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Fumigation (bath) therapy is widely used in clinic, but the methods are different. Based on the data mining of the existing clinical application of fumigation (bath) therapy, combined with the clinical application practice and relevant modern research, the technical specification (draft) of clinical application of traditional Chinese medicine (TCM) fumigation (bath) therapy has been formed after many demonstrations by experts from the external treatment branch. The specification (draft) includes indications, contraindications, pre-medication evaluation, pre-medication preparation, preparation of medicinal liquid, fumigation temperature, fumigation time, fumigation frequency, fumigation course, operation method, post-medication treatment and evaluation, matters needing attention, common adverse reactions and countermeasures, etc. The purpose of this paper is to standardize the clinical application of TCM fumigation (bath) therapy, improve its clinical curative effect and reduce adverse reactions.
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@#AIM:To discuss the clinical features and operation methods on small-diopter intermittent exotropia. <p>METHODS:Totally 206 in-patients with small-diopter intermittent exotropia(IXT)in different operation groups, from September 2013 to September 2014,were observed for the eyesight, refraction, dominant eye, exotropia degree, synoptophore and near stereopsis before and after operation. Three types were divided in 206 cases. One hundred and thirty-two cases of basic IXT were the first type, in which 52 cases underwent nondominant eye unilateral recess-resection(nondominant eye unilateral recess-resection, ndR& R), 40 cases underwent dominant eye unilateral recess-resection(dominant eye unilateral recess-resection, dR& R), 40 cases underwent bilateral lateral rectus recession(bilateral lateral rectus recession, BLR-rec). Sixty-one cases of convergence insufficiency IXT were the second type, in which 40 cases underwent ndR& R, 21 cases underwent bilateral medial rectus amputation. Thirteen cases of divergence excess IXT were the third type, in which 7 cases underwent ndR& R, 6 cases underwent BLR-rec. The rates of the orthophoria, undercorrection, overcorrection and the recovery of synoptophore and near stereopsis after surgery in 1, 6, 12, 24mo were compared in 3 types. <p>RESULTS: The clinical features of 206 cases with small-diopter IXT were: in the most cases, between 5 and 12 years old; nondominant eye was left eye; the eyesight of nondominant eye was lower than another eye; refraction status were myopia, astigmatism and anisometropia; basic IXT was the most common type; exotropia degree was between 40<sup>△</sup> and 60<sup>△</sup>; some cases owned binocular function and near stereopsis. Comparison of operation methods in 3 groups: orthophoria comparisons in basic IXT among ndR& R group, d R& R group and BLR-rec group were significant difference(<i>P</i><0.05)after operation in 12 and 24mo. Orthophoria comparison in insufficiency IXT between ndR& R group and BMR-amp group was not significant difference(<i>P</i>>0.05)after operation. The operation of divergence excess IXT was effective. Orthophoria comparison in ndR& R group between basic IXT and convergence insufficiency IXT was significant difference(<i>P</i><0.05)after operation in 6, 12 and 24mo. Synoptophore and near stereopsis of some cases were improved after operation. <p>CONCLUSION:Early surgical treatment of the pediatric patients with small-diopter IXT is benefit for the establishment of binocular function and stereopsis. Adult surgical treatment can improve the appearance and alleviated eyestrain. In 206 cases, the operation method of ndR& R is obvious curative effective in each type of small-diopter IXT. The operation methods of BMR-amp and BLR-rec are obvious effective in insufficiency intermittent and divergence excess IXT.
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Objective To provide the basis for clinical treatment by compared the effect of different opera-tion methods on parathyroid function and hypocalcemia in postoperative patients with thyroid cancer.Methods Selected 120 patients with thyroid cancer who underwent total thyroidectomy or subtotal thyroidectomy from January 2009 to December 2014,and they were divided into A group(underwent thyroid gland lobe +isthmus resection +side lobe subtotal resection),B group(underwent total thyroidectomy)and C group(underwent total thyroidectomy +uni-lateral/bilateral neck dissection).Then detected the levels of serum calcium and parathyroid hormone(PTH)of all patients before operation,1d after operation and 4d after operation respectively,and observed the incidence of symp-tomatic hypocalcemia in the patients after surgery.Results Compared with before operation,the serum PTH and ser-um calcium in three groups 1d,4d after operation were significantly decreased,and those of B group and C group were lower than A group,the differences were statistically significant(all P <0.05).The incidence rates of low PTH,hy-pocalcemia and symptomatic hypocalcemia were 70.37%,62.96%,48.15% respectively in C group after operation, which were significantly higher than 33.33%,33.33%,21.43% in B group and 15.69%,25.49%,5.88% in A group,the differences were statistically significant(χ2 =23.490,10.984,22.385,all P <0.05).The difference of incidence of low PTH in C group was significant compared with A group and B group (χ2 =23.325,P <0.001;χ2 =9.035,P =0.002).The difference of incidence of hypocalcemia in C group was significant compared with A group and B group (χ2 =10.474,P =0.001;χ2 =5.831,P =0.015).The difference of incidence of symptomatic hypocal-cemia in C group was significant compared with A group and B group (χ2 =19.342,P <0.001;χ2 =5.403,P =0.020).Conclusion Different operation methods can affect the parathyroid function and the level of serum calcium, and the effect become larger alone with the larger of operation range,which is worthy of clinical reference.
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[Objective] To discuss the reasonable treatment and skil of gal bladder calculus.[Method] Select 81 cases of such patients, take their clinical data as examples for analysis foundation;and choose relative documents for evidence of theoretic analysis.[Result] 77 cases were successively operated of laparo-scope, 3 transferred for laparotomy owing to difficult anatomy of Colot triangle, 1 made probe of choledoch because of choledocholithiasis;compared with documents results, the incision length, bleeding, operaiotn time, in-hospital time and complications of laparoscope operation, transferred laparotomy in the study were similar to relative documentary reports, the differences had no statistical meaning;the intranperative bleeding, operation period, in-hopital time, complications were better than documents, the differences had statistical meaning. [Conclusion] The correct pre-operation evaluation of disease condition, operation chance and methods selection, 3 operation points were the key of successful operaiton.
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The incidence of gastroesophageal junction cancers is rapidly increasing, the Year' s upwards rate being more than 5％ ～ 10％. Siewert in 1987 proposed a definition for adenocarcinoma of the esophagogastric junction (AEG), as a adenocarcinoma within 5 cm of the gastroesophageal junction (GEJ), and divided AEG in to three types. The majority of patients with AEG in Asian countries have type Ⅱ and Ⅲ cancers, and no obvious differences have been reported in 5-year survival rates between patients with different types of AEG. In contrast, in western countries, the distribution of each type of AEG is nearly equal,patients with AEG type Ⅰ cancer have the best prognosis, whereas the overall survival of patients with type Ⅲ cancer is the worst. Now people presume that the AEG is a special type of carcinoma which is not same as carcinoma of esophagus and stomach. The surgical routes and operative methods and the extent of lymph node dissection of AEG are still not completely clear, and AEG lacks also a independent TNM system for itself. We will summarize the actuality of diagnosis and therapy of AEG.
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PURPOSE: This study aimed to analyze the clinical characteristics, results of operational method and causes of operational failure in rhegmatogenous retinal detachment except macula hole induced retinal detachment, and to analyze several factors of vision. METHOD: We reviewed the records of 720 patients, 743 eyes with regmatogenous retinal detachment who had undergone operation from January 1990 to December 1999, and followed up for at least 3 months or longer. RESULT: Scleral buckling (728 eyes, 98.0%), gas injection (9 eyes, 1.2%) and vitrctomy (6 eyes, 0.8%) were done as a primary operation. Anatomical success rate was 684 eyes(34.9%). A good visual acuity ( V A >or=0.5) was achieved in 239 eyes (34.9%), reasonable vision (VA 0.4~0.15) in 192 eyes(28.1%), ambulatory vision (VA 0.1~0.02) in 95 eyes (13.8%), whereas 158 eyes (23.2%) became blind (VA Subject(s)
Animals
, Humans
, Beak
, Reoperation
, Retinal Detachment
, Retinaldehyde
, Scleral Buckling
, Visual Acuity
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Objective To investigate the feasibility of biomedical fibrin glue in laparoscopic treatment of peptic ulcer perforation.Methods A total of 126 patients with peptic ulcer perforation were randomly divided into two groups (63 in each group).Biomedical fibrin glue was used in treatment group,and routine treatment was used in control group.The total volume of drainage after operation,rate of intestnial fistula and adhesions,allergy reaction,time of drainage tube removal,and average hospotal stay time were observed in both groups.Results There was no allergic reaction in treatment group.Total volume of drainage in treatment group was(65.3?7.5)mL,and (110.2?9.6)mL in control group,with a significant difference between the two groups(P