OBJECTIVETo evaluate the treatment modalities and the prognostic factors of nasal cavity carcinoma.

METHODSA retrospective study was done on 60 nasal cavity carcinoma patients treated from 1985 to 1992. Thirty-four patients received radiotherapy alone and 26 patients received surgery plus radiotherapy. Kaplan-Meier method was used to evaluate the survival, Log-rank test to assess the difference between these two groups and Cox proportional hazard model by multivariate analysis.

RESULTSThe overall 5- and 10-year survival rates were 55.9% and 36.9% respectively. The 5- and 10-year survival rates were 79.0% and 57.9% in patients with early lesions (stage I, II) and 44.1% and 26.0% in patients with advanced lesions (stage III, IV) (P = 0.005). There was no significant difference in the survival rate between radiotherapy alone and radiotherapy plus surgery (P = 0.33). Patients with squamous cell carcinoma had obviously poorer survival rate than patients with adenocarcinoma (P = 0.04). Patients with positive nodes had a lower survival rate compared with negative node patients (P = 0.09).

CONCLUSIONHistological type and clinical stage, but not method of treatment or neck node metastasis, are the important prognostic factors.

Adolescent ; Adult ; Aged ; Combined Modality Therapy ; Female ; Humans ; Lymphatic Metastasis ; Male ; Middle Aged ; Multivariate Analysis ; Nasal Cavity ; Neck ; Neoplasm Staging ; Nose Neoplasms ; diagnosis ; mortality ; radiotherapy ; surgery ; Prognosis ; Retrospective Studies ; Survival Rate

[Objective]To carry out the teaching practice of Chinese medicine appropriate technology in order to improve the job competence of the trainees in the standardised training of Chinese medicine doctors.[Methods]More than 150 Chinese medicine physicians training residents were randomly grouped in our base in the past 3 years.The experimental group was evaluated by 360-degree mini-clinical evaluation exercise(Mini-CEX)and theoretical assessment,and third-party experts were commissioned to conduct objective structured clinical examination(OSCE)assessment at the end of the training;the control group was evaluated by ordinary training mode,and OSCE assessment was commissioned by third-party experts;the control group adopted the ordinary training mode,and the training results of the two groups of trainees were compared.According to the deficiencies of the current training mode of standardised training of Chinese medicine doctors,a comprehensive evaluation of the teaching practice of Chinese medicine appropriate technology was carried out.[Results]The results of this teaching practice showed that the TCM residents integrated into the training of Chinese medicine suitable technology were indeed superior to the ordinary training mode in terms of Chinese medicine service ability and Chinese medicine suitable technology post competence.The average score of experimental group of TCM residents who received appropriate technical training in TCM was(94.51±1.54)points,which was higher than the average score of control group(80.22±1.17)points.The assessment results of the practical operation module for suitable techniques in TCM showed that the average score of experimental group receiving training in suitable techniques in TCM residents was(96.78±1.56)points,which was higher than the average score of control group(76.11±1.72)points,and the difference was statistically significant(P<0.05).[Conclusion]Integrating the training of TCM appropriate technology into the standardized training of TCM residents can not only build a team of TCM residents with outstanding TCM practice ability and excellent TCM service ability,enrich the connotation construction of TCM residents'standardization,but also provide new ideas for the training and promotion of TCM appropriate technology talents.

Objective To compare the early effect of arthroscopic modified Mason-Allen(mMA)and suture-bridge technique for small and medium-size rotator cuff tear.Methods 60 patients with small and medium-size rotator cuff tear were divided into mMA group and suture bridge group,30 cases each.The mMA group was treated with mMA technique,and the suture bridge group was treated with suture-bridge technique.The operative time,the number of anchors used,blood loss,shoulder mobility,pain visual analogue scale(VAS),American Shoulder and Elbow Surgeons(ASES)scale,the Constant-Murley score and the rate of re-tear were compared between the two groups.Results The operative time and the number of anchors used in mMA group were less than those in suture bridge group(P<0.05),and there was no difference of blood loss between the two groups(P>0.05).After operation,the shoulder joint motion of two groups was increased compared with before operation(P<0.05),and there was no statistical difference between the two groups(P>0.05).After surgery,VAS of the two groups was lower than that before surgery,ASES scale and Constant-Murley scores were higher than those before surgery(P<0.05),there was no difference in VAS,ASES and Constant-Murley scores between the two groups(P>0.05).There was no difference in re-tear rate between the two groups(P>0.05).Conclusion Arthroscopic mMA is similar to suture-bridge technique in the treatment of small and medium-size rotator cuff tear,but operative time of mMA is shorter and it requires less anchors.