2.Ilizarov technique in the treatment of nonunion:Annotation and consideration of the“gold standard”application
Peng LI ; Gangqiang DU ; Kai ZHANG
Chinese Journal of Tissue Engineering Research 2013;(43):7618-7623
BACKGROUND:Ilizarov technique is an effective treatment method which can solve various complications that occurred in the process of treatment, especial y for the treatment of nonunion associated with soft tissue defects or severe infection. OBJECTIVE:To review the research progress of nonunion treatment with the Ilizarov technique. METHODS:A computer-based search was performed on the CNKI database and PubMed database from January 1992 to April 2013 for the articles related to the Ilizarov technology for the treatment of nonunion. The key words of“nonunion, external fixator, Ilizarov”in English and“nonunion, fracture nonunion, external fixation, Ilizarov”in Chinese were used to search the articles in the title and the abstract. Final y, a total of 37 articles were included to review. RESULTS AND CONCLUSION:Ilizarov technique is an effective method to treat limbs nonunion with the infection and severe bone defect. It has become an international y recognized gold standard. Due to the firmly fixation of the Ilizarov ring external fixator, it can not only eliminate the shear force and rotation stress, thus playing a role of stretch tension and compression, but also has the cyclical micro-axialmotion characteristic during weight-bearing walking which can better promote bone union. Based on the reviews of the research progress of Ilizarov technique in the treatment of nonunion in recent years, we further investigate the advantages and methods of Ilizarov technique in the treatment of limbs nonunion. The clinical application of the method should fol ow the individual principle, and then choose the best and suitable method based on the analysis of advantages and disadvantages about the patient’s condition.
3.Effect of tirofiban on levels of serum soluble CD40 ligand in elderly patients with non-ST elevation acute coronary syndrome treated by percutaneous coronary intervention
Pingshuan DONG ; Hongxiao KAI ; Laijing DU
Chinese Journal of Interventional Cardiology 1996;0(01):-
0. 05). Level of sCD40L was significantly decreased in the tirofiban group after PCI compared with the control (3.17?1.01 ?g/L vs 4.05?0.96 ?g/L, P
4.Correction of severe inverted nipple with long six-side polygon dermal tissue flaps by purse string surrounded and ductal traction
Hongyuan WANG ; Minggang WANG ; Kai WANG ; Hong FANG ; Xiaoyang DU
Chinese Journal of Medical Aesthetics and Cosmetology 2011;17(4):266-268
Objective To explore a new surgical treatment for severe inverted nipple and to reduce the possibility of recurrence. Methods Two opposite long six-side polygon de-epithelialized areas were designed within the range of areola on both sides of the nipple. The four sides in lateral portion were dissected and two wedge-shaped dermal and glandular tissue flaps were created, completely releasing the contractive fiber causing nipple retraction while reserving breast ducts. The flaps were reversed 180 degrees through the tunnel bilateral sides of breast ducts to support the nipple. It was tracted for 3-4 weeks by series 7 needle penetrating the nipple basis. Results All the 14 patients were followed up for 3-18 months, and they were satisfied with the appearance and the aesthesia of the nipple and no recurrence was observed, breast-feed function reserved in 2 cases after childbirth. Conclusions This operation is easy to perform with satisfying aesthetic outcome and breast-feed function remaining.It is an ideal method for correcting serious inverted nipple.
5.Effects of Yiniao Recipe on serum antidiuretic hormone level and plasma ratio of cAMP to cGMP in rats with kidney-yang deficiency.
Wen SU ; Aixia HU ; Heng DU ; Kai YUAN ; Huifu XU
Journal of Integrative Medicine 2010;8(2):168-72
To investigate the effects of Yiniao Recipe, a compound traditional Chinese herbal medicine, on contents of serum antidiuretic hormone, and plasma cyclic adenosine monophosphate and cyclic guanosine monophosphate in rats with kidney-yang deficiency.
6.Effect of treatment with early blood purification combined with prednisone and cyclophosphamide for patients with acute paraquat poisoning.
Yong-song JI ; Kai-yang DU ; Wei-ping GUO
Chinese Journal of Industrial Hygiene and Occupational Diseases 2013;31(5):388-389
Acute Disease
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Adolescent
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Adult
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Aged
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Cyclophosphamide
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administration & dosage
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therapeutic use
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Female
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Hemoperfusion
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Humans
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Male
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Methylprednisolone
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administration & dosage
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therapeutic use
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Middle Aged
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Paraquat
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poisoning
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Renal Dialysis
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Retrospective Studies
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Young Adult
9.Analysis of the changes in aortic root dimension in patients with anterior cerebral infarction
Kai YU ; Fenghe DU ; Yinglin YAN ; Yulan HE
Chinese Journal of Internal Medicine 2008;47(12):985-987
Objecfive To analyze the relationship between aortic root dimension(ARD)and anterior circulation infarction(ACI)by measuring ARD of ACI patients.Methods The ARD of 110 ACI patients(56 men and 54 women)were measured with 2-dimensional uhrasonography during ventricular systole.66 control subjects(32 men and 34 women)without the clinical signs of cerebral infarction or organic heart disease and cardiac insufficiency were selected after carrying out detailed cage history inquiring.physical examination,CT or MRI and ultrasonic examination.ResultsARD in men and women Was respectively(29.80±2.35)mm and(28.88±3.06)mm in the ACI group.While it was(27.64±1.70)mm and(26.98±1.60)mm respectively in the control subjects.ARD in men and women was significantly higher in the ACI group as compared with the control subjects(P<0.01).Logistic regression analysis indicated that the odds ratio(confidence interval)associated with ARD Was 1.630(1.205-2.204)in men and 1.494(1.098-2.033)in women for ACI.Conclusions There is a close relationship between ARD and ACI.ARD is an important risk factor of ACI.
10.Evaluation of osteoporosis self-assessment tool for Asians in screening of osteoporosis for postmenopausal women in community
Yan'ge SUN ; Xueping DU ; Kai HUANG ; Su YU ;
Chinese Journal of General Practitioners 2014;13(8):655-658
Objective To evaluate the application of osteoporosis self-assessment tool for Asians (OSTA) in screening of osteoporosis for postmenopausal women in community.Methods Total 793 postmenopausal women were included.OSTA were calculated and bone mineral density (BMD)was measured by dual energy X-ray absorptiometry (DXA).The correlation of OSTA index with DXA results was analyzed.Results The prevalence of osteoporosis and osteopenia was 18.3% (145/793) and 47.7%(378/793) respectively,the remaining 270 women had normal bone mass (34.0%).According to OSTA index the rate of low-risk,medium-risk,high-risk osteoporosis groups were 61.9% (491/793),29.5%(234/793) and 8.6% (68/793),respectively.The BMD measured by DXA was positively correlated with OSTA index(r =0.559,P =0.000).The area under receiver operating characteristic curve (ROC) of OSTA for diagnosing osteoporosis was 0.736.Taking-1 as cut off value,the sensitivity and specificity of OSTA in diagnosis of osteoporosis was 73.1% (106/145) and 69.8% (452/648),respectively.Conclusion OSTA can be used as an effective index for screening of osteoporosis in postmenopausal women in community.