Objective:To evaluate the results of treating Perthes disease by pelvic osteotomy and internal fixation with self-reinforced absorbable (SR-PLLA) rods. Methods:50 cases of Perthes disease(53 hips) were involved. According to Herring classification, there were 16 hips of type B ?5 hips of type B/C and 32 hips of type C. All patients were treated by pelvic osteotomy(Chiari)and internal fixation with self-reinforced absorbable (SR-PLLA) rods. Results:All cases were followed up for 2 months to 18 months, with an average of 6 months. All cutting bone was healed. There was no bacterial wound infection or sterile inflammatory foreign-body reaction. Failure of fixation was only occurred in one case. Bone union was seen 6 weeks to 12 weeks, with an average of 8 weeks. All patients restored normal hip joint function and had no pain. Conclusion:This operative technique is simple and can achieve reliable fixation. It can improve bone healing with a reduced healing time and avoid secondary a removal operation. This surgical procedure is an effective way to treat cutting pelvis in Perthes disease.

Objective:To compare characters of urethral healing after different surgical procedures to provide theoretical support for preventing and curing urethral scaring stricture after hypospadias repair.Methods:Hypospadiac animal model was established and three surgical procedures were adopted to repair urethra.The dynamic changes of urethral healing and scar were observed,the expressions of ?-SMactin and TGF-?1 were examined.Results:Mathieu and Onlay island flap(Onlay) had notable collagenous proliferation,which was significantly stronger than that of Tubularized Incised Plate urethroplasty(TIPU)(P

The adverse effects on the ocular surface caused by long-term antiglaucomatous medications or filtering surgery have been documented by many researchers.However,in our clinical work emphasis on this issue is far from enough.Both antiglaucomatous drugs and filtering surgery can cause tear film dysfunction and conjunctival or corneal epithelium damage,which is the main cause of glaucomatous patients'ocular uncomfortable complaints.Early diagnosis and prompt management of the ocular surface dysfunction is of great importance for us to improve patients' local tolerance and decrease their ocular uncomfortable symptoms.

The hemodynamics of ocular artery (OA) and central retinal artery(CRA)in normal persons and patients (102 eyes, respectively)with primary open-angle glaucoma (POAG) were studied with color Doppler image technique. The results showed that average values of peak systolic flow velocity (Vmax), the end-diastolic flow velocity (Vmin) and the mean flow velocity (Vmeau)for the OA and CRA in glau-comatous patients we^e much lower than that in normal persons. But the mean resistance index (RI) was higher than that in normal persons. The linear regression analysis presented that there was a positive correlation of Vmin between the OA and CRA (r = 0.3278, p

Through discussing the traditional medical ethics culture and medical ethics,this paper pointed out the main problems in the teaching practice of medical ethics:it did not well handle the relationship between the inheritance of traditional culture and the absorption of foreign culture;it emphasized too much on the learning of analysis methods and tools of ethical problems but ignored the cultivation of personality and morality;the teaching curriculum of medical ethics is unreasonable.This paper discussed the similarities and differences between medical ethics and traditional ethics culture,gasped the common essence of ethics,and put forward to better improve the teaching of medical ethics through the construction of basic theory system,the settings and perfection of curriculum system,the construction and improvement of the curriculum evaluation system,and the inheritance of traditional medical ethics cultural.

Objective:To investigate whether plasma lipoprotein-associated phospholipase A_(2)(Lp-PLA_(2)) activity correlates with severity and stability of coronary atherosclerosis and other established cardiovascular risk factors.Methods: Coronary angiography(CAG) was performed in 180 hospitalized patients who were suspected as having coronary heart disease(CHD).The severity of pathological changes of the coronary artery was assessed by the number of diseased coronary branches and Gensini′s score.According to the results of CAG,the 180 patients were divided into 2 groups: CHD group(n=112) and non-CHD group(n=68).The CHD patients were further divided into subgroups according to the clinical types,the number of diseased coronary branches and Gensini′s score.Lp-PLA_(2) activity,white blood cell(WBC) count,high sensitive C reactive protein(hsCRP),lipids,blood pressure and body mass index were measured.The age,sex and prior medical histories including hypertension,diabetes mellitus and smoking status were obtained before CAG in all patients.Lp-PLA_(2),WBC count and hsCRP were compared statistically between the subgroups,and correlation coefficients of Lp-PLA_(2) activity with WBC count,hsCRP and other conventional risk factors for CHD were calculated.Results: Plasma Lp-PLA_(2) activity in CHD patients was significantly higher than that in controls(P

Objective To study the diagnosis and treatment of syncope by analyzing its etiology.Methods Ninety-six syncope patients admitted to our hospital from 2014-01-01 to 2016-12-21were included in this study.The etiology of syncope was analyzed.Results Of the 96 syncope patients included in this study,50 (52.1 ％) were diagnosed with nerve-mediated reflex syncope,31(32.3％) with orthostatic hypotensive syncope,10 (10.4％) with cardiogenic syncope due to arrhythmia,coronary atherosclerotic cardiopathy or pulmonary embolism,5 (5.2％) with other diseases.Conclusion Nerve-mediated reflex,orthostatic hypotension and cardiogenic factors are the causes of syncope.Attention should thus be paid to syncope caused by nervous system diseases.Clarification of the risk factors for syncope helps to reduce its potential risk.

Biochemistry is an essential course for medical students,which updates fast,develops quickly and has strong characteristic of experimentation.Opening experiment is a new open type experimental teaching mode and students are regarded as main body.Opening experiment is helpful to stimulating activeness and cultivating innovative consciousness of students as an effective supplement for traditional experimental teaching.This kind of teaching mode is in conformance with experimental teaching reform in university and is an effective way of cultivating medical science talented men.

The view of "Harmony between Man and Nature" in Song-Ming period,taking "the same rule of man and nature" as mode,"clearing the rules according examining the things" as means,made the doctors of vital gate school in traditional Chinese medicine set up a life pattern of "taiji(vital gate)-yin and yang-five elements(zang-fu viscera)",so as to explore the origin of life and mystery.The study on the characteristics of view of "Unity of Heaven and Man" in different historical stages is conducive to grasp the track and skeleton of the formation of traditional Chinese medical theories,lay the foundation for the further development of traditional Chinese medicine.

Objective To review the examination techniques and the current research progress of the magnetic resonance diffusion weighted-imaging (DWI) used in liver. Methods The recent and relevant literatures about the principles and the current study situation of liver DWI were scrutinized and analyzed retrospectively. In addition, the existing problems of liver DWI were discussed. Results DWI could demonstrate the normal and abnormal structure and function through measuring the diffusion motions of water molecule in the liver. With the improving technology and better understanding of diffusion dynamics, DWI has been used for the diagnosis and differential diagnosis for hepatic diseases. Conclusion DWI as a non-invasive examine method, may provide valuable functional information for clinical diagnosis and treatment.