Objective:To observe the effect of Sildenafil combined with Andriol in the treatment of ED with PADAM. Methods:50 patients were divided into two groups randomly, one group with 30 patients were treated by Sildenafil combined with Andriol,the other group with 20 patients were treated with Sildenafil only. To compare the therapeutic efficacy of two groups with the score of questionnaire of IIEF and PADAM after three months. Results:The results indicated significant differences between the score of two groups,the score of the group with Sildenafil and Andriol improved more obviously than the group with Sildenafil. Conclusion:Sildenafil combined with Andriol in the treatment of ED with PADAM have an advantage than single Sildenafil.

Objective:To summarize the clinical experience of diagnosis and treatment of testicular trauma. Methods:The diagnosis and treatment of 21 patients with testicular trauma were reviewed retrospectively. Results:By using the B-Ultrasoundgraphy,It is simple to diagnose the testicular trauma. All patients with testicular trauma were treated by the conservative treatment or operation. The orchiatrophy is the common complication of testicular trauma. Conclusions: It have important value to use the B-Ultrasoundgraphy early for diagnosing and treating the testicular trauma. It can prevent the occurrence of orchiatrophy and increase the therapeutic efficacy of testicular trauma to choose the correct therapeutic approach. It should support to perform the operative exploration as early as possible.

Objective:To observe the effect of experimental hyperlipemia on sexual function in male rats. Methods:Rats in the experimental group were fed with high fat diet for 1 year,while those in the control group were fed with common diet. The sexual function in two groups was observed by mating test. Results:The time of capturing and ejaculating was prolonged and the times of capturing and ejaculating was reduced significantly in the experimental group as compared with those in the control group. Conclusions: Experimeutal hyperlipemia may result in the weakened sexual function in male rats.

Two-way choice is the main way for the seven-year-program clinical medical students and postgraduate supervisors.This article analyzes the influence factors and shortages of two-way choice for postgraduate supervisors and seven-year-program clinical medical students.This investigation discovers that the supervisor's abilities of research,teaching and clinical and their personal magnetism are important and key factors.The students' gender,character,hobbies and interests and the familiarity to profession are the secondary factors.The other factors that include employment status,the level of income and the advice of parents and friends also have influence on two-way choice for postgraduate supervisors and seven-year-program clinical medical students.In order to further improve the tow-way choice,the author gives some suggestions,including introducing profession and the scientific researches of supervisors in advance,encouraging the face-to-face communication between students and supervisors,promoting multiple profession choices and giving some aids to the students for choosing the supervisors.

In the practice tache of medical studnets,carrying out bed side teaching and clinical rounds work,training the clinical basic skill,the thinking mode and the clinical performance ability can greatly improve the medical students' clinical ability.

We take some measures of teaching reform about Andrology in reproductive medical speciality,including the teaching outline,the content,books,the method and means.These measures of teaching reform meet the need of teaching and help to enhance the effect of teaching.

There nearly have 1 year for the medical postgraduate exempted from admission examination to enjoy the postgraduate life,meanwhile to finish the clinicalpractice task as a medical undergraduate.For students,supervisors and the university,analysis of opportunities and difficulties faced by the medical postgraduate exempted from admission examination in this stage can be made,feasible training plan can be developed,in advance to allow students to avoid the psychological confusion,change the way of learning,lay the foundation for scientific research and improve their clinical skills.These measures will contribute to improve the quality of the medical postgraduate exempted fmm admission examination and the education quality.

Objective To analyze the clinical and pathologic features in patients with ldiopathic cytopenia of undetermined signif-icance (ICUS) ,and provide the diagnostic basis .Methods 10 ICUS patients who did not fulfil minimal diagnostic criteria for MDS but suffered from constant (>6 months) progressive cytopenia ,with no marked dysplasia (<10% in three-major cell lineages) and abnormal karyotype were reported .Results 2 of 10 patients transited to MDS ,bone marrow review showed that ≥2 cells appeared diagnostic pathology development .Karyotype analysis showed that 1 case was still normal ,1 case lost a normal chromosome 20 (20q-) ,the rest 8 cases had been efollowed up for 6 to 25 months and still maintain ICUS .Conclusion Patients with MDS who fail to meet the diagnostic criteria of ICUS ,must carry out regular follow-up .There are some patients can transition to public MDS after a certain incubation period ,in fact it is Pre-MDS or MDS-early before ,which shows that ICUS should cause clinical attention ,so that avoid missed diagnosis .

Objective To evaluate the value of plastic-embedded bone marrow (BM ) biopsy sections in diagnosing myelodysplas-tic syndrome(MDS) .Methods HGF and Gomori stained .Glycol methacrylate(GMA) embedded BM biopsy specimens were detec-ted from 125 MDS patients with 25 cases in good health as control .Dyshematopoiesis and abnormal stroma cell responses were se-lected as main observed projects .Results Bone marrow biopsy sections gave an exact assessment of cellularity ,19 cases (15 .2% ) showed a decrease of cellularity as hypocellular MDS .66 cases(52 .8% ) of these cases did show abnormal localization of erythro-blastic clusters ,biopsy of 64(62% ) of low risk group 103 cases did show abnormal localization of immature precursors such as blasts and promyelocytes(ALIP positive) .Numeration of megakaryocytes and mast cells within 1mm2 acre of BM tissue were all much in MDS group than in control group .Gomori′s stain revealed moderate increase in reticulin fibres in 65 cases ,10 cases(8 .0% ) showed degree of myelofibrosis were + + + as hyperfibrotic MDS .Among 125 cases ,33 cases(26 .4% ) of bone marrow biopsies showed different types of erythrocytic and granulocytic immature cells with unusual intrasinusoidal bone marrow infiltration .Con-clusion It is clear that GMA embedded BM biopsy section is helpful in making diagnosis of MDS ,and has important clinical appli-cation value .

Aged ; Catheter Ablation ; adverse effects ; Echocardiography ; Heart Atria ; Humans ; Male ; Postoperative Complications ; diagnostic imaging ; Tachycardia, Supraventricular ; diagnostic imaging ; surgery ; Thrombosis ; etiology