Objective To investigate an effective method for the treatment of biliary ascariasis.Methods A retrospective analysis was performed for the clinical data of 32 patients with biliary ascariasis who were treated in The People's Hospital of Huangmei County from January 1994 to January 2014.All the patients were given spasmolysis,pain management,anti-infective therapy,traditional Chinese medicine syndrome differentiation-based treatment,Chinese materia medica for regulating qi and relieving pain,and ascariasis-relieving and parasite -expelling treatment.Patients were given surgical treatment due to poor response.Results Of all the 32 patients,5 (15.6％) had no response to the ascariasis-relieving treatment with Fructus Pruni Mume decoction and were given surgical treatment,and 27 (84.4％) were cured by Western medicine combined with Fructus Pruni Mume decoction.There were no complications such as acute pancreatitis,perfora tion of the gallbladder,and liver abscess.All the patients were treated with Fructus Pruni Mume decoction regularly after discharge and no patient experienced recurrence.Conclusion Integrated traditional Chinese and Western medicine therapy is effective,safe,and reliable in the treatment of biliary ascariasis and holds promise for clinical application.

ObjectiveTo investigate the method and efficacy of cholelithotomy by laparoscopy and cholangioscopy, a controversial therapy for cholecystolithiasis. MethodsForty-eight patients with cholecystolithiasis who were admitted to our hospital and treated with gallbladder-preserving cholelithotomy by laparoscopy and cholangioscopy from March 2012 to June 2013 were enrolled as subjects. ResultsAfter surgery, all patients recovered without complications. One patient had relapse of cholecystolithiasis at six months after surgery. One patient had gallbladder atrophy at one year after surgery. ConclusionGallbladder-preserving cholelithotomy by laparoscopy and cholangioscopy is a feasible and safe therapy for cholecystolithiasis. The therapy achieves satisfactory short-term outcomes. However, the long-term efficacy of this therapy needs further investigation.

Objective To explore the application of somatostatin combined with parenteral nutrition in the treatment of patients with colorectal cancer complicated with intestinal obstruction.Methods A total of 66 patients with colorectal cancer complicated with intestinal obstruction were randomly divided into experimental group and control group,33 cases in each group.The control group was treated with parenteral nutrition,gastrointestinal decompression,conventional treatment for water electrolyte imbalance,while experimental group was treated with intravenous infusion of somatostatin on the basis of the control group.Clinical indicators,blood indexes,metabolic disorders,clinical curative effect were compared between two groups.Results In the experimental group,abdominal pain remission rate and anal exhaust defecation remission rate were significantly higher than the control group,abdominal pain,anal exhaust defecation or disappearance time recovery time were significantly less than the control group,and gastrointestinal decompression drainage was significantly lower than the control group(P<0.05).After treatment,the blood indexes such as albumin,pre albumin,CRP,TNF-α,hemoglobin,WBC in experimental group were significantly better than those in the control group(P<0.05).In the experimental group,blood glucose abnormalities,abnormal blood glucose and abnormal rate of blood sodium were significantly lower than the control group

Objective To explore the application of somatostatin combined with parenteral nutrition in the treatment of patients with colorectal cancer complicated with intestinal obstruction.Methods A total of 66 patients with colorectal cancer complicated with intestinal obstruction were randomly divided into experimental group and control group,33 cases in each group.The control group was treated with parenteral nutrition,gastrointestinal decompression,conventional treatment for water electrolyte imbalance,while experimental group was treated with intravenous infusion of somatostatin on the basis of the control group.Clinical indicators,blood indexes,metabolic disorders,clinical curative effect were compared between two groups.Results In the experimental group,abdominal pain remission rate and anal exhaust defecation remission rate were significantly higher than the control group,abdominal pain,anal exhaust defecation or disappearance time recovery time were significantly less than the control group,and gastrointestinal decompression drainage was significantly lower than the control group(P<0.05).After treatment,the blood indexes such as albumin,pre albumin,CRP,TNF-α,hemoglobin,WBC in experimental group were significantly better than those in the control group(P<0.05).In the experimental group,blood glucose abnormalities,abnormal blood glucose and abnormal rate of blood sodium were significantly lower than the control group