Endovascular treatment for subacute and chronic cerebrovascular occlusion: recent progress in research / 介入放射学杂志

Subacute and chronic cerebrovascular occlusion is an uncommon but an important cause for ischemic stroke.The main pathogenic mechanism is local hemodynamic disorder.Theoretically,the improvement of hemodynamic disorder can reduce the incidence of stroke as well as improve the prognosis.At present,there is still controversy over the optimal therapeutic plan.With the rapid development of interventional techniques,considerable progresses have been made in the endovascular treatment for subacute and chronic cerebrovascular occlusion,although some shortcomings still exist.This article aims to make a comprehensive review about the subacute and chronic cerebrovascular occlusion,focusing on its definition,damage,clinical status of its treatment,imaging evaluation,technical points of endovascular therapy,and procedure-related complications.

The effect of selective salpingography and fallopian in the treatment of fallopian tubal infertility / 中国基层医药

Objective To evaluate the efficacy of selective salpingography (SSG)and fallopian tube reca-nalization(FTR)in treating fallopian tubal infertility.Methods 127 patients with fallopian tubal infertility who trea-ted with SSG and FTR were analyzed.Results Among 127 patients,there were 19 patients with both salpingemphrax-is.After SSG,we found 9 cases of 11 fallopian tubes were unobstructed.After SSG and FTR,108 fallopian tubes were unobstructed,the effective rate was 80.00%.After one year following -up,41 cases (34.75%)were fertilized. Conclusion SSG and FTR were effective for patients with salpingemphraxis.The treatment was safe,effective and less harmful for patients.It is worthy for clinical application.

Clinical study on Salvia injection (freeze-dried) in the interventiontreatment of the oviduct obstructive infertility / 中国介入影像与治疗学

Objective To study the clinical efficacy of the injection Salvia (freeze-dried, abbr: Salvia powder needle), with fallopian tube recanalization on the treatment of oviduct obstructive infertility. Methods One hundred and ninety-five patients of oviduct obstructive infertility were enrolled in this study and divided into drug group and control group. Salpingography with modified catheter, recanalization and perfusion operation were performed in both two groups. Salvia powder, gentamicin, α-ACT and dexamethasone were injected into test group, while Gentamicin, α-ACT and dexamethasone were injected into control group. Recanalization rate of fallopian tube, rate of intrauterine gestation and rate of ectopic pregancancy were measured and compared between two groups. Results Twelve months after operation, recanalization of fallopian tube of test group and control group was 94.39% and 85.87%, respectively. Twenty-four months after operation, intrauterine gestation rate of test group and control group was 50.00% and 35.71%, respectively. Conclusion Salvia powder combined with modified recanalization operation is helpful to improve the rate of intrauterine gestation.