Objective To explore the clinical effect of hysteroscopic resection in the treatment of submucous myoma.Methods The clinical data of 78 submucosal myoma patients with hysteroscopic resection which were diagnosed by B ultrasound and hysteroscopy were retrospectively analyzed,including 35 cases of type O,23 cases of type Ⅰ,20 cases of type Ⅱ.Results Application of hysteroscopic resection in the treatment of type O and type Ⅰ submucosal myoma,the rate of postoperative satisfaction was 100.0％.There were 3 cases of multiple myoma in 20 cases of type Ⅱ,which were not one time of resection,and were taken the second times of resection 4 months after operation.In all operation,there was on complications,and the rate of postoperative satisfaction was 96.2％.Conclusion Hysteroscopic resection in the treatment of submucous myoma for the preservation of reproductive function and not affecting ovarian function has the advantage of less bleeding,short operation time,rapid postoperative recovery,shorter hospitalization time,and greatly improve the quality of life of patients,and has good clinical application value,it provides the effective treatment for clinical,and is worthy of clinical popularization.

Objective To investigate the choice of treatment of tubal pregnancy.Methods 128 patients with tubal pregnancy were randomly divided into 43 patients of drug group,42 cases of laparoscopy group,43 cases laparotomy group.The differences of pregnancy status,time to pregnancy,tubal smooth the situation,length of stay,discharge of blood β-HCG were compared.Results Lapamscopic surgery therapy whose intrauterine pregnancy rate reached 80.9%,one year intrauterine pregnancy rate was up to 66.7%,tubal flow rate was 78.6%,and the pregnancy and discharge time was significantly shorter,and the level of β-HCG decresaed when they would go out hospital.Conclusion Laparoscopic surgery therapy had small trauma,better pregnancy rate,low ectopic pregnancy rate,better tubal patency rate,and it could improve fertility,and make discharging quickly,and was an effective treatment for patients with tubal pregnancy.

To Describe the current situation of Niger children receiving acupuncture treatment.Acupuncture has 30 years of development history in Niger.Chinese medical teams had established acupuncture department in the Central Hospital in Maradi,Niamey National Hospital,and National Hospital of Zinder,and presided over acupuncture work.But due to a variety of reasons,at present,only the Central Hospital in Maradi has reserved acupuncture therapy,and was combined with physical therapy,rehabilitation therapy to form exercise therapy and functional training division.Pediatric patients are the major subjects who received acupuncture,accounting for 2/3 of outpatients.Nervous system and motor system diseases were their main diseases.

Objective To study the relation between TCM syndromes of systemic lupus erythematosus (SLE) and expression of Fas and sFas. Methods The relation between the TCM syndrome types of SLE patients and experssions of Fas and sFas was analyzed through detecing Fas and sFas in the blood of SLE patients and control group. Results The expression of Fas in heat-toxin syndrome and Yang deficiency syndrome of spleen and kidney were higher than control group and interior heat syndrome due to Yin deficiency. Serum sFas of SLE patients was higher than control, but there was no significant difference among the three syndrome types. Conclusion The expression of Fas and sFas has obvious relation with TCM syndrome types and can be used for the syndrome differentiation of SLE.

Objective:To compare the myocardial toxicity and the influence of MLAC—ropivacaine and MLAC—bupivacaine on myocardial zymogram of parturients during the first stage of labor while using epidural block for pain relief,and to provide experimental bases for choosing reasonable local anesthetics for labor analgesia.Methods:20 parturients were chosen and divided into two groups randomly (one is bupivacaine group,the other ropivacaine group).Each parturient received 20ml of MlAC-anesthetics at the required time.Blood samples were obtained from 20 parturients at different intervals and blood serum from these samples were preserved at -70℃ to determine their AST,LDH,CK-MB,and also to evaluate the analgesic effect,monitor and manage these parturients and fetus after analgesia.Results:There were no significant difference in the following aspects:(1)general data (2) obstetric character (3) analgesic effect,vital signs (4) Apgar scores of neonates (5) partal pattern (6) bleeding volume (7) myocardial zymogram between groups at each time point.There were significant difference in myocardial zymogram at different time.Conclusion:The change in myocardial zymogram is correlated to birth process,but it has nothing to do with analgesic formula.Both MLAC-ropivacaine and MLAC-bupivacaine are safe and effecive for pain relief during the first stage of labor by epidural block.

This paper introduces the basic principle,structure and technique characteristics of MM50 raceway electron cyclotron.Its clinical application to radiotherapy is discussed.

Objective:To investigate the minimal local anesthetic dose(MLAD) of bupivacaine for caesarean section in combined spinal-epidural anesthesia(CSEA).Methods:Designed by up-and-down,34 parturients who met the standards were given bupivacaine as planned dose gradient.Hemodynamics were monitored continuously,untoward effects were observed and APGAR of the neonates were given.Results:The MLAD of bupivacaine which is used in CSEA for caesarean section is 5.03 mg(4.1～5.1 mg),and that of ED90 and ED95 are 7.15 mg,7.89 mg respectively.Conclusion:The clinical easy to use dose of bupivacaine is 7.5 mg which is used in CSEA for most parturients.

Objective To analyze the value of carbohydrate antigen(CA)153,CA125,neuron specific enolization enzyme(NSE) and carcinoembryonic antigen(CEA),cytokeratin(CYFRA)21-1 in the diagnosis of lung cancer.Methods From October 2014 to April 2016,60 patients were selected into lung cancer group,60 patients were selected into lung cancer group,60 healthy persons recruited into control group,blood specimens from all subjects received chemiluminescence immunoassay detection and analyzed.Results Five tumor markers for lung cancer detection had certain difference in sensitivity and specificity,the specific of NSE and CA153,the sensitivity of CEA and CYFRA21-1 in 5 tumor markers were the highest.The combination of 5 tumor markers could make the diagnosis of lung cancer more accurate,the differences of the specific and sensitivity between the combined detection and single detection were significant (P<0.05).Conclusion The combination detection of these five tumor markers could improve the diagnosis ability in patients with lung cancer.

Objective To observe the effect of hyperbaric oxygen therapy on lupus encephalopathy and its influence on serum CRP and renal function.Methods 100 patients with lupus encephalopathy were selected and they were randomly divided into observation group and control group according to the digital table.The control group was treated with routine therapy.The observation group was given hyperbaric oxygen therapy and routine therapy.The therapeutic effects of two groups were compared and the changes of CRP level and the improvement of renal function before and after treatment were analyzed.Results The total effective rate of the observation group was 96.00%,which was significantly higher than 68.00% of the control group (χ2=13.279,P=0.000).After treatment for 3d,5d,7d,the CRP levels of the observation group were (17.53±1.58)μg/mL,(14.59±1.52)μg/mL,(9.39±1.01)μg/mL,respectively,which were significantly lower than those of the control group[(20.48±1.78)μg/mL,(18.49±1.32)μg/mL,(13.24±1.13)μg/mL],the differences were statistically significant (all P<0.05).After treatment,the blood urea nitrogen (BUN),serum creatinine (SCr) of the observation group were significantly better than those of the control group,the differences were statistically significant (t=12.069,15.203,P=0.000,0.000).Conclusion Hyperbaric oxygen exerts significant effect in treatment of lupus encephalopathy can improve symptoms,promote the recovery of CRP levels,relieve renal function,and has clinical significance.

Objective To analyze the effect of carboprost methylate suppository combined with romethamine in the treatment of postpartum hemorrhage in contractions fatigue.Methods 120 cases of postpartum hemorrhage contractions fatigue were randomly divided into control group and observation group,60 cases in each group.The control group was given carboprost methylate suppository treatment,the observation group was given romethamine com-bined with carboprost methylate suppository.The 2h,12h postpartum blood loss,clinical treatment effect and adverse reaction were compared between the two groups.Results Compared with the control group,the hemostatic time of the observation group shortened,postpartum haemorrhage amount within 2h and postnatal within 12h blood loss of the observation group were reduced,the differences were statistically significant (t=4.56,5.92,6.12,all P<0.05).The total effective rate of the control group was 73.33%,which was significantly lower than 91.67% of the observation group,the difference was statistically significant (χ2 =6.12,P <0.05 ).Compared with the control group,the incidence rates of digestive tract symptoms,disposable blood pressure fluctuations,facial blushing,puerperal infection in the observation group were lower,the differences were statistically significant (χ2 =4.71,4.98,4.34,5.43,all P<0.05).Conclusion The clinical effect of carboprost methylate suppository combined with romethamine in the the treatment of contractions fatigue postpartum hemorrhage is remarkable,with less postpartum haemorrhage amount, better treatment effect,low incidence of adverse reactions and higher security.