Objective To summarize our experiences of endovascular treatment for abdominal aortic aneurysm (AAA) with common iliac artery aneurysm (CIAA) by using bell-bottom technique (BBT).Methods From February 2009 to June 2014,endovascular aortic repair (EVAR) was performed on 17patients with AAA with CIAA using BBT,including 16 patients with bilateral and 1 patient with unilateral CIAA.Among them,patients with common iliac artery (CIA) of less than 25 mm in diameter without involvement of the internal iliac artery and external iliac artery aneurvsm were treated with BBT.Results All procedures were successfully completed.There were 3 bilateral and 14 unilateral BBT.Type Ⅰa endoleak was noticed intraoperatively in 3 cases and balloon dilation were applied,the endoleak disappeared after dilation in 2 cases and in 1 case the diminished endoleak disappeared during the follow-up period.The median follow-up of the 17 cases was 28 months (ranging,4-68 months).During follow-up no AAA or CIAA rupture and no endoleak occurred,and no dilation of the CIAA was observed.None of them had BBT graft occlusion or buttock claudication.Conclusion AAA with CIAA can be successfully treated with EVAR and BBT,which can preserve internal iliac artery patency.

Objective:To investigate the effect of peer support education on family function of breast cancer patients with breast reconstruction.Methods:Totally 146 patients who received surgical treatment in the department of plastic surgery for breast cancer from June 2017 to June 2019 were randomly divided into the experimental group and the control group by the method of random number table, 73 cases each. The control group received routine education. Patients in the observation group received regular education and peer support education. The intervention time was from admission to 6 months after discharge, and the control group received routine nursing care. Quality of life questionnaire was used to evaluate the quality of life of the patients at six months after operation, family care index questionnaire was used to evaluate the family function of the patients, and comprehend social support scale was used to evaluate the level of social support, then various indicators of the two groups of patients were compared.Results:6 months after operation, the scores of quality of life function and symptom dimension of the intervention group were 6.43±1.54. 5.83±1.47, while control group were 6.02±1.59; 6.39±1.63. There were statistically significant differences between the two groups ( t values were 4.30, 5.01, P < 0.05); family care scores of the two groups were compared, the intervention group was 8.78±2.04. The control group was 8.43±2.05. There were statistically significant differences between the two groups ( t value was 2.02, P < 0.05); the comprehension support score of the two groups was compared, and that of the intervention group was 62.24±14.81. The control group was 55.74±13.58. There were statistically significant differences between the two groups ( t value was 4.26, P < 0.05). Conclusion:Peer support education can improve the quality of life and family care of breast cancer patients with breast reconstruction.

Objective To study the effect of case management pattern on tongue cancer free flap repair patients. Methods A total of 148 cases of tongue cancer patients who were treated in the head and neck surgery department of Hu'nan Cancer Hospital from January 2015 to October 2016 were randomly selected as the research object. They were divided into intervention group (74 cases) and control group (74 cases). The conventional management model of head and neck cancer was applied in the control group, at the same time, the intervention group adopted the case management pattern by assessing, planning, implementing, evaluating and responding to improve the effect of recovery and the tongue cancer patients' quality of life. University of Washington quality of life questionnaire (UW-QOL), the health behavior of Omaha evaluation criteria, and mini-mental adjustment to cancer scale (Mini-MAC) were applied to evaluate patients' situation of the two groups 1 week and 6 months after surgery. Results At the time point of 1 week after surgery, the scores of the health behavior of Omaha evaluation criteria and Mini-MAC of the control group were (40.74±2.58), (33.15±1.90) respectively, while the scores of the intervention group were (46.09±1.83), (30.38±2.26) respectively, and there were statistical differences (P< 0.05). After 6 months, the scores of UW-QOL, the health behavior of Omaha evaluation criteria and Mini-MAC of the control group were (829.54±65.94), (63.66±3.63), (30.68±3.71), and the intervention group scores were(1 124.13±46.74), (75.54±1.36), (27.61±2.31) respectively. The differences between two groups were statistically significant (t=-31.35, -26.38, 6.04;P< 0.01). Conclusions Case management model can effectively improve the quality of life in patients with tongue cancer after surgery. It was suggest to have positive effect on patients' health behavior and mental adaptation.