1.Application of argon-fluoride excimer laser to corneal refractive surgery
Zujin ZHANG ; Zhaoping GUO ; Runqiang WU ; Jiaping YUAN ; Zongli ZHANG
Chinese Medical Equipment Journal 2003;0(11):-
In this paper,such information of argon-fluoride excimer laser is introduced as its principle,capacity,features and application to corneal refractive surgery.Its treatment effects and developing trend are also mentioned.
2.Design and application of an automatic ventilation system for excimer laser therapeutic instrument
Zujin ZHANG ; Zhaoping GUO ; Runqiang WU ; Jiaping YUAN ; Zongli ZHANG
Chinese Medical Equipment Journal 2004;0(07):-
In this paper, the constitution and operation principle of an automatic ventilation system for excimer laser therapeutic instrument are introduced. With high accuracy, stability and reliability, the system benefits the performance and service life of the instrument.
3.The Importance and Problems of Carrying out Bilingual Education in Medical Imageology
Jiaping WANG ; Jinmin PU ; Yingchun LI ; Weihong LIN ; Yong SUN ; Li GUO ; Yalv GU
Journal of Kunming Medical University 2007;0(S2):-
With the increasingly strengthening of economic globalization and higher education internationalization,medical imageology as an important intersecting science in life sciences has more and more international communion and cooperation.In China many hospitals and medical colleges require large quantities of medical imageology professionals,and it is very necessary and important to develop the bilingual education in medical imageology,though a series of problems appear in the process.
4.Teaching Experience of the Field Trip in Medical Imaging
Jiaping WANG ; Jinmin PU ; Yingchun LI ; Weihong LIN ; Yong SUN ; Li GUO ; Yalv GU
Journal of Kunming Medical University 2007;0(S2):-
The developing situation of "big image" makes the medical imaging become an increasingly huge and complicated system.It offers higher request to the medical imaging teaching.The internship of last term is always influenced by attending the graduate student's entrance examination and looking for job,the effect of teaching can't be assured,and it especially important to do well in field trip,thus it can reduce or avoid the phenomenon of "practice after graduate".
5.Location of vascular puncture points with dynamic contrast-enhanced MRA before transjugular intrahepatic portosystemic shunt
Li GUO ; Dakuan YANG ; Shuguang YUAN ; Dong YAN ; Jiaping WANG ; Qing YANG
Chinese Journal of Medical Imaging Technology 2010;26(4):764-766
Objective To explore the role in the localization of vascular puncture points with dynamic contrast-enhanced magnetic resonance angiography (DCE-MRA) before transjugular intrahepatic portosystemic shunt (TIPS). Methods MRA images of 46 patients with portal hypertension were measured. The patients were then punctured according to the measurement Results The supero-inferior distant from the puncture point of hepatic vein to plane of right branch of portal vein (AA') was (22.63±10.21)mm, the anteroposterior distant from the puncture point of hepatic vein to plane of right branch of portal (A'A'') was (13.93±1.07)mm, the angle of sag was (31.64±9.23)°. The distant from puncture point of hepatic vein (AS) and right branch (BS) were (23.51±2.12)mm and (38.51±5.36)mm. The angle of cor was (33.57±8.93)°. Forty-five patients were successful punctured, and the time of puncture decreased. Conclusion The location of portal vein puncture point during TIPS are changeable, therefore individualized location of positioning is needed. DCE-MRA is a valuable non-invasive method of localization, playing an important role in localization of vascular puncture points of TIPS.
6.The Experience in Treatment of Bleeding after Mini-invasive Percutaneous Nephrolithotomy by Interventional Therapy
Qing YANG ; Ruping YANG ; Jiaping WANG ; Li GUO ; Yingchun LI ; Mingxia DING
Journal of Practical Radiology 2010;26(1):101-102
Objective To investigate the value of interventional therapy for nephrorrhagia after mini-invasive percutaneous nephrolithotomy(MPCNL).Methods From February 2007 to December 2008,16 cases with nephrorrhagia after MPCNL underwent interventional therapy,of them,14 cases treated with super-selective embolization,one case treated by kindey arterial embolization and one case with renal subcapsular bleeding treated by reptilase intra-arterial infusion.Results In 16 cases,15 cases were successfully treated by embolization.Conclusion Interventional therapy is the first choice method for treating nephrorrhagia after MPCNL.
7.PC-MRI method for observation of the characteristics blood flow curve in normal abdominal aorta
Xiaowen ZHOU ; Li GUO ; Dong YAN ; Jiaping WANG ; Jingang HAO ; Xuefen LEI
Journal of Practical Radiology 2015;(10):1668-1670,1679
Objective To observe the characteristics of different level of normal abdominal aorta’s time-flow,time-velocity curve and to investigate the hemodynamic factors in role of the occurrence and development of abdominal aorta’s disease.Methods PC-MRI scanning was performed on 60 normal volunteers T12/L1-L4/5 disc at the level of abdominal aorta,time-flow and time-veloci-ty curve were generated respectively.The characteristics of blood flow curves at different levels of abdominal aorta were observed. Results The time-flow,time-velocity curve of the normal abdominal aorta in different levels have 2nd phase (no diastolic reflux) and 3rd phase (diastolic reflux).Conclusion The characteristics of blood flow curves of different levels of abdominal aorta are dif-ferent.
8.Dentine hypersensitiveness treated by Nd∶YAG laser combined with enamel cement
Lihun WANG ; Huzhong WANG ; Jiaping GUO ; Qingshan DONG ; Xiang WANG ; Yihui MA
Chinese Journal of Rehabilitation Theory and Practice 2005;11(12):1032-1033
ObjectiveTo observe the effect of Nd∶YAG laser combined with enamel cement on dentine hypersensitiveness (DH).Methods120 DH cases (totally 182 teeth) were randomly divided into two groups. The experiment group (92 teeth) was treated with Nd∶YAG laser and enamel cement. The control group (90 teeth) was only treated with Nd∶YAG laser.ResultsEffective rates of the experiment group at the moment of treatment, 3 months and 6 months after treatment were 97.8%, 96.7% and 90.2 % respectively, and that of the control group were 95.6%, 91.1% and 84.4%. There was a significant difference between two groups (P<0.05).ConclusionNd∶YAG laser combined with enamel cement has an obvious effect on DH.
9.The combination of sephedex and docetaxel used in intervention for clinical treatment of primary liver cancer
Jingxian LI ; Yanping JIANG ; Jiaping WANG ; Li GUO ; Li ZHU ; Rui LIU ; Ruimin ZHAO ; Yuyun TONG ; Yuanxi JIAN
Journal of Practical Radiology 2017;33(5):739-741,753
Objective To study the clinical efficacy of the combination of sephedex and docetaxel used in transcatheter arterial chemoembolization (TACE) for clinical treatment of primary liver cancer.Methods 120 patients with primary liver cancer in our hospital were divided into the experimental group and the control group randomly and equally, the 60 cases in experimental group were treated with sephedex suspensoid (Sephedex, G-50, 300-500 μm) and docetaxel-iodized oil, while other 60 cases in control group were treated with docetaxel-iodized oil suspension liquid.Results The success rate of surgical intubation in the two groups was 100%.After an average follow-up of 12 months, the postoperative tumor diameter of the experimental group was reduced by (4.4±1.4) cm, while that of the control group was (1.8±1.0) cm;The overall response rate was 70% in the experimental group in contrast to 30% in the control group;the alpha fetal protein (AFP) value was decreased by (33.2±15.2) μg/L in the experimental group and (10.4±9.8) μg/L in the control group.Conclusion The combination of sephedex, docetaxel suspensoid and iodized oil shows great potential in TACE treatment of primary liver cancer, from which the treatment effect can be improved significantly.
10. Comparison of therapeutics effects of transcatheter arterial chemoembolization combined with iodine-125 seed implantation and sorafenib for the treatment of hepatocellular carcinoma with portal vein tumor thrombosis
Jun LUO ; Jiaping ZHENG ; Guoliang SHAO ; Song WEN ; Liwen GUO ; Hui ZENG ; Lan ZHANG ; Chaoyi QIAN ; Weiyuan HAO
Chinese Journal of Hepatology 2018;26(4):298-304
Objective:
To explore the factors affecting the prognosis of patients with hepatocellular carcinoma (HCC) combined with portal vein tumor thrombosis (PVTT), and to analyze the clinical value of transcatheter arterial chemoembolization (TACE) combined with iodine-125 seed implantation in such patients.
Methods:
A retrospective analysis of 53 patients with HCC combined with PVTT was performed. In the study group, 32 cases were treated with TACE combined with iodine-125 seed implantation, and 21 cases in the control group were treated with TACE combined with sorafenib. Survival analysis was carried out on eight factors such as gender, age, Child-Pugh classification, alpha fetoprotein level, portal vein tumor thrombosis (PVTT) type, forms of liver tumor, extra-hepatic metastasis and treatment modalities. The efficacy of TACE combined with iodine-125 seed implantation and TACE combined with sorafenib was further compared. The χ 2 test was used to evaluate the efficacy of the two groups. A single factor survival analysis was calculated by Kaplan-Meier estimator and multifactor survival analysis by Cox proportional hazards model.
Results:
All 53 patients were successfully treated. The median tumor progression time (mTTP) and median overall survival (mOS) were 8 months and 11 months, respectively. The disease control rate (DCR) of the study group for PVTT was 93.8%, which was significantly higher than that of the control group (61.9%, χ 2 = 6.448, P = 0.011). The difference was statistically significant; the objective remission rate of the study group for PVTT was 75.0%. Significantly higher than 9.5% in the control group, P < 0.05, the difference was statistically significant; the DCR of the primary tumor in the study group was 50.0%, which was lower than the 70.0% of the PVTT in the control group, P = 0.231, the difference was not statistically significant. The progression of primary HCC lesions in patients with multivariate survival analysis: Child-Pugh grade A patients were compared to grade B [Hazard ratio (HR) = 0.236, P = 0.003]; no extra-hepatic metastasis (HR = 0.258, P = 0.002); and TACE combined with iodine-125 seed implantation group compared with TACE combined sorafenib group (HR = 0.372, P = 0.002), the differences were statistically significant. Multivariate survival analysis of patients with overall survival: AFP < 400 ng/mL vs. AFP≥400 ng/mL (HR = 0.389, P = 0.030); Child-Pugh grade A vs. B (HR = 0.263, P = 0.006); and no extra-hepatic metastasis (HR = 0.306, P = 0.006), the differences were statistically significant.
Conclusion
TACE combined with iodine-125 seed implantation for the treatment of HCC with PVTT can effectively control the progression of PVTT and intrahepatic lesions and improve the prognosis of patients.