Pancreatic cancer is one of the deadliest cancers of the digestive tract with an obviously increasing incidence around the word in recent years.It is diffcults to diagnosis in the early stage because of the deficience of specific symptoms.Radical resection is the most effective method to treat pancreatic cancer,but those patient often lose radical surgery opportunity when be diagnosised at advanced stages.Their prognosis is poor.Early diagnosis can greatly improve the rates of radical resection and promote the prognosis of the disease,and reliable tumor markers can be used for early screening and early diagnosis for pancreatic cancer.In recent years,the rapidly development of proteomics and its technology makes tumor markers become a popular research fields in pancreatic cancer.

Objective Resarech on the correlation between serum tumor markers CA19-9,CEA,CAS0 and the early diagnosis and staging of pancreatic cancer.Methods To compare the serum levels of the CA19-9,CEA,CA50 in 51 patients with pancreatic cancer,10 benign tumor patients and 12 chronic pancreatitis patients admitted to the Department of general surgery,Anhui Provincial Hospital from January 2013 to October 2015.Results CA19-9 expression in different stages of pancreatic cancer and other pancreatic diseases were statistically significant (P ＜ 0.05).The difference of CEA and CA50 expression in pancreatic cancer and other pancreatic diseases was statistically significant (P＜0.05).But the CEA in stage Ⅰ and stage Ⅱ,stage Ⅰ and stage Ⅲ,stage Ⅱ and stage Ⅲ patients with clear expression of the difference was not statistically significant (P ＞ 0.05).The was no significant difference in the expression of CA50 in pancreatic cancer stage Ⅰ and stage Ⅱ,Ⅲ and Ⅳ (P ＞ 0.05).The positive rate of CA19-9 in the diagnosis of pancreatic cancer was higher than that of CEA and CA50.The positive rate of CA19-9,CEA,CAS0 and were the highest in the diagnosis of pancreatic cancer.Conclusions The expression levels of CA19-9,CEA and CA50 in serum have a certain relevance to the early diagnosis of pancreatic cancer,and the value of CA19-9 is the highest in the stage of pancreatic cancer.

Objective To retrospectively analyze the perioperative complications of posterior lumbar interbody fusion (PLIF) for recurrent lumbar disc herniation and identify potential risk factors that correlate with those complications.Methods All of 71 patients with recurrent lumbar disc herniation were treated surgically with PLIF,discharged from our department between January 2008 and December 2014.Demographic and operation data were collected and perioperative complications were recorded.We analyzed whether the clinical factors (age,gender,BMI,co-morbidity,smoking,time of recurrence,blood loss,operation segment,operation time) were in correlation with perioperative complication by univariate analysis.Then we integrated the statistically significant indicators into Logistic regression equation to determine the related risk factors for complication.Results The study group consisted of 71 cases,including 42 males and 29 females.The age was 19 to 64 years old with an average of 50.6 years old,and the average BMI was 23.6 kg/m2.26 cases had perioperative complications,while there were two or more complications in 5 patients,and no mortalities.Neurologic deterioration or neuropathic pain (10 cases,14.1％) and dural tears (6 cases,8.5％) were the most common intraoperaitive complications.The other complications included nerve root or cauda equine injury,deep or superficial wound infection,urinary tract infection,respiratory system complication,cardio-vascular complication and delirium.Univariate analysis suggested that age,gender,co-morbidity,smoking,time of recurrence,operation segment,operation time were not associated with perioperative complication.The multivariate Logistic regression analysis showed BMI and blood loss were closely related to perioperative complication.Conclusion Complications of posterior spinal fusion surgery for recurrent lumbar disc herniation are affected by many factors.The most common complications are transient neurologic deterioration or neuropathic pain and dural tears.BMI and blood loss are independent risk factors.

Objective To investigate curative efficacy and long-term safety of locking compression plate and anatomical reconstruction in the treatment of clavicle comminuted fracture. Methods A total of 120 patients with clavicle fractures in our hospital were divided into study group and control group,the control group were treated with anatomical reconstruction plate thera-py while the study group was treated with locking compression plate surgery treatment.The intra-operative blood,fracture healing time,good rate and complication rate of the two groups were ob-served and compared.Results Intraoperative blood and fracture healing time of the two groups were basically consistent,the difference were not statistically significant (P >0.05).The incidence of postoperative complications of the study group was significantly lower than the control group,the difference was statistically significant (P <0.05).The good rate of the study group was significant-ly better than that in the control group,the difference was statistically significant (P <0.05).Con-clusion The effect of locking compression plate clavicle fractures is more pronounced than the anatomical reconstruction plate,and it has a lower complication rate,more security,so it is reliable for long-term clinical application.

Objective To investigate curative efficacy and long-term safety of locking compression plate and anatomical reconstruction in the treatment of clavicle comminuted fracture. Methods A total of 120 patients with clavicle fractures in our hospital were divided into study group and control group,the control group were treated with anatomical reconstruction plate thera-py while the study group was treated with locking compression plate surgery treatment.The intra-operative blood,fracture healing time,good rate and complication rate of the two groups were ob-served and compared.Results Intraoperative blood and fracture healing time of the two groups were basically consistent,the difference were not statistically significant (P >0.05).The incidence of postoperative complications of the study group was significantly lower than the control group,the difference was statistically significant (P <0.05).The good rate of the study group was significant-ly better than that in the control group,the difference was statistically significant (P <0.05).Con-clusion The effect of locking compression plate clavicle fractures is more pronounced than the anatomical reconstruction plate,and it has a lower complication rate,more security,so it is reliable for long-term clinical application.