To study the related anatomy of iliofemoral deep venous thrombosis (DVT) through autopsy, CT and venography. Anotomic factors are very important in iliofemoral DVT. 4 cases iliofemoral DVT were treated with transjugular catheter-directed thromobolysis with urokinase or thrombolysis + PAT + stent. Technical and clinical success rates were 75% (3/4) There were no serous complications. Conclusion: This method is safe and effective.

Objective To investigate the prognostic factors and managements of the duodenal trauma.Meth- ods Clinical data of duodena trauma from January 1988 to September 2005 were collected and retrospectively anal- ysed.Results One case(4.76%)got preoperative diagnosis,and 20(95.2%)missed and 4(19.04%)died,compli- cations occurred in 6(28.5%),duodenal fistula and abdomina abscess were the major complications.Conclusion The rate of confirmed diagnosis is quite low,and early laparotomy,anti-infection and surgical nutrition are the key factor to reducing death rates and its complications.

Acute Coronary Syndrome ; therapy ; Angioplasty, Balloon, Coronary ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Medicine, Chinese Traditional ; Phytotherapy

Objective To investigate the therapeutic method and effects of malignant tracheal stenosis with nitinol memory alloy stents.Methods Seventeen patients with malignant tracheal stenosis were treated by nitinol memory alloy stents.Of them,13 patients underwent chemotherapy or chemotherapy and radiotherapy after stents set.Results Eighteen tracheal stents were placed in 17 patients through interventional method,with 100% successful rate.All patients had made immediate disappearance in dyspnea.Followed-up time was taken for 1 to 11 months with no restenosis and stent migration.Conclusion Under fluoroscopic guidance,tracheal stent placement is a safe,rapid and reliable proceduce for treating malignant tracheal stenosis.

Objective To discuss the clinical application of minimal residual disease in acute myelogenous leukemia(AML) by wt1 mRNA quantitative combined with multi-parameter flow cytometry (FCM).Methods Real time quantitative polymerase chain reaction (qRT-PCR) method was established for detecting wt1 gene expression level in 35 AML patients.The indexes were detected by different subtypes;And 9 cases of ease and 4 cases of recurrence in patients was followed-up and detected the wt1 level.The multiparameter flow cytometry was used to analyze the minimal residual disease in AML.Results The expression of wt1 gene was significantly higher than that of the control group.Significant difference was found(P<0.05).In the newly diagnosed AMLs, wt1 was the highest in M2 and the lowest in M6.Follow-up of 4 AML patients showed that wt1 gene expression level was markedly decreased after CR, but obviously increased after relapse.The proportion of abnormal myeloid cells in different phases significantly changed by FCM.There was no difference of minimal residual disease in AML by qRT-PCR and multiparameter flow cytometry.The ROC curve was used to analyze the recurrent cases to get the threshold value(3.33%).Conclusion The quantitative analysis of wt1 combined with multi-parameter flow cytometry can be used to monitor minimal residual disease in leukemia patients, assess the treatment efficacy and prognosis, and predict the risk of recurrence.

Humans ; Medicine, Chinese Traditional ; methods

Objective To study the standard operating methods and skills of Lichtenstein's tenaion-free her-nioplasty for treating groin hernia and the methods of reducing the postoperative complication and recrudescence. Methods Clinical data of treating greinhemia in 178 eases at Department of General Surgery, Luan People's Hospi-tal were reviewed and analyzed. Results On average, each operation needs 50 minutes and the patients spend 4 days in hospital. After 2～3 weeks,the patients can restore the daily activity and manual labour. There were 9 cases of uri-nary retention after operation,5 cases of scrotum haematoma's accumulating liquid,7 cases of the cut fat deliques-cing, 14 cases of various pain and numbness in groin area and 1 case of hernia recrudescence. Conclusion Lichten-stein's tension-free hemioplasty is a perfect surgical operation method which has many advantages, such as minimal trauma,rapid recovery, simple operation sequence, and less postoperative complication and recrudescence. It is in keeping with anatomy physiology.

Cancer stem cell niche provides a relatively stable microenvironment for cancer stem cell (CSC)existence,proliferation and differentiation.This microenvironment consists of kinds of cells,stroma and cytokines, etc. Within it , CSC can resist chemoradiotherapy. It has been shown that destruction of the microen vironment can significantly enhance the effect of chemoradiotherapy and improve prognosis of cancer patients.

BACKGROUND: As a new-type and effective restoration means of dentition defect and edentulous,implant denture is a restoration method most closely related to natural teeth,and is accepted by more and more patients.OBJECTIVE: To investigate the clinical effects of non-submerged dental implants with sandblasted and acid-etched surface preparation(Straumann implants system).METHODS: Patients who visited Oral Implantology Center of the Affiliated Hospital of Qingdao University Medical College from June 2007 to June 2009 were selected as study subjects.Systemic and local contraindications were excluded.A total of 124patients who had 218 Straumann implants implanted were followed up for 3 to 24 months.According to various patients' conditions,conventional approach,immediately implanted,GBR technique and flapless operation were adopted respectively.Clinical effects were evaluated with the Albrektsson's criteria.RESULTS AND CONCLUSION: There was no implant loosen,shedding or X-ray transmission in 218 implants.Both the survival rate and successful rate of implants were 100%.High degree of satisfaction from patients was achieved.Straumann implants system could be considered as a manageable and satisfactory non-submerged implant system.

Described in this paper are the definition of dyslexia, service for persons with dyslexia in domestic and foreign libraries, and the practices in relation with the service for persons with dyslexia in libraries of USA, such as law support, service provided by US Congress Library, and Bookshare service, in an attempt to provide reference for such service in domestic libraries.