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The influence of age on the treatment of solitary bone cyst by depo-medrol infiltration

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1772-1773. doi:10.3760/cma.j.issn.1008-6706.2009.10.025

Objective To discuss the influence of age factor on the outcome of the treatment of solitary bone cyst by Depo-Medrol infiltration. Methods 24 cases with Solitary Bone Cyst were analyzed. Age ranged from 4 to 23 years old,mean 10.8. Female 9 cases,male 15 cases. Humerus 18 cases,femur 2,tibia and fibula 2,radius and ulna 1, pelvis 1.16 cases(66.6%)Solitary Bone Cyst at proximal,7 cases(29.2%)at distal,1 (4.2%)at medio. 16 cases (66.6%)on the right,8 cases(33.4% )on the left. All cases were treated with Depo-Medrol infiltration. Mean follow up period was 4.5 years; review every case's result by the X-ray and clinical signs and symptoms. Results Group A 8 cases (33.4%) healed, Group B 9 cases (37.5%) healed. There was no significant difference in the healing rate be-tween Group A and B (P=0.653). Conclusions We conclude that the healing rate can not affected by age (P=0.653). In our opinion,the origin of Solitary Bone Cyst is disturbance of bone growth on physis,so we suggest the in-sertion point of inject needles close to the physis and sufficient to touch the physis.

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Observation of the medical treatment an combination of fixation and reparation of root amputation

Miaomiao NIE ; Jun WANG

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1770-1771. doi:10.3760/cma.j.issn.1008-6706.2009.10.024

Objective To discuss endodontic surgery,such as the medical treatment effect of the fixation and reparation of tooth after root amputation and hemisection and prepare and provide medical basis for further application of the treatment. Methods Choosing fifty patients with hemisection or extirpating of root of tooth. After filling out the remaining root of tooth with silver and mercury, then make the operations of cutting tooth or extirpation of root of tooth in the condition of local anesthesia. For two to three months after the operation, on the basis of the remaining root of tooth sad next tooth with some body deformities, to make the operation of the united fixation and reparation. Then con-tinue to observe the treatment effect for two to three months. Results It has a good effective treatment on the united fixation and reparation of the remaining root of tooth united with next tooth with some body deformities after the opera-tions of root amputation and the hemisoction. The patients'chewing strength is strong and it is easy to clean and less to get local anesthesia which is often occurred after the operations. Conclusions Molars remained after hemisection of tooth or root amputation cannot be easily extirpated, so we may consider to made the operations of united fixation and reparation with next tooth. The fixed bridge has fixing and protection functions to the remaining mot of tooth and can improve chewing power.

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Clinical value of high-frequency color doppler ultrasound in diagnosis of common carotid artery vasculopathy of diabetes mellitus

Dongsheng ZHAO

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1766-1767. doi:10.3760/cma.j.issn.1008-6706.2009.10.022

Objective To evaluate the clinical value of high-frequency color doppler ultrasound in diagnosis of common carotid artery vasculopathy of diabetes mellitus. Methods High-frequency color doppler ultrasound was used to detect the intima-media thickness (IMT), inner diameter(CCAD), resistent index (RI) and atherosclerotic plaque of common carotid artery in 40 patients with diabetes, and then compared with 35 normal cases. Results IMT,CCAD and RI as well as incidence of atherosclerotic plaque of common carotid artery in diabetics were signifi-cantly higher than that in the control group(P < 0.05). Conclusion High-frequency color doppler ultrasound can di-rectly show the degree of carotid lesion and atherosclerotic plaque, and is of practical value and a guide in diagnosing atherosclerosis and preventing brain embolism in diabetics.

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Experiences from ultrasonic diagnosis of fetal congenital cordis malformation

Yuhua JIN ; Min WU ; Jian SU ; Zhouzhong GUO

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1765-1766. doi:10.3760/cma.j.issn.1008-6706.2009.10.021

Objective To explore the diagnostic points and promote the checkout rate of fetal congenital cor-dis malformation. Method Analyzed the ultrasonic character by reviewing the fetal congenital cordis malformation from our hospital in recent 2 years. Result 3 cases was inaccuracy in the 28 cases of congenital cordis malformation diagnosed by antepartum. Diagnostic accuracy rate was 89.3%. Conclusion The inaccuracy was reduced greatly by gradual ultrasonic diagnosis by way of four cavity heart and three vas cross section,

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Research of adults frontal bones thickness and analysis its mennning

Xiangping CHANG ; Lekun PAN ; Kangshi CHEN ; Jianzhou GAO ; Yanfeng GUO ; Shuansu NIE

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1762-1763. doi:10.3760/cma.j.issn.1008-6706.2009.10.019

Objective To research the thickness of adults frontal bones in many parts and analyze the mean-ing. Methods We chose 130 dry skulls of the Chinese people including 70 male skulls and 60 female skulls and ver-tically devided the frontal bones according the devidement of the superciliary arch into 4 parts on average. Then we measured the thickness of the frontal squama,the frontal tuber,the forehead and temple,the superciliary arch,the or-bital surface and the frontal sinus using the ruler, vernier caliper and protractor. Results We got the thickness of the frontal squama,the frontal tuber,the forehead and temple,the superciliary arch,the orbital surface and the frontal si-nus and calculated the average datas. What's more,besides the thickness of the frontal tuber,forehead and temple,the superciliary arch had statistical significance(P < 0.05) between males and females, other parts of the frontal bones had no statistical significance(P>0. 05). Conclusion We measured the thickness of the frontal squama,the frontal tu-ber,the forehead and temple,the superciliary arch,the orbital surface and the frontal sinus and the datas will had good guiding roles to our department's work.

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The clinical value of tuberculosis antibody in diagnosis of tuberculosis

Hongjian WANG ; Yuku ZHANG

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1758-1759. doi:10.3760/cma.j.issn.1008-6706.2009.10.017

Objective To evaluate the diagnostic value of tuberculosis antibody. Methods 564 patients re-ceived detection of serum,in which,508 cases suffered from active tuberculosis(TB) and 56 cases suffered from non-active TB. Results 508 cases with active TB received detection AB-Ab in serum, 48 cases were bacteriological smear positive cases, the rate of serum TB-Ab positive cases was 70.8% (34/48), the rate of pleural effusion or ascites TB-Ab positive cases was 44.4% (16/36), the rate of serum TB-Ab positive cases in another 424 cases with bacteriologi-cal smear negative TB was 39.6% (168/424). There was significant difference between active TB group and non-ac-tive TB group(χ2= 22.65, P<0.01). Conclusion It is useful for diagnosis of active TB by detecting TB-Ab. It may be a rapid auxilliary diagnostic way in TB diagnosis.

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Effect of splenectomy on idiopathic thrombocytopenic purpura

Yongzhong SU ; Huijun LI ; Jianying XIE

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1755-1756. doi:10.3760/cma.j.issn.1008-6706.2009.10.015

Objective To investigate the effects of splenctomy on the idiopathic thrombocytopenic purpura (ITP) patients. Methods 9 patients with ITP were involved in the present study,who were performed with splenecto-my because of refractoriness, contraindicatiun and intolerance during corticosteroids therapy. Results The average platelet count of the patients before operation was 35×109/L,while the first,4th and 7th day after operation,the aver-age platelet count was 98×109/L, 179×109/L and 235×109/L. After follow-up for 6 months,there were 7 cases having marked improvement, and the total effective rate was 88.9%. Conclusion Splenectomy is a recommendable method for ITP, expecially for those are inefficient,incompatible and intolerated to continually pharmacotherapy.

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Clinical study of holmium laser lithotrity by percutaneous nephroscope in treatment of 103 cases with renal calculi

Qingjun WANG ; Min LV ; Hai WANG

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1752-1753. doi:10.3760/cma.j.issn.1008-6706.2009.10.013

Objective Discusses the clinical effect of makes the micro fistula after Pi Shenjing the holmium laser lithotrity treatment kidney stone and the complication prevention measure. Method Under the color ultra locali-zatiun puncture,and after making the micro fistual,uacs the wolf sign(WOLF)8/9.8 F ureter hard mirror,apphes the holmium laser stone crusher,the power establishes in 12～20 W,carries on crushed stone parallel conjunction Shi Qianqu the stone. Results This group of 103 examples,the even puncture is successful. The single channel crushed stone takes the stone 97 examples, the double channel takes the stone 6 examples. The complete case main stone is taken out, the pure renal pelvis or the calyx stone takes leads is 96% only, sends, the cast or the antler stone takes on-ly leads is 67%. Surgery time is 90～150 min generally,the special 1 example 7 hours,in the technique the obvious oozing of blood 5 examples,the surgery ended when the serious massive hemorrhage 1 example,changed the opening surgery, the excision trouble kidney,periphery did not have the internal organs damage and the death case. After the technique,is hospitalized the time is 7 ~ 15 d. After the technique,pcor character in vitro seismic wave crushed stone case. Makes a follow-up visit the complete case 2 ~ 6 months, hematuria, frequent micturition, the urine pain and the waist ache symptom vanishes,non-stone recrudescence. Conclusion Micro makes the fistula after Pi Shenjing the liolmium laser lithotrity has the wound to be small,the complication few,restores,unvoiced aspirated consonants to e-liminate the stone rate high quickly, the curative effect accurate and so on merits, is worth the clinical promoted use.

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The expression of JNK and MRP1 in colorectal carcinoma

Ruoming WANG ; Zhen YANG ; Guozhen SENG

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1739-1740. doi:10.3760/cma.j.issn.1008-6706.2009.10.006

Objective To investigate the chnicopathogenical significance of c-jun N-terminal kinase(JNK) and multidrug resistance associated protein 1 (MRP1) expression in colorectal cancer. Methods The expression of JNK and MRP1 was detected in a tissue microarray containing 72 spots of colorectal cancer tissue and 40 spots of nor-mal colorectal tissue by immunohistochemisty. Results The positive expression rate of JNK and MRP1 expression was 47.22% and 51.39% respectively in colorectal cancer,significantly higher than that in normal colon tissue. JNK protein expression was not closely related to gender, age, tumor size and location (P>0.05), but closely related to tumor differentiation,lymph node metastasis,distsnt metastasis and Dukes staging (P<0.05). MRP1 protein expres-sion was not closely related to gender,age,tumor size,location and tumor differentiation(P> 0.05), but closely relat-ed to lymph node metastasis, distant metastasis, Dukes staging (P<0.05). Conclusions The JNK expression in cancer is corrlated with maligant biological behavior and may be involved in the chemotherapeutic resistance by upreg-ulating the expression of MRP1.

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Comparison of upstream versus downstream tirofiban on tissue-level perfusion and troponln release in non-st-segment elevation acute coronary syndrome patients treated with percutaneous coronary Intervention

Changnong PENG ; Juan LONG ; Haijun CHEN ; Zhiyong LIAO ; Xiaoqing WANG ; Juan WANG

Chinese Journal of Primary Medicine and Pharmacy.2009;16(10):1735-1736. doi:10.3760/cma.j.issn.1008-6706.2009.10.004

Objective To compare the effects of upstream versus downstream tirofiban on tissure level perfu-sion and troponin Ⅰ release in high-risk non-ST-segment elevation acute coronary patients treated with percutaneous coronary intervention. Methods We randomized 138 non-ST-segment elevation acute coronary syndrome patients un-dergoing PCI to receive upstream(in the coronary care unit) and downstream(just prior to PCI) tirofiban. We com-pared the effects between the two drug regimens on tissue-level peffusion using Thrombolysis In Mycardial Infarction (TIMI) fram count,the TIMI myocardial perfusion grade(TMPG) and cardiac tropinin Ⅰ (cTn Ⅰ) release before and after PCI. Results There was no significant difference between two groups in TIMI 3 flow(P>0.05). High percent-age of TMPG 3 perfusion were observed in upstream tirofiban group than in downstream tirofiban group (P < 0.05). Post-procedual cTnI elevation was significantly less frequent among patients in the upstream group (P < 0.05). The cTnI level after PCI was significantly lower with upstream tirofiban compared with downstream tirofiban group (P<0.05). Conclusion Among high-risk non-ST-segment elevation ACS patients treated with an early invasive strategy, upstream tirofiban is associated with improved tissue-level perfusion and attenuated myocardial damage.

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