Objective:To explore and assess the clinical application and clinical value of dual helical CT and magnetic resonance imaging (MRI) in the diagnosis of knee bone tumor. Methods: Sixty-nine patients with knee bone tumors were randomly divided into three groups: group A, group B and group C. Group A was detected by double-helical CT scanning; group B was detected by MRI; group C was detected by dual-helical CT scan combined with MRI. After the end of the testing, the clinical diagnostic results of the three detection methods were compared.Results: There was no significant difference between group A and B (x2=0.825,P>0.05). The detection rate of group C was higher than that of group A. The differences were statistically significant (x2=2.936,x2=3.718;P<0.05). The detection rate of group C was significantly higher than that of group B. The differences were statistically significant (x2=3.967,x2=4.285;P<0.05).Conclusion: Double helical CT combined with MRI can effectively improve the clinical detection rate of knee bone tumor.

Objective Studying the clinical diagnostic value of liquid-based thin-layer cytology(TCT)combined colpoacopic examination for cervical lesions.Methods In May 2006～August 2007 choose the 1407 patients coming the hospital who was done cytology examination(TCT)and coiposcopy examination and biopsy.Results Among 281 cases of eolposcopy prompt biopsy 39.50% of them suffered from CIN Ⅰ.So did 42.63 % of 699 cases of TCT examinations.427 cases of TCT combined Colposcopy were prompted they need to do biopsy.86.42% of them suffered from CIN Ⅰ or above lesions.Conclusion TCT combination of colposcopy and endoscopic biopsy can increase the rate of accurate diagnosis of cervicallesions.

OBJECTIVE To study drug-resistance status in nosocomial infection with Staphylococcus in the local region,and take effective measures to control the nosocomial infection.METHODS Totally 129 strains of Staphylococcus were clinically isolated from various specimens from Jan 2006 to Dec 2008.The strain identification,detection of meticillin-resistant Staphylococcus(MRS) and K-B disk diffusion test were performed.The data were analyzed statistically.RESULTS Among all 129 strains consisting of 6 species of Staphylococcus,the isolating rate of S.aureus predominated with 39.5%.Among them,meticillin-resistant S.aureus(MRSA) accounted for 29.4%.Among all coagulase-negative Staphyloccocus(CNS),meticillin-resistant coagulase-negative Staphylococcus(MRCNS) accounted for 32.1%.Meticillin-susceptible S.aureus(MSSA) showed significantly lower drug-resistance than MRS.CONCLUSIONS Nosocomial infection status caused by MRS is serious in the grass-roots hospitals.Effective measures should be taken to control it.

Objective: To analyze the metabolicomics pathway in the rats with chronic glomerulonephritis intervened by tannins from Pericarpium Granati.Methods: Signal pathway analysis was carried out using the KEGG database and molecular metabolite annotation was performed using HMDB database.The enzyme or transporter and its related properties were analyzed.The metabolite path visualization was carried out by using MetPA network software.Results: The analysis of biological metabolism pathway showed that 12 metabolites involved in 16 metabolic pathways.The pathway of tryptophan metabolism, citrate cycle, phenylalanine metabolism, cysteine and methionine metabolism showed notable changes (P<0.05).Conclusion: The changes of phenylalanine metabolism, citrate cycle, tryptophan metabolism, cysteine and methionine metabolism in the rats with chronic glomerulonephritis intervened by tannins from Pericarpium Granati participate the pathological process.

Objective T o explore the casual relationship and the significance of identification am ong the injury, disease and dam age consequence in the disability evaluation of lum bar spondylolysis by the stan-dard for identifying grading of disability caused by w ork-related injuries. Methods T he general data, in-jury m anner, clinical treatm ent and the im aging exam ination of 32 lum bar spondylolysis cases w ere col-lected and retrospectively analyzed. A ccording to the degree of participation in the injury and dam age consequence, the identification and assessm ent of casual relationship w as m ade, and the grading of dis-ability w as assessed. Results For 32 cases, injury had no effect on dam age consequence in 7 cases, slight effect in 5 cases, secondary effect in 13 cases, equivalent effect in 4 cases, and com plete effect in 3 cases. A ccording to the related item s in the standard for identifying grading of disability caused by w ork-related injuries, 3 cases w ere rated level 7, 5 cases w ere level 8, 6 cases w ere level 9, 11 cases w ere level 11 am ong the cases w hich existed causal relationship. Conclusion T he form ation of lum bar spondylolysis is connected to the factors of age, anatom y, occupation and injury m anner etc. T he degree of disability should be accessed com prehensively after the analysis of the casual relationship am ong the injury, disease and dam age consequence.

Objective To study the X-ray and CT features of costal eosinophilic granuloma for a better understanding.Methods Eight patients with costal eosinophilic granuloma proved by surgery or biopsy were analyzed retrospectively.All patients had X-ray plain film, 6 patients had CT examination,including a case of enhanced CT scan.Results All 8 lesions were solitary.Six lesions were in the anterior rib and 2 in the posterior rib.On X-ray, all case showed single cavity and oval lesion with clear boundary.On CT images, 5 lesions demonstrated expansile destruction of bone with cortical bone thinning, and 3 were osteolystic destruction with soft tissue mass around.On the patient with enhanced CT scan, the lesions showed a moderate and uniform enhancement.Conclusion The X-ray and CT findings of costal eosinophilic granuloma are characteristic.

Expression levels of TGF-β1 mRNA in renal cortex of control group, diabetic group and taurine group measured by real-time quantitative RT-PCR were (7.0±0.8)×10 -3, (64.4±8.0)×10 -3 and (16.7±2.0)×10 -3, respectively. The corresponding results with end-point RT-PCR method were 0.28±0.12,0.58±0.16 and 0.43±0.10, respectively. Compared with end-point RT-PCR method, real-time quantitative with SYBR Green I was easier, faster, sensitive and specific.

Objective To investigate the effects of penehyclidine hydrochloride (PHCD) pretreatment on expression of NF-κB and iNOS in rats with LPS-induced brain injury. Methods One hundred and five male SD rats weighing 200-220 g were randomly divided into 5 groups (n=21 each): group Ⅰ normal saline (NS);group Ⅱ LPS (L);group Ⅲ,Ⅳ,Ⅴ PHCD 0.05, 0.15, 0.45 mg/kg (D1,2,3). The animals were anesthetized with chloral hydrate 350 mg/kg. Brain injury was induced by intra-arterial LPS 150 μg administered via left internal carotid artery in group Ⅱ-Ⅴ. In group Ⅲ,Ⅳ, and Ⅴ PHCD 0.05, 0.15 and 0.45 mg/kg were given intraperitoneally (IP) at 10 min before intra-arterial LPS. The animals were decapitated at 4, 6 and 12 h after administration of PHCD (n=7 at each time point in each group). The brains were immediately removed for determination of water content, expression of NF-κB and iNOS protein and examination with light and electron microscope. Results Water content of the brain and expression of NF-κB and iNOS protein were significantly higher in group L, D1, D2 and D3 than in group NS and were significantly lower in group D2 and D3 than in group L. Intra-arterial LPS produced severe damage to the brain which was significantly attenuated by PHCD in group D2 and D3. Conclusion PHCD 0.15,0.45 mg/kg pretreatment can attenuate LPS-induced brain injury by inhibiting the up-regulation of expression of NF-κB and iNOS.

Objective To summarize the diagnosis and treatment experience for patients with appendiceal carcinoid tumors.Methods 21 patients with appendix carcinoid tumors were admitted and received surgery from 1967 to 1997 in our hospital.Results 12 patients (57%) presented with signs and symptoms suggestive of acute appendicitis.In 9 patients(43%) tumors were discovered incidentally.The tumors were at the tip in 17 patients,at the middle third in 3,and at the base of the appendix in one.The tumor was less than 1 cm in diameter in 16 patients,between 1 and 2 cm in 3 patients,and larger than 2 cm in 2 patients.Tumor invasion was confined to the submucosa or muscle layers in 15 patients,serosa involved in 4 patients,and into the meso appendicular fat in the remaining 2 patients.Twenty patients underwent appendectomy alone.One patient with a tumor size larger than 2 cm and positive lymph nodes in the mesoappendix underwent secondary right hemicolectomy.Complete follow up was achieved in 19 patients,and all patients remained free of tumor recurrence and metastasis.Conclusion Appendiceal carcinoids of less than 1 cm could be adequately managed by appendectomy alone.The appropriate treatment for tumors of 1 to 2 cm are still controversial.Right hemicolectomy is recommended for tumors larger than 2 cm .

Objective To estimate the relationship between the parameters used to estimate the depth of anesthesiaMethods Fifty-two ASA I - II patients undergoing choleeystectomy or exploration of eommon bile duet without jaundice were emdled in the study. Premedieation consisted of midazolam 5 mg and atropine 0.5 mg im.30 min before operation. Anesthesia was induced with fentanyl 4 ug.kg-1 , droperidol 0.08 mg.kg-1 , propofol 2 mg. kg-1 and vecuronium 0.1 mg.kg-1 , and maintained with enflurane and continuous infusion of propofol and intermittent intravenous boluses of vecuronium. The patients were intubated and mechanically ventilated. B1S,HRV and BP were continuously monitored and recorded before induction (T1 ) , 1 min(T2 ) , 3 min(T3 ) after intubation, 1 min before skin incision (T4) , 3 min after skin incision (T5), 1 h after induction (T6), 1 min before extubation (T7) and when the patient was conscious (T8). Blood samples were taken at the same intervals for detenninaton of blood propofol and cortisol level (n = 18) by using radioimmunoasscey and HPL, BIS was maintained at 30 ~ 60 during anesthesia by adjustment of propofol infusion rate. Results There was negative correlation between plasma propofol concentration and BIS/MAP; there was positive correlation between HR and MAP. Plasma cortisol level was positively correlated with BIS, MAP and HR and negatively correlated with plasma propofol concentration. Conclusion The LF and HF can reflect the changes in cardiac sympathetic-vagal tension but cannot reflect the depth of anesthesia. Stress response can be controlled by plasma propofol concentration and estimated by BIS,MAP and HR monitoring.