Effect of high ilioinguinal approach in the treatment of acetabular fractures involving quadrilateral plate / 局解手术学杂志

Objective To study effect of high ilioinguinal approach in treatment of acetabular fractures involving quadrilateral plate. Methods 28 cases of acetabular fractures were randomly divided into two groups according to admission time. 16 patients in the observation group were given high ilioinguinal approach operation. 12 patients in the control group were treated with traditional ilioinguinal approach op-eration. Operation condition, fracture reduction, the hip function recovery and postoperative complications of the two groups were compared. Results The amount of bleeding, the length of incision, operation time and operation conditions of the two groups had no significant differ-ence (P>0. 05). The satisfactory fracture reduction rate of observation group was higher than the control group (P0. 05). Conclusion High ilioinguinal approach can improve the fracture reduction effect, effectively improve the hip joint function in patients, and it has higher security which is a kind of ideal treatment approach for acetabular fractures involving quadrilateral plate.

Analysis of post-operative complication and quality of life for cervical carcinoma / 中国基层医药

Objective To investigate the morbidity and cause of post-operative complications and quality of life for cervical carcinoma.Methods 100 patients were analysed retrospectively.The methods of operation included:class Ⅰ,20 cases;Class Ⅱ,20 cases;Class Ⅲ,20 cases;Class Ⅳ,40 cases.The quality of life in 68 patients with cervical cancer who received radiotherapy were evaluated.Results The common complications were in urinary system,including 26.0% of infection,25.0% urine retention and 3.0% fistula.And the other complications included 2.0% of incision infection,1.0% of lung infection,1.0% of pelvic infection and 1.0% of death related with operation.Multivariate analysis revealed that factors contributing to QOL were pain and depression before radiotherapy,nausea and vomiting during radiotherapy.Conclusions The some surgical modifying could decrease the morbidity of urinary infection and fistula.The quality of life in cervical carcinoma is affectd by multiple complex factors.