1.Lipid oxidation and endothelial function in coronary atherosclerosis
Bin YANG ; Baozhen ZHAO ; Shisen JIANG ; Linhu JIANG
Journal of Medical Postgraduates 2004;0(02):-
Objective:To explore the relationship between the coronary atherosclerosis and endothelium function or lipidoxidative function. Methods:All subjects underwent selective coronary angiography.Their age,sex,body mass index,smoking status,blood pressure,plasma and serum of levels of glucose,total cholesterol,triglycerides,high density lipoproteins,non-hingh density lipoproteins,oxidized LDL,endothelin(ET)and nitric oxide(NO)were measured. Results: Subjects were divided into two groups,according to coronary lesion(50 cases),and non-coronary lesion(25 cases).The plasma levels of OxLDL〔(65.31?9.87)mmol vs(46.95?7.74)mmol/L〕and ET 〔(91.92?8.50)ng/L) vs (82.81?7.37)ng/L〕 were higher in group with coronary lesion than those of group with non-coronary lesion (P
2. Two different methods of free iliac flap grafting in the repair of tibial defect
Piyu ZHOU ; Shaopu YANG ; Shangquan LI ; Qibo SU ; Yuanjun MA ; Zhenhua HUANG ; Linhu ZHANG ; Liang ZHAO ; Jiang HUANG ; Zhaohua WANG ; Bo LIU ; Qingsong ZHENG ; Qinchao ZHANG ; Yong ZHANG
Chinese Journal of Plastic Surgery 2019;35(12):1230-1233
Objcetive:
To explore the treatment of long segment defect of tibia by using tensor fascia lata combined with iliac flap or deep circumflex iliac pedicle iliac flap.
Methods:
From February 2012 to August 2017, The People′s Hospital of Zun Yi City Bo Zhou District treated 16 patients who had long segment defect of tibia.There were 11 males and 5 females, age from 22 to 58 years old, the average age was 42 years old. Iliac flap grafting with tensor fascia lata combined with iliac flap or deep circumflex iliac pedicle was used to treat the defect of long segment of tibia. There were 4 cases with simple tibial defect and 12 cases with skin defect. The longest tibial defect was 5-8 cm.
Results:
In this study, four patients used iliac flaps with deep circumflex iliac pedicle, the area of flaps ranged from 2.5 cm×5.0 cm to 5.0 cm×10.0 cm, while the area of iliac flaps ranged from 5.0 cm×2.5 cm to 8.0 cm×4.0 cm. Twelve patients used grafting with tensor fascia lata combined with iliac flap, the area of flaps ranged from 5.0 cm×12.0 cm to 12.0 cm×23.0 cm, while the area of iliac flaps ranged from 7.0 cm×2.0 cm to 8.0 cm×4.0 cm. All 16 cases of bone flap were survived, fracture healing, without surgical complications. The average follow-up period was 1.5 years, the flaps had good appearance in 10 cases and was slightly bloated in 6 cases; the ankle had normal motion in 14 cases and had poor dorsal extension in 2 cases. X-ray films showed that the bone flap repaired the bone defects and reached bone healing.
Conclusions
Vascularized tensor fascia lata combined with iliac flap or deep circumflex iliac pedicle iliac flap grafts increase local blood supply and accelerate the process of fracture healing.