The gastric mucosa of 200 cases of children patientswere divided gastroscopically into 4 types,and clinical-ly into 5 types.The two groups shared some commonpoints although there were some differences.It is ofvital importance to combine the whole with the partsfor differential for upgrading the clinical therapeutic ef-ficacy.

Objective:To develop a simple, safe and effective surgical treatment of complextraumatic tattoos and to evaluate the long-term results.Methods:Eight patients with complextraumatic tattoos from October 2013 to June 2017, were chosen for this study. The operations were carried out under local tumescent anesthesia and the traumatic tattoos were removed with full-thickness skin by skin biopsy punches. The wound was covered with Shengji Yufu Ointment until healing.Results:All patients got good recover from the successful operations and no early complications occurred in this group. 8 patients were followed up one year postoperation and they all obtained ideal outcomes. No clear scar was notet in the skin.Conclusions:The wound self-healing treatment of complex traumatic tattoos with skin biopsy punches could obtain ideal outcomes and the scar is not obvious. The long term results prove that the surgical procedure in this paper has the advantages of less injury, simple, safe and effective. It provides a new way of thinking and method for treating complex traumatic tattoo in clinic, especially suitable for facial complex traumatic tattoo, and worth to clinical promotion.

BACKGROUNDThe purpose of this retrospective study was to compare the surgical outcomes of simple discectomy and instrumented posterior lumbar interbody fusion (iPLIF) in patients with lumbar disc herniation and Modic endplate changes. Our hypothesis was that iPLIF could provide better outcome for patients with refractory lumbar disc herniation and Modic changes (LDH-MC).

METHODSNinety-one patients with single-segment LDH-MC were recruited. All patients experienced low back pain as well as radicular leg pain, and low back pain was more severe than leg pain. Forty-seven patients were treated with discectomy and 44 were treated with iPLIF. The outcomes of both low back pain and radicular leg pain using visual analogue scale (VAS) as well as the clinical outcome related to low back pain using Japanese Orthopaedic Association (JOA) score were assessed before and 18 months after surgery, respectively.

RESULTSBoth low back and leg pain were significantly improved 18 months after simple discectomy and iPLIF. Compared to patients undergoing simple discectomy, low back pain was significantly reduced in patients undergoing iPLIF, but there was no significant difference in leg pain between two groups. Solid fusion was achieved in all patients who underwent iPLIF.

CONCLUSIONSIn patients with LDH-MC, iPLIF can yield significantly superior outcome on the relief of low back pain compared to simple discectomy. Simple discectomy can relieve radicular leg pain as efficient as iPLIF. Accordingly, iPLIF seems to be a reliable treatment for patients with LDH-MC and predominant low back pain.

Adult ; Diskectomy ; standards ; Female ; Humans ; Intervertebral Disc Displacement ; surgery ; Low Back Pain ; surgery ; Lumbar Vertebrae ; surgery ; Middle Aged ; Retrospective Studies ; Spinal Fusion ; standards