Objective To investigate the clinical efficacy of laparoscopic myomectomy surgery and open myomectomy surgery for the patients with uterine fibroids.Methods 78 patients with uterine fibroids in our hospital were divided into observation group and control group by random serial number,and each group had 39 cases.The observation group was given laparoscopic myomectomy,while the control group was given open myomectomy surgery.The average time,average blood loss,postoperative exhaust time and average postoperative hospitalization days were compared between the two groups.Results The operative time,blood loss,postoperative exhaust time and hospital stay time of the observation group were (113.3 ± 15.1) min,(50.5 ± 27.5) ml,(19.5 ± 5.1) h and (4.6 ± 0.5) d,while those in the control group were (61.5 ± 12.7) min,(100.9 ± 35.7) ml,(37.6 ± 4.9) h and (7.7 ± 0.6) d,the differences were significant between the two groups (t =11.79,10.35,8.06,7.11,all P ＜ 0.05).Conclusion Compared with open myomectomy surgery,laparoscopic myomectomy can not only shorten the hospital stay,but also reduce the time of discharge,and it is worth to be further promoted in clinical.

Objective To investigate the value of serum apolipoprotein M (APOM)concentration in the diagnosis of bacterial pneumonia and its disease severity evaluation.Methods The serum APOM concentration was examined in 250 cases of pneumonia and 50 healthy controls by using the double antibody sandwich ELISA.The ROC curve was used to evaluate the diagnostic value of APOM on bacterial pneumonia and the Bayes discriminant analysis was adopted to construct the discriminant equation based on APOM concentration for evaluating its discriminant significance to the disease severity.Results The serum APOM concentration in the bacterial pneumonia group was (28.9±10.5)μg/mL,which was significantly higher than (19.4±8.93)μg/mL in viral pneu-monia group,(16.4±5.62)μg/mL in the other pneumonia group and(18.1 ±6.15)μg/mL in the healthy controls,the differences had statistical significance(P <0.01).The area under ROC curve for APOM in diagnosing bacterial pneumonia could reach 0.843, showing the good sensitivity and specificity.Moreover,the serum APOM concentration was positively correlated with the disease severity of bacterial pneumonia.The discriminant equation based on APOM concentration as well as sex,age,systolic pressure,body temperature and heart rate could better conduct the classification on the disease severity of bacterial pneumonia and its accuracy could reach to 86.7%.Conclusion The serum APOM concentration has an important clinical value for the diagnosis of bacterial pneumonia and its disease severity evaluation.

Objective To explore the value of hepcidin measurement in differential diagnosis of iron deficiency anemia(IDA) and anemia of chronic diseases(ACD) .Methods Serum hepcidin was measured by using ELISA .Serum iron(SI) and total iron binding capacity(TIBC) were determined by using Ferro zine colorimetric method .Results Hepcidin expression increased in ACD group (P<0 .05) ,but decreased in IDA group(P<0 .05) .The area under the curve of ROC for hepcidin ,SI and TIBC were 0 .97 ,0 .66 and 0 .85 respectively .Conclusion Hepcidin is a simple and safe indicator in differential diagnosis of IDA and ACD ,and its diagnos-tic accuracy is better than SI and TIBC .

Obesity is mostly recognized as a chronic inflammatory condition in which the balance of normal state is destroyed and it is a risk of cardiovascular disease and many other chronic metabolic disease.Heme oxygenase-1 (HO-1),a major cytoprotective enzyme,exerts significant antioxidant and anti-inflammatory effects.It also can improve the function of fat cells and enhanced insulin sensitivity in obese individuals.The researches of HO-1 for the anti-inflammatory effects and its intervention have great significance in improving the inflammatory state and its related diseases in obesity.This paper elaborates the change of HO-1 and its effect for macrophage infiltration in obesity.

Pediatric kidney disease prevalence has increased over the past decades.The key result of children with chronic kidney disease (CKD) is end-stage renal disease (ESRD) who needs renal replacement therapy with significantly increased risk of cardiovascular disease and metabolic syndrome.It is essential to diagnose CKD in the early phase by assessment of kidney function.We assess the kidney function by detecting serum creatinine(SCr) and blood urea nitrogen(BUN),which are traditional biomarkers and not sensitive to diagnose AKI.We also use cystatin C and β2-microglobulin to evaluate kidney function,which are controversial in clinic.It is difficult to evaluate kidney function exactly for children because glomerular filtration rate(GFR) is different in children with different age and gender.It should be more sensitive and specific to assess pediatric kidney function by applying blood and urine biomarkers and GFR equation together.Nowadays,we should find a more precise equation to evaluate GFR for children in order to monitor the kidney disease progression.It may provide the exact timing for the treatment to prevent ESRD.Therefore,we summarize some GFR equations in order to detect more suitable equation to evaluate GFR for Chinese children with different age,gender and nutrition status.

ObjectiveTo investigate the value of serum β2-microglobulin for diagnosis of early renal insufficiency. MethodsThe levels of β2-microglobulin and Scr were measured in one hundred and twelve patients diagnosed of nephropathy and 41 of control group.And the results were analyzed. ResultsCompared with the control group,there was significant difference in serum β2-microglobulin(all P＜0.05).The levels of β2-microglobulin of renal insufficiency were increased,include(3.51 ± 0.46)mg/L,(5.8 ± 1.13)mg/L,(12.4 ± 3.63)mg/L,and (21.3 ± 4.73)mg/L,also correlated with degree of Scr,and negatively correlated with degree of Ccr. ConclusionSerum β2-microglobulin could be used as the early diagnostic marker of early renal insufficiency.

Ki-67,as one kind of nucleoantigen expressed in proliferated cells, has positive correlation with clinical stage, nodal status and Her-2,while negative correlation with estrogen receptor(ER). High Ki-67 expression influnced by endocrine therapy and chemotherapy indicates good proliferative activity. Ki-67, also as an independent prognostic factor of early breast cancer, provides prognostic information combined with other biologic markers. Ki-67 gives additional information breast cancer prognosis staging.

Kawasaki disease (KD) is an acute, self-limited vasculitis of children and the principal cause of acquired heart disease in children in developed countries. The recent follow-up studies of KD revealed that cardiac sequelae had been observed for many years in a minority of patients with KD. Cardiac sequelae especially the coronary artery aneurysm is the leading cause of ischemic heart disease or even the sudden death.The long-term management of KD was developed in many countries in order to prevent the cardiac events.This paper reviews the long-term prognosis and follow-up of KD.

Objective To investigate the clinical efficacy and safety on treatment of unstable angina pectoris (UAP) with low-molecular-weight heparins calcium .Methods 64 cases in our hospital from February 2012 to January 2013 with UAP were random-ly divided into treatment group and control group ,and 32 cases in each group .The control group was treated with routine drugs such as aspirin ,and the treatment group was treated with low-molecular-weight heparins calcium on the basis of routine therapy . The clinical efficacy and safety were evaluated by the frequency and duration of angina attacks ,the improvement of electrocardio-gram(ECG) and adverse reactions .Results The frequency and duration of angina attacks of the two groups were significantly re-duced and the performances of ECG were improved .The clinical improvement and performance of ECG were better in treatment group than those in the control group(P<0 .05) .And the total efficiency of the treatment group and control group were 93 .8%(30/32) and 84 .4% (27/32) ,respectively ,the difference had statistically significant (P<0 .05) .There was no serious adverse reac-tion in the two groups .Conclusion Low-molecular-weight heparins calcium can effectively control the frequency and duration of UAP and has less adverse reaction in treatment of UAP .It is worthy to be recommended in clinical .

Neonatal hypoxic-ischemic encephalopathy(HIE)is a common disease in neonatal nervous system injury,which often treated by the traditional measures such as three support′s and three symptomatic treatments.Moreover,there is no specific treatment nowadays.The human umbilical cord mesenchymal stem cells(HUC-MSC)are mixture of multifunctional stem cells from neonatal umbilical cord tissues,which has strong abilities of self-renewal and multilineage differentiation potential.HUC-MSC are easy to harvest and have more sources,low immunogenicity and without ethical problems.It can differentiate into neural cells under certain conditions,secrete neurotrophic factors,repair the damaged brain and promote the recovery of cerebral function.Transplantation of HUC-MSC provides a new way for the treatment of HIE.