Primary myelofibrosis(PMF) is a clonal hematopoietic stem cell disorder. It is characterized by bone marrow fibrosis, extramedullary hematopoiesis with hepatosplenomegaly and leukoerythroblastosis in the peripheral bl...Primary myelofibrosis(PMF) is a clonal hematopoietic stem cell disorder. It is characterized by bone marrow fibrosis, extramedullary hematopoiesis with hepatosplenomegaly and leukoerythroblastosis in the peripheral blood. The main clinical manifestations of PMF are anemia, bleeding, hepatosplenomegaly, fatigue, and fever. Here we report a rare case of PMF with anemia, small bowel obstruction and ascites due to extramedullary hematopoiesis and portal hypertension. The diagnosis was difficult to establish before surgery and the differential diagnosis is discussed.展开更多
The 100 patients with fallopian tube obstruction were firstly treated by catheter recanaliza-tion, and then randomiy divided into two groups : Chinese medicine group (CMG) was treated with Tongjing-bao (痛经宝) and An...The 100 patients with fallopian tube obstruction were firstly treated by catheter recanaliza-tion, and then randomiy divided into two groups : Chinese medicine group (CMG) was treated with Tongjing-bao (痛经宝) and Angelicae Complex Injection, and Western medicine group (WMG) as the control wastreated with gentamycin, dexamethasone and Cliotrypsin. The course of the treatment was three months andliemorlieology change was analysed before and atter the treatment. After the above treatment , hystero salp-ingography was again performed on all patients except those with subsequent pregnancy . The results showedtliat the effective rate of catheter recanalization was 94% , and the pregnancy rate was 30% in CMG and16% in WMG (P<0. 05) . The reocclusion rate of fallopian tube was 9. 3% in CMG and 29. 9% in WMG (P<0. 05) . The difference of hemorheology change was significant between the two groups (P< 0. 01 ) andbetween betore and atter treatment in CMG (P< 0 . 01 ) . This study showed that catheter recanalization waseffective in mechanically recanalizing the occluded tallopian tube and that the Chinese medicine used in thetreatment effective in lowing tlie concentration of blood and thus inhibiting the reocclusion and re-adhesion ofthe fallopian tube.展开更多
AIM: To evaluate the efficacy of botulinum toxin type A injection to the puborectalis and external sphincter muscle in the treatment of patients with anismus unresponsive to simple biofeedback training.
Enterolithiasis or formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis in the presence of the intestinal diverticula, surgical enteroanastomoses...Enterolithiasis or formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis in the presence of the intestinal diverticula, surgical enteroanastomoses, blind pouches, afferent loops, incarcerated hernias, small intestinal tumors, intestinal kinking from intra-abdominal adhesions, and stenosing or stricturing Crohn’s disease and intestinal tuberculosis. Enterolithiasis is classified into primary and secondary types. Its prevalence ranges from 0.3% to 10% in selected populations. Proximal primary enteroliths are composed of choleic acid salts and distal enteroliths are calcified. Clinical presentation includes abdominal pains, distention, nausea, and vomiting of occasionally sudden but often fluctuating subacute nature which occurs as a result of the enterolith tumbling through the bowel lumen. Thorough history and physical exam coupled with radiologic imaging helps establish a diagnosis in a patient at risk. Complications include bowel obstruction, direct pressure injury to the intestinal mucosa, intestinal gangrene, intussusceptions, afferent loop syndrome, diverticulitis, iron deficiency anemia, gastrointestinal hemorrhage, and perforation. Mortality of primary enterolithiasis may reach 3% and secondary enterolithiasis 8%. Risk factors include poorly conditioned patients with significant obstruction and delay in diagnosis. Treatment relies on timely recognition of the disease and endoscopic or surgical intervention. With advents in new technology, improved outcome is expected for patients with enterolithiasis.展开更多
基金Supported by National Natural Science Foundation of China,No.81272640Guangdong Science and Technology Program,No.2010B031200008 and No.2012B031800043
文摘Primary myelofibrosis(PMF) is a clonal hematopoietic stem cell disorder. It is characterized by bone marrow fibrosis, extramedullary hematopoiesis with hepatosplenomegaly and leukoerythroblastosis in the peripheral blood. The main clinical manifestations of PMF are anemia, bleeding, hepatosplenomegaly, fatigue, and fever. Here we report a rare case of PMF with anemia, small bowel obstruction and ascites due to extramedullary hematopoiesis and portal hypertension. The diagnosis was difficult to establish before surgery and the differential diagnosis is discussed.
文摘The 100 patients with fallopian tube obstruction were firstly treated by catheter recanaliza-tion, and then randomiy divided into two groups : Chinese medicine group (CMG) was treated with Tongjing-bao (痛经宝) and Angelicae Complex Injection, and Western medicine group (WMG) as the control wastreated with gentamycin, dexamethasone and Cliotrypsin. The course of the treatment was three months andliemorlieology change was analysed before and atter the treatment. After the above treatment , hystero salp-ingography was again performed on all patients except those with subsequent pregnancy . The results showedtliat the effective rate of catheter recanalization was 94% , and the pregnancy rate was 30% in CMG and16% in WMG (P<0. 05) . The reocclusion rate of fallopian tube was 9. 3% in CMG and 29. 9% in WMG (P<0. 05) . The difference of hemorheology change was significant between the two groups (P< 0. 01 ) andbetween betore and atter treatment in CMG (P< 0 . 01 ) . This study showed that catheter recanalization waseffective in mechanically recanalizing the occluded tallopian tube and that the Chinese medicine used in thetreatment effective in lowing tlie concentration of blood and thus inhibiting the reocclusion and re-adhesion ofthe fallopian tube.
基金Supported by Foundation of Science and Technology Plan Projects of Shenyang,No.P112238
文摘AIM: To evaluate the efficacy of botulinum toxin type A injection to the puborectalis and external sphincter muscle in the treatment of patients with anismus unresponsive to simple biofeedback training.
基金Supported by A grant of the Korea Health Technology RD Project through the Korea Health Industry Development Institute,funded by the Ministry of Health and Fare,Republic of Korea,No.HI13C-1602-010013a grant of the Gachon University Gil Medical Center,No.2013-01 and 2013-37
文摘AIM: To identify risk factors for surgical failure after colonic stenting as a bridge to surgery in left-sided malignant colonic obstruction.
文摘Enterolithiasis or formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis in the presence of the intestinal diverticula, surgical enteroanastomoses, blind pouches, afferent loops, incarcerated hernias, small intestinal tumors, intestinal kinking from intra-abdominal adhesions, and stenosing or stricturing Crohn’s disease and intestinal tuberculosis. Enterolithiasis is classified into primary and secondary types. Its prevalence ranges from 0.3% to 10% in selected populations. Proximal primary enteroliths are composed of choleic acid salts and distal enteroliths are calcified. Clinical presentation includes abdominal pains, distention, nausea, and vomiting of occasionally sudden but often fluctuating subacute nature which occurs as a result of the enterolith tumbling through the bowel lumen. Thorough history and physical exam coupled with radiologic imaging helps establish a diagnosis in a patient at risk. Complications include bowel obstruction, direct pressure injury to the intestinal mucosa, intestinal gangrene, intussusceptions, afferent loop syndrome, diverticulitis, iron deficiency anemia, gastrointestinal hemorrhage, and perforation. Mortality of primary enterolithiasis may reach 3% and secondary enterolithiasis 8%. Risk factors include poorly conditioned patients with significant obstruction and delay in diagnosis. Treatment relies on timely recognition of the disease and endoscopic or surgical intervention. With advents in new technology, improved outcome is expected for patients with enterolithiasis.
