superior to the latter in the improvement of clinical symptoms.

Effect of aerosol inhalation of glucocorticoid on the postoperative patients with ventilator-associated tracheobronchitis

Zhang Jingxuan, Zhou Huarong, Liu Zongshi, Yang Zhi, Chen Yusheng, Lin Ming

2013, 13(05):  413-415.  DOI: j.issn.1009-976X.2013.05.012

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【Abstract】 Objective To evaluate the effect of glucocorticoid nebulization to the postoperative patients with ventilator-associated tracheobronehitis (VAT). Methods Ninety-two patients postoperative VAT were observed in Guangzhou First People-s Hospital. The patients were divided into 2 groups randomly:glucocorticoid group and control group,treatment for 7 days,observed peraid for 3 months. The incidence of, mortality rate,days of mechanical ventilation and average ICU time were comparel between two groups. Results The incidence of VAP and mortality of treatment group was significantly lower than that control group. But the days of mechanical ventilation and average ICU stay time were no statistically significant (P>0.05). Conclusion Nebulized glucocorticoids can reduce the incidence of VAP for postoperative patients with VAT.

Application of complete mesocolic excision in radical sigmoidectomy

Chen Zhengwei, Cao chenxi, Li Senjuan, Hu Biwen,Qiu Min, Lin Yiting, Shen Guixin

2013, 13(05):  416-418.  DOI: j.issn.1009-976X.2013.05.013

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【Abstract】 Objective To investigate the superiority of complete mesocolic excision (CME) in radical sigmoidectomy. Methods Clinical data of the patients accepted CME (42 cases) and patients accepted traditional radical colectomy (46 cases) with sigmoid colon cancer from January 2011 to December 2012 in our hospital was retrospectively analyzed. The advantage of CME in lymph node dissection, reducing blood loss, and protection of ureter and autonomic nerve were studied. Results Blood loss, postoperative dysuria in CME group were significantly less than traditional surgery group. In the lymph node dissection and ureteral protection, CME group had certain advantages, but without statistically significant difference. Conclusion Compared to traditional radical sigmoideetomy, CME has obvious advantages in reducing blood loss,.autonomic nervous protection and without increasing complications.

Experience in the repair of one stage biliary duct end to end anastomosis for iatrogenic extrahepatic duct transection

Shao Weibin, Yuan Daiyue, Hao Qingya

2013, 13(05):  419-420.  DOI: j.issn.1009-976X.2013.05.014

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【Abstract】 Objective To investigate the operation indication, surgical skills and related complications in the repair of one stage biliary duct end to end anastomosis for iatrogenic extrahepatic duct transection. Methods From January 2007 to December 2011, the clinical data of 13 cases with iatrogenic extrahepatic duct transection were analyzed retrospectively..All cases underwent open abdominal surgery..Among them,.9 cases underwent the repair of one stage biliary duct end to end anastomosis. Results In the 9 cases underwent one-stage biliary duct end to end anastomosis,.3 cases occured biliary leakage after operation and these cases were cured by catheterized drainage and aggresive conservative treatment. No biliary duct stricture and obstruction were found during short-term follow-up peroid. Conclusion One stage biliary duct end to end anastomosis is safe and effective method for selecting suitable case of iatrogenic biliary duct transection. Precise biliary duct anastomotic technique is successful key in the one stage biliary duct end to end anastomosis.

Analysis of therapeutic efficacy on fenestrated drainage of thoracostomy in the treatment of tuberculous empyema associated with bronchopleural fistula

Xiao Zelin, Liu Jiajie, Gao Jianqi, Lian Guiyong

2013, 13(05):  421-424. 

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【Abstract】 Objective To summarize the experience of open window thoracotomy (OWT) in treating tuberculous empyema associated with bronchopleural fistula. Methods Fifty-six cases of tuberculous empyema with bronchopleural fistula were treated by open window thoracotomy. After 3-12 months of the thoracostomy drainage, the patients underwent operation as follows: Heller thoracoplasty with fistula repair, extrapleural total pneumonectomy resection, residual pneumonectomy, permanent open thoracostomy. Results After an effective control of pleural infection,.36 cases were treated by Heller thoracoplasty with fistula repair,.14 cases were treated by extrapleural pneumonectomy or remaining pulmonary resection and then thoracostomies were closed, in which chest infection occurred again in 5 cases during perioperative period and underwent another thoracostomy,6 patients were treated by permanent open thoracostomy window change dressing and drainage.During the perioperative period,.no death case occurred. Conclusion For the tuberculous empyema associated with bronchopleural fistula,.open window thoracostomy combined with antituberculotic therapy would effectively control pleural infection,.reduce mortality,.and also provide a favorable condition for repairing of fistula and eradication of residual cavity to improve the successful rate of the surgery.

Clinical value of combined contrast-enhanced ultrasonography with core-needle biopsy in diagnosis of thyroid nodules

Pan Jingshen, Qin Wei, Deng Baowen, Ma Jianhong, Wang Haohu

2013, 13(05):  424-426.  DOI: j.issn.1009-976X.2013.05.016

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【Abstract】 Objective To evaluate the diagnostic value of contrast-enhanced ultrasound combined with ultrasonography-guided core-needle biopsy (US-guided CNB) of thyroid nodules. Methods Contrast-enhanced ultrasound and US-guided CNB were performed in a total of 89 nodules from 81 patients. All ultrasound findings and pathological results of both needle biopsies and surgical specimens were reviewed. Results The sensitivity, specificity and accuracy of contrast-enhanced ultrasound were 86.7%,95.8%,and 91.0% respectively in differentiation between benign and malignant thyroid nodules. US-guided CNB could get almost all the lesions. Nearly 98.9% of the pathological results of needle biopsies were in accordance with these of surgical specimens. Conclusion Contrast-enhanced ultrasound is effective in detecting malignant thyroid nodules. Contrast-enhanced ultrasound combined with US-guided CNB is an accurate, safe and simple diagnostic method for differentiating thyroid diseases, and which is worthy to recommend widely.

Clinical study on fast track surgery in patients with gastric cancer

Han Weifeng, Fei Bojian, Jiang Hui, Gao Qizhong, Du Jun

2013, 13(05):  427-430.  DOI: j.issn.1009-976X.2013.05.017

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【Abstract】 Objective To evaluate the safety and efficacy of clinical application of fast track surgery (FTS) in patients with gastric cancer. Methods A retrospective clinical data were studied in 184 patients with gastric cancer. All patients were divided into two groups: FTS program group (n=92 cases, accepted FTS management) and traditional treatment group(n=92). The operation and postoperative indexes were compared between the two groups. Results There was no significant difference between the two groups in operation time (182±43 min vs 190±46 min,P=0.6845), operation bleeding (179±64 mL vs 183±75 mL, P=0.52), lymph node dissection number (21.2±7.2 vs 20.8±8.7,P=0.59) and complications (8.70% vs 10.87%,P=0.17). There was significant difference in first passing flatus (3.55±0.56 d vs 4.97±0.78 d, P<0.01), postoperative hospital stay (7.06±1.42 d vs 11.45±1.96 d,P<0.001) and hospitalization expense (40583±3693 Yuan vs 46438±6311 Yuan, P<0.001). Conclusion In our study, FTS management in patients with gastric cancer is safe and effective, and it would accelerate postoperative rehabilitation.

Analysis of clinical effects on preoperative non-routine enteric preparation for colorectal cancer

Zhu Xiaofeng Zhang Tao, Zeng Deqiang, Wong Weiming

2013, 13(05):  431-434.  DOI: j.issn.1009-976X.2013.05.018

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【Abstract】 Objective To explore the application value of non-routine traditional bowel preparation in the colorectal cancer. Methods Eighty colorectal cancer patients from march 2006 to October 2012 were randomly divided into experimental group (n=40 non-routine traditional bowel preparation) and control group(n=40 routine traditional bowel preparation)..The postoperative recovery and postoperative complications were compared between two groups. Results The postoperative complications in the two group had no statistically significance (P>0.05). But the incidence rate of hyponatremia in the experimental group was significantly lower than that of the control group (P<0.05),and the flora imbalance of the experimental group was significantly lower than that of the control group (P<0.05). Conclusion Non-routine traditional bowel preparation in the colorectal cancer is safe and feasible.

Experience of breast conserving surgery and modified radical mastectomy in treating breast cancer

Gu Shuyong, Yang Yifeng, Lin Jirong, Pan Feng'e

2013, 13(05):  434-436.  DOI: j.issn.1009-976X.2013.05.019

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【Abstract】 Objective To investigate the effect on breat-conserving surgery reserved mastectomy and modified radical mastectomy in breast cancer. Methods Sixty patients with breast cancer in our hospital from January 2005 to June 2007 were divided into the observation group and the control group. The patients in control group received the modified radical mastectomy,.and the patients in observation group underwent breast conserving surgery..All patients were followed-up for 5 years. Results In the operation time,.postoperative hospitalization,.blood loss and complications,.the observation group was less than that in the control group significantly (P<0.05). The 5-year survival rates were not significantly different between two groups (P>0.05). Conclusion The breast conserving surgery is safe and effective in treating breast cancer, which should be used according to indications.

Therapeutic efficacy on the treatment of ketamine-related cystitis by vesicoclysis with dexamethasone combined with alkalized lidocaine

Li Yaxian, Zhang Kaizhong, Tang Zhizhong, Wu Aiming, Chi Yueying, Li Zhiqin

2013, 13(05):  437-439.  DOI: j.issn.1009-976X.2013.05.020

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【Abstract】 Objective To observe the treatment efficacy of of ketamine-related cystitis by vesicoclysis with dexamethasone and alkalinized lidocaine. Methods Eight male patients with ketamine-related cystitis,.who failed to routine treatment with withdrawal ketamine,.antibiotics,.tolterodine, alfuzosin,.were enrolled in this study..The patients were treated by regular vesicoclysis with dexamethasone and alkalinized lidocaine for 6 weeks,.then recorded the therapeutic effect by voiding diary and OABSS.in 1-3 weeks after stopping treatment. Results Eight patients made significant improvement after 6 weeks treatment..The frequency of daytime and nocturia micturition decreased from 20.5±7.8 to 5.6±2.3 and from 15.5±3.2 to 3±1.2 respectively (P<0.05), the urine volume increased from 30.4±12.4 mL to 50±10.1 mL (P<0.05), the OABSS decreased from 10.7±1.5 to 5.2±1.3.(P<0.05). All the patients had no adverse drug reactions. Conclusion The treatment of ketamine-related cystitis by vesicoclysis with dexamethasone and alkalinized lidocaine proved safe and feasible in a short term,.and the drugs are popular and low-cost..So it is advised to use for patients who refuse surgical treatment.

Clinical observation of curative effects on treating anal sinusitis with hemorrhoid lotion combined with compound carraghenates suppository

He Jiahui, Peng Shuiqing

2013, 13(05):  440-442.  DOI: j.issn.1009-976X.2013.05.021

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【Abstract】 Objective To explore the effects on treating anal sinusitis with hemorrhoid lotion combined with compound carraghenates suppository. Methods Ninety-one patients with anal sinusitis were randomly divided into treatment group and control group. The patients in the treatment group(n = 45) were treated by fumigation and hip-sit bath with hemorrhoid lotion, then by anal packing with compound carraghenates suppository. On the other hand, 46 patients in the control group were treated by hip-sit bath with the solution of potassium permanganate, then by the same use of compound carraghenates suppository. After 2 courses of treatment (20 days), the effects were compared between two groups. Results The cure rate (57.58%) and the total effective rate (91.11%) of the treatment group were higher than that of the control group, and the difference had statistical significance (P<0.05). Conclusion Hemorrhoid lotion combined with compound carraghenates suppository has better results in treatment of anal sinusitis.

Application of subclavicular oblique incision lateral approach in thyroidectomy

Lei Ruiwen, Huang Zhan, Yang Chuansheng, Ou Linyang, Li Min, Zhang Kai

2013, 13(05):  442-445.  DOI: j.issn.1009-976X.2013.05.022

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【Abstract】 Objective To explore the feasibility and effect of unilateral thyroid operations by subclavicular oblique incision. Methods A total of 359 cases of unilateral thyroid operations performed between Jan 2006 and Dec 2011 were retrospectively analyzed..Pre-,.intra-and post- operative information were compared. All patients were divided into three groups based on incision types for thyroidectomy, low-collar incision (LI group, n=110), supraclavicular oblique incision (Sup-I group, n=159) and subclavicular oblique incision (Sub-I group, n=90). Results All of operations in three groups were accomplished successfully,.and the patients healed by first intention..Among the 3-24 months of follow-up, no case of tumor residual and recurrence were found..There was no significant difference of mean incision length, operating time and blood loss. One case of recurrent laryngeal nerve injury occurred in each group, with insignificant difference in statistics analysis..Scar adhesion occurrences were 10, 1, 0 respectively in LI, sup-I and sub-I group respectively,.with significant difference in three groups (P<0.001). The appearance was more satisfactory in the Sub-I group (P<0.001)..Conclusion The unilateral thyroid surgery by subclavicular oblique incision has the advantage of safety, lower complications, cosmetic result and is worth for clinical expansion.

Therapeutic analysis of cerebellar hemorrhage in elderly patients

Feng Zize,.Ren Anzhou, Zhong Pengbiao

2013, 13(05):  446-449.  DOI: j.issn.1009-976X.2013.05.023

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【Abstract】. Objective To explore the treatment for the elderly patient with cerebellar hemorrhage. Methods Thirty-two cases with cerebellar hemorrhage were included in this study..The curative effect was analyzed retrospectively between conservative treatment patients.(n=17).and surgical patients..Results Fifteen cases accepted surgical operation,.in which 8 of them got well,.6 got deformities(n=15),.one case was dead..Seventeen cases accepted conservative treatment,.14 of them got well, 3 cases died..Conclusion The selection of treatment should be determined by the patients’ consciousness and radiography..Unless the patients’.condition worsens,.conservative treatment is appropriate to the patients with more than grade 2 (according to consciousness classification). For those of grade 3 to 4, with 20 mL or more of the size of hematoma, or with obstructive hydrocephalus, surgical procedure is a necessary choice. Due to the poor prognosis of the patients of grade 5, surgery is not recommended.

Clinical efficacy of pressor cold therapy in the application of preoperative repercussion calcaneal fracture

Huang Chunyan, Li Xiaoqin, Xie Ying, Xu Ming

2013, 13(05):  449-451.  DOI: j.issn.1009-976X.2013.05.024

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【Abstract】 Objective To observe the effect of cold therapy with pulse-type compression on calcaneal fracture patients. Methods The data of 53 patients with unilateral calcaneal fracture from Jan 2010 to Dec 2012 was analyzed retrospectively. All cases received alternative conserving treatment before operation because of intra-articular fracture,.cold therapy with pulse-type compression (CT group, n=36) and common cold compress (CC group, n=17). The patients in CT group were treated with pulsed-wave mode cold therapy on afflicted part (1 hour per time, 3 times a day) for 2 days. Those in CC group received ice bag on afflicted part (20 min per time, 9 times a day) for 2 days. The perimeters round the calcaneus were measured respectively at the time point of admission, 24 and 48 hours after treatment and were compared between two groups. Results After cold therapy 24 h and 48 h, the averaged reduced value of calcaneal circum in CT group were lower than that in CC group (P< 0.05)..The number of cases of complete detumescence and the averaged detumescence time in CT group were also superior to that in CC group. Conclusion Cold therapy with pulse-type compress can obviously improve the local swelling,.shorten the time for detumescence before operation in calcaneal fracture patients and worth to spread in clinic.

Screening of corrected risk factors of temporal depression after coronary incisive surgery

Yu Chang

2013, 13(05):  452-454.  DOI: j.issn.1009-976X.2013.05.025

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【Abstract】Objective To screen the related risk factors for postoperative temporal depression by coronary incision. Methods The clinical data was collected from 87 patients underwent surgical treatment of orbitozygomatic complex fracture repair through coronary incision approach from Jan 2001 to Dec 2010..The postoperative fracture reduction and temporal depression were observed and analyzed. The risk factors of postoperative local sag was analyzed by using Logistic regression method. Results All patients with orbitozygomatic complex fracture healed but temporal depression occurred in 11 cases (12.64%) in 4-7 months after operation. The time from trauma to the surgery, fracture type, surgical approach,.zygomatic body shift,.fat pad of the shift or contract were risk factor for postoperative temporal depression (all P<0.001, classification and model of rate of more than 85%). Conclusion Early operation after injury,.selection of appropriate surgical approach,.postoperative follow-up for shift situation of bone mass and fat pad,.are expected to reduce the incidence of postoperative temporal depression.

Advances in research of Notch signaling pathway in cancer

Li Yuquan, Zhou Tianjun, Pan Yuejiang, Zhang Huizhong

2013, 13(05):  455-458.  DOI: j.issn.1009-976X.2013.05.026

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【Abstract】 Notch signaling pathway is an important and conservative signal transduction pathway which determines cell fate and is involved in almost all activities of proliferation and differentiation of cell. It plays a significant role in the regulation of cell proliferation, apoptosis, differentiation, as well as a series of physiological and pathological processes..In addition,.it has a vital effect in cancer occurrence and development..As the studies becoming further and further,.it proves that cancer has much to do with the Notch signaling pathway,.which may make new drugs for the targeted therapy come into being. All of this can offer a new direction for the treatment of cancer.

Research progress in thyroid cancer stem cells

Xing Yue, Li Honghao

2013, 13(05):  458-460.  DOI: j.issn.1009-976X.2013.05.027

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【Abstract】Cancer stem cells are regarded as the root cause of tumorigenesis. It is a key role in tumorigenesis, metastasis, recurrence and treatment. Many studies have confirmed that the thyroid carcinoma originated from thyroid cancer stem cells. Thyroid cancer stem cells are primarily identified through its specific markers. Suppression thyroid cancer stem cells is a new method to treat thyroid carcinoma.

Preliminary evaluation of PBL in surgical clinical teaching

Deng Wujian, Chen Jinwu, Luo Yingjia

2013, 13(05):  461-462.  DOI: j.issn.1009-976X.2013.05.028

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【Abstract】〓At present, clinical practice is still the traditional “spoon?鄄fed”, the main effect of this method is poor, students have little motivation, students' knowledge about the topic of memory is very weak. For the above, we introduced a new teaching model-PBL (Problem-based Learning). After teaching for several groups of students,we found that this method was better than the traditional method in encouraging students’ autonomy independence, improving their teamwork and achieving the desired teaching effect. In this paper, we introduce our experience in this teaching course.