Objective To study the clinical value of transvaginal ultrasonography in the diagnosis of endometrial lesions.Methods The clinical data of 120 patients with endometrial lesions diagnosed by pathology,including endometrial hyperplasia 58 cases,endometrial polyps 29 cases,submucosal myoma of uterus 25 cases and endometrial carcinoma 8 cases were retrospectively analyzed.The results of preoperative abdominal ultrasonography and transvaginal ultrasonography were compared with the pathological results respectively,the diagnostic accuracy was calculated and compared.Results The diagnostic accuracy of endometrial hyperplasia,endometrial polyps,submucosal myoma of uterus and endometrial carcinoma examined by transvaginal ultrasonography were 96.6％,100.0％,80.0％,75.0％ respectively,the total accuracy rate was 92.5％ ;Those of abdominal ultrasonography examination were 92.5％,82.8％,60.0％,25.0％ respectively,the total accuracy rate was 74.2％ ;The total diagnostic accuracy of transvaginal ultrasonography was obviously higher than that of abdominal ultrasonography,the difference was statistically significant(x2 =3.920,P ＜ 0.05).Conclusion Transvaginal ultrasonography has high value in the diagnosis of endometrial lesions.

Objective To investigate the color Doppler flow imaging ( CDFI ) diagnosis value and related factors analysis of lower limb arterial lesions in patients with type 2 diabetes.Methods 70 cases with type 2 diabetes as observation group , 60 not-type 2 diabetes patients as control group in the same period were selected ,who were giv-en lower limb artery CDFI examination and comparison .Results Lower limb artery blood wall intima-media thickness (IMT) abnormal,atherosclerotic plaques,luminal stenosis,occlusion detection rate of the observation group were 82.86%,60.0%,22.86%,they were significantly higher than 28.33%,16.67%,5.0% of the control group(χ2 =4.38,12.84,7.53,all P<0.05);the lower limb artery plaque location of the observation group often was seen in the femoral artery, posterior tibialis artery and the anterior tibialis , dorsalis pedis artery in 42.86%,10.0%,42.86%, 48.57%,compared with 11.67%,6.67%,3.33%,3.33% of the control group , there were significant differences (χ2 =4.87,12.75,13.97,all P<0.05).In the observation group,the related factors of type 2 diabetes lower limb arterial pathological including age,blood pressure,glycosylated hemoglobin,blood lipid(TC,TG,HDL-C),there were significant differences compared with the control group (t=13.26,5.34,4.00,89.00,6.54,7.54,all P<0.05). Conclusion The CDFI examination is a reliable diagnosis means of patients with type 2 diabetes lower limb artery lesions,which can determine the lesion site ,length,jam extent and vascular anatomical abnormalities ,and has an im-portant clinical value .

Objective To explore the clinical application of omeprazole combined with psychological nursing intervention in the treatment of peptic ulcer. Methods 80 patients with peptic ulcer treated in our hospital from April 2014 to October 2016 were selected, and randomly divided into control group and experimental group, 40 patients in each group. The control group was treated with omeprazole, amoxicillin and tinidazole, and the experimental group was treated with psychological nursing intervention based on the treatment of the control group. Both groups were treated for four weeks in a row. The clinical efficacy and the recurrence rate after treatment were followed up to half a year after treatment in two groups were compared. Results After four weeks of treatment, the total effective rate in experimental group was 92.5％, which was significantly higher than that in the control group (P<0.05). After six months of follow-up, the recurrence rate of patients in the experimental group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Patients with peptic ulcer treated with omeprazole combined with psychological nursing intervention, the effect is significant, relieve the patient's clinical symptoms, effectively improve the clinical cure rate of peptic ulcer recurrence rate is low, high security, is worth popularization and application in clinic.

Objective To investigate the correlation of Helicobacter pylori (HP) infection and serum carbohydrate antigen 724 (CA724) level .Methods 229 patients with HP infection hospitalized in gastroenterology department were enrolled in the observa‐tion group ,and patients were divided into different disease group according to the results of diagnosis .Other 100 healthy people , conducted physical examination ,were enrolled in the healthy control group .The HP infection was detected by 13C‐urea breath test and the serum CA724 level was detected by chemiluminescent immunoassay .Results The HP value and serum CA724 levels in each disease group were higher than those in the healthy control group ,with significant differences(P<0 .05) .The HP value was highest in the duodenal group ,and there was no statistical differences between each disease groups (P>0 .05) ,except the duodenal group .The serum CA724 level was highest in the gastric cancer group ,there was no statistical differences between each disease groups(P>0 .05) ,except the gastric cancer group .The serum CA724 level was positively correlated with HP value in patients with HP infection(r=0 .331 ,P<0 .01) .Conclusion HP infection may correlate with serum CA724 level .The serum CA724 level in the gastric cancer group increased more significantly ,in other disease groups increased steadily .Dynamic observation of serum CA724 level in patients with upper gastrointestinal tract disease associated with HP infection could be helpful for early diagnosis and pre‐vention of aggravation of lesions ,and could provide effective diagnosis basis for early detection of upper gastrointestinal tract le‐sions ,such as gastric cancer .

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Hemorrhagictransformation(HT)referstointracerebralhemorrhageoccurredwhenthe blood vessels restore blood flow after acute ischemic stroke. It is one of the common complications of ischemic stroke. HT may not have any clinical manifestations and can also be manifested as limb paralysis aggravation, decreased consciousness level, and other symptoms. The symptomatic HT may result in prolonged hospitalization, increased disability and fatality. Therefore, research on the mechanisms and risk factors for HT may be expected to provide the basis for clinical treatment, and thus improve the prognosis of patients. This article review s the formation mechanism of HT, risk factors, screening of high-risk patients, and prevention and treatment.

Objective To investigate the effects of high glucose on the proliferation of hepatic stellate cell-T6(HSC-T6) and the expressions of transformation growth factor-?1(TGF-?1),platelet-derived growth factor(PDGF) and precollagen Ⅲ(PCⅢ).Methods Based on glucose groups of different concentration,we observed the proliferation of HSC in 30min-16h time period,and used the methods of immunohistochemistry and radioimmunoassay to measure the expressions of TGF-?1,PDGF and PCⅢ in the supernatant at 48h and 72h.Results In 2-16h time period,the proliferation of HSC was increased stepwise over time in 1500-6000mg/L group,and was more visible in 4500-6000mg/L group.The expressions of TGF-?1 and PDGF increased at 48h,and the expression of PCⅢ in the supernatant increased at 72h in 4500-6000mg/L group compared with that in glucose control and hypertonic control groups.Conclusion High glucose can promote hepatic fibrosis by stimulating the expressions of TGF-?1,PDGF and PCⅢ in HSC-T6.

Objective To study the effect and the mechanism of sibelium on apoptosis and transcription of bcl 2 clan and interleukin 1? converting enzyme(ICE) gene in limbic system after rats' middle cerebral artery occlusion(MCAO).Methods MCAO model was made, and determined the dynamic changes on the cell counts of apoptosis, bcl 2 clan and ICE gene positive transcription in temple ortex, hippocampus and hypothalamus in the controls of normal saline,sibelium 50 ?g intervenient group and sibelium 100 ?g intervenient group during rats MCAO or reperfusion.Results The apoptosis counts of every times in sibelium 100?g intervenient group was significant lower than another two groups( P 0.05).The bcl 2 gene positive transcription cell counts at every times in sibelium 100?g intervenient group were significant higher than another two gruops( P

Objective To investigate the influence of blood pressure level on carotid intima‐media thickness (CIM T ) and plaque in elderly patients with coronary heart disease(CHD) .Methods 100 elderly CHD patients with hypertension admitted in our hospital from Jan .to Dec .2012 was collected .an epidemiological investigation was applied ,and blood pressure was measured .carotid CIMT and plaque were determined by colored Doppler ultrasound .multivariate linear regression model or Logistic regression model was used to analyze the effect of blood pressure on CIMT and plaque .Results A total of 100 subjects were enrolled .CIMT and plaque prevalence were (0 .7 ± 0 .1)mm ,45 .8% in 48 males and (0 .7 ± 0 .1)mm ,34 .6% in 52 females .the difference was statisti‐cally significant(χ2 =5 .609 ,P=0 .018) .multiple regression models showed that ,after adjusting relevant factors ,CIMT increased 0 .001 14 mm with SBP 1 mm Hg increase and CIMT increased 0 .001 18 mm with pulse pressure 1 mm Hg increase in males .Lo‐gistic regression model showed that the risk of plaque number >1 was higher in grade Ⅲhypertension compared to grade 1 hyper‐tension(OR= 2 .115 ,95% CI= 1 .128~ 3 .966 ,P= 0 .020) .Conclusion Elderly CHD patients with hypertension ,especially in males ,carotid CIMT increase while systolic BP and high pulse are high ,which cause the high risk of carotid artery plaque;hyperten‐sion is a independent risk factor for atherosclerosis in elderly CHD patients .

High volume hemofiltration(HVHF) is an important development in the field of blood purification,which has a significant effect on the stability of hemodynamics,clearance of inflammatory factors and metabolic toxins in the body. HVHF also has some drawbacks in the treatment. At present,HVHF has an increasingly wide application in pediatric critical diseases,such as systemic inflammatory response syndrome, sepsis or septic shock,multiple organ dysfunction syndrome,acute kidney injury,acute poisoning,etc. It has become an important treatment in pediatric emergency medicine.