Objective To explore the effects of single-port video-assisted thoracic surgery versus three-port videoassisted thoracic surgery for primary spontaneous pneumothorax.Methods Video-assisted thoracic surgery was performed for primary spontaneous pneumothorax in 58 patients from April 2012 to April 2013.We reviewed the medical records of these 58 patients,retrospectively.Thirty patients underwent the three-port video-assisted thoracic surgery (three-port group) and 28 patients underwent the single-port video-assisted thoracic surgery (single-port group).Following the operation,clinical outcomes,complications and overall survival were evaluated.Results There was no difference in patient characteristics between two groups.Compared with three-port videoassisted thoracic surgery,single-port video-assisted thoracic surgery had shorter hospital stay,shorter chest tube drainage,lower visual analog scale score score of 6 h postoperative pain and visual analog scale score score of 24 h postoperative pain.Meanwhile,there were no statistical differences between both groups in intraoperative bleeding,overall survival and progression-free survival.Conclusions Single-port video-assisted thoracic surgery can reduce the postoperative pain and get better clinical outcomes in treatment of primary spontaneous pneumothorax.

Traditional Chinese medicine (TCM) has been used to prevent disease for thousands of years. However, the actual value of TCM has not been recognized adequately due to the lack of scientific approaches to its study . Fortunately, metabolomics becomes practically available and consists with the holistic thinking of TCM. The metabolomics can serve as a new strategy for evaluating the efficacy of TCM . This review summarized applications of metabolomics in special TCM field with an emphasis on biomarker discovery.

Objective To determine the content of two original constituents of Liuwei Dihuang Wan migrating to blood. Methods HPLC- fingerprint of the preparation and drug- containing serum fingerprint were established by RP- HPLC. Based on the fingerprints, the original constituents migrating to blood were identified and determined by comparing with the standard. Results Loganin and paeonol were identified as the original constituents migrating to blood; the loganin content was 0.93? 0.01 mg/g and the paeonol was 0.37? 0.01 mg/g. Conclusion Using the constituent content migrating to blood as the parameter, this method will provide scientific evidence for improving the quality control of Liuwei Dihuang Wan. 

Objective To investigate the effects of hyaluronan (HA) and hyaluronidase (HAse) on the formation of hypertrophic scar in rabbit ear after injury. Methods Wound healing models were established on 18 adult rabbit ears, which were randomly divided into the HA treated group (Group A), the HAse treated group (Group B), the PBS treated group (Group C). The process of wound healing was observed grossly and histologically. The variation of the contents of hydroxyproline(HPr) at the stage of wound healing and post healing was measured. The relative height of scars were measured under microscope at the peaks of scar formation. Results ①The mean values of wound healing time of Group A, B and C was 11.7?0.6, 9.8?0.9, 10.8?1.0 days respectively. ②Compared with PBS controls and HAse treated group, the collagon fiber was slender and arranged in normal order in HA treated wound at early stage of wound healing. But there were no difference among them at the stage of scar formation. ③The contents of HPr were statistically lower in HA treated group than in controls at the stage of wound healing, but no difference at the stage of scar formation.The HPr contents in HAse treated group were higher than the others all the way. ④ The mean values of relative thickness of Group A, B and C were 1.55?0.35,1.89?0.39,1.59?0.29 respectively. Conclusion ①Exogenous HA on the wound surface can not affect the scar tissue proliferation;② HAse promotes the proliferation.

Objective: The effect of separation rates on the quality and shelf life of TCM in the process of alcohol precipitation was discussed. Methods: According to the sedimentation rate, controlling process was chosen for different doses of medicine. Results: In the process of alcohol sedimentation, different centrifugal coefficient was needed with the variation of conditions, such as temperature, concentration of alcohol and centrifugal coefficient, etc. Conclusion: The control parameters of the process of alcohol precipitation affect the efficacy and shelf life directly in the processing of TCM production.

Objective To observe the effect of the Chinese medicine steam therapy on activity of daily life(ADL)of subjects with knee osteoarthritis.Methods68 subjects with knee osteoarthritis were divided into two groups:34 subjects in Chinese medicine steam group(treated with Chinese medicine steam and physical therapy),and 34 subjects in physical therapy(with microwave and magnetism with caloric)group.The clinical feature and ADL of all the subjects were evaluated with Lequesne index of severity and activity for osteoarthritis before and after the treatment.After 0.5 year,they were followed up,the recurrence rate were compared.ResultsAll the subjects improved in clinical feature and ADL after the treatment(P<0.05),but the Chinese medicine steam group improved greater in the ADL than the other group(P<0.05).After 0.5 year,the recurrence rate of the Chinese medicine steam group is lower than that of the other group(P<0.05).ConclusionIn addition with the Chinese medicine steam is more effective on improving ADL and recurrence.

Objective To compare the clinical effectiveness of ozone (O_3) nucleus pulposus ablation only with that of 03 nucleus pulposus ablation combined with intervertebral facet joint injection of compound Betamethasome in treating lumbar disk herniation accompanied with intervertebral facet arthritis. Methods Eighty patients with lumbar disk herniation and intervertebral facet arthritis were equally and randomly divided into two groups. Under CT guidance, O_3 nucleus pulposus ablation was performed in patients of group A(n = 40), while O_3 nucleus pulposus ablation combined with intervertebral facet joint injection of compound Betamethasome (0.5 ～ 1 ml) was carried out in patients of group B (n = 40). Using double blind method the therapeutic effectiveness was evaluated before and 1 week, 3, 6-months after the procedure by an Oswestry Low Back Pain Disability Questionnaire. Results One week after the procedure the effective rate of group A and group B was 65% and 82.5% respectively. Three and six months after the treatment, the effective rate was 75% and 70% respectively for group A, while it was 90% and 92.5% respectively for group B. The difference between two groups was significant (P < 0.05). Conclusion lntradiscal injection of O_3 combined with intervertebral facet joint injection of compound Betamethasome is an effective and safe treatment for lumbar disk herniation accompanied with intervertebral facet arthritis. It is worth popularizing this technique in clinical practice.

Chinmedomics is a newly emerging discipline in recent years,integrating the theory and technology of system biology and serum pharmacochemistry of traditional Chinese medicine (TCM).It has formed and established the evaluation system for identifying the syndrome biomarkers and evaluating the effectiveness of prescriptions,and discovering the efficacy substances.The theory and method of chinmedomics is beneficial to establishing a Chinese-style precision medicine,and also helping further enhance the original innovation ability of TCM research and development.

OBJECTIVE:To explore the repairing effect and mechanism of Huazhuo jiedu yukui formula on the mucosal dam-age of rats with ulcerative colitis (UC). METHODS:72 rats were randomly divided into blank group,model group,mesalamine group(positive control,0.3 g/kg),Huazhuo jiedu yukui formula low-dose,medium-dose,high-dose groups(5,10,20 g/kg),12 in each group. Except for blank group,other groups were induced UC model. After 4 d of modeling,rats in administration groups received related medicines,ig,blank group and model group received normal saline,ig,once a day,for 2 weeks. After administra-tion,disease activity index(DAI)and mucosal damage index(CMDI)of rats were observed;IL-8,TNF-α contents in serum and cyclooxygenase 2 (COX-2) expression in colon tissue were detected. RESULTS:Compared with blank group,DAI and CMDI scores in model group were increased;IL-8,TNF-α contents in serum were increased;COX-2 expression in colon tissue was en-hanced,with statistical significances (P<0.05). Compared with model group,DAI and CMDI scores in model group were de-creased;IL-8,TNF-α contents in serum were reduced;COX-2 expression in colon tissue was weakened,with statistical signifi-cances (P<0.05). Compared with mesalamine group, the above-mentioned indicators in Huazhuo jiedu yukui formula medi-um-dose,high-dose groups changed more obviously (P<0.05),and effects of Huazhuo jiedu yukui formula showed significant dose-effect relationship. CONCLUSIONS:Huazhuo jiedu yukui formula can improve disease activity status of UC rats and reduce colon mucosal damage,and the effects of medium-dose and high-dose Huazhuo jiedu yukui formula were better than mesalamine, which may be related to reducing inflammatory reaction and inhibiting COX-2 expression in colon tissue.

60?Gy is able to effect a good loco-regional control as well as a good result.