Objective To investigate the effect of surgical treatment of mammary duct fistula.Methods A total of 48 cases of mammary duct fistula were surgically treated,including 39 cases of fistulectomy and partial mastectomy,4 cases of total mastectomy,3 cases of subcutaneous mastectomy,and 2 cases of papillectomy.The incision was primarily sutured in 33 cases and kept open for drainage in 15 cases.Results A follow-up was carried out in the 48 cases for 3 months ~ 8 years(mean,3 years).Out of the 33 cases of primary closure of wound,5 cases developed a recurrence and then were cured by drainage and regular dressing change.The remaining 43 cases were cured on one session. Conclusions Fistulectomy is the basis of the treatment of mammary duct fistula.For a good cosmetic appearance and a short hospital stay,the operation should be performed with primary closure of wound,unless the recurrence is more likely to happen.

We used WEHI clone—13 cell line as target and MTT colorimetric technique to evaluate monocyte cytotoxicity, this method is superior to the traditional~(51) Cr release technique. It is more sensitive,more rapid and less effectors needed, as well as no isotope contamination, and it is mose suitable in clinic.

Objective To studytherolesof hypoxia-inducible factor-lalpha( HIF-1α )and vascular endothelial growth factor ( VEGF) in the pathogenesis of hypoxia-induced pulmonary hypertension ( HPH) in neonatal rats.Methods Wistar neonatal rats were assigned into HPH group and the control group using random number table method. Neonatal rats in HPH group were exposed to hypoxia according to HPH model. On day 3 , 7 ,14 and 210f hypoxia,the mean pulmonary artery pressure ( mPAP) , the level of mRNA and protein expression of HIF-1α and VEGF in lung tissue were examined using RT-PCR and Western blot methods respectively. The correlation of HIF-1,VEGF and mPAP were also analyzed. Results The mPAP ( mmHg)in HPH group on day 3 ,7 ,14 and 210f hypoxia were all higher than the control up[8.5±1.5)vs.5.2±1.0),(12.1±2.1)vs.9.6±0.8),(12.9±2.0)vs.(9.1±0.8),(21.0±2. 3) vs. (11. 2 + 1. 6) ,P < 0. 05]. 0n day 3, 7 and 140f hypoxia,the mRNA of HIF-1α in lung tissue of HPH group were significantly higher than the control group ( P <0. 05 ) . On day 70f hypoxia, the HIF-1αprotein in lung tissue of HPH group was significantly higher than the control group(P <0. 05 ) . On day 7 ,14 and 210f hypoxia,the mRNA and protein of VEGF in lung tissue of HPH group were also significantly higher than the control group( P <0. 05 ). Correlation analysis showed that HIF-1α protein were positively correlated with mPAP on day 3 ,7 . 14 and 210f hypoxia in HPH group ( r = 0. 504 .P = 0. 002) , and VEGF protein were positively correlated with mPAP in HPH group on day 7 , 14 and 210f hypoxia( r = 0. 782, P < 0. 001) .Conclusion Both HIF-1α and VEGF play roles in the occurrence and development of HPH in neonatal rats.

Objective To observe the effect of prevention of infection using a modified type of povidone-iodine for bowel preparation after transrectal ultrasound-guided prostate biopsy.Methods Collecting 318 casesdiagnosed of suspected prostate cancer were divided into two groups by random digital table method.The control group underwent routine bowel preparation,with the concentration of 1％ povidone iodine 300 ml in half an hour before the puncture and keeping 5-10 minutes;the experimental group underwent modified povidone iodine bowel preparation,with the concentration of 3％ povidone-iodine 50 ml in 10 minutes before the punctureand keeping 10 minutes.All patients were used sensitive antibiotics in 2 hours after prostate biopsy to prevent infection,then compared the two group's infection rates.Results The incidence of infection in the experimental group was 1.25％ (2/160),which was significantly lower than 7.59％ (12/158) in the control group,the difference was statistically significant (x2=7.604,P ＜ 0.01).Conclusions The modified povidone iodine intestinal preparation can prevent postoperative infection of transrectal ultrasound-guided prostate biopsy effectively and can be used in clinical.

Objective To study the treatment of ureterpelvic junction obstruction in adults. Methods 185 adult patients with hydronephrosis were reviewed for etiology,clinical characteristics and outcome of surgery.Etiological factors included 148 cases of ureteropelvic junction stricture,17 cases of high location of the junction,9 cases of ectopic vessels and 11 cases of fiber chords.Of 195 times surgery procedures,Anderson-Hynes pelvioplasty was conducted for 153 cases,chords brisement for 8,uriteropelvic repositioning for 3,ureteroscopic endopyelotomy for 16,and nephrectomy for 15. Results 170 patients were followed-up for 3 months to 5 years.163 patients had fully recovered,cure rate being 96%.7 patients had to undergo operation again for stricture recurrence,in 3 by Anderson-Hynes pelvioplasty and 4 by ureteroscopic endopyelotomy.All the patients with recurrence have been completely cured. Conclusions Anderson-Hynes pelvioplasty is still the first choice of treatment for ureteropelvic junction stricture,and ureteroscopic endopyelotomy for some special conditions.

Objective To investigate women's psychological o utcome and its effect factors before and after hysterectomy. Methods In the clinical prospective study, 83 women were investigated for the ir psychiatric status with BDI, HAMD and SCL-90 questionnaires at the time of a dmission and 3 months after hysterectomy. Results The posto perative scales of BDI, HAMD, and SCL-90 were significantly lower than the preo perative ones. The morbidity of depression was decreased from 33.7% to 10.1%. Th e changes of SCL-90 were varied among different age groups. Before hysterectomy , HAMD scales were related negatively to women's educational level, but positiv ely to chief complaints. However, after hysterectomy, HAMD scales were related p ositively to parity, having other physical diseases, but negatively related to p atient's age. Conclusion Hysterectomy is beneficial to wom en's psychiatric and somatic health. Depression occurring before and after hyst erectomy is seen more often in women younger, having more parity, less-educate d, complaining of dysmenorrhea and/or menorrhagia and having other diseases.

Objective To eukaryotically exp ress B7.1 extracellular domian and investigate its biological activities. Methods Recombinant expression vector pDisplay/B7.1(V+C) wa s transfected into Hela cells by electroporation method. The expression of B7.1( V+C) was identified by immunohistochemistry and in situ hybridization, respectiv ely. In vitro T lymphocyte activation activity was detected by 3H-TdR incoporation method and the aroused cytotoxicity after mixed culture of pDispla y/B7.1(V+C) transfected Hela cell-T cell was observed by MTT method. R esults B7.1(V+C) was expressed successfully on the surface of Hela c ells. The expressed B7.1(V+C) was able to activate T lymphocytes in the pres ence of anti-CD3 monoclonal antibody. Cytotoxicity could be observed when pDisp lay/B7.1(V+C) transfected Hela cells were mixed and co-cultured with T lymphocy tes. Conclusion Eukaryotically expressed B7.1(V+C) main tains its T lymphocyte costimulatory activity, and B7.1(V+C) can be adopted to construct bifunctional molecules for tumor immunotherapy.

Objective To summarize the characteristics of images and clinical diagnosis of bladdernon-epithelial tumors,and to investigate the relationship between the therapeutic methods and prognosis of thedisease. Methods The clinical data of 25 patients (16 males and 9 females,aged between 2 -71 years)with bladder non-epithelial tumors treated in our hospital were retrospectively analyzed.The clinical manifes-tations included hematuria (6 patients),lower abdominal lump (2),frequent urination (14),dysuria (2)and fainting during voiding (1).Ultrasound and CT examinations suggested space-occupying lesions in thebladder in 22 patients and pelvic tumor involving the bladder wall in the other3 patients.Cystoscopy was per-formed in all patients and 17 patients got biopsy. Results Simple tumor resection or partial cystectomywas carried out in 15 patients with benign tumors;the rest 10 patients with malignant tumors underwent par-tial or radical cystectomy. Adjuvant radiotherapy and chemotherapy were performed in malignant tumor pa-tients.Follow-up time was 3 months to 11years.No recurrence was found in benign tumor patients.Nine pa-tients with malignant tumors died in 3 years after operation (mean survival time of 16 months).A patientwith bladder malignant lymphoma survived for6 years.Three recurrences occurred in another bladder leiomy-osarcoma patient who had tumor resection. Conclusions Bladder non-epithelial tumors are relatively rarein clinical.The pathological types of the tumors are complicated,most of them are malignant and the progno-sis is relatively poor.The clinical perception of these tumors is inadequate and misdiagnosis rate is high.Deep-site biopsy under cystoscope can improve the diagnostic rate.Partial or radical cystectomy is the maintherapy for these tumors,and adjuvant radiotherapy and chemotherapy can be used according to the pathologi-cal features, but the effects are uncertain and the prognosis is quite different.

Objective:To observe whether the HPV16L1VLP Hela-cell binding-inhibition experiment can assess the immune-protective activities of HPV16L1 antibody in HPV16 prophylactic vaccine or other fields.Methods:C57BL/6 mice were divided into three groups,including pcDNAL1 plasmid,HPV16L1VLP protein,pcDNA3.1 plasmid.Each group of mice was immunized intramuscularly or subcutaneously with certain above antigens,accompanying three times and interval 3 weeks.After 14 days of 3 rd immunization,take blood to make serum for immunochemistry.Results:Hela cell neutralized by the serum IgG of experimental mice can be stained negatively,while the cells of control and non-inoculation groups can be stained positively (brown-yellow color).Conclusion:HPV16LIVLP Hela-cell binding-inhibition assay may be the better way to reflect the neutralizing-protective activities of HPV16L1 antibody in many fields including HPV16 prophylactic vaccine.

Segregated Kunming mice bearing S180 sarcoma were used as tumor models and treated with rhIL-6. The tumor regressed in most of the treated mice (8/10) in which there was no tumor growth when rechallenged with the same tumor cells, whereas 9/10 of controls died as the tumor progressed. Morphologically, in the treated group, the mice had enlarged spleen (4 times larger than that of control group)with hyperplastic white pulp consisted predominantly of activated lymphocytes. Cytotoxicity of spleen cells from IL-6 treated group to autologous tumor cells was higher than that of control group (907 ?318: 387 ?144, P=0.003) and so did L929 cell line used as target (1145?164: 186?251).We also set in vitro experiment using human PBL and human melanoma and colon carcinoma cell lines (A375,LS174). These cells were treated with IL-6 respectively and the cytotoxicity was assayed. Although PBL stimulated with IL-6 killed the LS174 more efficiently,the higher cytotoxicity to LS174 is because of the increased sensitivty of LS174 to the effector cells .On the contrary,IL-6 showed no effect on the A 375 cell line. It is assumed that this difference might result from the discrepancy of the recognition molecules existed on the cell surface between these two cell lines.