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1.
China Journal of Orthopaedics and Traumatology ; (12): 593-598, 2016.
Article in Chinese | WPRIM | ID: wpr-304294

ABSTRACT

<p><b>OBJECTIVE</b>To explore the safety and clinical effects of percutaneous vertebroplasty and pedicle screw fixation in treating osteoporotic thoracolumbar burst fracture.</p><p><b>METHODS</b>From April 2011 to April 2014, 32 patients with osteoporotic thoracolumbar burst fracture were treated with percutaneous vertebroplasty and pedicle screw fixation. There were 13 males and 19 females, aged in ranging from 60 to 73 years old(averaged 65.6 years). All fractures were single thoracolumbar fracture and 4 cases located on T₁₁, 9 on T₁₂, 16 on L₃; and 3 on L₂. Cobb angle, vertebral anterior compression rate, vertebral posterior compression rate, spinal canal occupying ratio were compared, visual analogue scale (VAS) and Oswestry Disability Index(ODI) were analyzed before and after operation.</p><p><b>RESULTS</b>The mean operation time was 65.7 min(ranged, 60 to 120 min) and blood loss was 25.2 ml (ranged, 20 to 50 ml). The operative incisions obtained primary healing. All patients were followed up from 12 to 48 months with an average of 20.6 months. Vertebral anterior compression rate and vertebral posterior compression rate were respectively corrected from preoperative (49.70±5.89)%, (17.36±4.11)% to (6.00±2.10)%, (5.48±1.65)% at 2 d after operation, and (6.06±1.57)%, (5.68±1.82)% at last follow up. Cobb angle and spinal canal occupying ratio were respectively corrected from preoperative (13.34±3.56)°, (22.77±5.83)% to(2.86±0.95)°, (5.02±1.93)% at 2 d after operation, and (3.04±0.94)°, (5.15±1.93)% at last follow up. VAS and ODI were respectively decreased from preoperative (6.84±0.88)points, (77.50±5.10)% to(1.94±0.72) points, (17.94±4.82)% at 2 d after operation, and (1.63±0.83) points, (15.63±5.19)% at last follow up. Cement leakage occurred in 3 cases. No internal fixation failure and intractable lower back pain were found.</p><p><b>CONCLUSIONS</b>Percutaneous vertebroplasty and pedicle screw fixation could restore vertebral body height, improve spinal canal occupying, correct kyphosis, relieve pain, improve life quality, and it is a safe and effective method in treating osteoporotic thoracolumbar burst fracture.</p>

2.
China Journal of Orthopaedics and Traumatology ; (12): 313-317, 2015.
Article in Chinese | WPRIM | ID: wpr-345216

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the feasibility and the mid-term effects of unilateral pedicle screw fixation and transforaminal lumbar interbody fusion in treating lumbar degenerative diseases.</p><p><b>METHODS</b>From August 2005 to May 2010, 56 patients with lumbar degenerative diseases underwent lumbar posterolateral fusion,their clinical data were retrospective analyzed. The patients were divided into two groups (unilateral group and bilateral group) according to fixation methods,27 patients in unilateral group who were underwent unilateral pedicle screw fixation, including 18 males and 9 females with a mean age of (57.5 ± 7.1) years old (ranged from 41 to 66 years); and 29 patients in bilateral group who were treated with bilateral pedicle screw fixation (on the basis of the above, with contralateral vertebral pedicle screw fixation), including 19 males and 10 females with a mean age of (54.6 ± 5.1) years old (ranged from 43 to 68 years). The clinical data such as operation time, blood loss volume, hospitalization time and cost were compared between two groups. JOA score system was used to evaluate the neurological function. And fusion status and cage-related complication were also analyzed.</p><p><b>RESULTS</b>All patients were followed up from 36 to 60 months with an average of 45.8 months. No iatrogenic nerve, blood vessels or organs injury were found during operation. Operation time, blood loss volume, hospitalization time and cost in unilateral group were better than that of bilateral group (P < 0.05). There was no significant difference in JOA score between two groups (P > 0.05). Two patients in unilateral group developed with cage related complications, 1 case was cage displacement and 1 case was cage subsidence, while 2 patients in bilateral group developed with complications of no-fusion, and there was no significant differences between two groups (P = 0.58).</p><p><b>CONCLUSION</b>Unilateral pedicle screw fixation is a satisfactory method and can obtain good effects in treating lumbar degenerative diseases in mid-term, however, the indications should be well considered.</p>


Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Biomechanical Phenomena , Intervertebral Disc Degeneration , General Surgery , Lumbar Vertebrae , General Surgery , Pedicle Screws , Spinal Fusion , Methods
3.
Chinese Journal of Plastic Surgery ; (6): 170-174, 2013.
Article in Chinese | WPRIM | ID: wpr-271238

ABSTRACT

<p><b>OBJECTIVE</b>To study the combination of Mandibular distraction and orthognathic techniques for the reconstruction of adult hemifacial microsomia.</p><p><b>METHODS</b>The three-dimensional CT reconstruction data was used with Mimics for preoperation design. The osteotomy location, distraction vector, distraction distance were decided before operation with a surgical guider. At the first stage, internal distractor was implanted after ostetomy through an extra-oral approach. The distraction begun 5-7 days after operation with a frequency of 1 mm/day. After distraction, the distractor was maintained for 3-6 months. At the second stage, the distractor was removed. Le Fort I osteotomy was performed in order to correct the cross-bite and improve the facial contour. Usually, bone graft was inserted into the gap after Le Fort I osteotomy. The genioplasty was also performed if necessary.</p><p><b>RESULTS</b>9 cases of adult hemifacial microsomia with severe mandibular deviation were treated. The facial asymmetry were improved greatly. 1 patient suffered an wound infection in the maxillary region after Le Fort I osteotomy and healed uneventfully with wound irrigation.</p><p><b>CONCLUSIONS</b>Mandibular distraction combined with orthognathic surgery is an effective procedure for adult hemifacial microsomia with complicated mandibular hypoplasia.</p>


Subject(s)
Adult , Aged , Humans , Bone Transplantation , Facial Asymmetry , General Surgery , Goldenhar Syndrome , General Surgery , Mandible , General Surgery , Osteogenesis, Distraction , Methods , Osteotomy, Le Fort , Methods
4.
China Journal of Orthopaedics and Traumatology ; (12): 997-1001, 2012.
Article in Chinese | WPRIM | ID: wpr-344805

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the feasibility and safety of the treatment for thoracolumbar fractures with pedicle screw at the fracture level and vertebroplasty via paraspinal approach.</p><p><b>METHODS</b>From August 2007 to August 2010, 22 old patients with thoracolumbar fractures were treated with pedicle screw at the fracture level and vertebroplasty via paraspinal approach. There were 14 males and 8 females, ranging in age from 60 to 71 years (mean, 64.6 years). The time from injury to surgery varied from 1 to 4 d (mean,2.7 d). All the patients suffered from single thoracolumbar fractures and located at T11 in 2 cases, at T12 in 5 cases, at L1 in 11 cases and at L2 in 4 cases. According to the Denis fracture classification, there were 6 compression fractures and 16 burst fractures. The mean preoperative load-sharing classification of spine fractures was 5.4 score. The mean preoperative thoracolumbar injury classification and scoring was 5.2. Based on the ASIA neurologic grading system, preoperative neurological function was grade B in 2 cases,grade C in 3 cases, grade D in 7 cases and grade E in 10 cases. The neurological function, vertebral central and anterior height, kyphotic angle of the vertebral fractures by radiographs and visual analog scale were calculated pre-operatively, post-operatively and at the last follow-up.</p><p><b>RESULTS</b>Median operating time was 60.8 min (ranged from 50 to 95 min) and median blood loss was 84 ml (ranged from 50 to 130 ml). The operative incisions were healed well. The duration of follow-up averaged 21.6 months (ranged from 12 to 48 months). The anterior vertebral body height was corrected from preoperative (52.3 +/- 10.3) % to postoperative (6.1 +/- 4.2) % and (6.8 +/- 5.4) % at the last follow-up. The central vertebral body height was corrected from preoperative (38.9 +/- 11.2) % to postoperative (8.3 +/- 4.7) % and (9.4 +/- 4.5)% at the last follow-up. The Cobbs angle of the injured vertebral segment was corrected from preoperative (19.5 +/- 9.5) degrees to postoperative (4.3 +/- 4.1) degrees and (6.2 +/- 4.7) degrees at the last follow-up. The VAS scores reduced from preoperative 8.56 +/- 0.88 to post-operative 3.48 +/- 0.91 and 3.20 +/- 0.92 at the last follow-up. The postoperative neurologic function of all 22 patients improved 1 to 2 degrees except 10 patients of grade E. There were no instances of instrumentation failure and no patient had persistent postoperative back pain.</p><p><b>CONCLUSION</b>The pedicle screw at the fracture level and vertebroplasty via paraspinal approach has the advantages of less invasive and blood loss, and could prevent the development of kyphosis and offers improvement of the spinal cord function. Furthermore, it could decrease the risks of postoperative back pain and the failure of instrumentation.</p>


Subject(s)
Aged , Female , Humans , Male , Middle Aged , Bone Screws , Lumbar Vertebrae , Diagnostic Imaging , Wounds and Injuries , General Surgery , Recovery of Function , Retrospective Studies , Spinal Cord , Spinal Fractures , Diagnostic Imaging , General Surgery , Thoracic Vertebrae , Diagnostic Imaging , Wounds and Injuries , General Surgery , Tomography, X-Ray Computed , Vertebroplasty
5.
Chinese Journal of Plastic Surgery ; (6): 401-407, 2012.
Article in Chinese | WPRIM | ID: wpr-271268

ABSTRACT

<p><b>OBJECTIVE</b>To sum up three types of plastic procedures for frontal plagiocephaly Based on the principle of floating forehead, the plagiocephaly (unilateral coronal synostosis).</p><p><b>METHODS</b>was corrected and orbito-frontal reconstruction was performed by orbito-frontal advancement, 'or temporoparietal osteotomy, or fronto-parietal osteotomy. The absorbable plates and microscrews composed of From January 2008 to polylactide polymers, were used to immobilize calvarial segments.</p><p><b>RESULTS</b>December 2010, 9 cases of plagiocephaly were treated with satisfactory result and no severe complication. The patients were followed up for 1-2 years with no recurrence of suture fusion and deformity. The brain development was not restricted. The absorbable plates were applied to avoid the metal fixation moving into The three types of plastic procedures, orbito-frontal advancement, or the cranial bone.</p><p><b>CONCLUSIONS</b>temporo-parietal osteotomy, or fronto-parietal osteotomy, can correct the plagiocephaly with satisfactory orbito-frontal appearance. Long-term follow-up is needed to observe the long-term effect of the orbito-frontal reconstructive operation on mental and calvarial development as well as visual function.</p>


Subject(s)
Humans , Absorbable Implants , Bone Plates , Craniosynostoses , General Surgery , Forehead , Osteotomy , Methods , Plagiocephaly , General Surgery , Plastic Surgery Procedures , Methods
6.
Chinese Journal of Plastic Surgery ; (6): 411-415, 2012.
Article in Chinese | WPRIM | ID: wpr-271266

ABSTRACT

<p><b>OBJECTIVE</b>To sum up the various procedures for skeleton and soft tissue contour reconstruction in severe progressive hemifacial atrophy.</p><p><b>METHODS</b>From Jan 2004 to May 2012, 25 patients with severe progressive hemifacial atrophy underwent the procedures of lipoinjection, microsurgical flap transplantation, dermis grafting, distraction osteogenesis, orthognathic surgery and so on for both skeleton and soft tissue reconstruction.</p><p><b>RESULTS</b>Among them, zygomatic augmentation and lipoinjection were performed in 24 cases, anterolateral thigh adipofascial flap in 10 cases and latissimus dorsi flap in one case, orthognathic surgery in 17 cases, including Le Fort I osetoectomy in 3 cases, genioplasty in 4 cases, mandibular distraction osteogenesis combined with secondary Le Fort I osteotomy in 3 cases, genioplasty combined with mandibular augmentation with Medpor implant in 7 cases. The patients were followed up for 6 months to 5 years. Through skelton and soft tissue reconstruction, the oblique occlusion plane and malocclusion were corrected with great improvement in face asymmetry.</p><p><b>CONCLUSIONS</b>For severe progreassive hemifacial atrophy, comprehensive procedures should be adopted for both skelton and soft tissue reconstruction to achieve good results.</p>


Subject(s)
Humans , Adipose Tissue , Transplantation , Facial Asymmetry , General Surgery , Facial Hemiatrophy , General Surgery , Mandible , General Surgery , Orthognathic Surgical Procedures , Osteogenesis, Distraction , Methods , Osteotomy, Le Fort , Methods , Plastic Surgery Procedures , Methods , Skin Transplantation , Methods , Surgical Flaps , Transplantation
7.
China Journal of Orthopaedics and Traumatology ; (12): 757-760, 2011.
Article in Chinese | WPRIM | ID: wpr-347073

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the relationship between pain and knee function after the internal fixation of femoral fractures.</p><p><b>METHODS</b>The clinical data of 73 patients after internal fixation on femoral fractures from June 2006 to December 2009 were retrospectively analyzed. All the patients were divided into two groups according to the degree of postoperative pain: low score group and high score group. Among the 39 patients in low score group (VAS 1 to 5 point), 25 patients were male and 14 patients were female, with a mean age of (37.5 +/- 5.3) years (ranged from 27 to 63 years ). Among 34 patients in high score group (VAS 6 to 10 point), 22 patients were male and 12 patients were female, with a mean age of (36.3 +/- 9.6) years (ranged from 29 to 62 years). The intra-articular pressure of knee and hospital for special surgery knee rating scale (HSS) were recorded and analyzed.</p><p><b>RESULTS</b>All the patients were followed up for an average duration of 24.1 months. The intra-articular pressure of knee was rising for two groups, there were significant difference for the high score group compared with the low score group at 3 days after operation (t=15.67, P=0.000) and the end time of follow up (t=5.63, P=0.000). As to knee joint function, in low score group, 21 patients got an excellent result, 4 good, 7 poor and 2 bad; in high score group, 31 patients got an excellent result, 6 good, 2 poor and no bad. The knee function of low score group was better than that of high score group.</p><p><b>CONCLUSION</b>The intra-articular pressure of knee is an important factor of the knee functional recovery, and its external symptoms of pain can be seen as an important index to forecast the prognosins of knee function in early time.</p>


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Case-Control Studies , Femoral Fractures , General Surgery , Fracture Fixation, Internal , Methods , Knee Joint , General Surgery , Pain
8.
Chinese Medical Journal ; (24): 296-300, 2009.
Article in English | WPRIM | ID: wpr-311873

ABSTRACT

<p><b>BACKGROUND</b>Bulbous nasal tips and lower dorsa are common facial features in Chinese people, and surgery to reshape these is frequently requested. The use of silicone implants in rhinoplasty has been widely used in China for many years, but is not suitable for patients seeking Caucasian tip shapes. The creation of an excessively high tip supported only by a silicone implant inevitably leads to implant extrusion. Although many rhinoplasty techniques have been used in Caucasian patients, there is currently no suitable method for Chinese patients, whose anatomy differs from that of Caucasians. The present study was aimed to investigate the clinical outcome of a novel method of rhinoplasty in Chinese people.</p><p><b>METHODS</b>Eighty patients underwent rhinoplasty using our method between 2002 and 2006. We classified the patients into three types, according to the distance between tip defining points, and used different techniques accordingly. Furthermore, an innovative cartilage carving method and a tip fibro-fatty tissue flap were designed and combined with traditional techniques, such as insertion of silicone implant, cartilage grafts, suture techniques and cephalic trimming to reshape the nasal contours. The followup period was 10 - 60 months (average, 21 months).</p><p><b>RESULTS</b>Remarkable modifications in nasal contours were achieved. No complications developed in any of the 80 patients. Seventy-eight patients were satisfied with the results. The outcomes remained unchanged over time.</p><p><b>CONCLUSION</b>Our method is effective and suitable for the treatment of Chinese patients with lower dorsa and bulbous nasal tips.</p>


Subject(s)
Adult , Female , Humans , Male , Young Adult , Asian People , Nose , General Surgery , Rhinoplasty , Methods
9.
Acta Physiologica Sinica ; (6): 35-41, 2007.
Article in Chinese | WPRIM | ID: wpr-258691

ABSTRACT

The present study was designed to observe the influence of cerebral ischemia/reperfusion injury on learning and memory in hyperlipidemic rats and estimate the changes of activity of autonomic nervous system. Twenty-three male Wistar rats were randomly divided into three groups, named control group (C group, n=10), hyperlipidemia group (H group, n=6) and hyperlipidemia-ischemia group (HI group, n=7), respectively. The rats in H and HI group were fed a high-fat diet for 2 weeks and the rats in all groups were examined through Morris water maze (MWM) task. The rats in HI group underwent ischemia/reperfusion by 2-vessel occlusion (2-VO) method, and had electrocardiogram (ECG) recording simultaneously. The MWM task and ECG recording were taken again after 7 d of recuperation. The following results were obtained: (1) In the second place navigation performance and probe trial performance, the frequency of memory in quadrant of hidden-platform and memory score decreased significantly in HI group compared to that in C and H groups. (2) The heart rate in HI group decreased slowly after ischemia; the power at high frequency band (HF) reduced gradually, meanwhile the power at middle frequency band (MF) and the ratio of power at MF and HF decreased clearly compared to baseline value. (3) After 7 d of ischemia/reperfusion, the heart rate in HI group was significantly higher than that in H group (P<0.05). While there was no statistical change in the power at MF, the power at HF decreased and the ratio of MF/HF increased significantly (P<0.05). The data demonstrated that ischemia/reperfusion decreased the activity of autonomic nervous system, and the reduction of sympathetic nerve activity was much more than that of vagus nerve activity. The results suggest that the hippocampus neuron injury caused by ischemia induces cognitive disorder and imbalance of vago-sympathetic nerve activity accompanied by vagus nerve suppression.


Subject(s)
Animals , Male , Rats , Autonomic Nervous System , Brain Ischemia , Heart Rate , Physiology , Hippocampus , Hyperlipidemias , Learning Disabilities , Memory Disorders , Random Allocation , Rats, Wistar , Reperfusion Injury , Pathology
10.
Chinese Journal of Epidemiology ; (12): 115-118, 2007.
Article in Chinese | WPRIM | ID: wpr-232340

ABSTRACT

<p><b>OBJECTIVE</b>To study the prevalence of snoring and obstructive sleep apnea-hypopnea syndrome (OSAHS) and its high risk factors in Guangxi Zhuang Autonomous Region.</p><p><b>METHODS</b>From January 2003 to March 2005, a total number of 11,163 persons aged > or =14 years Zhuang minority living in Guangxi (from Guinan, Guizhong and Guibei) were surveyed. Questionnaire was administered to draw information. Polysomnography(PSG) and in-home polygraphy were performed on participants being studied and who had reported snoring.</p><p><b>RESULTS</b>Among all the surveyed people, 2940reported snoring with a prevalence of 27.3%. 448 (320 males and 128 females) people reported OSAHS with prevalence as 4.3% (5.9% in males and 2.5% in females). From 14 to 60 year olds, the prevalence of snoring and OSAHS increased with age. Among those above 60 years of age, both the prevalencerates ofsnoring and OSAHS werereduced with age. Among all the study population, 260 (21.6%) had habitual OSAHS a nd 188 (10.8%) hadoccasional OSAHS. The high risk factors of OSAHS were: position during sleep, disease of nose, drinking alcohol, smoking, gender, body mass index (BMI) and age.</p><p><b>CONCLUSION</b>The prevalence rates of snoring and OSAHS were 27.3% and 4.3% respectively. From 14 to 60 years of age, the prevalence rates of snoring and OSAHS were increasing with age while from 60 years of age on, the prevalence of snoring and OSAHS reduced with age. The prevalence rates of snoring and OSAHS in males were higher than females. The high risk factors of OSAHS were position during sleep,disease of nose, drinking, smoking,gender, BMI and age.</p>


Subject(s)
Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , China , Epidemiology , Prevalence , Risk Factors , Sleep Apnea, Obstructive , Epidemiology , Snoring , Epidemiology
11.
Chinese Journal of Medical Genetics ; (6): 148-152, 2007.
Article in Chinese | WPRIM | ID: wpr-247365

ABSTRACT

<p><b>OBJECTIVE</b>To study selective killing effect of herpes simplex virus-thymidine kinase/ganciclovir (Hsv-tk/GCV) driven by human telomerase catalytic subunit (hTERT) promoter on lung cancer cell line A549 in vitro.</p><p><b>METHODS</b>(1) Expression plasmids of Hsv-tk gene driven by hTERT promoter and sv40 promoter respectively (pGL3-hTp-tk and pGL3-sv40-tk) were transfected into telomerase-positive human lung adenocarcinoma cell line A549 and telomerase-negative fetal lung fibroblast cell line MRC-5. Reverse transcription-PCR was performed to detect expression of tk gene in above transfected cell lines; (2) Inhibition effect on proliferation of above transfected cell lines treated with GCV was investigated with MTT method; (3) Influence of GCV on apoptosis and cell cycle of above transfected cell lines was investigated with flow cytometry.</p><p><b>RESULTS</b>(1) tk mRNA expression was detected in both A549 and MRC-5 transfected with pGL3-sv40-tk, also in A549 transfected with pGL3-hTp-tk, but not in pGL3-hTp-tk transfected MRC-5; (2) GCV showed significant inhibition effects on proliferation of pGL3-sv40-tk transfected A549 and MRC-5 in vitro, also on that of pGL3-hTp-tk transfected A549, but not on that of pGL3-hTp-tk transfected MRC-5; (3) Treated with GCV, apoptosis index (AI) of pGL3-sv40-tk transfected A549 and MRC-5 as well as pGL3-hTp-tk transfected A549 (21.58%, 9.35% and 23.19% respectively) increased significantly, compared with A549, MRC-5 transfected with pGL3-hTp (0.78% and 0.55% respectively) and A549, MRC-5 without plasmid transfection as blank control (2.17% and 0.60% respectively); GCV had no influence on AI of pGL3-hTp-tk transfected MRC-5 (0.88%).</p><p><b>CONCLUSION</b>tk gene driven by hTERT promoter could express selectively in lung cancer cell A549. Hsv-tk/GCV driven by hTERT promoter could selectively inhibit proliferation of lung cancer cell.</p>


Subject(s)
Humans , Antiviral Agents , Pharmacology , Apoptosis , Cell Cycle , Cell Line, Tumor , Cell Proliferation , Cell Survival , Flow Cytometry , Ganciclovir , Pharmacology , Gene Expression Regulation, Neoplastic , Genetic Therapy , Methods , Lung Neoplasms , Genetics , Pathology , Therapeutics , Promoter Regions, Genetic , Genetics , Reverse Transcriptase Polymerase Chain Reaction , Simplexvirus , Genetics , Telomerase , Genetics , Thymidine Kinase , Genetics , Transfection , Viral Proteins , Genetics
12.
Chinese Journal of Plastic Surgery ; (6): 212-214, 2007.
Article in Chinese | WPRIM | ID: wpr-314253

ABSTRACT

<p><b>OBJECTIVE</b>To locate the mandibular canal accurately in the mandibular body of the young women and provide anatomic data for the mandibular angle plasty.</p><p><b>METHODS</b>60 women whose age ranged from 20 to 39 years old were randomly selected, the average was 25.32 years old. CT scanning and 3-D reconstruction were applied to their mandibles. After the points were determined, the distances of the points to inferior mandibular borders were measured. The data was analyzed by SPSS 11.5.</p><p><b>RESULTS</b>The distance between the mandibular canal and the inferior mandibular border was least in the area which responsed to the second premolar. It decreases from the posterior margin of the third molar to the anterior margin of the first molar. It increases from the posterior margin to the mental hole.</p><p><b>CONCLUSIONS</b>The mandibular canal between the posterior and anterior margins of the second pre-molar is prone to be injuried and should be paid more attention to during mandibular angle plasty.</p>


Subject(s)
Adult , Female , Humans , Young Adult , Asian People , Imaging, Three-Dimensional , Mandibular Nerve , Diagnostic Imaging , Tomography, X-Ray Computed
13.
Journal of Applied Clinical Pediatrics ; (24)2006.
Article in Chinese | WPRIM | ID: wpr-639446

ABSTRACT

Objective To explore the clinical characteristics and the remedial measurement of measles complicated with severe pneumonia and the acute respiratory distress syndrome(ARDS) in children.Methods From Jan 2004 to Jul 2007,clinical data of 32 cases with measles complicated with severe pneumonia and ARDS in PICU of Chongqing Children's Hospital were retrospective analyzed.In addition,the ratio of partial pressure of oxygen in arterial blood fractional concentration of oxygen in inspired gas[pa(O2)/FiO2] between the death group and survival group,the mortality rates between the hormone therapy group and control group were performed.Results Sixteen cases were cured and 16 cases were died,with the mortality rate 50%.The ratio of pa(O2) /FiO2 before mechanical ventilation in death group was lower than that in the survival group [(11.93?1.67) kPa,(21.77?1.16) kPa,respectively,P0.05).Conclusions ARDS is a severe complication in children with measles pneumonia and associated with a high mortality,which requires early diagnosis and intervention to improve survival rate and prognosis.The ratio of pa(O2)/FiO2 may provide reference to evaluation for severity and prognosis of ARDS.

14.
Academic Journal of Second Military Medical University ; (12): 620-623, 2006.
Article in Chinese | WPRIM | ID: wpr-841395

ABSTRACT

Objective: To prepare pure prokaryotically expressed protein of hyrdC and the monoclonal antibody against hyrdC, and to detect the hyrdC protein in gastric cancer with the prepared monoclonal antibody. Methods: The target DNA sequence of hyrdC was obtained by RT-PCR and subsequently inserted into prokaryotic expression vector pET32a. The TRX-hyrdC fusion protein was purified and was used to immunize 6-week-old BALB/c female mice to prepare monoclonal antibodies. The supernants of hybridoma cells were screened by enzyme-linked immunoabsorbent assay(ELISA) and identified by Western blot. The prepared monoclonal antibody was used to detect the expression of hyrdC protein in gastric cancer and adjacent normal tissues by immunohistochemical method (SP). Results: The sequence of byrdC ORF was conformed to the reported in Gen-Bank. Two lines of hybrids secreting monoclonal antibodies against hyrdC were established, both belonging to IgG2a subtype. Western blot showed that the prepared monoclonal antibodies specifically combined with human hyrdC protein. Immunohisto-chemistry (SP) results showed that the expression of hyrdC protein in gastric cancer was significantly higher than that in normal gastric mucous membrane (P<0.001). Conclusion: The monoclonal antibody against hyrdC has been successfully obtained. There are significant differences in the expression of hyrdC between the gastric tumor tissues and normal tissues.

15.
Chinese Journal of Plastic Surgery ; (6): 99-102, 2006.
Article in Chinese | WPRIM | ID: wpr-240377

ABSTRACT

<p><b>OBJECTIVE</b>To study the surgical reconstruction of unilateral Craniofacial Atrophy and Hypoplasia.</p><p><b>METHODS</b>According to the etiological factors and severity of the facial deformities, different methods are employed, including bone framework reconstruction, soft tissue transplantation, orthognathic surgery.</p><p><b>RESULTS</b>From September 1998 to August 2004, 42 cases were treated, Include: Hemifacial Microsomia 22 cases, Hemifacial Atrophy 16 cases, unilateral facial hypoplasia due to radiation 4 cases. Miniplate and transplants extrusion occurred on 2 post radiation patients due to poor soft tissue coverage, infection occurred on 1 patient after mandibular ramus reconstruction using autogenous rib and contralateral mandibular outer cortex. The leaving patients recovered well and the facial asymmetry were improved greatly.</p><p><b>CONCLUSIONS</b>Facial asymmetry due to unilateral Craniofacial Atrophy or Hypoplasia is a common and complex condition for surgical management, The surgical plan should be delicated made individually according to the severity of the soft tissue and the underlying bone framework.</p>


Subject(s)
Adolescent , Adult , Female , Humans , Male , Young Adult , Craniofacial Abnormalities , General Surgery , Facial Asymmetry , General Surgery , Facial Hemiatrophy , General Surgery , Plastic Surgery Procedures , Methods , Treatment Outcome
16.
Chinese Journal of Plastic Surgery ; (6): 415-417, 2005.
Article in Chinese | WPRIM | ID: wpr-240414

ABSTRACT

<p><b>OBJECTIVE</b>The purpose of this study was to observe the tissue tolerance of Ti-HA functionally graded-material (FGM) and the form of the material-bone interface.</p><p><b>METHODS</b>The sintered Ti -HA FGM, pure HA and pure Ti were respectively implanted into the parietal bone of rabbits. The specimens were observed by SEM at 2, 4, 8 postoperative weeks.</p><p><b>RESULTS</b>In the early stage, the new bone surrounding the Ti -HA FGM formed earlier with larger amount and better maturity than the pure Ti. The condition was similar to the pure HA. Two months after the operation, direct bonding of material-bone interface was formed between the Ti -HA FGM and the new bone as an integral body. However, there was a little space left between the new bone and the pure Ti.</p><p><b>CONCLUSIONS</b>The Ti -HA FGM has good tissue tolerance. Its early integration with bone is similar to pure HA and better than pure Ti.</p>


Subject(s)
Animals , Female , Male , Rabbits , Bone Substitutes , Chemistry , Hydroxyapatites , Chemistry , Materials Testing , Microscopy, Electron, Scanning , Osseointegration , Titanium , Chemistry
17.
China Journal of Chinese Materia Medica ; (24): 1030-1033, 2003.
Article in Chinese | WPRIM | ID: wpr-293736

ABSTRACT

<p><b>OBJECTIVE</b>To investigate various activities of dissolved matter of glycyrrhizic acid of Radix Glycyrrhizae and the powder by supermicro-pulverization.</p><p><b>METHOD</b>The contents of glycyrrhizic acid in different samples were tested.</p><p><b>RESULT</b>The dissolved matter of glycyrrhizic acid was greatly increased by supermicro-pulverization. The more time used for grinding, the smaller the size of the powder, and the easier the glycyrrhizic acid would be dissolved.</p><p><b>CONCLUSION</b>Supermicro-pulverization is helpful to the dissolved matter of glycyrrhizic acid of Radix Glycyrrhizae, and the size of powder exerts great influence on dissolved matter of glycyrrhizic acid.</p>


Subject(s)
Drug Combinations , Drugs, Chinese Herbal , Chemistry , Glycyrrhiza , Chemistry , Glycyrrhizic Acid , Particle Size , Plant Roots , Chemistry , Plants, Medicinal , Chemistry , Powders , Solubility
18.
China Journal of Chinese Materia Medica ; (24): 166-170, 2002.
Article in Chinese | WPRIM | ID: wpr-274991

ABSTRACT

<p><b>OBJECTIVE</b>To describe the difference between native and nonative herbs by determining contents of seven kinds of flavone for twenty-five samples from seventeen areas.</p><p><b>METHODS</b>HPLC. Fluid phase: MEOH-H2O-CH3COOH(ICE) (41:59:0.2) and (50:50:0.2). Detection wavelength: 275.</p><p><b>RESULTS</b>The contents of baicalin are 6%-9%, wogenin are 2%-8%, baicalein are 0.1%-1.6%, neobaicalein are 0.01%-0.2%, wogonin are 0.01%-0.3%, visidulin and oroxylin are trace amounts or undetected.</p><p><b>CONCLUSION</b>The native and nonative herbs have no distinct differce in absolute component ratio. The ratio of baicalin and wogenin is under three. The ratio of baicalin and baicalein, baicalin and wogonin is between twenty and fifty.</p>


Subject(s)
Chromatography, High Pressure Liquid , Flavanones , Flavonoids , Plant Roots , Chemistry , Plants, Medicinal , Chemistry , Quality Control , Scutellaria baicalensis , Chemistry
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