Objective To explore the effect of trans-axillary single-port and bilateral breast of ipsilateral axillary approach in endoscopic thyroidectomy on area of skin flap ,complications and the corresponding impact damage .Methods A total of 72 patients who were underwent either BBIAA or TASPET in our hospital from February 2013 to April 2015,were divided into BBIAA group and TASPET group ,each group had 36 cases.The area of skin flap ,complications and the corresponding impact damage between two surgical methods were compared .Results The average separation of the flap area in TASPET group was significantly higher than that in BBIAA group (P<0.01).The VAS score of BBIAA group was (0.24 ±0.39) point,which was lower than (1.85 ±1.37)point of TASPET group,the difference was significant(P<0. 01 ) .The patients of BBIAA group had no complications ,while there were 10 patients suffered complications in TASPET group ,and the differ-ence of postoperative complications was significant (P<0.01).Conclusion Bilateral breast and ipsilateral axillary approach have the advan-tage of less operative time ,smaller separation of the flap area ,lower complication incidence and less damage on parathyroid gland and nerve , which had an ideal safety and cosmetic result .

Medical teaching for foreign students has been carried out in our university recently.Combining the teaching experience of dermatology and venereology,analyzing relative teaching problems and proposing corresponding countermeasures,this paper tries to explore more efficient English teaching methods for foreign students.

In this paper, the general conditions in research of dermato to xicology was described. The some experimental methods were evaluated. The advanc ement of modern sciences will accelerate the development of dermatotoxicology an d make more progresses and new ideas.

目的观察羟基磷灰石义眼胎植入术临床效果。方法 40只眼于眼球摘除同时植入羟基磷灰石义眼胎。义眼胎用自体巩膜包裹,植入眼眶深部,眼外肌固定于巩膜上,分层缝合眼球筋膜和球结膜。结果随访1～5年,3 6眼术后半年以上行羟基磷灰石义眼胎钻孔栓钉植入术,成功安置活动义眼。1只眼义眼胎暴露行再次手术修补,1眼术后2个月发生绿脓杆菌感染,经治疗痊愈。结论羟基磷灰石义眼胎具有良好的组织相容性,是理想的眶内植入物材料。

ObjectiveTo probe the possibility of functional sensory endings regeneration after end-to-side neurorrhaphy. MethodsFifteen New Zealand rabbits were used in this study. The left greater auricular nerve served as the donor nerve. A nerve graft taken from the right ear served as the receptive nerve which anastomosed to the donor nerve with the other end implanting into the denervated skin flap. Normal skin and denervated skin flap without nerve implantation served as control groups 5 animals in each group. The single nerve fibre recording technique was used to investigate the number,distribution and types of regenerated discharging nerve fibers 4 months after operation. ResultsThe inductive discharges of nerve fibres wave observed in all types of regenerated sensory nerves ,the total discharging fibers was about 58% of that in normal skin. Few discharging fibers were observed in denervated skin flap without nerve implantation. Conclusion End-to-ide neurorrhaphy can regenerate functional axons.

Objective To evaluate the life quality of surgically treated patients with liver cancer. Methods After operations, the life quality was regularly measured in 36 patients with liver cancer for 2 years by Gastrointestinal Life Quality Index (GLQI). Results The mean preoperative GLQI score was 106?13. It was significantly decreased from the 2nd to 10th week after the operations (P

Objective To probe the possibility of functional sensory endings regeneration after end to side neurorrhaphy Methods Fifteen New Zealand rabbits were used in this study The left greater auricular nerve served as the donor nerve A nerve graft taken from the right ear served as the receptive nerve which anastomosed to the donor nerve with the other end implanting into the denervated skin flap Normal skin and denervated skin flap without nerve implantation served as control groups 5 animals in each group The single nerve fibre recording technique was used to investigate the number,distribution and types of regenerated discharging nerve fibers 4 months after operation Results The inductive discharges of nerve fibres wave observed in all types of regenerated sensory nerves,the total discharging fibers was about 58% of that in normal skin Few discharging fibers were observed in denervated skin flap without nerve implantation Conclusion End to ide neurorrhaphy can regenerate functional axons

Objective To explore the related risk factors for diabetic retinopathy(DR)in type 2diabetes.Methods The clinical data of 412 type 2 diabetes patients,diagnosed between 2003 and 2010,were analyzed retrospectively.The diagnosis of DR and proliferative diabetic retinopathy(PDR)was confirmed by ophthalmoloseopy and fundus fluorescein angiography.Glycated hemoglobin Alc,glucose,insulin,and C-peptide of fasting plasma,and 1,2 and 3 hours postprandial plasma were measured.According to the above-mentioned data,get the fluctuation of glucose,insulin and C-peptide of 1,2 and 3hour postprandial plasma.Results The morbidity of DR and PDR increased following the longer disease duration.Age,diabetic duration,body mass index(BMI),hypertension grade,HbAlC,fasting plasma insulin and C-peptide,2 and 3 hours postprandial plasma glucose,1 and 2 hours postprandial plasma insulin,1,2 and 3 hour postprandial plasma C-peptide,1,2 and 3 hours postprandial plasma glucose,insulin and C-peptide fluctuation are different statistically among non-DR group,non-PDR group and PDR group(P＜0.05).3 hours postprandial plasma glucose and fasting plasma insulin were risk factors of DR (P＜0.05).Conclusions Postprandial plasma glucose and fasting plasma insulin were risk factors of DR.Nevertheless,postprandial insulin,fasting and postprandial C-peptide,postprandial plasma glucose,insulin and C-peptide fluctuation were useful for DR diagnosis.