ABSTRACT
Objective To evaluate the incidence of postoperative epididymitis by laparoscopic cluster ligation and laparoscopic internal spermatic vein high ligation in the treatment of varicocele. Methods Forty-four cases of bilateral varicocele were retrospectively analyzed , who had undergone laparoscopic spermatic vein ligation. The 22 cases were treated with laparoscopic cluster ligation, and the other 22 cases with laparoscopic internal spermatic vein high ligation. The effects and the reasons of two kinds of surgical procedures on postoperative epididymitis were investigated. Results A total of seven patients were affected with postoperative epididymitis. The incidence of laparoscopic cluster ligation was 27.27%. The incidence of laparoscopic internal spermatic vein high ligation was 4.55%. All cases were affected within 4 weeks after surgery. Conclusion It is important to reserve the spermatic artery for decreasing the incidence of postoperative epididymitis.
ABSTRACT
Objective To investigate the ophthalmological consultation diseases in the duration of 1 year ophthalmic chief resident training,to identify the breadth and depth of knowledge an ophthalnic chief resident should have.Methods A retrospective analysis of ophthalmological consultation patients in the past 1 year,to identify proportion of the source department and constituent ratio of ophthalmologic consultation disease in top five sections,top five eye diseases and to understand five special consultation need routine ophthalmology examination which an ophthalmic chief resident should be confronted with.Results Among 25 departments which request ophthalmic consultation,the top five closely related sections were the Department of Endocrinology (452 cases,20.9％),Department of ENT (296 cases,14.5％),Department of Cardiology (194 cases,9.5％),Neurological department of internal medicine (154 cases,7.6％) and Department of gerontology (144 cases,7.1％).Among 32 ophthalmologic consultation diseases,clearly the top five diseases were cataract (630 cases,30.9％),refractive error (368 cases,18.1％),diabetic retinopathy (222 cases,10.9％),conjunctivitis (154 cases,7.6％),glaucoma (66 cases,3.2％) and pregnancy induced hypertension retinopathy (66 cases,3.2％).With the development of new technology and the new situation and the doctor's self-protection awareness,five special consultation circumstances were Department of ENT preoperative routine ophthalmology examination (196 cases,9.6％),further clarify the diagnosis of traumatic optic neuropathy (26 cases,1.28％),Department of Hematology pre-transplantation of stem cell ophthalmologic routine examination (22 cases,1.08％),glaucoma excluded before the atropine experiment checking (20 cases,0.98％) and cornea K-F ring further examination (16 cases,0.79％).Conclusion Ophthalmology-related consultation departments are widely distributed,involving more sorts of eye disease,and part of the consultation needs an eye check-up,which requires that ophthalmic chief resident should be a calm demeanor,who has ability on quick judgment of emergency and takes corresponding measures,and meanwhile,he should be a good communicator with other section practitioners and have quality of comprehensive,independent thinking and innovative consciousness of be a scholar ophthalmologist.
ABSTRACT
Postoperative X-ray films showed that the fracture healing time was averagely 5.4 months. Al of the fractures were recovered wel that subtrochanteric fractures, intertrochanteric fractures and femoral shaft fractures were al healed. There was no fracture displacement, internal fixation loosening and varus deformity. Only one case showed difficulties in nail insertion. Excellence rate of Harris hip functional scores was 88.2%postoperatively. Proximal femoral nail antirotation is a reasonable design, and the helical blade can resist the rotation and stabilize the angle. The proximal femoral nail antirotation has better effects, which is an ideal internal fixation for subtrochanteric femoral fractures.