1.A novel intracranial Enterprise stent together with coils for the treatment of very small intracranial wide-necked aneurysms
Haidong HUANG ; Kai ZHAO ; Jianwen GU ; Yan QU ; Tao YANG ; Xun XIA ; Long LIN ; Hui ZHANG
Journal of Interventional Radiology 2010;19(2):91-94
Objective To make a preliminary investigation and summary of the technique and efficacy of the novel intracranial stent, Enterprise, together with hydro-detachable coils for the treatment of very small intracranial wide-necked aneurysms (diameter<3 nun and body-to-neck ratio<1.5). Methods Six cases with very small intracranial wide-necked aneurysms were treated with Enterprise stents and hydro-detachable coils. In 5 cases the Enterprise stent was implanted to cover the neck of the aneurysm, which was followed by the introduction of a microcatheter into the aneurysmal sac through the stent mesh to stuff hydro-detachable coils in order to fill the aneurysmal sac. In the remaining case, the microcatheter was placed into the aneurysmal sac before the Enterprise stent was inserted to embolize the aneurysm. Postoperative follow-up was conducted for 3-6 months. Results The operation was successfully completed in all 6 patients, with the implanted stents being in right place. The parent arteries remained patency in all patients. No complications occurred. Complete occlusion of aneurysmal cavity was obtained in four cases, and the occlusion degree of the aneurysmal cavity above 95% was seen in 2 cases. After the procedure, all the patients recovered well. Neither rebleeding nor symptoms related to thrombosis occurred during a clinic follow-up of 3-6 months. Conclusion Endovasculur embolization with Enterprise stent together with hydro-detachable coils is a safe and effective method for the treatment of very small intracranial wide-necked aneurysms. However, its long-term effect needs to be further observed.
2.Investigation on iodine nourishment and growth of children before and after the implementation of iodine in Qiannan,Gulzhou Province
Shi-ming, ZUO ; Chen-kai, ZHU ; Jun, ZHU ; Ming-hong, GU ; Jia-jia, HUANG ; Qiang-jun, LONG
Chinese Journal of Endemiology 2008;27(3):290-292
Objective To explore the relationship of dynamic changes between the iodine nutritional condition and growth of children born before and after the implementation of universal iodine.Methods By means of sampling investigation,urinary iodine and goiter,height,weight,intelligence quotient(IQ)were comprehensively evahated in children aged 7~14 years old born before and after the implementation of iodine in 10 counties and 2 cities of Qiannan.Results The median of urinary iodine of children Was 91.88μg/L in 1984,133.33μg/L in 1994,316.00μg/L in 2006;goiter rate was 21.40%(122/570)in 1984,12.86%(107/832)in 1994,5.28%(45/851)in 2006;the average IQ was 89.18±4.10 in 1994,94.26±0.94 in 2006;children in each age group in 2006 has a higher height and a heavier weight compared with those in 1984.Conclusion The physical development and intelligence of children in the areas of iodine deficiency have improved along with the correction of iodine deficiency.
3.Fertility preservation for male adolescent cancer patients.
Long-Long FU ; Kai-Shu ZHANG ; Yi-Qun GU
National Journal of Andrology 2017;23(3):262-266
Fertility preservation is a hotspot of research in reproductive medicine, and that of male adolescent cancer patients is drawing even more attention from reproductive and oncologic clinicians. Both cancer and its treatment can decrease semen quality and even induce irreversible damage to fertility. Sperm cryopreservation is an effective method for fertility preservation. In the past few years, marked advances have been made in the cryopreservation, transplantation, and in vitro culture of testis tissue and stem spermatogonial cells. Although still experimental, these approaches may offer some options to those with no mature sperm in the testis. Unfortunately, very few people know and participate in the studies of fertility preservation and the utilization rate of cryopreserved sperm remains low. Therefor reproductive physicians and oncologists are required to make more efforts to search for effective fertility preservation methods for male adolescent cancer patients.
Adolescent
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Cryopreservation
;
Fertility Preservation
;
methods
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Humans
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Male
;
Neoplasms
;
therapy
;
Semen Analysis
;
Semen Preservation
;
methods
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Spermatogonia
;
Testis
;
cytology
4.ilin Pills for oligoasthenospermia: Advances in clinical studies.
Kai-Shu ZHANG ; Long-Long FU ; Xue-Jun SHANG ; Yi-Qun GU
National Journal of Andrology 2017;23(10):938-941
Industrialization and environmental pollution are bringing more problems to human reproduction and increasing the prevalence of male infertility. Western medicine has shown its limitations in the management of male infertility, especially that of oligoasthenospermia. Traditional Chinese medicine (TCM), however, has long and rich experiences in the treatment of oligoasthenospermia, with a large variety of medicinal prescriptions based on the TCM theories, among which Qilin Pills shows a particularly significant therapeutic effect on oligoasthenospermia, especially when combined with Western medicine. At present, published studies on Qilin Pills are mainly in the stage of clinical observation, while basic researches and studies on its relevant mechanisms are rarely seen.
Asthenozoospermia
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drug therapy
;
Drugs, Chinese Herbal
;
therapeutic use
;
Humans
;
Infertility, Male
;
drug therapy
;
Male
;
Medicine, Chinese Traditional
;
Oligospermia
;
drug therapy
5.Ultimate treatment for a patient with severe traumatic brain injury without intake for 192 hours after Wenchuan massive earthquake.
Jian-wen GU ; Hu-tian ZHOU ; Tao YANG ; Jing-min CHENG ; Yan QU ; Cui-ying LI ; Qing-jie LI ; Ji-yun LÜ ; Shou-long CHENG ; Jian-jun LIU ; Yong-qin KUANG ; Hai-dong HUANG ; Li-bin YANG ; Wei-qi HE ; Kai ZHAO ; Li-xin SONG ; Xiao-dong ZHENG ; Shu-xin LIU ; Yan SUN ; Hong-lian HE ; Jiang WU ; Xu-sheng LIU ; Min LU
Chinese Medical Journal 2009;122(1):113-116
Brain Injuries
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pathology
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surgery
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China
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Craniotomy
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Earthquakes
;
Hematoma, Epidural, Cranial
;
pathology
;
surgery
;
Humans
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Male
;
Middle Aged
;
Time Factors
;
Treatment Outcome
6.Hemophagocytic Syndrome Secondary to Human Parvovirus B19 Infection in an Acquired Immunodeficiency Syndrome Patient:Report of One Case.
Yan ZHANG ; Jun YAN ; Fei WANG ; Jin GAO ; Kai-Long GU ; Ai-Fang XU
Acta Academiae Medicinae Sinicae 2023;45(3):530-532
The acquired immunodeficiency syndrome patients with compromised immunity are prone to hemophagocytic syndrome secondary to opportunistic infections.This paper reports a rare case of hemophagocytic syndrome secondary to human parvovirus B19 infection in an acquired immunodeficiency syndrome patient,and analyzes the clinical characteristics,aiming to improve the diagnosis and treatment of the disease and prevent missed diagnosis and misdiagnosis.
Humans
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Lymphohistiocytosis, Hemophagocytic/drug therapy*
;
Erythema Infectiosum/complications*
;
Acquired Immunodeficiency Syndrome/complications*
;
Parvoviridae Infections/diagnosis*
;
Parvovirus B19, Human
7.Effect of Strong Light Stress on Growth, Physiological and Biochemical and Gene Expression of Key Enzymes in Atractylodes lancea
Yu-zhuo WANG ; Yu-chen GU ; Jian-guo CHAO ; Wei GU ; Ye-long SHENG ; Yun XIA ; Kai WANG
Chinese Journal of Experimental Traditional Medical Formulae 2020;26(10):119-127
Objective::To explore the effect of strong light stress on the growth, physiological and biochemical and key enzyme gene expression of the
8. Efficacy of severe intrauterine adhesions
Wei-wei ZENG ; Sheng-mei SU ; Kai YAN ; Yan GU ; Zhen YUAN ; Ji-long YAO
Journal of Medical Postgraduates 2020;33(6):618-622
ObjectiveTo investigate the effect of COOK balloon placement time on the efficacy of severe intrauterine adhesions.Methods150 patients with severe IUA were prospectively enrolled and randomized divided into three short-term group, medium-term group and long-term group, with respectively balloon placement time 1 week, 1 month and 2 months. All subjects underwent transcervical resection of adhesion (TCRA). Re-adhesion and pregnancy rate after treatment, the relevant infection indicators, uterine cavity recovery, AFS score improvement rate, menstrual improvement, and endometrial thickness were analyzed.ResultsAll patients underwent transcervical resection of adhesion (TCRA) and COOK balloon placement successfully. Improvement of pregnancy rate and first pregnancy time were observed in group B and C than group A (P<0.05). The total effective rate of 12 months after treatment of group B (84.00%) and group C (86.00%) was better than group A (64.00%) (P<0.05). The positive rate of microbial culture of COOK balloon when took out at the second-look showed highest in group C (48.00%, P<0.05), followed by group B (30.00%) and group A (24.00%). The rate of uterine recovery of group B (82.00%) and C (78.00%) was better than group A (56.00%) (P<0.05). There were more patients with AFS score improvement in group B and C than group A (P<0.05). Similar improvement of menstrual and increasing of endometrium thickness were observed at the 6th and 12th months in group B and C after operation (P>0.05).ConclusionPlacement of the uterine COOK balloon for more than 1 month may improve uterine cavity, pregnancy rate, AFS score, menstruation and endometrial thickness. However, the risk of infection increased at the second month after COOK balloon placement.
9.Repeated stellate ganglion blockade for the treatment of ventricular tachycardia storm in patients with nonischemic cardiomyopathy: a new therapeutic option for patients with malignant arrhythmias.
Chang CUI ; Xiao Kai ZHOU ; Yue ZHU ; You Mei SHEN ; Lin Dou CHEN ; Wei Zhu JU ; Hong Wu CHEN ; Kai GU ; Ming Fang LI ; Yin Bing PAN ; Ming Long CHEN
Chinese Journal of Cardiology 2023;51(5):521-525
Objectives: This study sought to describe our institutional experience of repeated percutaneous stellate ganglion blockade (R-SGB) as a treatment option for drug-refractory electrical storm in patients with nonischemic cardiomyopathy (NICM). Methods: This prospective observational study included 8 consecutive NICM patients who had drug-refractory electrical storm and underwent R-SGB between June 1, 2021 and January 31, 2022. Lidocaine (5 ml, 1%) was injected in the vicinity of the left stellate ganglion under the guidance of ultrasound, once per day for 7 days. Data including clinical characteristics, immediate and long-term outcomes, and procedure related complications were collected. Results: The mean age was (51.5±13.6) years. All patients were male. 5 patients were diagnosed as dilated cardiomyopathy, 2 patients as arrhythmogenic right ventricular cardiomyopathy and 1 patient as hypertrophic cardiomyopathy. The left ventricular ejection fraction was 37.8%±6.6%. After the treatment of R-SGB, 6 (75%) patients were free of electrical storm. 24 hours Holter monitoring showed significant reduction in ventricular tachycardia (VT) episodes from 43.0 (13.3, 276.3) to 1.0 (0.3, 34.0) on the first day following R-SGB (P<0.05) and 0.5 (0.0, 19.3) after whole R-SGB process (P<0.05). There were no procedure-related major complications. The mean follow-up was (4.8±1.1) months, and the median time of recurrent VT was 2 months. Conclusion: Minimally invasive R-SGB is a safe and effective method to treat electrical storm in patients with NICM.
Humans
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Male
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Adult
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Middle Aged
;
Aged
;
Female
;
Stroke Volume
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Stellate Ganglion/surgery*
;
Ventricular Function, Left
;
Cardiomyopathies/complications*
;
Tachycardia, Ventricular/therapy*
;
Treatment Outcome
;
Catheter Ablation
10.Protective effect of Qilin Pills on the reproductive function of oligoasthenospermia rats.
Kai-Shu ZHANG ; Fang ZHOU ; Qi AN ; Yan-Fei JIA ; Long-Long FU ; Wen-Hong LU ; Xiao-Wei LIANG ; Xue-Jun SHANG ; Yi-Qun GU
National Journal of Andrology 2017;23(9):821-827
Objective:
To study the protective effect of Qilin Pills (QLP) on the reproductive function of rats with oligoasthenospermia (OAS) induced by tripterygium glycosides.
METHODS:
Twenty-eight male SD rats were randomly divided into a normal control, an OAS model control, a low-dose QLP, and a high-dose QLP group of equal number. OAS models were made in the latter three groups by intragastrical administration of tripterygium glycosides at 40 mg per kg of the body weight per day, and meanwhile the animals in the low- and high-dose QLP groups were treated with QLP at 1.62 and 3.24 g per kg of the body weight per day, respectively, while those in the OAS model group with normal saline, all for 30 consecutive days. Then all the rats were executed for obtaining the testis weight, testis viscera index, epididymal sperm concentration and motility, reproductive hormone levels, and antioxidation indexes and observation of the histomorphological changes of the testis tissue by HE staining.
RESULTS:
After 30 days of intervention, the low- and high-dose QLP groups, as compared with the OAS model controls, showed significantly improved epididymal sperm concentration ([14.57 ± 3.95] and [39.71 ± 11.31] vs [4.71 ± 1.25] ×10⁶/ml, P <0.05) and motility ([3.71 ± 1.11] and [4.29 ± 1.80] vs [0.57 ± 0.53]%, P <0.05), increased levels of sex hormone binding globulin (SHBG) ([94.83 ± 11.17] and [88.05 ± 9.21] vs [56.74 ± 8.29] nmol/L, P <0.05) and free testosterone (FT) ([27.27 ± 3.63] and [32.80 ± 2.51] vs [22.81 ± 2.75] nmol/L, P <0.05), decreased level of follicle-stimulating hormone (FSH) ([1.49 ± 0.62] and [1.12 ± 0.83] vs [1.71 ± 0.52] mIU/ml, P <0.05), but no significant change in the total testosterone (TT) level. Meanwhile, the level of superoxide dismutase (SOD) was markedly elevated in the low- and high-dose QLP groups in comparison with the OAS model control group ([277.14 ± 15.84] and [299.60 ± 20.83] vs [250.04 ± 31.06] U/ml, P <0.05) while that of reactive oxygen species (ROS) remarkably reduced ([397.61 ± 62.71] and [376.84 ± 67.14] vs [552.20 ± 58.07] IU/ml, P <0.05). HE staining showed that QLP intervention significantly increased the layers and quantity of spermatogenic cells in the testicular seminiferous tubules of the OAS rats.
CONCLUSIONS
QLP can effectively protect the reproductive system of oligoasthenospermia rats by raising sperm quality, elevating reproductive hormone levels, reducing oxidative stress injury, and improving histomorphology of the testis.
Animals
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Asthenozoospermia
;
chemically induced
;
drug therapy
;
Drugs, Chinese Herbal
;
pharmacology
;
Epididymis
;
Follicle Stimulating Hormone
;
Male
;
Oligospermia
;
chemically induced
;
drug therapy
;
Protective Agents
;
pharmacology
;
Random Allocation
;
Rats
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Rats, Sprague-Dawley
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Reproduction
;
drug effects
;
Seminiferous Tubules
;
Sperm Count
;
Spermatozoa
;
drug effects
;
Superoxide Dismutase
;
analysis
;
Testis
;
Testosterone
;
blood
;
Tripterygium