AIM:To study the application value and therapeutic effect of small incision trabeculectomy in tunnel in cataract combined with glaucoma surgery.
●METHODS:Eighty- two patients of ninety eyes with cataract combined with glaucoma were selected in our hospital from May 2013 to May 2015, all of them treatment of small incision trabeculectomy in tunnel surgery, compare the difference of intraocular pressure and refractive degree at different time points before and after operation; To analyze the improvement of visual acuity after surgery and the occurrence of complications.
●RESULTS:The intraocular pressure of postoperative 1, 7d, 1 and 6mo (19. 38 ± 3. 63, 12. 96 ± 2. 84, 11. 37 ± 1. 05, 11. 89±0. 82mmHg) were lower than preoperative (32. 65± 6. 42mmHg), and the difference has statistical significance (P<0. 05). The vertical corneal refraction first increased and then decreased after the operation. The difference time points were higher than the preoperative, the difference was statistically significant ( P< 0. 05 ). The horizontal corneal refraction first decreased and then increased after surgery. The horizontal corneal refraction at each time point except 1mo after surgery and preoperative differences were statistically significant. Five eyes ( 6%) of patients with vision <0. 1 after 6mo of operation, forty-eight eyes (53%) with vision 0. 1-0. 5, 29 eyes (32%) with vision 0. 6-0. 9, eight eyes ( 9%) with vision >1. 0, the vision was significantly improved after 6mo of operation (P<0. 05). There were 3 eyes of patients with anterior chamber, 5 eyes had corneal edema, 3 eyes had the appearance of anterior chamber, and recovered within 7d after treatment.
●CONCLUSION: The small incision trabeculectomy in tunnel for cataract combined with glaucoma has significant curative effect, higher safety, and highly clinical value.

头穴丛刺结合康复治疗(针康法)是基于头穴丛刺治疗脑源性疾病的优势与现代康复技术(Bobath法、运动再学习等)相结合治疗脑卒中后运动功能障碍的方法，包括“三期六阶段”的康复治疗新方案。在临床中已经取得满意的效果，可明显降低脑卒中患者功能障碍，提高患者的生活质量，体现了整体康复与辨证康复的结合，弥补了针灸治疗在神经康复学上的不足。

ObjectiveTo discuss the clinical features, diagnosis and treatment of mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome in children.Methods The clinical features and treatment process of two children with MELAS were retrospectively analyzed.ResultsThe main clinical features of MELAS were stroke-like epi-sodes, seizure, visual anomaly and lactic acidosis. Cephalic MRI ifndings performed during episode periods were in accord with the typical radiographic features of MELAS. Gene testing on the two children and their mothers showed the point mutation of A3243G in mitochondrial genome. The symptoms were improved signiifcantly after energy supply and corticosteroid treatment. Conclusions MELAS syndrome is easy to be misdiagnosed due to the varied clinical features. The diagnosis depends on the musclebiopsy and gene testing. Corticosteroid therapy is effective for MELAS syndrome.

Objective To summarize the diagnosis and treatment of urological trauma.Methods One hundred and sixty-two patients with trauma of kidney,ureter,bladder or urethra were treated between March 2002 and March 2012.The diagnosis,treatment and outcome were analyzed.Results All patients were discharged with improved condition.Of 62 patients with renal injury,45 were treated with conservative approach,9 were treated with superselective arterial embolization,and 8 were treated with nephrectomy.All the 62 patients had normal renal function during the follow-up period of 3 to 24 months.Of 2 patients with ureteral injury,one was treated with cystoscopic ureteral catheterization,and another one with ureteric reimplantation.Neither of the 2 patients developed hydronephrosis during the one year follow-up period.All 6 patients with vesical injury were treated with open surgery,and they all had normal urinary function during the follow-up period of 6 to 12 months.Of 92 patients with urethral injury,6 were treated with urethral catheterization,18 with urethral realignment,35 with cystoscopic urethral realignment,4 with urethral repairment,and 29 with end-to-end anastomotic urethroplasty; 29 (32％) patients suffered from urethral stricture during the follow-up period of 6 to 24 months,and they underwent further treatment.Conclusions Urological trauma is quite frequent,and early diagnosis and treatment is important.Good outcomes will be achieved in most of patients by suitable treatments,but complications which need further treatments may occur subsequently in part of the patients.

BACKGROUND: In spite of some good successes of nickel-titanium alloy have been achieved in orthopaedic surgery, there are still serious limitations in clinical application, such as potential leakage of elements and ions, which could be toxic to cells, tissues and organs. OBJECTIVE: To review the research progress and the exiting problems of nickel-titanium shape memory alloy in orthopaedics and to provide theoretical supports for safe use of the alloy in clinical practice.METHODS: A computer-based online search of Springerlink and CNKI was performed for articles published between 2003 and 2010 both in Chinese and English. The search was conducted respectively with the key words of "nickel-titanium shape memory alloy (NiTi-SMA), biocompatibility, modifications, orthopaedics". Researches regarding nickel-titanium shape memory alloy and its properties, clinical applications, corrosion performance, biocompatibility, corrosion resistance by surface/structure modifications and the long-term challenges were included. Irrelevant or repetitive articles were excluded. RESULTS AND CONCLUSION: Nickel-titanium shape memory alloy has special value in medical field due to favorable shape-memory and superelasticity. However, due to the nickel toxicity, it is of great importance to elevate corrosion resistance of nickel-titanium alloy. The modifications of the alloy are the main focus and direction for further research.

A new way is proposed to design control panels of precise titration in infusion.Based on the basic principles of hydrodynamics,this method implements the control of medicine flow by adjusting the tube size.With high precision and low cost,it is beneficial to practical requirements in chinical application.

ObjectiveTo study effect of head acupuncture combined with facilitation techniques on movement function, ADL, nervous function and prevention of complication, etc. after stroke.Methods120 stroke patients were divided randomly into four groups, group 1 for head acupuncture with facilitation techniques, group 2 for head acupuncture, group 3 for facilitation techniques, and group 4 for control. Fugl Meyer Assessment(FMA), Clinical Nervous Functional Damage Degree(CNFDD), Quality of Life(QOL), etc. were applied to assess movement and nervous function before and after treatment. ResultsThe scores of FMA, CNFDD and ADL rised more significantly in group 1, 2 and 3 than group 4 (P<0.01). The complications, such as shoulder joint semi dislocation, shoulder hand syndrome, decreased more obviously in group 1 than in group 2, 3 and 4(P>0.05).Conclusions Head acupuncture combined with facilitation techniques can improve the movement function and activity of daily living of the stroke patients, decreasing complication.

ObjectiveTo study the effects of Pulse Magnetic Needle Apparatus on nerve growth factor(NGF) expression in cerebral ischemia model of rats.Methods70 Wistar rats were divided randomly into 7 groups as normal group,sham group,model group,magnetic group,acupuncture group,elecupuncture group and pulse magnetic group.Cerebral ischemia model was made by middle cerebral artery occlusion.The neural function of all the rats after operation was assessed by Nervous Scale of Function.The expression of NGF in each group was determined using immunohistochemical method.ResultsIn the Nervous Scale of Function between 6h and 15d after operation,there was no difference in model group(P>0.05),but there was difference in magnetic group(P<0.05) and in other therapeutic groups(P<0.01). The curative effect in pulse magnetic group was as the same as that in elecupuncture group and acupuncture group on the 15th day after operation.The expression of NGF increased in all therapeutic groups compared with the model group on the 15th day after operation(P<0.05 or 0.01).Furthermore, the expression of NGF increased in pulse magnetic group and acupuncture group rather than that in magnetic group and elecupuncture group(P<0.05).There was no distinct difference between acupuncture group and pulse magnetic group(P>0.05).ConclusionsThe Pulse Magnetic Needle Apparatus can promote and prolong the expression of NGF and recover the function of limbs.

Objective To study TIMI flow influence of intracoronary injection of GPⅡb/Ⅲa receptor antagonists (tirofiban) in patients with STEMI before primary PCI. Methods Sixty-seven STEMI patients (48 male, mean age 57.4?8.1 years old) admitted during April, 2005 to August, 2007 were included in the study and in all of them, IRA thrombus was found during CAG. The patients were divided into the primary PCI group (n=32) and primary PCI plus introcoronary tirofiban injection group (n=35). Changes in TIMI flow were were obsurved diving the operation. Results The incidence of slow-flow and no-reflow of the intracoronary tirofiban injection+PCI group was lower than that of the primary PCI group (2.86% vs 18.75%,P

Multiple sclerosis (MS) is the most common autoimmune inflammatory demyelinating disease of the central nervous system,and the fatigue is the most common symptom of MS. This article discussed the advance of the treatments of acupuncture and rehabilitation for MS fatigue.