Clinical Observation of Additional Use of Cypate Gingival Fluid in Periodontal Basic Therapy before Surgery in the Treatment of Pregnancy Gingival Tumor / 中国药房

OBJECTIVE: To observe the clinical efficacy and safety of additional use of Cypate gingival fluid in periodontal basic therapy before surgery in the treatment of pregnancy gingival tumor. METHODS: A total of 86 patients with pregnancy gingival tumor in Second Affiliated Hospital of Qiqihar Medical University during Jan. 2015 to Jan. 2016 were divided into observation group and control group according to random number table, with 43 cases in each group. Control group received ligation and oral micro-electrosurgical surgery according to the volume of tumor. Observation group was given Cypate gingival fluid-based periodontal basic therapy (3-5 mL for gargling, 2-3 min each time, 3-5 times each day, 5 d) and then receive surgery. Clinical efficacies, gingival related indexes (gingival index, sulcular bleeding index, probing depth), quality scores of life, ADR, the occurrence of complications were observed in 2 groups. The followed-up was conducted 1 year after surgery, and the recurrence of gingival tumor was compared between 2 groups. RESULTS: No case was found shedding in the study. The total response rate of observation group was 97. 67％, which was significantly higher than 79. 07％ of control group (P＜0. 05). After treatment, the gingival related indexes of 2 groups were decreased significantly compared to before treatment, while quality scores of life were increased significantly compared to before treatment, observation group was significantly better than control group (P＜0. 05). No severe ADR or complication was found in 2 groups during treatment. Recurrence rate of gingival tumor in observation group was 2. 33％, which was significantly lower than 13. 95％ in control group 1 year after treatment (P＜0. 05). CONCLUSIONS: Compared with surgery alone, additional use of Cypate gingival fluid in periodontal basic therapy before surgery has better clinical efficacy and lower recurrence rate, with good safety.

Effects of Kangfuxin Solution Combined with Chuangyangling and Gelatin Sponge on Dry Socket Disease in Type 2 Diabetes Mellitus Patients after the Extraction of Impacted Teeth / 中国药房

OBJECTIVE: To investigate the effects of Kangfuxin solution combined with Chuangyangling and gelatin sponge on dry socket disease in patients with type 2 diabetes mellitus after the extraction of impacted teeth. METHODS: A total of 85 patients with impacted teeth and type 2 diabetes mellitus during Jan. 2016-Jan. 2017 were divided into group A (29 cases), B (25 cases), C (31 cases) according to random number table. All patients were treated with turbine drill method; in group A, Kangfuxin solution + Absorbable gelatin sponge was used to fill the wound site; in group B, Chuangyangling+compound preparation of Kangfuxin solution and gelatin sponge were used to fill the wound site; in group C, the wounds were filled with gauze but without any drugs. All patients received routine anti-infective treatment after surgery for 5-7 d. The time of impacted teeth extraction was observed in 3 groups; granulation tissue coverage integrity rate of tooth socket and the incidence of dry socket disease 7 d after surgery, the incidence of other postoperative complications, treatment cost, satisfaction scores were also comparod. RESULTS: There was no statistical significance in the time of impacted teeth extraction or treatment cost among 3 groups (P＞0. 05). Seven days after surgery, granulation tissue coverage integrity of tooth socket and satisfaction scores were in descending order: group B＞group A＞group C; the incidence of dry sockets were in ascending order: group B＜group A＜group C, with statistical significance (P＜0. 05). The incidence of other postoperative complications as bleeding, pain, swelling, limitation of mouth opening in group A and B were significantly lower than group C, with statistical significance (尸＜0. 05). There were no statistical significance between group A and B (P＞0. 05). CONCLUSIONS: Kangfuxin solution combined with Chuangyangling and gelatin sponge can effectively increase granulation tissue coverage integrity of tooth socket, and reduce the incidence of dry socket disease and other postoperative complications in patients with type 2 diabetes mellitus, but do not increase economic burden of patients and obtain high patient satisfaction.

Diagnosis of Low-tension CT and MRI on Carcinoma Around Vater’s Ampulla / 实用放射学杂志

Objective To investigate diagnostic value of low-tension computed tomography(CT) and magnetic resonance imaging(MRI) on carcinoma around Vater’s ampulla.Methods The data of CT and MRI of 30 patients with carcinoma around Vater’s ampulla confirmed by pathology were analysed retrospectively.Results 30 patients all had different degree obstruction of low part of biliary tract. CT or MRI showed the location, size and relationship with abjacent tissue of carcinoma in 26 patients, and the finger-stall sign of the descending part of the duodenum in 18 patients among them. Space occupying lesion of carcinoma was found dimly in 4 patients, no space occupying lesion of carcinoma was found in 3 patients.Conclusion The finger-stall sign of the descending part of the duodenum and finding of mass of ampulla are characteristic findings of carcinoma around Vaterys ampulla, low-tension CT and MRI are valuable methods of diagnosis of carcinoma around Vatery’s ampulla.

CT Diagnosis for Acidophilic Granuloma of Skull / 实用放射学杂志

Objective To explore CT character for acidophilic granuloma of skull.Methods 15 cases diagnosed clinic,pathology and CT were retrospectively analyzed and 4 of 15 cases had skull X-ray examination.Results Lipid,small bone piece,parenchyma lump and endocranium erosio for acidophilic granuloma of skull were showed clearly and accurately in CT.Conclusion Lipid is important CT character for acidophilic granuloma of skull,a reliable diagnosis can be made when combine CT with clinical information.