Pedicle screw placement combined with filler for lumbar vertebra fractures / 中国组织工程研究

BACKGROUND:Conventional cross-segment pedicle screw fixation wil cause some complications such as kyphosis and loss of corrective angle. Fixation of pedicle screw placement of the injured vertebral body improves the disadvantages of conventional posterior screw placement, and obtains ideal outcomes. OBJECTIVE: To investigate the clinical application value of pedicle screw placement combined with filer for lumbar vertebra fracture. METHODS: Clinical data of patients with pedicle screw placement combined with filer for lumbar vertebra fracture were retrospectively analyzed. They were repaired with pedicle screw placement combined with bone graft as wel as pedicle screw placement combined with bone cement. The ratio of anterior border to posterior border of the injured vertebral body after surgery and changes in Cobb angle were observed. Patients were folowed up and results were compared. RESULTS AND CONCLUSION: Pedicle screw placement combined with filer has many advantages, and obtained good outcomes in the treatment of lumbar vertebral fracture. However, the extensive application has some problems and disputes. Clinical physicians should pay more attention on choice of surgical indications, prevention and treatment of perioperative and long-term complications and postoperative treatment of osteoporosis. The pedicle screw fixation combined with calcium phosphate bone cement has a broad prospect, can maintain the effect of spine reduction, and is worth to spread in the clinical treatment of lumbar fractures.

Study of ulnar artery cutaneous perforators with color Doppler flow imaging / 中华超声影像学杂志

ObjectiveTo study the distribution,location and hemodynamics of perforating branches of the ulnar artery with color Doppler flow imaging (CDFI).MethodsPerforating branches of ulnar arteries were examined in 80 healthy volunteers in both forearms using CDFI.Following parameters were detected:number,diameter,jumping-off point,course,location and peak blood velocity.All the parameters data were analyzed statistically.ResultsThree hundred and forty-five perforating branches were detected in total 160ulnar arteries.These branches were classified into three types:type Ⅰ,myocutaneous perforator (10.3 ％);type Ⅱ,septocutaneous perforator(87 ％ ) ; type Ⅲ,direct cutaneous perforator (2.7 ％ ).The most dominant branches were located in the mesial of the upper third,middle third and lower third of the forearm.There was no significant difference among all age groups and no difference in peak blood velocity between left side and right side( P ＞0.05).The peak blood velocity was higher in male than that in female.( P ＜0.05).In relaxing period,the blood flow rate was almost disappeared and the frequency spectrum showed the characteristics of single direction,lower blood velocity and higher blood resistance.ConclusionsCDFI with high resolution showed better results of distribution and location of perforating branches of the ulnar artery and a better quality evaluation of the these branches.CDFI was helpful to design the skin flap containing cutaneous perforators of ulnar artery.

The Chemical Markers of Plant Lectin B4 in the Enteric Nervous System of Mice / 医学研究杂志

Objective To investigate the relationship of the chemical coding enteric nervous system of the mice and expression for neurotransmittor of enteric primary afferent neurons for Nociceptors.Methods Immunocytochemical and morphometric techniques were used to quantify the distribution of IB4-containing neurons in mice enteric nervous system using three mice chiocing every vision 50 neurons undering confocal microscopy IB4 immunolabelling and colocalized with calretinin and lectin B4.Results IB4 being binded to primary afferent neurons of enteric pleuxes happend in small intestin and colon of mice,where it was selective for nociceptive neurons.IB4 revealed large round or oval(Dogiel type II)neurons,type I neurons with prominent laminar dendrites and small neurons of myenteric ganglia.The type II neurons were immunoreactive for calretinin,and some type I neurons were immunoreactive for nitric oxide synthase.Most neurons in the submucosal ganglia bound IB4,and some of these were vasoactive intestinal peptide immunoreactive.Conclusion The results indicate that IB4 labels specific subgroups of enteric neurons in the enteric nervous system of the mice.These include intrinsic primary afferent neurons,but other neurons,including secretomotor neurons,are labeled.The results suggest that IB4 is not a specific label for enteric nociceptive neurons.

Experimental study on antioxidant and calcium channel blockade preventing testicular fibrosis in rats / 中华男科学杂志

<p><b>OBJECTIVE</b>To investigate the preventive effect of antioxidant and calcium channel blockade on testicular fibrosis in rats, and to explore the ideal drug for preventing it.</p><p><b>METHODS</b>Eighty Wistar rats were divided into a control group (Group A, n = 10), a treatment group (Group B, n = 57) and a testicular fibrosis model group (Group C, n = 13). And the treatment group was further divided into a higher dosage group (Group a, n = 20), a medium dosage group (Group b, n =20) and a lower dosage group (Group c, n = 17). Testicular fibrosis was duplicated with altered Wang Tao's method. From the second day of the first immunization, the higher dosage group was given antioxidant vitamins 90 mg/(kg x d) and verapamil 50 mg/(kg x d), the medium dosage group antioxidant vitamins 90 mg/(kg x d) and verapamil 25 mg/(kg x d), and the lower dosage group antioxidant vitamins 90 mg/(kg x d) and verapamil 12.5 mg/(kg x d), all for 150 days. The control and the model groups received no treatment. The sperm count, sperm deformity rate, testis length and seminiferous tubule intradiameter were measured, and the changes of the testis interstitial substance and spermatogenic cells were observed by light microscope and transmission electron microscope.</p><p><b>RESULTS</b>Testicular fibrosis was significantly prevented by the higher- and medium-dosage treatment in the rats. In the higher dosage group, the intradiameter of the seminiferous tubules and the thickness of the limiting membrane were almost the same as in the control. In the lower dosage group the thickness of the limiting membrane was thicker and the damage to the spermatogenic cells was heavier than in the control, but the pathological changes of the testis structure was lighter than in the model group, in which Hyperplasia and fibroblast increase in the interstitial substance were significant, interstitial mast cells and peritubular mast cells increased, the thickness of the limiting membrane of the seminiferous tubules seriously thickened, and the damage to the spermatogenic cells was severe.</p><p><b>CONCLUSION</b>Testicular fibrosis in rats can be significantly prevented by antioxidant and calcium channel blockade.</p>