1.Chinical research on the perioperative application of propranolol in patients with hyperthyroidism
Yuexian GUO ; Xiuli WANG ; Zengan WU ; Ping LU ; Jinhua ZHANG ; Qingyun MENG
Chinese Journal of General Surgery 1997;0(06):-
Objective To investigate the effects of propranolol on thyroid hormone in patients with hyperthyroidism after operation. Methods Forty patients with mediate or severe degree hyperthyroidism undergoing operation were randomly divided into four groups according to anesthesia and whether to take propranolol in perioperative period: Group A:propranolol plus general anesthesia; Group B: general anesthesia; Group C:propranolol plus cervical plexus blocking; Group D: cervical plexus blocking. The consecutive changes of T 3, T 4,rT 3 and TSH were measured with radioimmunological assay pre and post operatively. Results The level of serum T 3 in all groups decreased 1~7 days after operation. The decrease in serum T 3 leves was most significant 3~7 days after operation in group A and C, 1~3 days after operation in proup B and D(P
2.Hypothyroidism after partial thyroidectomy:a report of 41 cases
Zengan WU ; Honglei BIAN ; Yuexian GUO ; Yi JIANG ; Zhao XIE ; Guoshan YANG
Chinese Journal of General Surgery 1994;0(05):-
Objective To demonstrate the incidence and relative factors of hypothyroidism after partial thyroidectomy (PTC). Methods The records of all euthyroidsm patients who underwent hemithyroidectomy from 1988 to 2000 were reviewed to determine the incidence of postoperative hypothyroidism and the predisposing factors. All the patients age, gender, serum TSH TGA and TPO levels,and the weight of resected thyroid tissue were evaluated. Hypothyroidsm patients were evaluated for the symptoms , timing of diagnosis , and thyroxine therapy. Results Hypothyroidism was diagnosed in 41(3.4%) of 1 210 patients ,inclnding subclinical hypothyroidsm in 28 and overt in 13.The mean postoperative serum TSH level was (9.22?3.36)mU/L. The mean preoperative serum TSH level was (3.14?1.05)mU/L in hypothyroidsm patients but in euthyroid patients was (1.07?0.72)mU/L(P
3.Detection of circulating hepatocellular carcinoma cells with SSX gene mRNA as tumor marker
Zengan WU ; Xisheng LENG ; Dongcheng MOU ; Jirun PENG ; Li ZHAO ; Tao LI
Chinese Journal of General Surgery 2000;0(12):-
0 05) However, the positive expression of SSX genes in the PBMC had close correlation with prognosis of HCC patients Metastasis and/or recurrence took place in 50% (8 out of l6) patients with positive expression of SSX genes in their PBMC,while only 10 5% (2 out of l9) patients with negative expression of SSX genes in their PBMC developed metastasis and/or recurrence ( P =0 028) Conclusion SSX genes mRNA may be used as specific tumor markers for the detection of the circulating HCC cells