Objective To compare the effect of artianterior sacralia foramina block and sacral block on induced abortion.Mathods 263 women for induced abortion were randomly devided into three groups:the group for anteriora sacralia foramina block (n=95),the group for sacral block (n=90),the control group (n=78).Parameters before and after abortion measured include anesthesia area,skin of both legs and anus tempreture,blood pressure,pulse rate,resperatory rate,heart rate,clinical effect and VAS score.Results At 15 minutes after the anteriora sacralia foramina blocking,the anesthesia area involved distribution of medii clunium nerve,glacens nerve,puden-dus nerve,posterior femoris cutaneus nerve,ischiadicus nerve.The skin temperatures of both legs increased significantly (P＜0.01).Blood pressure,pulse rate,resperatory rate,and heart rate didn't vary markedly.The analgisia effect of anteriora sacralia foramina block was superior to sacral block.Conclusion The anteriora sacralia foramina block is simple,safe,effective,practical and can become a new approach for analgisia in induced abortion.

Objective:To discuss the feasibility and value of open treatment for small and middle abdominal incision hernia repair.Methods:Retrospective analysis of 110 patients with abdominal wall incision hernia repair in our hospital from January 2016 to January 2018. They were divided into two groups according to the different operation, including open treatment group ( n=57)and laparoscopic treatment group ( n=53), the VAS efficacy scores, anal exhaust time, defecating time, removal of gastric tube time, removal of drainage tube time, first feed time, postoperative hospital stay time, hospitalization expenses were observed and analyzed respectively, measurement date with normal distribution were expressed as ( Mean± SD), comparisons between groups were analyzed using t test. Comparisons of count date between groups were analyzed using chi-square test. Results:All the patients were discharged, the VAS efficacy scores in open treatment about one day or three day and five day were (4.02±0.19), (2.21±0.26), (1.39±0.98) scores, the VAS efficacy scores in laparoscopic treatment were (4.68±0.62), (2.76±1.18), (1.84±0.62) scores, there were differences in complications between the two groups( P<0.05). The anal exhaust time, defecating time, removal of gastric tube time, removal of drainage tube time, first feed time of open treatment group were (50.73±14.69) h, (87.21±13.75) h, (9.64±3.92) h, (3.42±1.22) d, (37.11±9.76) h, and the laparoscopic treatment group were (65.14±9.54) h, (89.73±11.56) h, (11.43±5.61) h, (2.81±1.39) d, (38.92±7.59) h, there were differences complications between the two groups( P<0.05). The postoperative hospital stay time of open treatment group were (9.14±0.03) d, the postoperative hospital stay time of laparoscopic treatment group were (9.74±0.49) d, there were not differences in complications between the two groups( P<0.05). The hospitalization expenses in open treatment group were (1.51±0.36) ten thousand yuan, the hospitalization expenses in laparoscopic treatment group were(2.13±1.06) ten thousand yuan, there were differencesin complications between the two groups( P<0.05). Conclusion:Application of open treatment is feasible and effeetive for small and middle abdominal wall incision hernia.

Objective:To explore the clinical effect of total hip arthroplasty (THA) through Watson-Jone approach on hip osteoarthritis caused by advanced Kaschin-Beck disease (KBD).Methods:Using a prospective design, patients with hip osteoarthritis caused by advanced KBD admitted to Second Department of Orthopaedics, Hulun Buir People's Hospital from May 2014 to October 2017 were selected as research objects. THA through Watson-Jone approach was used to treat, all patients were treated with non-bone cement biological prosthesis. Visual analogue scale (VAS) score and Harris hip score were used to evaluate the pain, function, and hip flexion of patients before and after operation. At the same time, patients were evaluated by postoperative X-ray to observe the occurrence of complications.Results:A total of 14 patients (17 hips) were included in the study, including 6 males (7 hips) and 8 females (10 hips), the average age was 62.3 years old, and the duration of the disease was 7 - 20 years. The VAS scores [(2.15 ± 1.20), (1.07 ± 0.58) points] at 2 and 24 months after operation were significantly lower than that before operation [(8.22 ± 0.47) points, P < 0.05], and Harris scores [(87.93 ± 4.98), (91.07 ± 3.99) points] were significantly higher than that before operation [(35.72 ± 6.40) points, P < 0.05]. X-ray evaluation showed no complications such as loosening, dislocation, and fracture around the prosthesis, joint infection, and gluteus medius gait. Conclusions:THA through Watson-Jone approach is effective in the treatment of patients with hip osteoarthritis caused by advanced KBD. It has significantly reduced hip pain and improved hip range of motion, with a lower incidence of complications.