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Objective:To explore the effect of nasolabial fold flap in the treatment of nasal ala subtotal defect nasal afte ala tumor operation.Methods:The clinical data of 7 nasal ala subtotal defect patients underwent nasal ala basal cell carcinoma operation in the First People′s Hospital of Lianyungang City from February 2018 to September 2020 were retrospectively analyzed.Results:Seven patients with nasal ala subtotal defect were successfully repaired with nasolabial fold flap. The patients were followed up for 19 to 52 months, the flaps survived, the color was good, the contour was not bloated, the nasal ventilation was not affected, and good results were achieved.Conclusions:The nasolabial fold flap repair of the nasal ala subtotal defect after nasal ala tumor operation has the advantages of simple method, rich materials, no need for vascular anastomosis, no need for secondary surgery, accurate effect and so on, which is suitable for clinical promotion in clinical.
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Objective To investigate the effect of laparoscopic neoplasty in the treatment of gastric and duodenal ulcer perforation and its influence on immune function. Methods A total of 98 patients with gastric and duodenal ulcer perforation were selected from February 2010 to February 2017 in the Second People's Hospital of Zhengzhou City. The patients were di-vided into observation group and control group according to operative method,49 cases in each group. The operation time,intra-operative bleeding volume,anal exhaust time and hospitalization time were recorded in the two groups. The postoperative pain of all patients were evaluated by visual analogue scales(VAS)on the 1st ,2nd and 7th day after operation. The levels of serum pro-calcitonin(PCT),CD 3+,CD 4+,CD 8+ and natural killer(NK)cell were detected at the time points of 30 min before operation and the 1st ,2nd and 7th day after operation respectively. Results The intraoperative bleeding volume in the observation group was significantly less than that in the control group(P < 0. 05),the anus exhaust time and the hospitalization time in the obser-vation group were significantly shorter than those in the control group(P < 0. 05),and the operation time in the observation group was significantly longer than that in the control group(P < 0. 05). The VAS score in the observation group was signifi-cantly lower than those in the control group on the 1st ,2nd and 7th day after operation(P < 0. 05). The incidence of postopera-tive complication in the observation group and the control group was 6. 12％(3 / 49)and 26. 53％(13 / 49)respectively,the in-cidence of postoperative complication in the observation group was significantly lower than that in the control group(χ2 =13. 652,P < 0. 05). There was no significant difference in serum CD 3+,CD 4+,CD 8+,NK cell and PCT levels between the two groups before operation(P > 0. 05). The levels of serum CD 3+,CD 4+,CD 8+ and NK cell on the 1st and 2nd day after operation were significantly lower than those before operation,and the PCT level on the 1st and 2nd day after operation was significantly higher than that before operation in the control group(P < 0. 05). The levels of serum CD 3+,CD 8+ and NK cell on the 7th day after operation were significantly lower than those before operation in the control group(P < 0. 05). There was no significant difference in the levels of serum CD4 + and PCT between the 7th day after operation and before operation in the control group (P > 0. 05). The levels of serum CD 3+,CD 4+,CD 8+ and NK cell on the 1st day after operation were significantly lower than those before operation,and the PCT level on the 1st day after operation was significantly higher than that before operation in the observation group(P < 0. 05). There was no significant difference in serum CD 3+,CD 4+,CD 8+,NK cell and PCT levels be-tween the 2nd ,7th day after operation and before operation in the observation group(P > 0. 05). The levels of serum CD 3+,CD4 +,CD 8+ and NK cell in the observation group were significantly higher than those in the control group on the 1st ,2nd and 7th day after operation(P < 0. 05). The serum PCT level in the observation group was significantly lower than that in the control group on the 1st and 2nd day after operation(P < 0. 05). There was no significant difference in serum PCT level between the two groups on the 7th day after operation(P > 0. 05). Conclusion Laparoscopic neoplasty for gastric and duodenal ulcer perfora-tion has less traumatic and less influence on the immune function of patients. It is beneficial to the recovery of postoperative body function,and can reduce postoperative complications. The laparoscopic repair is effective in the treatment of perforation of gastric and duodenal ulcer. It is beneficial to the recovery of reduce postoperative complications.Objective To investigate the effect of laparoscopic neoplasty in the treatment of gastric and duodenal ulcer perforation and its influence on immune function. Methods A total of 98 patients with gastric and duodenal ulcer perforation were selected from February 2010 to February 2017 in the Second People's Hospital of Zhengzhou City. The patients were di-vided into observation group and control group according to operative method,49 cases in each group. The operation time,intra-operative bleeding volume,anal exhaust time and hospitalization time were recorded in the two groups. The postoperative pain of all patients were evaluated by visual analogue scales(VAS)on the 1st ,2nd and 7th day after operation. The levels of serum pro-calcitonin(PCT),CD 3+,CD 4+,CD 8+ and natural killer(NK)cell were detected at the time points of 30 min before operation and the 1st ,2nd and 7th day after operation respectively. Results The intraoperative bleeding volume in the observation group was significantly less than that in the control group(P < 0. 05),the anus exhaust time and the hospitalization time in the obser-vation group were significantly shorter than those in the control group(P < 0. 05),and the operation time in the observation group was significantly longer than that in the control group(P < 0. 05). The VAS score in the observation group was signifi-cantly lower than those in the control group on the 1st ,2nd and 7th day after operation(P < 0. 05). The incidence of postopera-tive complication in the observation group and the control group was 6. 12％(3 / 49)and 26. 53％(13 / 49)respectively,the in-cidence of postoperative complication in the observation group was significantly lower than that in the control group(χ2 =13. 652,P < 0. 05). There was no significant difference in serum CD 3+,CD 4+,CD 8+,NK cell and PCT levels between the two groups before operation(P > 0. 05). The levels of serum CD 3+,CD 4+,CD 8+ and NK cell on the 1st and 2nd day after operation were significantly lower than those before operation,and the PCT level on the 1st and 2nd day after operation was significantly higher than that before operation in the control group(P < 0. 05). The levels of serum CD 3+,CD 8+ and NK cell on the 7th day after operation were significantly lower than those before operation in the control group(P < 0. 05). There was no significant difference in the levels of serum CD4 + and PCT between the 7th day after operation and before operation in the control group (P > 0. 05). The levels of serum CD 3+,CD 4+,CD 8+ and NK cell on the 1st day after operation were significantly lower than those before operation,and the PCT level on the 1st day after operation was significantly higher than that before operation in the observation group(P < 0. 05). There was no significant difference in serum CD 3+,CD 4+,CD 8+,NK cell and PCT levels be-tween the 2nd ,7th day after operation and before operation in the observation group(P > 0. 05). The levels of serum CD 3+,CD4 +,CD 8+ and NK cell in the observation group were significantly higher than those in the control group on the 1st ,2nd and 7th day after operation(P < 0. 05). The serum PCT level in the observation group was significantly lower than that in the control group on the 1st and 2nd day after operation(P < 0. 05). There was no significant difference in serum PCT level between the two groups on the 7th day after operation(P > 0. 05). Conclusion Laparoscopic neoplasty for gastric and duodenal ulcer perfora-tion has less traumatic and less influence on the immune function of patients. It is beneficial to the recovery of postoperative body function,and can reduce postoperative complications. The laparoscopic repair is effective in the treatment of perforation of gastric and duodenal ulcer. It is beneficial to the recovery of reduce postoperative complications.
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Objective To compare the effect between autologous fascia and artificial duramater in duramatral neoplas ty.Methods A total of 140 patients with hypertensive intracerebral hemorrhage who underwent craniotomy in Zhoukou Hospital of Traditional Chinese Medicine from February 2014 to May 2017 were selected.The patients were divided into observation group (n =90) and control group (n =50) according to dural repair method.The autologous fascia was used to repair dura mater in the observation group,and the artificial duramater was used to repair dura mater in the control group.The Glasgow Coma Scale (GCS) score,activity of daily living(ADL) and the incidence of postoperative complication were compared between the two groups.Results The eusemia rate of ADL in the observation group and the control group was 98.89％ (89/90) and 90％ (45/50) respectively at three months after operation,the eusemia rate of ADL in the observation group was significantly higher than that in the control group (x2 =6.191,P ＜ 0.05).There was no significant difference in GCS score between the two groups before operation (t =2.362,P ＞ 0.05),the GCS score at three months after operation were significantly higher than that before operation in the two groups (t =7.123,9.612;P ＜ 0.05),the GCS score in the observation group was significantly higher than that in the control group at three months after operation (t =5.710,P ＜ 0.05).The incidence of postoperative cerebrospinal leak,incision infection,cenencephalocele and epilepsy was 1.11％ (1/90),1.11％ (1/90),2.22％ (2/90) and 3.33％ (3/90) respectively in the observation group;and the incidence of postoperative cerebrospinal leak,incision infection,cenencephalocele and epilepsy was 10.00％ (5/50),8.00％ (4/50),12.00％ (6/50) and 14.00％ (7/50) respectively in the control group;the incidence of postoperative cerebrospinal leak,incision infection,cenencephalocele and epilepsy in the observation group was significantly lower than that in the control group (x2 =6.191,5.704,5.514,4.429;P ＜ 0.05).Conclusion The autologous fascia is easy to suture,and there is no rejection reaction.It can significantly improve the prognosis of patients and reduce the incidence of complications in duramatral neoplasty.
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@#Objective To assess the application of 64-row volumetric CT three dimensional image formation to shape the titanium mesh for the skull neoplasty. Methods 40 cases were divided into the shaping before operation group (21 cases), in which the titanium meshes were shaped with the data from 64-row volumetric CT skull three dimensional image formation before operation; and the shaping during operation group (19 cases), in which the titanium meshes were shaped approximately before and exactly during operation. The time of shaping, anaesthesia and the whole operating were compared, and the qualities of the skull plasty were assessed. Results All the skull repaired satisfactorily. The time of shaping, anaesthesia and the whole operating was shorter in shaping before operation group than in shaping during operation group (P<0.05). No complication was observed. Conclusion Application of 64-row volumetric CT three dimensional image formation in the skull neoplasty may reduce the surgery time and risk.
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Objective To discuss the etiological factor,diagnosis and treatment of gastroduodenal perforation.Methods The clinical datas of 198 cases in our hospital were submitted to a retrospective study.Results There were 44 cases of gastric ulcer,146 cases of gastric ulcer and 8 cases of gastric cancer,while 192 were cured,6 died.196 cases accepted operation(188 with gastroduodenal neoplasty and 8 with subtotal gastrectomy),while 2 were treated by conservative therapy.Conclusion Peptic ulcer is the principal etiological factor of gastroduodenal perforation,and inject air into gastroinotestinal tract with a gastric tube can increase the diagnostic rate.The neoplasty still remain to be a modus operandi of gastroduodenal perforation.
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Objective To explore the efficacy of nasal septal perferation with three layers of grafts under nasal endoscope. Methods From June 2002 to June 2007,15 cases of nasal septal perforation were repaired by three laryers of grafts using the perpendicular plate of the ethmoid bone or quadrangular cartilage covered by fascia lata of the thigh. The course of the disease ranged from 6 months to 5 years (mean,1.8 years) and the diameter of the perforation ranged from 0.8 to 1.6 cm (mean,1.2 cm). A 1-2 mm new surface was made along the margin of the perforation,and then the nasal septum was separated by means of submucos correction. Afterwards,a perpendicular plate of the ethmoid bone or quadrangular cartilage covered by fascia lata of the thigh was used to form a three-layer graft for seal of the perforation. Then,the nasal cavities were filled with expansive sponge,which was expanded by injecting lyophilized recombinant bovine basic fibroblast growth factor for external use. Results The surface of the graft was completely covered by nasal mucosa in 6 to 12 weeks after the surgery.Afterwords,the patients were followed up for 6 to 12 months (mean,8.2 months),during which no recurrence occurred. Conclusions It is effective to repair nasal septal perforation with three-layer graft under nasal endoscope.