Bone Plates ; Bone Screws ; Fracture Fixation, Internal ; Humans ; Maxillofacial Injuries ; surgery ; Oral Surgical Procedures ; Terminology as Topic

Acupoint possesses both diagnosing and treating functions according to the acupuncture theory. Acu point plasticity refers to a patho-physiologically dynamic change which is manifested mainly as a neuronal inflammatory reflection in the special area(s) of the body surface under pathological conditions. These responses of acupoint sensitization could activate simultaneously self-healing system in the body and induce the curative effects.
Acupuncture Points ; Acupuncture Therapy ; Animals ; Humans ; Sensation

Objective To explore the expression of PIN1 and Cyclin E in gastric carcinoma tissue after radical gastrectomy and its significance.Methods 46 patients received radical gastrectomy were selected as study subjects.Cancer tissues were harvested as the gastric cancer group,and the adjacent normal tissues of tumor tissue were harvested as the control group.The expression of PIN1 and Cyclin E was observed by immunohistochemistry,and the relationship with tumor infiltration,differentiation,lymphatic and distant metastasis were analyzed.A five year followup study was also applied.Results The expression of PIN1 (3 949.66 ± 157.40) and Cyclin E (5 443.07 ±240.15) was significantly higher than those of the control group[(247.67 ± 75.63),(354.92 ± 93.88)] (all P ＜0.05),and the expression of PIN1 was related with tumor differentiation,lymphatic and distant metastasis,and the expression of Cyclin E was closely related with tumor infiltration and differentiation.The 5-year survival rate of patients with the simultaneously increased expression of PIN1 and Cyclin E was 50.0％,which was significantly lower than the expression of the two separate elevated or not elevated.Conclusion The expression of PIN1 and Cyclin E in cancer tissues after radical gastrectomy is high,and could better reflect the pathological parameters and prognosis.

Objective To investigate the prognostic factors of curative operation for spontaneous rupture with hemorrhage of primary hepatic carcinoma (SRHC).Methods The clinical data and followed up results of 41 patients with SRHC treated by curative operation,were retrospectively analyzed.The prognostic factors affecting survival were studied by univariate and multivariate analysis.Results The survival rate of 1-year,3-year,5-year was respectively 46.34％,21.95％,9.76％.Univariate analysis showed that Child-Pugh class,degree of accompanying cirrhosis,tumor size,operation time,blood loss,tumor staging,serum albumin were significant prognosis factors.The use of Coxs multivariate proportional hazard model indicated that significant prognosis factors by curative operation for SRHC were degree of accompanying cirrhosis,Child-Pugh class,blood loss,tumor staging for cumulative survival rate.Conclusion The factors affecting prognosis were degree of accompanying cirrhosis,Child-Pugh class,blood loss,tumor staging.

Objective To evaluate the change in the expression of ATP-sensitive potassium (KATP) channels in spinal dorsal horn neurons in rats with chronic post-thoracotomy pain (CPTP). Methods Twenty male SD rats, weighing 250-350 g, were randomly divided into 2 groups ( n = 10 each): sham operation group and CPTP group. The animals were anesthetized with 10% chloral hydrate 300 mg/kg, tracheostomized and mechanically ventilated. At 1 d before operation, and at 1, 5, 10, 15, 20, 25 and 30 d after operation, paw withdrawal threshold to yon Frey filament stimulation was measured and the acetone test was performed. The responses of the hindpaw to the acetone test within 1 min were recorded. The rats were sacrificed at 30 d after operation, and the cervical and upper thoracic segments of the spinal cord were removed to detect the expression of KATP channels in spinal dorsal horn neurons by immuno-histochemistry. Results Compared with sham operation group, mechanical pain threshold was significantly decreased at 5-30 d after operation, the response frequency was significantly increased at 20-30 d after operstion, and the expression of KATP channels in spinal dorsal horn neurons in the thoracic segments was down-regulsted at 30 d after operation in CPTP group ( P ＜ 0.05). Conclusion The expression of KATP channels in spinal dorsal horn neurons is down-regulated in rots with CPTP,which may be involved in the pathophsiology mechanism of CPTP.

Objective To study the expression levels of Bcl-2 and Caspase-3 protein in osteosarcoma,and discuss the role of Bcl-2 and Caspase-3 gene in the occurrence and development of human osteosarcoma,as well the relationship between their expression levels and Ennecking staging.Methods SP immunohistochemical staining assay was applied to detecting the expression levels of Bcl-2 and Caspase-3 protein in 30 aptients with osteosarcoma,and the results were analyzed with SPSS11.0 software.Results The positive rate of Bcl-2 and Caspase-3 protein in osteosarcoma was respectively 73.3% and 86.7%.There were prominent differences of positive rate of Bcl-2 and Caspase-3 between osteosarcoma and osteochondroma groups.The expression rates of Bcl-2 and Caspase-3 protein had no significant difference among osteosarcoma Ennecking grade Ⅰ to grade Ⅲ respectively.In osteosarcoma group,no correlation existed between the expression rates of Bcl-2 and Caspase-3(P＞0.05).Conclusion Although the occurrence and development of human osteosarcoma are correlated with the dropout of apoptosis,they are implicated in a complicated course participated by multiple genes and procedures.Bcl-2 and Caspase-3 gene play a certain role partly.SP immunohistochemical staining assay shows a higher sensitivity in detecting the expression of Bcl-2 and Caspase-3 protein in osteosarcoma;however,their expression levels were not correlative to Ennecking staging.Therefore,the expression of Bcl-2 and Caspase-3 may not be used as the criteria of the malignant degree and prognosis of osteosarcoma.

The article reorganizes the complaint data from 30 cases of clinic patients,makes analysis on the risky factors causing the complaint and the problems existent in the clinic management,as well as puts forwards concerned effective preventive measures.

Objective To explore the effect of mammography in the diagnosis of early breast cancer. Methods 33 early stage breast cancer patients were confirmed by surgical operation and pathology and diagnosed by mammography at the same time to analyse the relationship between the signs of X-ray and early stage breast cancer. Results 16 of 33 patients X-ary signs included mass with spiculate border and lobulate margins,followed by 8 cases of calcification like needle point,5 cases duct enlarge and 14 cases indirect signs. Conclusion Clinical touch examination cambined with mammography is very important to diagnose early breast cancer,especially mammography is necessary to the cases which were found nothing by clinical touching.

Objective:To investigate the diagnostic value of MRI in the knee anterior cruciate ligament tear.Methods: retrospective analysis for treatment of 40 patients with anterior cruciate ligament tear by observation group, by analyzing the clinical data and image, and selected the same period for treatment of 20 cases of patients with knee joint other lesions but ACL normal MRI data comparison by Control group, The form characteristics of ACL and abnormal signal strength, whether there is a line or an ACL tear with signs were analyzed.Results:The MRI diagnosis of ACL tear completely is higher for the sensitivity and specificity (87.5%, 90%; Diagnosis of ACL partial tear, and arthroscopy and surgery results in 8 cases, the rest 4 cases of complete tear, 4 cases of false negative; ACL tear with signs including abnormal curvature of bone contusion, photo, or meniscus has obvious lateral collateral ligament damage, tibia forward, etc. ACL tear group and normal group average photo Angle, PCLS L/H mean significant difference.Conclusion: through analysis of MRI diagnosis torn ACL completeness, has high accuracy, but the part in the ACL tear or chronic tear diagnosis, accurate rate is relatively low.

Objective To study the possible protective effect of low dose whole body γ-irradia-tion on dopaminergic neuron. Methods In 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-in-duced injury mice model,the levels of dopamine (DA) and its metabolites in striata of mice were detec-ted by igh performance liquid chromatogram (HPLC), and neurons (dopaminergic neuron, activated gitter cell and horizontal cell) were counted by immunohistochemical staining after low dose whole body irradiation. Results 3.5 Gy irradiation significantly restored the levels of DA and its metabolites decreased by MPTP. Conclnsion Low dose whole-body γ-irradiation does offer neuroproteetion againstMPTP- mediated damage of striatal dopaminergic nerve fibers.