1.Anatomical study about the feasibility of cervical vertebral lamina screws
Wei ZHANG ; Xiaoling FU ; Kai WU ; Weigao CHEN ; Qing WU
Chongqing Medicine 2014;(6):681-683
Objective To investigate the feasibility of the lower cervical spine (C3 -C7 ) laminar screw technique for fixing adult posterior cervical spine .Methods We chose 9 formalin fixed moist adult cervical specimens ,which consist of male 6 and female 3 of the age 38 to 63 years old .The average age is 51 .9 years old and the average height is 165 .6 cm .Then we measured the thickness and heightof C3 -C7 lamina ,the lamina length of L1 ,L2 ,and the lamina of axis and the sagittal plane angle .Results The thickness and height of C3 -C7 lamina ,and the lamina length of L1 and L2 of adult male is bigger than adult women .There was statistical sig-nificance between the thickness ,height ,lamina length difference of different genders lamina (P<0 .05) ,but no significant difference between the left and the right (P> 0 .05) .The average lamina thickness of C2 ,C3 ,C4 ,C5 ,C6 ,C7 were respectively 4 .70 ,3 .87 , 3 .30 ,3 .84 and 5 .16 mm .The lamina thickness which was more than 4 .00 mm accounted for 54 .4% .The lamina thickness of C3 , C4 ,C6 ,C7 which was more than 4 .00 mm accounted respectively for 77 .8% ,61 .1% ,33 .3% ,and 88 .9% .Conclusion Crossing laminar screws in cervical spine is feasible in anatomy .The operation can make under direct vision ,and can accurately estimate the screw path length and entry angle .Patients with anatomic abnormalities can be used as an alternative fixation technique or as fixed in the fixed mode fails .So the results can provide a reference for clinical application .
2.The event-related potentials study on attentional deployment in alexithymia
Wu QING ; Fengqiong YU ; Daomin ZHU ; Chunyan ZHU ; Lei ZHANG ; Liling GAO ; Kai WANG
Chinese Journal of Behavioral Medicine and Brain Science 2015;24(11):1012-1014
Objective To study the attentional deployment strategy of emotion regulation and its processing mechanisms in alexithymia.Methods 21 alexithymia subjects and 22 normal subjects completed attentional deployment task.The reaction time(RT) and accuracy were recorded automatically and the event-related potentials (ERPs) were recorded by neuroscan system.Results ①From the behavioral results,the differences of RT and accuracy to neutral pictures ((1840.17±204.44) ms vs (1845.17±252.97) ms;(0.859±0.073) vs (0.884±0.068)) and negative pictures ((1888.94±200.09) ms vs(1890.38±263.72) ms);(0.845±0.088) vs (0.845±0.091)) in calculation task between two groups were not statistically significant(all P>0.05).The differences of RT and accuracy in emotion task were not statistically significant(P>0.05).②In RT and accuracy,the task main effects were statistically significant(F(1,42) =637.40,P<0.01;F(1,42)=15.00,P<0.01),the emotion main effects were statistically significant (F(1,42)=30.23,P<0.001;F(i,42)=47.87,P<0.01),the interaction effects of task and emotion were statistically significant(F(2,41) =5.20,P<0.05;F(2,41)=6.01,P<0.05).③The differences between two groups in P3 amplitude induced by neutral pictures and negative pictures in calculation task were not statistically significant(P>0.05).P3 amplitude induced by negative pictures were siguificantly greater than those induced by neutral pictures in emotion task((-0.138±0.463) μV vs (0.789±0.541) μV).Conclusion The attentional deployment can effectively regulate the negative pictures processing and occur in the late stage of the picture processing.No attentional deployment defects in alexithymia.
3.Effects of Different Anti-rejection Regimens on Liver Function in Renal Transplant Recipients
Qing LI ; Guoqiong LUO ; Kai TANG ; Airong YU ; Xiaochun WU ; Huawen XIN ;
Chinese Journal of Pharmacoepidemiology 2006;0(04):-
Objective:To study the effects of cyclosporine A coadministrated with azathioprine,mycophenolate, mizorihine,rapamycin and/or prednisone on liver function in renal transplant recipients.Method:The drug history records of 600 renal transplant recipients in 1995 to 2005 were retrospectively investigated.Biochemical indexes before and after the treatment with cyclosporine A coadministrated with other immunosuppressants were analyzed.Result:The liver damage was found in 109 cases(18.2%)among 600 cases.The blood concentrations of cyclosporine A in the group with abnormal liver functions were significantly higher than those in the group with normal liver functions(P
4.Effect of tetrandrine eye drops on expression of apoptotic protein and transforming growth factor-β2 in human Tenon capsule fibroblast in vitro
Dai, LI ; Ming, SUN ; Qing-chun, LI ; Shao-chun, LIN ; Kai-li, WU
Chinese Journal of Experimental Ophthalmology 2012;30(3):218-222
BackgroundOur previous study determined that tetrandrine (Tet) has an inhibitory effect on the proliferation of human Tenon capsule fibroblasts ( TCFs ) in vitro,but its mechanism is poorly understood.ObjectiveThis study was to investigate the effect mechanism of Tet on human TCFs.MethodsHuman TCFs were isolated and cultured from scleral tissue of donor using explant technique.The cells were identified by vimentin antibody staining and morphology.The third generation of cells were seeded in the culture plate at the density of 1 × 105 cells/ml.Twenty-four hours after inoculation,the Tet of 1 × 10-5 mol/L was added in the well of culture plate,and the cells cultured only in 1640 medium served as the control group.The apoptosis of the cells was assessed by TUNEL,and the expressions of bax,bel-2,transforming growth factor-β2 (TGF-β2 ) in TCFs were detected using immunochemistry.Results The cultured cells showed the features of the fibroblasts in shape with the positive response for vimentin.A number of TUNEL positive cells were seen in Tet group and no TUNEL positive response was found in control group.The expression levels (A value) of bax,bcl-2 and TGF-~ protein in TCFs were 0.577 ± 0.009,0.430±0.012 and 0.341 ±0.017 in Tet group,and those in control group were 0.320±0.015,0.819±0.021 and 0.624±0.014 respectively,showing statistically significant differences between two groups( t =33.277,-35.356,-28.093,P<0.01 ).Conclusions Tet suppresses the proliferation of human TCFs through up-regulating the expression of bax and down-regulating the expressions of bcl-2 and TGF-β2 in vitro.
5.Malignant paraganglioma originating from the kidney: a case report and literature review.
Wu-sheng WU ; Shao-lin LI ; Kai-bin HUANG ; Qing-zhu WEI
Journal of Southern Medical University 2011;31(7):1111-1113
Paraganglioma is a rare neuroendocrine tumor arising from the undifferentiated cells of the primitive neural crest. We report a case of malignant paraganglioma originating from the left kidney. The 55-year-old female patient was admitted for intractable cough for a month and the presence of a solid mass in the left lung detected by computer tomography (CT). Sonography revealed a mass in the left kidney after admission. Complete surgical resection of the tumor was performed and the diagnosis of malignant paraganglioma originating from the left kidney was established pathologically. During the follow-up for 12 months, the patient showed a good general condition and sonography revealed no evidence of recurrence. Based on these findings, we discussed the diagnosis of this disease using medical imaging modalities.
Female
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Humans
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Kidney Neoplasms
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diagnostic imaging
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pathology
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surgery
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Lung Neoplasms
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diagnostic imaging
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secondary
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Middle Aged
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Paraganglioma
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pathology
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secondary
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surgery
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Radiography
6.Diagnostic value of 3D-indirect magnetic resonance arthrography in detecting meniscal tears of the knees.
Liao WANG ; Ru-Qing YE ; Kai JIANG ; Yuan-Hua WU ; Sheng-Zan WU ; Sheng-De DENG ; Jian-Hua WANG
China Journal of Orthopaedics and Traumatology 2015;28(3):282-285
OBJECTIVETo explore the diagnostic value of 3D-indirectmagnetic resonance (MR) arthrography in detecting meniscustears of the knees.
METHODSForm January 2013 to January 2014, routine plain MR of the knees followed by the 3D-indirect MR arthrography was performed in 42 patients with suspected meniscal tears clinically. There were 31 males and 11 females, with an average age of 38.4 years old (ranged, 21 to 67 years old). The duration of the course ranged from 2 h to 15 d. The clinical symptom was knee pain. All the patients got subsequently arthroscopic examination or operation. The sensitivity and specificity of routine plain MR and 3D-indirect MR arthrography were compared based on the results of arthroscopic examination or operation.
RESULTSThe signal intensity in the area of meniscal tears on image of 3D-indirect MR arthrography was obviously higher than that of routine plain MR. The sensitivity of 3D-indirect MR arthrography was 85.79% (87/102), while the routine plain MR was 52.94% (54/102), and the specificity improved from 67.78%(61/90) to 86.67%(78/90). The difference was statistically significant (χ2 = 25.90, P < 0.01; χ2 = 9.13, P < 0.01).
CONCLUSIONIn comparison with the routine plain MR findings, 3D-indirect MR arthrography demonstrates meniscus tears of the knee with the better sensitivity and specificity.
Adult ; Aged ; Arthrography ; methods ; Female ; Humans ; Imaging, Three-Dimensional ; methods ; Knee Injuries ; diagnosis ; Magnetic Resonance Imaging ; methods ; Male ; Middle Aged ; Tibial Meniscus Injuries
7.MRI ainalysis of the pseudo-tears of the lateral meniscus of the knee and its clinical significance.
Liao WANG ; Kai JIANG ; Ke CHENG ; Ru-qing YE ; Yuan-hua WU ; Sheng-de DENG ; Jian-hua WANG
China Journal of Orthopaedics and Traumatology 2015;28(7):669-672
OBJECTIVETo determine the mechanism of pseudo-tears of the lateral meniscus caused by the transverse geniculate ligament (TL) and the miniscofemoral ligament(MFL) and to investigate a method to differentiate pseudo-tears from true tear of the lateral meniscus.
METHODSForm June 2012 to February 2014, MR examinations of 72 knees (44 left knees and 28 right knees) without tear of the lateral meniscus verified by arthroscopy were performed in the sagittal and coronal plane. There were 41 males and 31 females in the group, with an average age of 33.7 years old (ranged from 25 to 61). The MR appearance of the TL and the MFL was carefully observed.
RESULTSThere existed fatty tissue in the gap between the TL and the anterior horn of the lateral meniscus and its central tendinous attachment. On the sagittal images, the fatty tissue formed a linear high-signal cleft between the TL and the anterior horn of the lateral meniscus. This might be mistaken as an oblique tear within the anterior horn of the lateral meniscus. It was called as pseudo-tears of the anterior horn of the lateral meniscus. In sagittal plane, the MFL was identified as a circle-like or short stick-like area of low signal intensity anterior or posterior to the posterior cruciateligament. Nevertheless, a belt-shaped area of low signal intensity from the posterior horn of the lateral meniscus to lateral facet of the medial femoral condyle was identified in the coronal plane. A linear area of high signal intensity between the MFL and the lateral meniscus was found in sagittal plane, which might be mistaken as an oblique tear within the posterior horn of the lateral meniscus. It was called pseudo-tears of the posterior horn of the lateral meniscus. The occurrence rate of the TL was 34.7% (25/72). The prevaleribe of pseudo-tears of the anterior horn of the lateral meniscus was 18 cases. The shape of the anterior horn of the lateral meniscus was regular, and the course of the pseudo-tears cleft was oblique. The occurrence rate of the MFL was 73.6% (53/72), which included the anterior MFL 23.6% (17/72), the posterior MFL 70.8% (51/72) and the two ligaments coexisted 16.7% (12/72). The prevalence of pseudo-tears of the posterior horn of the lateral meniscus was 25 cases. All observed pseudo-tears had either in posteroinferiorly oblique direction (19/25) or in vertical direction (6/25).
CONCLUSIONBased on the location and direction of pseudo-tears and observation in the continuous sagittal plane and the coronal plane, pseudo-tears is easily differentiated from the true tear of the lateral meniscus
Adult ; Female ; Humans ; Knee Injuries ; diagnostic imaging ; surgery ; Knee Joint ; diagnostic imaging ; surgery ; Magnetic Resonance Imaging ; Male ; Menisci, Tibial ; diagnostic imaging ; surgery ; Middle Aged ; Radiography ; Tibial Meniscus Injuries
8.Percutaneous vertebroplasty in treatment of compression fracture of thoracic and lumbar vertebrae
Kai ZHANG ; Fan HE ; Zeng-Hui WU ; Qing-Shui YIN ; Hong XIA ; Ri QUAN ; Yunbing CHANG ; Shun-hai CAO
Chinese Journal of Trauma 1993;0(06):-
Objective To discuss the value and experience of the percutaneous vertebroplasty (PVP)in the treatment of vertebral body compression fracture(VCF)in aged osteoperosis.Methods PVP was performed in 44 cases with VCF including 28 with single vertebral compressed fracture,12 with double compressed fracture and four with triple compressed fracture,with 67 vertebrae,for clinical and radiologieal evaluation.Results The mean follow-up was 15 months(4-23 months).There could be seen immediate relief of pain in 40 cases,out-of-bed activities at operation day in 19 and out-of-bed activ- ities at second day after operation in 25.Postoperative X-ray showed uniformly distributed bone cement in the vertebral,without leakage.Conclusion PVP is a recommendable method for VCF,for it has ad- vantages of pain relief,vertebrae stabilization,minimal invasion and minor complications.
9.Applied study on optimizing therapeutic regimen of gastric cancer with the chemosensitivity test in vitro by MTT assay
Cui-Qing ZHANG ; Dong-Ping TANG ; Chuan-Min ZHANG ; Kai TANG ; Nan-Wu YANG ; Hai-Ping HE ;
Cancer Research and Clinic 2006;0(10):-
0.05. Conclusion The tumour chemosensitivity test in vitro gave some prediction and guidances for the clinic chemotherapy,and it could discover the drug resisting cases.The combined chemotherapy should be selected for gastric carcino- ma patients.
10.Treatment of traumatic intervertebrae disk herniation in cervical thoracic junction through transforminal approach.
Jian-hua WANG ; Qing-shui YIN ; Hong XIA ; Zeng-hui WU ; Xiang-yang MA ; Kai ZHANG ; Fu-zhi AI
China Journal of Orthopaedics and Traumatology 2009;22(8):573-575
OBJECTIVETo investigate the treatment for traumatic intervertebrae disk herniation in cervical thoracic junction.
METHODSFrom 2003 to 2008, there were 10 patients with trautimatic intervertebral disk herniation in cervical thoracic junction, which included 6 males and 4 females, aged from 23 to 66 years (means 41.5 years). All of them were performed through the transforminal approach combined with internal fixation. After operation all patient underwent hyperbaric oxygen treatment. The function of spine was evaluated by JOA score system.
RESULTSAll patients were followed up for 8 to 16 months(means 13 months). All patients got recovery of spine function to some extent except one case with complete spine damaged. The JOA scores was improved from (8 +/- 3) before operation to (15 +/- 2) after operation.
CONCLUSIONEarly and effective treatment by transforminal operation could be helpful for the recovery of spine function.
Adult ; Aged ; Cervical Vertebrae ; injuries ; surgery ; Female ; Fracture Fixation, Internal ; methods ; Humans ; Intervertebral Disc Displacement ; surgery ; Male ; Middle Aged ; Thoracic Vertebrae ; injuries ; surgery