1.The relationship between three-dimensional morphology of maxillary sinus and maxillary sinusitis.
Hongkun SHANG ; Biao RUAN ; Sisi LI ; Xiaoyang ZHAO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(20):921-925
OBJECTIVE:
A three-dimensional morphology of the maxillary sinus was reconstructed. We studied the relationship between sinusitis and three-dimensional morphology, volume as well as gasification coefficients.
METHOD:
One hundred and fifty adult subjects were selected in this study, and divided into three groups: normal bilateral maxillary sinus, unilateral maxillary sinusitis and bilateral maxillary sinusitis, with fifty cases in each group. Use Siemens helix CT for sequential scanning of the nasal-sinus. After scanning, the DICOM data was recorded in DVD-R and transferred into another computer for reconstruction and measurement.
RESULT:
The volume of the normal maxillary sinus group was (15 018.64 +/- 473.36) mm3. The volume of the maxillary sinusitis group was (14 971.86 +/- 360.93)mm3. There was no significant difference between the values of volumes for the normal maxillary sinus group and maxillary sinusitis group. The gasification coefficient was 0.345 +/- 0.071 for the normal maxillary sinus group, 0.252 +/- 0.057 for the maxillary sinusitis group. There was significant difference between the two groups.
CONCLUSION
Maxillary sinus reconstruction permits more vivid visualization of the three-dimensional structure and three-dimensional shape of the maxillary sinus. The occurrence of the maxillary sinusitis is closely related to the three-dimensional shape of the maxillary sinus and the gasification coefficient measured. The more regular the three-dimensional shape of the maxillary sinus, with the gasification coefficient >0.300, the lower the probability of the maxillary sinusitis. Otherwise, the probability increases. Adult inflammation of maxillary sinus may be originated from a relatively larger volume of maxillary sinus in childhood and adolescence.
Adolescent
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Adult
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Case-Control Studies
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Female
;
Humans
;
Image Processing, Computer-Assisted
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Male
;
Maxillary Sinus
;
diagnostic imaging
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Maxillary Sinusitis
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diagnostic imaging
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Middle Aged
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Tomography, Spiral Computed
2.Practice and effect evaluation of self-nursing on the stent-tract in the discharged patients with orthopedic external fixation support
Tianjiao GU ; Zhaohai RUAN ; Lifen LIANG ; Lihong DUAN ; Xiaoyang RUAN ; Yuehong LIANG
Chinese Journal of Modern Nursing 2015;(16):1971-1972,1973
Objective To investigate the effect evaluation of self-nursing on the stent-tract in the discharged patients with orthopedic external fixation support. Methods A total of 112 patients with orthopedic external fixation support were selected, and designed the self-nursing material. Before discharging guidance, make sure that the patient or patients′ family mastered the operation methods and nursing key points. After discharge, the continuing nursing support was provided. Results The incidence of infection was 4. 46%. All the 112 patients, the times of return visits were 432, and the times of changing the dressing were 3 940, with the mean times of 35. 2;The reducing the costs were 43 340, with the mean reducing of 387. Conclusions The self-nursing on the stent-tract in the discharged patients with orthopedic external fixation support can save the human resource, time and medical costs of the patients and patients′ family, it can also help the doctors with discharged treatment and reduce the work of nurses.
3.Prevalence of sensitization to aeroallergens in 1 893 patients with allergic rhinitis in Yunnan.
Sisi LI ; Yongmei YU ; Biao RUAN ; Ben LIU ; Xiaoyang ZHAO ; Jiwei QIU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2013;27(5):246-250
OBJECTIVE:
To investigate which aeroallergens were prevalent in patients with allergic rhinitis in Yunnan.
METHOD:
Retrospective analysis of the medical records of intradermal test performed in 1893 AR patients. The samples were divided into four age groups: 4-17-year-olds, > 17-35-year-olds, > 35-50-year-olds and > 50-70-year-olds. According to gender,the samples were decided into two groups: the males and the females. The positive rate of aeroallergens were compared among the groups.
RESULT:
(1)The total positive rate of intradermal test was 70.1%. The top ten allergens were as follow: dermatophagoides pteronyssinus, dermatophagoides farina, house dust, pollen of the summer and autumn, alnus nepalensis, chenopodiaceae, mugwort, poaceae, brassica and cockroach. (2) In all groups,patients with triple positive allergens were the most common,followed by dual positive allergens and single positive allergen. (3) Among the top ten allergens, the top three positive ones in all groups were dermatophagoides pteronyssinus, dermatophagoides farina and house dust. And there were significant differences between 4-17-year-olds group and the other age groups (P < 0.01). (4) There was no significant difference between male and female patients in distribution of aeroallergens except House dust and mite.
CONCLUSION
The most common allergen in patients with allergic rhinitis in Yunnan is mite,the follow are pollen of the summer and autumn, alnus nepalensis, chenopodiaceae, mugwort, poaceae, and brassica. The distribution of aeroallergens are different among the age groups, but has no evident correlation with gender.
Adolescent
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Adult
;
Aged
;
Allergens
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analysis
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immunology
;
Animals
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Child
;
Child, Preschool
;
China
;
epidemiology
;
Female
;
Humans
;
Male
;
Middle Aged
;
Pyroglyphidae
;
immunology
;
Retrospective Studies
;
Rhinitis, Allergic
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Rhinitis, Allergic, Perennial
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epidemiology
;
immunology
;
Skin Tests
;
Young Adult