1.Retroperitoneal laparoscopic operation for aldosterone-producing adenomas: a report of 205 cases
Kunlong TANG ; Changhai YANG ; Liming LI
Chinese Journal of General Practitioners 2011;10(8):583-585
Two hundred and five patients with a confirmed diagnosis of aldosterone-producing adenomas underwent retroperitoneal laparoscopic operation from January 1999 to December 2009 in our hospital. All cases had hypokalemia and hypertension preoperatively. Of all the cases, 80 received total adrenalectomy and 125 received partial adrenalectomy. Operations were successfully performed in all cases. The time of operation ranged from 15 to 150 min [mean(45 ±13) min] and the volume of bleeding during operation ranged from 10 to 200 ml [mean(25 ±10) ml]. The length of hospital stay ranged from 4 to 9 d [mean(6. 8 ± 1. 2) d]. All patients were followed up for 0. 5 - 2 years (mean 1. 2 years). After operations blood potassium levels returned to normal in all cases, blood pressure returned to normal in 168 cases (82.0% ) . Results indicated that partial or total adrenalectomy with retroperitoneal laparoscopy for aldosterone-producing adenomas was safe and feasible technique.
2.Measurement of neutrophil elastase, citric acid and pH in prostatic fluid of type Ⅲ prostatitis
Baolong WANG ; Zhichun DONG ; Changhai YANG
Chinese Journal of General Practitioners 2013;12(12):970-973
Objective To measure the levels of neutrophil elastase (NE),citric acid and pH in prostatic fluid of patients with prostatitis type Ⅲ.Methods Fifty two patients with prostatitis type ⅢA,98 patients with prostatitis type Ⅲ B and 105 health subjects were enrolled in the study.The levels of NE,citric acid and pH in prostatic fluid were measured ; the expressed prostatic secretion (EPS) routine and bacterial culture were examined,and National Institutes of Health (NIH)-chronic prostatitis symptom index (NIH-CPSI) was evaluated.The data were analyzed by independent samples t-test.Results WBC count,NE and citric acid concentrations,pH in ⅢA group were (17.9 ±5.4)/HP,(898 ±704) μg/L and (14.5 ± 1.7) ng/L,7.60 ±0.43,respectively; those in ⅢB group were (3.9 ±2.2)/HP,(93 ±76) μg/L and (21.9 ±3.8) ng/L,6.71 ±0.25,respectively; those in control group were (3.6 ±2.2)/HP,(86 ±57) μg/L and (22.5 ± 3.9)ng/L,6.48 ± 0.51,respectively.There were significant differences in NE and citrate concentrations,pH value in EPS between Ⅲ A and Ⅲ B patients (t =8.22,16.64 and 13.88,all P <0.05),but no difference in NIH-CPSI (t =1.90,P 8 0.05).There were significant differences in WBC count,NE and citric acid concentrations,pH in EPS,NIH-CPSI score between Ⅲ A and control groups (t =18.92,8.47,26.53,18.37 and 32.47,all P < 0.05).There were no differences in WBC count,NE and citric acid concentration and pH value in EPS between Ⅲ B group and control group (t =1.38,1.55,1.02 and 1.21,respectively,all P 80.05),but there was significant difference in NIH-CPSI score between two groups (t =49.46,P < 0.05).In EPS,NE concentration and WBC count were positively correlated with NIH-CPSI (r =0.819 and 0.698,respectively,all P <0.01),and citric acid was negatively correlated (r =-0.625,P < 0.01) ; citrate was negatively correlated with WBC count,CPSI and pH value (r =-0.728,-0.644 and-0.817,all P < 0.01).Conclusions The results indicate that the measurements of NE,citric acid and pH in EPS are of significant clinical value in patients with prostatitis type ⅢA and Ⅲ B.
3.Clinical analysis of adrenal ganglioneuroma: a report of 21 cases
Jiang LI ; Changhai YANG ; Liming LI
Chinese Journal of General Practitioners 2010;09(8):572-573
The clinical data of 21 cases of adrenal ganglioneuroma treated in our hospital from July 1988 to August 2008 were reviewed. The clinical manifestations were: lower back uncomfortableness (9 cases), paroxysmal dizziness (4 cases), central obesity ( 1 case) and 7 cases were discovered incidentally.Five cases were diagnosed pre-operationally and remaining 16 cases were diagnosed post-operationally by pathology. All patients completely recovered after surgery except one, who still had dizziness with high blood pressure. Ultrasonography, CT and MRI examinations are the main diagnostic methods for adrenal ganglioneuroma, and it is confirmed by histopathology, surgical removal of the tumor is the main therapy for the disease.
4.Clinical Effect Observation on the TCM Diet Therapy Treating Type-2 Diabetes
Xizhong YANG ; Jing SUN ; Lin YANG ; Xiaomiao LI ; Changhai ZHAO ;
Journal of Zhejiang Chinese Medical University 2006;0(05):-
[Objective] To observe the clinical effect of TCM diet therapy on type-2 diabetes.[Method] Select the said patients 76 cases,randomly divide them into treatment group and control group with 38 cases in each group,which were administered with routine western medicine,while the treatment one was added with TCM diet medication.[Result] Compare the fasting glucose before medication,showing marked difference(P
5.Method of calling MATLAB in VB application based on ActiveX
Changhai LEI ; Yongji YANG ; Weiwei SUN ; Dongfang LI
Chinese Medical Equipment Journal 2003;0(11):-
Objective To discuss the method of calling MATLAB in VB application program based on ActiveX.Methods MATLAB provided automatic service support to ActiveX,and MATLAB could be called as ActiveX of interpreter through ActiveX automatic interface.Results Good effect was achieved when this method was applied to noise filtering of patch clamp.Conclusion By using this method,users can embedded mix programming in self-developed application software conveniently,thus reducing the difficulties in programming.
6.Application Study of Wavelet Transform in Calcium Sparks Image De-noising
Changhai LEI ; Zhiqiang MA ; Ying TANG ; Weiwei SUN ; Yongji YANG
Chinese Medical Equipment Journal 1989;0(02):-
Objective To study on wavelet transform in calcium sparks image de-noising when excitation contraction cou-pling(ECC) was studied and researched by scanning confocal microscopy,in order to elucidate the mechanism of ECC.But due to the noise exist in most calcium sparks image,it is hardly to recognize and analyze the useful information of calcium sparks.So how to increase the signal-to-noise rate is very important in calcium spark studying.Methods By using the self-developed software based on multi-scale wavelet transform to remove the noise exists in the calcium sparks images.Results The experiments shows that the method can be increased the signal-to-noise rate in about 80 calcium sparks images.Con-clusion The new method for calcium spark expression and spatial and temporal analysis is provided.
7.Research on synchronous control by remote apparatus based on Windows API
Changhai LEI ; Yongji YANG ; Zhinian ZHU ; Dongfang LI
Chinese Medical Equipment Journal 2004;0(08):-
This paper gives the techniques and steps of creating remote control instruments system using Windows API functions,and explains its hardware and software structures.The whole system is proved to be stable and reliable by experiment.It can provide a new experimental method for biomedical research,which enable the construction of multifunctional experiment platform.
8.Signal noise filtering of patch clamp based on Wavelet transform
Changhai LEI ; Yongji YANG ; Dongfang LI ; Leping ZHANG
Chinese Medical Equipment Journal 2003;0(11):-
Wavelet transform(WT) is a powerful technique in signal separation and can improve the signal-to-noise ratio by separating the white noise and useful signal.The method in the paper introduces the concepts of Wavelet transform.According to the analysis of Wavelet coefficients between the noise and signal at different levels,the appropriate filter is realized.The patch clamp experiment results demonstrate the feasibility of the method.
9.Association of suprapatellar pouch effusion with knee pain and serum IL-6, IL-17, IL-23 in patients with knee osteoarthritis
Xueqing YANG ; Jianhua XU ; Changhai DING ; Shuang ZHEN
Chinese Journal of Rheumatology 2015;19(4):219-223
Objective To explore the association of suprapatellar pouch effusion with knee pain and serum levels of interleukin (IL)-6,IL-17,IL-23 in patients with knee osteoarthritis measured by magnetic resonance imaging (MRI).Methods 204 patients with knee osteoarthritis were enrolled into the study.Suprapatellar pouch effusion was measured by OSIRIS in both grade (0-3) and maximum area (cm2).Serum IL-6,IL-17,IL-23 were measured.Knee pain was assessed by Western Ontario and McMasters osteoarthritis index (WOMAC) questionnaire and Lequesne index.Characteristics of patients were recorded and body mass index (BMI) was calculated.Student t test or Chi-square test was used to compare means or proportions.Multivariable linear regression or logistic regression was used to determine risk factors (α=0.05).Results ① In the 204 patients [mean age (55±8) years,86.3% were females],the prevalence of physiologic effusion (≤ 1) was 47.9% while moderate or larger (≥2) effusion was 52.1%.② The age,labour intensity,serum levels of uric acid (sUA) and Lequesne index of higher grade effusion group were higher (P<0.05) compared with lower grade effusion group.③ Suprapatellar pouch effusion maximum area was positively correlated with age (r=0.208,P=0.006),BMI (r=0.171,P=0.027) and labour intensity (r=0.189,P=0.013).④ Adjusted for age,gender and BMI,the results of Logistic regression analysis showed that:suprapatellar pouch effusion grades were positively correlated with Lequesne index [OR=1.120,95%CI(1.011,1.241),P=0.029] and negatively correlated with IL-23 [OR=0.768,95%CI (0.598,0.986),P=0.038].Suprapatellar pouch effusion was not independently associated with WOMAC index,IL-6 and IL-17.Conclusion The prevalence of suprapatellar pouch pathological effusion is 52.1% in knee osteoarthritis.Suprapatellar pouch effusions is positively correlated with knee pain (Lequesne index) and negatively conrelated with IL-23.
10. Diagnosis value of multiparametric magnetic resonance imaging for prostate cancer
Academic Journal of Second Military Medical University 2017;38(2):212-219
Prostate cancer is the most common malignant tumor in men of western countries and its incidence is increasing in China. However, the traditional methods of screening and diagnosing of prostate cancer are of limited value. Multiparametric magnetic resonance imaging (MRI) is an examination which combines morphologic sequences with one or more functional sequences. Multiparametric MRI can not only display the anatomical structures and morphologic changes of organs, but also reflect some histological components, providing pathophysiological and biochemical information of tissues and guiding prostate targeted biopsy at the same time. These advantages give multiparametric MRI high application value in the diagnosis and evaluation of prostate diseases. This review summarized the recent progress in multiparametric MRI diagnosis of prostate cancer.