Objective To present the clinical experience in treating thymomas and thymomas with myasthenia gravis (MG). Methods Between 1975 to 1997,285 patients with thymoma were surgically treated. 168 cases of thymus tumor (TT...Objective To present the clinical experience in treating thymomas and thymomas with myasthenia gravis (MG). Methods Between 1975 to 1997,285 patients with thymoma were surgically treated. 168 cases of thymus tumor (TT,Group Ⅰ ) were compared to 90 cases of thymus tumor with myasthenia gravis (TTMG, Group Ⅱ ). Results In group Ⅰ , the average age was 38. 4 years, the youngest was 4 years old. In 93. 4%, the diameter of tumors was 5 cm. 61. 2% were in stages Ⅲ and Ⅳ of clinical pathology. In group Ⅱ ,the average age was 46.2 with the youngest of 20 years old,the diameter of tumor under 3 cm and 5 cm was 34.6 % and 65.6 % . 55.2 % was in stage Ⅰ of clinical pathology. Conclusion Many cases of thymoma in early stage received early treatment. The diagnostic standard of thymoma in early stage is: (1) the diameter of tumor is below 3 cm. (2) In stage I of clinical pathology. The clinical characteristics of TTMG are: short history, the rapid progress, serious MG symptoms,and the high incidence of thymus-展开更多
Objective To investigate the vascular endothelial growth factor(VEGF)expression level by chondrocytes isolated from patients with osteoarthritis (OA) in hip or femoral neck fracture (FNF) and explore the effect of syn...Objective To investigate the vascular endothelial growth factor(VEGF)expression level by chondrocytes isolated from patients with osteoarthritis (OA) in hip or femoral neck fracture (FNF) and explore the effect of synovial fluid from OA展开更多
Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by t...Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by testing the changes of vascular endothelial cell(CEC) ,nitric oxide(NO) and endothelin-1 (ET-1) in children with congenital heart disease. Methods Sixty patients展开更多
Objective To analyze the clinical features of the multiple trauma patients combined with spine and spinal cord injuries.Methods A retrospective study was performed in143multiple trauma patients combined with spine and...Objective To analyze the clinical features of the multiple trauma patients combined with spine and spinal cord injuries.Methods A retrospective study was performed in143multiple trauma patients combined with spine and spinal展开更多
Objective To discuss the feasibility and safety of retroperitoneal laparoscopic nephrectomy for treatment of kidney tuberculosis. Methods From March 2005 to February 2009,28 patients with kidney tuberculosis underwent...Objective To discuss the feasibility and safety of retroperitoneal laparoscopic nephrectomy for treatment of kidney tuberculosis. Methods From March 2005 to February 2009,28 patients with kidney tuberculosis underwent retroperitoneal laparoscopic nephrectomy. The patients’ data were reviewed and analyzed. Results展开更多
Objective To study the prevention, diagnosis and treatment of biliary complications after liver transplantation. Methods One hundred and twenty-three recipients who had received liver transplantation between April 199...Objective To study the prevention, diagnosis and treatment of biliary complications after liver transplantation. Methods One hundred and twenty-three recipients who had received liver transplantation between April 1993 and November 2001 were retrospectively reviewed. Results Biliary complication was diagnosed cholangiographyically in 11 patients. Nine patients were cured, 1 patient was unproved and 1 patient died. The incidence for biliary complications was 8.9% (11/123),and the mortality was 0.8% (1/123). The incidence of biliary complicatins due to T tube was 4.2% (5/ 119). The incidence of biliary complications due to hepatic artery was 1. 6% (2/123). In recipients with WIT】3 min and CIT】8 h, the incidence of biliary complications elevated significantly. Conclusion The most important reason for biliary complications was preservative and ischemic injury. While repairing donor liver, damage to the blood supply system of donor liver bile ducts should be avoided. Meticulous T tube placement may reduce展开更多
Objective To explore a simple and effective way of establishing a 30 % small - for-size liver transplantation in rats. Methods SD rats were selected as donors and recipients. Smallfor - size orthotopic live transplant...Objective To explore a simple and effective way of establishing a 30 % small - for-size liver transplantation in rats. Methods SD rats were selected as donors and recipients. Smallfor - size orthotopic live transplantation was performed using Kamada’s two - cuff method.展开更多
Objective To explore related factors between nosocomial infection and fracture inpatients. Methods The clinical data of 1506 fracture inpatients was retrospectively analyzed. Results A total of 51 cases were infected ...Objective To explore related factors between nosocomial infection and fracture inpatients. Methods The clinical data of 1506 fracture inpatients was retrospectively analyzed. Results A total of 51 cases were infected with a rate of 3. 39% . The main infectious area was surgical incision,accounting for 50. 98% ,and urinary展开更多
Objective In the patients with spastic cerebral palsy, deformities such as club foot, inversion foot and scissor gait often arise form the imbalance in the adductors muscle group of the thigh and leg and their antagon...Objective In the patients with spastic cerebral palsy, deformities such as club foot, inversion foot and scissor gait often arise form the imbalance in the adductors muscle group of the thigh and leg and their antagonistic muscle groups. The incerased muscular tension of the former constitutes the rationale of neurotomy. Methods Highly selective peripheral neurotomy in 38 children who suffered from lower limb deformity secondary to unequal nuscular tension. Twenty-one of the children underwent obturator neurotomy, 27 sciatic neurotomy, and 26 tibial neurotomy. Using electric stimulation, the fasciculi involved were decided and severed. The proportion of fasciculi severed depended on the degree of the muscular tension. Results All patients function improved postoperatiely. 80 % of the patients experienced significant improvement. Conclusion Selective peripheral neurotomy is not only more effective and it also has less complication than selective posterior rhizotomy (SPR) in treating cerebral palsy spasm.展开更多
Objective To make an investigation of the effect of microsurgical operation by unifrontal interhemispheric approach for tuberculum and diaphragma sellae meningiomas. Methods 18 patients (11 with tuberculum sellae and ...Objective To make an investigation of the effect of microsurgical operation by unifrontal interhemispheric approach for tuberculum and diaphragma sellae meningiomas. Methods 18 patients (11 with tuberculum sellae and 7 with diaphragma sellae meningiomas) have been treated microsurgically via unifrontal interhemispheric approach Among these cases 4 patients were with tumor maximum diameter less than 3 cm, 13 cases 3 - 6 cm, and only one was more than 6 cm. Results Total resection (Simpson Ⅰ or Ⅱ ) has been performed in 16 patients, the other 2 patients were processed by subtotal resection. There was no operative mortality. After operations, 11 patients gained improvement with visual acuity and visual field, 5 had no obviously improvement, and 2 became worse. 7 patients suffered diabetes insipidus. Conclusion The tuberculum and diaphragma sellae meningiomas have a good prognosis by unifrontal interhemispheric approach which allows a wider operative field and better removal. 6 refs.展开更多
Objective To review the clinical experience of diagnosis and treatment of the congenital diaphragmatic hernia in newborn infants. Methods Thirty-three neonates were diagnosed having congenital diaphragmatic hernia in ...Objective To review the clinical experience of diagnosis and treatment of the congenital diaphragmatic hernia in newborn infants. Methods Thirty-three neonates were diagnosed having congenital diaphragmatic hernia in our hospitalfrom Jan. 1,2004 to Sept. 30,2009. The clinical data was retrospectively reviewed. Results 21 cases were treated展开更多
Objective To evaluate the effect of clonidine added to ropivacaine for epidural anesthesia. Methods Sixty ASA Ⅰ - Ⅱ patients aged 24 - 62 yr, weighing 50 - 76 kg, scheduled for elective gynecological surgery under e...Objective To evaluate the effect of clonidine added to ropivacaine for epidural anesthesia. Methods Sixty ASA Ⅰ - Ⅱ patients aged 24 - 62 yr, weighing 50 - 76 kg, scheduled for elective gynecological surgery under epidural anesthesia were randomly assigned to one of four equal groups of 15 patients each, according to the dose of clonidine added to ropivacaine solution: group 1 (R) received no clonidine and served as control;group 2 - 4 in which clonidine 50,100 or 150 μg was added to 0. 75% ropivacaine 25 ml (R - C 50, R - C 100, R - C 150). Epidural anesthesia was performed at L2-3. Epidural catheter was inserted into epidural space and advanced in cephalad direction for 3 : 5 cm. Ropivacaine solution was prepared and provided by a specially designated person. A test dose of 5 ml of ropivacaine was given. 5 min later when epidural placement of catheter was confirmed, the rest 20 ml of ropivacaine was given in fractions of 5 ml every 2-3 min. At the beginning of operation midazolam 2.5-3.5 mg was展开更多
文摘Objective To present the clinical experience in treating thymomas and thymomas with myasthenia gravis (MG). Methods Between 1975 to 1997,285 patients with thymoma were surgically treated. 168 cases of thymus tumor (TT,Group Ⅰ ) were compared to 90 cases of thymus tumor with myasthenia gravis (TTMG, Group Ⅱ ). Results In group Ⅰ , the average age was 38. 4 years, the youngest was 4 years old. In 93. 4%, the diameter of tumors was 5 cm. 61. 2% were in stages Ⅲ and Ⅳ of clinical pathology. In group Ⅱ ,the average age was 46.2 with the youngest of 20 years old,the diameter of tumor under 3 cm and 5 cm was 34.6 % and 65.6 % . 55.2 % was in stage Ⅰ of clinical pathology. Conclusion Many cases of thymoma in early stage received early treatment. The diagnostic standard of thymoma in early stage is: (1) the diameter of tumor is below 3 cm. (2) In stage I of clinical pathology. The clinical characteristics of TTMG are: short history, the rapid progress, serious MG symptoms,and the high incidence of thymus-
文摘Objective To investigate the vascular endothelial growth factor(VEGF)expression level by chondrocytes isolated from patients with osteoarthritis (OA) in hip or femoral neck fracture (FNF) and explore the effect of synovial fluid from OA
文摘Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by testing the changes of vascular endothelial cell(CEC) ,nitric oxide(NO) and endothelin-1 (ET-1) in children with congenital heart disease. Methods Sixty patients
文摘Objective To analyze the clinical features of the multiple trauma patients combined with spine and spinal cord injuries.Methods A retrospective study was performed in143multiple trauma patients combined with spine and spinal
文摘Objective To discuss the feasibility and safety of retroperitoneal laparoscopic nephrectomy for treatment of kidney tuberculosis. Methods From March 2005 to February 2009,28 patients with kidney tuberculosis underwent retroperitoneal laparoscopic nephrectomy. The patients’ data were reviewed and analyzed. Results
文摘Objective To study the prevention, diagnosis and treatment of biliary complications after liver transplantation. Methods One hundred and twenty-three recipients who had received liver transplantation between April 1993 and November 2001 were retrospectively reviewed. Results Biliary complication was diagnosed cholangiographyically in 11 patients. Nine patients were cured, 1 patient was unproved and 1 patient died. The incidence for biliary complications was 8.9% (11/123),and the mortality was 0.8% (1/123). The incidence of biliary complicatins due to T tube was 4.2% (5/ 119). The incidence of biliary complications due to hepatic artery was 1. 6% (2/123). In recipients with WIT】3 min and CIT】8 h, the incidence of biliary complications elevated significantly. Conclusion The most important reason for biliary complications was preservative and ischemic injury. While repairing donor liver, damage to the blood supply system of donor liver bile ducts should be avoided. Meticulous T tube placement may reduce
文摘Objective To explore a simple and effective way of establishing a 30 % small - for-size liver transplantation in rats. Methods SD rats were selected as donors and recipients. Smallfor - size orthotopic live transplantation was performed using Kamada’s two - cuff method.
文摘Objective To explore related factors between nosocomial infection and fracture inpatients. Methods The clinical data of 1506 fracture inpatients was retrospectively analyzed. Results A total of 51 cases were infected with a rate of 3. 39% . The main infectious area was surgical incision,accounting for 50. 98% ,and urinary
文摘Objective In the patients with spastic cerebral palsy, deformities such as club foot, inversion foot and scissor gait often arise form the imbalance in the adductors muscle group of the thigh and leg and their antagonistic muscle groups. The incerased muscular tension of the former constitutes the rationale of neurotomy. Methods Highly selective peripheral neurotomy in 38 children who suffered from lower limb deformity secondary to unequal nuscular tension. Twenty-one of the children underwent obturator neurotomy, 27 sciatic neurotomy, and 26 tibial neurotomy. Using electric stimulation, the fasciculi involved were decided and severed. The proportion of fasciculi severed depended on the degree of the muscular tension. Results All patients function improved postoperatiely. 80 % of the patients experienced significant improvement. Conclusion Selective peripheral neurotomy is not only more effective and it also has less complication than selective posterior rhizotomy (SPR) in treating cerebral palsy spasm.
文摘Objective To make an investigation of the effect of microsurgical operation by unifrontal interhemispheric approach for tuberculum and diaphragma sellae meningiomas. Methods 18 patients (11 with tuberculum sellae and 7 with diaphragma sellae meningiomas) have been treated microsurgically via unifrontal interhemispheric approach Among these cases 4 patients were with tumor maximum diameter less than 3 cm, 13 cases 3 - 6 cm, and only one was more than 6 cm. Results Total resection (Simpson Ⅰ or Ⅱ ) has been performed in 16 patients, the other 2 patients were processed by subtotal resection. There was no operative mortality. After operations, 11 patients gained improvement with visual acuity and visual field, 5 had no obviously improvement, and 2 became worse. 7 patients suffered diabetes insipidus. Conclusion The tuberculum and diaphragma sellae meningiomas have a good prognosis by unifrontal interhemispheric approach which allows a wider operative field and better removal. 6 refs.
文摘Objective To review the clinical experience of diagnosis and treatment of the congenital diaphragmatic hernia in newborn infants. Methods Thirty-three neonates were diagnosed having congenital diaphragmatic hernia in our hospitalfrom Jan. 1,2004 to Sept. 30,2009. The clinical data was retrospectively reviewed. Results 21 cases were treated
文摘Objective To evaluate the effect of clonidine added to ropivacaine for epidural anesthesia. Methods Sixty ASA Ⅰ - Ⅱ patients aged 24 - 62 yr, weighing 50 - 76 kg, scheduled for elective gynecological surgery under epidural anesthesia were randomly assigned to one of four equal groups of 15 patients each, according to the dose of clonidine added to ropivacaine solution: group 1 (R) received no clonidine and served as control;group 2 - 4 in which clonidine 50,100 or 150 μg was added to 0. 75% ropivacaine 25 ml (R - C 50, R - C 100, R - C 150). Epidural anesthesia was performed at L2-3. Epidural catheter was inserted into epidural space and advanced in cephalad direction for 3 : 5 cm. Ropivacaine solution was prepared and provided by a specially designated person. A test dose of 5 ml of ropivacaine was given. 5 min later when epidural placement of catheter was confirmed, the rest 20 ml of ropivacaine was given in fractions of 5 ml every 2-3 min. At the beginning of operation midazolam 2.5-3.5 mg was
