1.The teaching exploration of specified trained doctors with vascular skill
Zhongxin ZHOU ; Daohong LIU ; Fangyong FU
Chinese Journal of Medical Education Research 2003;0(03):-
Objective To investigate how to improve teaching achievement of specified trained doctors with vascular skill. Methods Specified trained doctors were divided into groups(two doctors for one group) and expected vascular surgeon was appointed as majored teacher. Teaching revolution was proceeded with self-made vascular training platform,projected questions according with teaching content,cultivation of solidificatism and refined schema of check. Results After revolution,operative skills of specified trained doctors were improved significantly,basal operative procedures during operations were smooth,skill related theory was solid and compounding during operation was initiative. Conclusion Teaching revolutions of vascular skill can improve basal operative skill of specified trained doctors and develop habits of solidificatism.
2.Application of case-based learning in training vascular surgery resident doctors
Jingbo LU ; Zhengjun LIU ; Zhiqi LIN ; Heng WAN ; Fangyong FU ; Ling YE ; Xianying HUANG
Chinese Journal of Medical Education Research 2013;(8):796-799
Objective To explore the application and effect of case-based learning(CBL)in vas-cular surgery clinical teaching. Methods Totally 37 resident doctors were randomly divided into 2 groups respectively: CBL teaching group (n=21)and traditional teaching group (n=16). CBL teaching was con-ducted through the following procedures:selecting typical cases-establishing and applying typical case library-autonomous learning-holding regular seminars. Traditional teaching was conducted through the following procedures: basic theory studying-participating in clinical practice-participating in case discus-sion. Evaluation was conducted based on test socre (written test and clinical operational skill test)and res-idents' feedback of teaching effect. Data were statistically described and independent sample t test was performed. Results Theoretical exam score and clinical skill test score were high in CBL group than in traditional group ((thoretical score:(85.53 ±1.75) vs. (79.94 ±2.29);clinical skill test score:(85.10±1.64)vs.(80.31±1.82)). CBL teaching group had advantages in improving learning efficiency, cultivat-ing clinical thinking,promoting mastery and application of knowledge,broadening knowledge, promoting communication and expression ability and improving study enthusiasm ,et al . Conclusion CBL teaching can effectively improve the teaching quality and obtain higher evaluation. Typical case li-brary should be constantly improved and education of vascular surgical basic theory should be strength-ened to promote CBL.
3.Hybrid operation for acute left leg deep venous thrombosis secondary to left iliac vein compression syndrome: analysis of 36 cases.
Zhongxin ZHOU ; Fangyong FU ; Zhiqi LIN ; Chunqiu PAN
Journal of Southern Medical University 2013;33(1):131-134
OBJECTIVETo evaluate the surgical techniques for acute left deep venous thrombosis (LDVT) secondary to left iliac vein compression syndrome (IVCS).
METHODSThirty-six patients with acute LDVT secondary to IVCS received inferior vena cava filter placement, and in 2 of the cases, stent implantation was canceled for acute episode of obsolete DVT. The remaining 34 patients underwent left femoral venotomy for iliofemoral thrombectomy with Fogarty catheter and distal femoral vein thrombus removal by sequential compression of the legs, followed by implantation of stent-graft (2 cases) or bare-metal stents (32 cases) in the left common iliac veins. With routine anticoagulation and thrombolytic treatments, the patients were regularly examined for postoperative blood flow in the affected limb.
RESULTSIn 2 of the cases undergoing bare-metal stent implantation, the residue thrombi were squeezed into the stent by balloon, which was managed subsequently with local thrombolysis. One patient with bare-metal stent implantation received a secondary stenting for posterior stent displacement. Three patients had self-limited bleeding due to decreased serum FBG. Significant improvements were achieved at 3, 6, 30 and 180 days postoperatively in the circumferences of the affected limb (P<0.05) and in the levels of D-dimer (P=0.011), and FBG level showed no significant variations (F=1.163, P=0.345). The total rate of excellent outcomes was 83.3% (26/34) with a total effective rate of 91.2% (31/34) in these cases.
CONCLUSIONSThrombectomy to revascularize the inflow tract and stent implantation to enlarge stenosed iliac veins are key issues in treatment of acute LDVT secondary to IVCS.
Adult ; Aged ; Angioplasty, Balloon ; Female ; Humans ; Leg ; blood supply ; Male ; May-Thurner Syndrome ; complications ; surgery ; Middle Aged ; Thrombectomy ; methods ; Vascular Patency ; Venous Thrombosis ; etiology ; surgery ; Young Adult
4.Efficacy and Safety of Icotinib in the Treatment of Advanced Non-small Cell Lung Cancer :a Meta-analysis
Wei LIN ; Meixia LI ; Wei LU ; Chengde WU ; Ximiao MA ; Li LI ; Fangyong FU
China Pharmacy 2019;30(4):533-537
OBJECTIVE: To evaluate the efficacy and safety of icotinib in the treatment of advanced non-small cell lung cancer (NSCLC), and to provide evidence-based reference for clinical drug use. METHODS: Retrieved from the Cochrane library, PubMed, Sciencedirect, CNKI, Wanfang database and VIP, RCTs about icotinib or icotinib combined with routine treatment or with other drugs (trial group) versus routine treatment or other drugs (control group) in the treatment of advanced NSCLC were collected. After literature screening, data extraction and literature quality evaluation with Cochrane collaboration bias risk assessment tool 5.1.0, Meta-analysis was performed by using Rev man 5.3 statistical software. RESULTS: A total of 27 RCTs were included, involving 2 345 patients. Results of Meta-analysis showed that response rate [OR=1.64, 95%CI(1.36, 1.97), P<0.000 01] and disease control rate [OR=1.68, 95%CI(1.39, 2.04), P<0.000 01] in trial group were significantly higher than control group; the incidence of ADR in trial group [OR=0.59, 95%CI(0.48, 0.72), P<0.000 01] was significantly lower than control group. CONCLUSIONS: Icotinib shows good efficacy and safety in the treatment of advanced NSCLC.