ABSTRACT
Objective To understand the thickness of each section of the pelvic loop and the positions of the peripheral large vessels and nerves, so as to provide evidence for the screw fixation of pelvic fractures. Methods A total of74 normal osseous specimens of the pelvis (male 40 cases, female 34 cases) were selected for the present study. Pelvic center was taken as the dot, and the thickness of the pelvic bone along the pelvis line were measured in the clockwise direction. Thirty 30 CT images of normal pelvis were used to measure the bone thickness of the pelvic loop in the same manner. Moreover, cadaver specimens were also dissected and the position lineof the peripheral largevessels and nerves of the pelvic loop were observed in the clockwise direction. Results (1) The thicknesses (mm) of the pelvic bone along the pelvis line(from 0:00 [12:00] to 6:00) were 25. 36±3. 03 (female 24. 48 ± 2. 16), 32. 59 ± 7. 21 (female 22. 88 ± 2. 13), 24. 06 ± 2. 89 (female 20. 40 ± 2. 07), 44. 12±3. 97(female 37. 55±3. 60), 27. 88±2. 36 (female 22. 68±2. 26), 13. 80±2. 14 (female 10. 22±2. 05), and 15. 04± 2.31 (female 13.53±2.22), respectively; and the results of CT measurement were 25.44±2. 95, 30. 45±7. 14, 24. 49±2. 74, 44. 35±4. 21, 27. 66±2. 12, 14. 06±1. 86 and15. 85 ± 2. 15, respectively. (2) Basedonthe clockwisescale, thepositionsof the main vessels and nerves around the pelvic loop were as follows: the positions of the femoral nerves and the femoral arteries and veins were between 4:00 and 4:30 on the left and between 7:00 and 7:30 on the right; the positions of obturator nerve vesselswere between 4:30 and 5:00 on the left and between 7:00 and 7:30on the right. Conclusion When pelvic center is taken as the dot, it is simple and practical to determine the position of each point of the pelvis and the large vessels and nerves in the clockwise direction. The thickness of each part of the pelvic loop is important to guide screw internal fixation of the pelvic fracture.
ABSTRACT
Objective To understand the thickness of each section of the pelvic loop and the positions of the peripheral large vessels and nerves, so as to provide evidence for the screw fixation of pelvic fractures. Methods A total of74 normal osseous specimens of the pelvis (male 40 cases, female 34 cases) were selected for the present study. Pelvic center was taken as the dot, and the thickness of the pelvic bone along the pelvis line were measured in the clockwise direction. Thirty 30 CT images of normal pelvis were used to measure the bone thickness of the pelvic loop in the same manner. Moreover, cadaver specimens were also dissected and the position lineof the peripheral largevessels and nerves of the pelvic loop were observed in the clockwise direction. Results (1) The thicknesses (mm) of the pelvic bone along the pelvis line(from 0:00 [12:00] to 6:00) were 25. 36±3. 03 (female 24. 48 ± 2. 16), 32. 59 ± 7. 21 (female 22. 88 ± 2. 13), 24. 06 ± 2. 89 (female 20. 40 ± 2. 07), 44. 12±3. 97(female 37. 55±3. 60), 27. 88±2. 36 (female 22. 68±2. 26), 13. 80±2. 14 (female 10. 22±2. 05), and 15. 04± 2.31 (female 13.53±2.22), respectively; and the results of CT measurement were 25.44±2. 95, 30. 45±7. 14, 24. 49±2. 74, 44. 35±4. 21, 27. 66±2. 12, 14. 06±1. 86 and15. 85 ± 2. 15, respectively. (2) Basedonthe clockwisescale, thepositionsof the main vessels and nerves around the pelvic loop were as follows: the positions of the femoral nerves and the femoral arteries and veins were between 4:00 and 4:30 on the left and between 7:00 and 7:30 on the right; the positions of obturator nerve vesselswere between 4:30 and 5:00 on the left and between 7:00 and 7:30on the right. Conclusion When pelvic center is taken as the dot, it is simple and practical to determine the position of each point of the pelvis and the large vessels and nerves in the clockwise direction. The thickness of each part of the pelvic loop is important to guide screw internal fixation of the pelvic fracture.
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the changes of seminal parameters in Chinese fertile men during the past 25 years.</p><p><b>METHODS</b>We collected semen samples from 5,834 fertile men in 14 different provinces (including Beijing) between 1980 and 2005 and retrospectively studied their seminal parameters, abstinence durations and total testis volumes by meta-analysis.</p><p><b>RESULTS</b>Compared with the first 15 years, a significant decrease was observed in both sperm density and total number of sperm per ejaculate in the semen samples collected between 1996-2000 (P < 0.0001 and P < 0.05), but not obvious in those between 1996-2000 and after 2005 (P > 0.05). As for sperm motility, no time-related changes were noted (P > 0.05) except a reduction with the increase of age.</p><p><b>CONCLUSION</b>There was a decline in sperm density and total number of sperm per ejaculate in Chinese fertile men over the past 25 years, although not significant in the latter 10 years since 1996, but with no time-related changes in sperm motility.</p>
Subject(s)
Adult , Humans , Male , China , Fertility , Retrospective Studies , Semen , Sperm Count , Sperm MotilityABSTRACT
<p><b>AIM</b>To evaluate the key lesions in spermatogenesis suppressed partially by testosterone undecanoate (TU) treatment.</p><p><b>METHODS</b>Adult male SD rats were treated with vehicle or TU (19 mg/kg) injection (i.m.) every 15 days for 130 days. The numbers of all types of cells (nuclei) in the seminiferous tubules and the interstitial tissue were estimated using a contemporary stereological tool, the optical disector.</p><p><b>RESULTS</b>In response to TU treatment, the numbers of non-type B spermatogonia, type B spermatogonia and late elongated spermatids per testis were reduced to 51 %, 66 % and 14 % of the controls, respectively. The conversion ratios from type B spermatogonia to early spermatocytes and pachytene spermatocytes were not significantly affected and the ratios to the later germ cell types fell to 51 % - 65 % of the controls. Less than 1.0 % of immature round spermatids were seen sloughing into the tubule lumen, 4.0 % of elongated spermatids retained in the seminiferous epithelium, and about half of the elongated spermatid nuclei appreciably malformed. Leydig cells were atrophied but their number and the peritubular myoid cell number per testis were unchanged.</p><p><b>CONCLUSION</b>Double inhibition of spermatogenesis (i.e. inhibition at spermiation and spermatogonial conversion to type B spermatogonia), a scenario seen in the monkey and human following gonadotrophin withdrawal, was not sufficiently effective for a complete spermatogenic suppression in the rat after TU treatment, probably due to ineffective inhibition of the Leydig cell population and therefore the intra-testicular testosterone levels.</p>
Subject(s)
Animals , Male , Rats , Cell Nucleus , Depression, Chemical , Leydig Cells , Rats, Sprague-Dawley , Sertoli Cells , Sperm Count , Spermatids , Spermatogenesis , Testosterone , Blood , PharmacologyABSTRACT
<p><b>OBJECTIVES</b>To observe the change of erythropoietin (EPO) in patients of hypogonadism who received androgen replacement treatment and explore the mechanism of androgen-induced increase of red blood cells and haemoglobin.</p><p><b>METHODS</b>Eight patients with Klinefelter's syndrome, divided into two groups, received TU intramuscular injections of 500 mg or 1000 mg dose, respectively. After three months, seven patients received the second injection of crossover dose. Testosterone levels in serum were measured with RIA before and after the injections treatment. RBC count, impacted volume of blood cells and haemoglobin concentration were measured before treatment and 4, 8 weeks after treatment. At the same interval, EPO levels were measured with ELISA method.</p><p><b>RESULTS</b>Development of the secondary sex characters was improved in all patients after the TU injection. Serum testosterone levels raised significantly and reached the peak one week after the injections. Effective level of testosterone lasted for over 6 weeks. RBC count, impacted volume of blood cells and haemoglobin increased at different degrees after TU injections, but these changes were not significant in statistic(P < 0.05). The increased levels remained for 8 weeks. EPO levels were elevated significantly (P < 0.01 or 0.05) after the TU injection(Pbat > 0.05). The second injection could still make the EPO level go up.</p><p><b>CONCLUSIONS</b>Androgen replacement treatment can increase the EPO levels in patients of hypogonadism, which is one of the mechanism of RBC production increase.</p>