ABSTRACT
Objective: To investigate the incidence of the second child's adverse birth outcome in Shaanxi Province and the relationship between sex of the first-born child and the adverse birth outcome of the second-born child. Methods: Data used in this study were derived from the prevalence and risk factors of birth defects in Shaanxi Province from 2010 to 2013. Descriptive epidemiological method was used to analyze the data of the second-born child's adverse birth outcome. Logistic regression model was employed to do regression analysis of the factors related to the second-born child's adverse birth outcome. Results: Large for gestational age infant and small for gestational age infant accounted for 15.88% and 12.27%, fetal macrosomia and low-birth weight accounted for 7.16% and 4.22%, premature delivery and birth defects accounted for 3.25% and 2.51%, while postmature infant accounted for 2.18%, respectively. Sex differences on large for gestational age infant, small for gestational age infant, fetal macrosomia and low-birth weight existed (P<0.05). Analysis of logistic regression model indicated that for the second-born child, having an elder brother compared with having an elder sister associated with an increased risk of small for gestational age (OR=1.251) and a lower risk of macrosomia (OR=0.808) and large for gestational age (OR=0.873). Conclusion: For the second-born child, having an elder brother compared with having an elder sister is associated with an increased risk of small for gestational age and a lower risk of macrosomia and large for gestational age.
ABSTRACT
Total parathyroidectomy (PTX) can be used to treat secondary hyperparathyroidism (SHPT)in uremic patients,relieving the patient's osteolytic destruction.Complete resection of bilateral parathyroid glands is key to successful operation.Recently,2 patients successfully received surgical treatment,in which carbon nanoparticles suspension injection were used.With the help of carbon nanoparticles suspension injection,all of the 4 hyperplastic parathyroid glands were found successfully.The parathyroid hormone(PTH) was significantly decreased after operations and the clinical symptoms were relieved simultaneously.We conclude that the use of carbon nanoparticles suspension injection is helpful for total parathyroidectomy operation in uremic patients with SHPT,which can protect the normal thyroid and recurrent laryngeal nerve.
ABSTRACT
Clinical features of 1 case of retroperitoneal parasitic fetus (PF) were retrospectively analyzed and Chinese literatures were reviewed. PF in China has 4 clinical features: 1) The incidence was extremely low and it was more common in infants and children. 2) The parasitic parts showed centrality. 3) The retroperitoneum and abdominal cavity were the most common parasite locations. 4) There was no gender difference in the incidence. Retroperitoneal PF should be distinguished from various benign and malignant abdominal tumors. Imaging was the optimal option for PF diagnosis and the axis bone system was its typical manifestation. Complete excision was the optimal treatment. Thick and large nutrient vessels may be found at where the placenta was attached, and should be ligated carefully. The outcome of this case was good because PF was completely excised.
Subject(s)
Child, Preschool , Humans , Male , Congenital Abnormalities , General Surgery , Fetus , Congenital Abnormalities , Retroperitoneal Space , General SurgeryABSTRACT
Objectiv To investigate the expression and clinical significance of CA125 and CA15-3 in human breast cancer. Methods Radioimmunoassay method was used to determine the serum levels of CA125 and CA15-3 in 80 patients with breast carcinoma, 60 patients with benign breast diseases and 80 normal adults. Results The levels of serum CA125 and CA15-3 in patients with stage Ⅲ-Ⅳ breast carcinomas were significantly higher than those in patients with benign breast diseases,normal adults and stage Ⅰ～Ⅱ breast cancer patients (P0.05). Conclusion CA125 and CA15-3 are helpful to diagnose breast cancer, and can serve as a biological marker for monitoring tumor progression and evaluating prognosis in breast cancer.
ABSTRACT
Objective To explore the feasibility and value of laparoscopic-assisted surgery(LAS) for colorectal cancer.Methods The clinical data of 51 cases of LAS for colorectal cancer were reviewed retrospectively.Of them,3 cases were converted to open operation,and in 48 cases LAS for colorectal cancer was completed.Among them,9 cases underwent right hemicolectomy,8 cases left hemicolectomy,14 cases sigmoid resection,9 cases rectal anterior resection,and 6 cases Miles operation.Results No intra-operative deaths occurred. The average operation time was 195(150-320)min with 120(40-300)mL average blood loss.The average number of lymph nodes excised was 8(2-26).The time of bowel function recovery was 20-72h after operation.The average hospital stay after operation was 8(7-10)d.No major intra-operative blood loss nor postoperative complications were observed.The follow-up time was from 3-54months for 45(88.2%) patients.Two cases with Ducke′s C rectal cancer died,one died of liver metastasis 17 months after operation,and the another died of diffuse peritoneal metastasis 19 months after operation.There was no trocar port tumor metastasis and no local tumor recurrence at the small abdominal incision.Conclusions LAS of colorectal cancer is technically feasible and has advantages such as less surgical trauma,less bleeding and quick recovery.It is a mini-invasive,safe and efficient treatment for colorectal cancer.