1.Research advancement on the complications of neuroscopy surgery
Jiasheng JU ; Guiwen CHEN ; Jianliang CHEN
Journal of Chinese Physician 2021;23(2):318-320,f3
With the progress of imaging, optics and other science and technology, neuroendoscopy technology has been greatly developed, the application of more and more widely, but also become one of the techniques that neurosurgeons must be familiar with and master. With the further popularization of neuroendoscopy technology, related complications have also attracted wide attention. Endoscopic techniques are being used extensively used in the current times for the diagnosis and treatment of numerous intracranial pathologies. Although the incidence of complications related to neuroendoscopy is lower than that of traditional surgery, neuroendoscopy itself may bring complications such as hemorrhage, cerebrospinal fluid leakage, subdural hematoma and so on. This article reviews the complications related to neuroendoscopic surgery, in order to improve the understanding of complications and timely and correct treatment, so as to improve the curative effect of neuroendoscopic surgery.
2.Minimally Invasive Surgery Treatment with Small Incision on Hypertensive Intracerebral Hemorrhage
You ZUO ; Jianliang CHEN ; Yaochen WU
Journal of Chinese Physician 2001;0(05):-
Objective To explore the principle and methods of normative minimally invasive surgery treatment on hypertensive intracerebral hemorrhage. Methods 49 cases of hypertensive intracerebral hemorrhage were treated by microsurgery with small incision. Results 46 cases survived and 3 cases died after surgery. 42 cases were followed up. Adopting GOS, 19 cases were normal, 12 cases were disable and could care for self, 5 cases were severely disable, sober and could not care for self, 3 cases were vegetable survival, and 3 cases were dead. Conclusion Application of minimally invasive surgery idea and normative treatment according to the patients' condition can obviously improve the efficacy of patients with hypertensive intracerebral hemorrhage.
3.Measurement of breast areola/nipple proportion in Chinese women and analysis of correlation factors
Zhenkun SONG ; Xiaoping CHEN ; Jianliang SONG
Chinese Journal of Medical Aesthetics and Cosmetology 2001;0(06):-
Objective To provide an additional reference and value for the surgeon to reconstruct the natural and aesthetic breast. Methods Measurements were made in a group of 45 women volunteers aged from 22 to 45 years, who were satisfied with their breasts without any history of breast surgery. After the lateral arch of the breast as the reference value for breast size being chosen, breast-areola to nipple ratio was determined according to parameters measured as follows: weight, height, diameter of the breast, areola, and nipple, distances between the nipple and borders of the breast-superior (to the suprasternal notch), medial arch (to the medial end of the inframammary crease), lateral arch (to the lateral end of the inframammary crease), inferior arch (to the lowest point of the inframammary crease). Correlation factors such as age, weight, height and body mass index (BMI) which may influence the proportion were also considered and analyzed. Results The sample showed that the breast- areola and areola-nipple proportions were about 3.7:1.0 and 3.4:1.0 respectively in the Chinese women population. Weight/BMI had a significant positive correlation with the breast size and areola-nipple proportion, nor did age and height in the sample. Conclusions Breast and areola-nipple complex keeps their optimal proportions, which might be influenced by the factor of overweight. Determination of breast-areola-nipple proportion contributes its aesthetic value to the mammaplasty and reconstruction for the oriental female. The proportion could be used to predict and design the desired breast size during the operation.
4.Expression of human platelet factor 4 mRNA and its relation with angiogenesis and lymph node metastasis in papillary thyroid carcinoma
Yunzong LIAN ; Jianliang ZHUANG ; Yifeng CHEN
Cancer Research and Clinic 2006;0(12):-
Objective To study the expression of human platelet factor 4 (hPF4)mRNA and its relationship with angiogenesis and lymph node metastasis in papillary throid carcinoma(PTC). Methods RT-PCR was used to detect the expression of hPF4 mRNA in 40 cases of PTC and 10 cases of normal tissue surrounding carcinoma. Immunohistochemical stain was performed to detect microvessel density(MVD) whose endothelia were marked by antibody CD105. Results The positive-expression rate of hPF4 mRNA was 80 % respectively in normal tissue surrounding carcinoma. The positive-expression rate of hPF4 was 47.5 % in PTC cases. The MVD value of PTC cases with hPF4 mRNA positive expression was significantly lower than that of cases without hPF4 mRNA expression (P
5.Inhibitory effect of IL-10 on induced expression of ICAM-l in renal tubular cells is mediated by down regulated activity of nuclear factor kB
Jianliang CHEN ; Xiaomei LI ; Haiyan WANG
Chinese Journal of Nephrology 1997;0(01):-
Objecive To explore the effect of interleukin-10(IL10) on tumor necrosis factor-?(TNF?)- induced expression of intercellular adhesion molecule 1 (ICAM-1 )and related transcription pathway in human renal tubular cells. Methods Human renal proximal tubular cell line HK-2 cell was used as target cell. ICAM-1 was measured by cell ELISA and Northern blot in protein and mBNA levels. Activities of transcriptional factors nuclear factor GB(NFkB) and activator protein 1 (AP-1) were determined by electrophoresis mobility shift assay. Results TNF?-induced ICAM-l expression in HK-2 cells was increased in both protein and mNRA levels(P
6.Reduction of prominent malar complex
Xiaoping CHEN ; Jianliang SONG ; Wei WANG
Chinese Journal of Medical Aesthetics and Cosmetology 2001;0(06):-
Objective To present a new method of osteotomy for malar complex hypertrophy .Methods The operative procedures was transpositional osteoplasty of the malar complex by coronal approach. A lateral orbital osteotomy began at the level of the frontozygomatic suture line,preserving the lateral orbital rim. It continued far down inferoposteriorly across the zygomaticomaxillary suture line. The zygomatic arch was obliquely cut at 1 cm anterior from the articular tubercle. The bone was not separated from the soft tissue to preserve the blood supply to the zygoma and slid upward, inside and setback. The single microplate,screw and steelwire fixation was done on the repositioned zygomatic body.To zygomatic body prominence,it was obtained a satisfactory effect that only shaved the protruded zygomatic body with chisels by means of an intraoral approach.Operative procedures for reductive malar complex plasty were performed in 12 cases. The patients consisted of 3 males and 9 females whose ages ranged from 21 to 36 years.Results Postoperative follow up for 3~24 months showed satisfactory results using this procedure.Conclusion This modified method has an ideal effect without the possibility of bone resorption of the malar complex.
7.Cartilaginous tumors of the cricoid: a case report.
Xiaofei QIANG ; Yunliang XU ; Jianliang CHEN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(13):1225-1226
Review a case of cricoid cartilaginous tumour in our hospital in December 2013 retrospectively, which received laryngofissure surgery and was followed up for 1 year. The case is still alive without recurrence. The incidence of laryngeal cartilaginous tumour is low, most are cases of cricoid cartilaginous tumour. Try to preserve laryngeal function in surgery as much as possible.
Bone Neoplasms
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pathology
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Cricoid Cartilage
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pathology
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Humans
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Laryngeal Neoplasms
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pathology
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Laryngoplasty
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Larynx
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pathology
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Neoplasm Recurrence, Local
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Retrospective Studies
8.Clinical analysis of radiofrequency under nasal endoscopy nasal interdomal hemorrhage.
Hao CHEN ; Xijian FENG ; Jianliang CAI
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(3):200-202
Adolescent
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Adult
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Aged
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Aged, 80 and over
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Catheter Ablation
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methods
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Endoscopy
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Epistaxis
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surgery
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Female
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Humans
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Male
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Middle Aged
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Young Adult
9.Expression of TSP mRNA and its relation with angiogenesis and lymph node metastasis in papillary thyroid carcinoma
Yunzong LIAN ; Jianliang ZHUANG ; Yifeng CHEN
International Journal of Laboratory Medicine 2006;0(04):-
Objective To study the expression of thrombospondin(TSP) mRNA and its relationship with angiogenesis and lymph node metastasis in papillary thyroid carcinoma(PTC).Methods RT-PCT was utilized to detect the expression of TSP1 and TSP2 mRNA in 40 cases of PTC and 10 cases of normal tissue surrounding carcinoma.Immunohistochemical stain was performed to detect microvessel density(MVD) whose endothelia were marked by anti-CD105 McAb.Results The positive-expression rate of TSP1 mRNA,TSP2 mRNA was 80.0%,90.0% respectively in normal tissue surrounding carcinoma.The positive-expression rate of TSPI mRNA was 45.0%.The positive-expression rate of TSP2 mRNA was 47.5%.The MVD value of PTC cases with TSP1 and TSP2 mRNA positive expression was significantly lower than that of cases without TSP1 and TSP2 mRNA expression(P
10.Effect of hypertensive agent on regional cerebral blood flow in patients with hypertensive intracerebral hemorrhage
You ZUO ; Juan DU ; Jianliang CHEN ; Qingsuo ZHAO ; Shaowei ZHANG
Chinese Journal of Emergency Medicine 2008;17(7):742-744
Objective To investigate effects of hypertensive agents on regional cerebral blood flow (rCBF)and prognosis in patients with hypertensive intracerebral hemorrhage (HICH). Method Thirty patients withFILCH were divided into group A,B and C according to mean arterial pressure(MAP) with various ranges of <10%, 10 ~ 20%, and > 20%, respectively. Patients of three groups were checked with single photon emissioncomputed tomography (SPECT),and computerized tomography of head successively, 24 hours, 3 ~ 5 days, and 12~ 15 days after admission for the assessment of therapeutic effects. The rtes of the decrease in rCBF compared be-twecn groups were analyzed with t test. Neurologic function defect scale, activities of living scale and number of re-bleeding compared between two groups were analyzed by X2 test, respectively. Results There were statisticallysignificant differences in the rate of the decrease in rCBF. The neurologic function defect scale and activities of liv-ing scale at 24 hours, 3 ~ 5 days, and 12 ~ 15 days after admission compared between group C and group A, andbetween group C and group B showed significant differences ( P < 0.05). There were statistically significant differ-enees in rebleeding during acute phase of HICH between group A and group B or group C (P < 0.05).Conclusions If the systolic blood pressure is above 185mmHg or diastolic blood pressure over 95mmHg,it is ra-tional and safe to lower the MAP by about 15% with hypotensive gents so as to minimize the impact on regionalcerebral blood flow.