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    25 October 2016, Volume 37 Issue 10
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    “Fivepart method” of 1 470 nm laser vaporization resection for treatment of benign prostatic hyperplasia 63 cases
    XIA Haibo, REN Xiaolei, BAO Guochang, GAO Zhiming, LI Haifeng
    2016, 37(10):  1119-1122.  doi:10.3969/j.issn.10073205.2016.10.002
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    [ Abstract ]
    Objective Tosummarytheclinicalexperienceof “ Five-partmethod ” of1470nm
    laservaporizationresectionfortreatmentofbenignprostatichyperplasia ( BPH ) .Methods
    Retrospectiveanalysiswasperformedin63patientswithBPHundergoing “ Five-partmethod ” of
    1470nmlaservaporizationresection .Results Theoperationsofallthecaseswerecompleted
    successfully.Theoperationtimewas ( 96. 24±25.12 ) min .Thebloodlosswas ( 25. 18±12.48 )
    mL.Duringtheoperation , therewasnotransurethralresectionsyndromeorothercomplication
    occurred.Sevendaysaftertheoperation , thecatheterwaswithdrawn.Transientpostoperative
    incontinenceoccurredin2casesandsecondaryhemorrhageoccurredin1cases.Allpatientswere
    followedupfor3monthspostoperatively , therewasnourethralstrictureandothercomplication
    occurred.Thethirdmonthafteroperations , theinternationalprostatesymptomscore , thequality
    oflifescoreandthebladderpostvoidresidualwerelowerthanthosebeforethesurgery ( P <
    0.05 ), butthemaximumflowratewashigherthanthatbeforethesurgery ( P <0.05 ) .Conclusion
    Treatmentof “ Five-partmethod ” of1470nmlaservaporizationresectionfortreatmentof
    BPHissafeandeffective
    Improved onlay island flap urethraplasty in the treatment of children with hypospadias
    NIU Zhishang, HAO Chunsheng*, BAI Dongsheng, YE Hui, QIU Ying, SONG Jinqiu
    2016, 37(10):  1123-1125,1130.  doi:10.3969/j.issn.10073205.2016.10.003
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    [
    Abstract ] Objective Toinvestigatetheoperationofmodifiedonlayislandflapurethroplasty
    inthetreatmentofpediatrichypospadias.Methods Retrospectiveanalysiswasperformedin76
    caseswhoreceivedthemodifiedonlayislandflapurethroplasty.Themethodofthemodifiedonlay
    islandflapurethroplasty : thecorpusspongiosum / urethralplatewasdissectedintactfromthe
    corporacavernosaafterdegllvinganddartosexcision , relyingonelasticityofthesestructuresto
    allowthepenistostraighten.Itisnecessarytoselecttheinnerplateofprepuceastheflapto
    suturewiththeurethralplate.Results Theurethralplatewaspreservedsuccessfullyin73cases
    of76patients ( 96.0% ): 4caseshadnoventralcurvatureafterdeglovinganddissectiongofthe
    ventraldartos ; 58caseswerecorrectedaftermobilizationofthecorpusspongiosum / urethralplate
    andurethra ; 11caseswerecorrectedbyanextradorsalplacation , including4caseswithlessthan
    30-degreeresidualcurvature , 7 cases with greaterthan 30-degreeresidualcurvature.The
    operationachievementratiowas88.2% ( 67 / 76cases.5casessupervenedwithurinaryfistula ( 4
    caseswerethencuredbyopreration , 1caseshealednaturally ), 1casewithmeatalstenosisand
    curedby urethralsounding.There wasno urinary diverticulosis , necrosisand dehiscence.
    Conclusion Themodifiedonlayislandflapurethroplastybystraighteningventralcurvatureby
    mobilizationofthecorpusspongiosum / urethralplateandselectingtheinnerplateofprepuceas
    theflapcansignificantlyreducethepostoperativecomplicationandimprovethesuccessrateof operation , whichisworthyofclinicalpromotion.
    The clinical value of 3D virtual endoscopy technology in ureteral soft lens lithotripsy in the treatment of kidney stones
    JIAXiao-peng,GUOYue-xian,WANG Wei
    2016, 37(10):  1126-1130.  doi:10.3969/j.issn.10073205.2016.10.004
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    [
    Abstract ] Objective Toinvestigatetheapplicationof3Dvirtualendoscopytechnologyin
    kidneystonepatientswhoacceptedsofturetermirrortreatmentandtofurtherdiscusswhetherit
    canimprovetheefficiencyandsecurityoflithotripsy.Methods Thepatientsweredividedinto
    researchgroupandcontrolgrouprandomlyaccordingtotheodevityofthelastnumberoftheID
    number , theformerusing3Dvirtualendoscopyandthelatterusingtheconventionalradiographic
    inspection.The30casesallaccepted64layersspiralCTscanwithnon-andenhancementandthin
    layerwerereconstructedafterthescan.TheCTresultsofresearchgroupwerestoredbyDICOM
    formatfile , whichlatertreatedby Mimicssoftwareinordertoobtainthepatients'kidney
    collectingsystem3D modelsby3Dvirtualendoscopy.Thefollowingparametersin2groupsof
    surgicalpatientswereobserved : thetimeofthetarget , thefirsttimethesystemtoexplorethe
    timeofthekidney , thetimeofremovingthecatheter , thetimeofgettingoutofbedandrateof
    stoneclearanceandincidenceofcomplications.Results Thirtycasesofsurgerywerecompleted
    successfully.The3Dvirtualendoscopymodelsof15patientsinresearchgroupweresuccessfully
    established , whichshowedclearlyimagesinthekidneycollectingsystem , thesizeandthe
    locationofthestone , locationandthegoodrelationshipbetweenkidneyandstone.Thetimeto determinethetargetkidneycalicesandthefirsttimetodetecteverykidneycaliceswerelessin3D
    virtualendoscopy models.Theremovingstonerateandthepostoperativecomplicationswere
    significantlysuperiortotheconventionalradiographicinspectiongroup ( P <0.05 ) .Thereisno
    statisticallysignificantdifferenceinrecoverytime ( suchasurethralcathetertime , postoperative
    activitytime , etc ) and daysofhospitalization.Conclusion Theapplication of3D virtual
    endoscopytechniquescanimprovetheefficiencyofgravelandreducepostoperativecomplications
    intheprocessofusingsofturetermirrorinkidneystonepatients.
    Modular flexible ureteroscope for the treatment of upper urinary calculi: a report of 358 cases
    ZHANGYan-ping,LIU Kai-long,LUBao-sai, QIJin-chun,GUOPing-ying,LIWei
    2016, 37(10):  1131-1134,1138.  doi:10.3969/j.issn.10073205.2016.10.005
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    [ Abstract ] Objective To evaluatethe safety and clinical value of modularflexible
    ureteroscopecombinedwithholmiumlaserforthetreatmentofupperurinarycalculi.Methods
    Threehundredandfifty-eightpatientswithupperurinarycalculiweretreatedbymodularflexible
    ureteroscopecombinedwithholmiumlaser , including125casesofupperureteralcalculiwitha
    meandiameterofrange13-23mm , average ( 17. 3±1.3 ) mm , 105casesofrenalpelviscalculi ,
    63casesofcalculiinupperandmiddlecalyxand65casesoflowercalyxcalculi.Twohundredand
    thirty-threecases with diameterrange 14- 39mm were classifiedinto patients with the
    diameter<20mm ( n =146 ), withameandiameterofrange14-19 mm , average ( 16. 5±1.4 )
    mm , andpatientswiththediameter≥20 mm ( n =87 ), ameandiameterofrange20-39mm ,
    average ( 24. 3±6.5 ) mm.Demographicdata , operativeduration , complicationrate , andstone-
    freeratewererecorded.Results Lithotripsywasperformedsuccessfullyinpatientswiththe
    upperureteralcalculiandthosewithrenalcalculi.Stoneclearancerateinupperureteralcalculi
    groupwerehigherthanthatinrenalcalculigroup , butwithshorteroperatingtime.Andstone
    clearancerateinthecaseswiththestonesdiameter<20mm werehigherthanthatinthecases withthestonesdiameter≥20 mm.Accordingtothepositionofthestone , there wasno
    significantdifferenceintherateofsuccessrate , thetimeofoperation , thesuccessrateandthe
    operationtimeofthesubgroupsofdifferentpartsofthekidneystones.Therewerenosevere
    complications , exceptClaviengrade Ⅰ or Ⅱ.Tenpatientshadpostoperativehighfeverand
    chills.Threepatientswhohadshocksymptomssuchashypotensionwerecuredbyanti-infective
    andanti-shocktherapy.Therewasnosignificantdifferencebetweenthetwogroups.Conclusion
    Modularflexibleureteroscopecombinedwithholmiumlaserisanestablishedminimalinvasive
    treatmentfortheupperurinarycalculiwithahighsuccessrateandlow morbidity.Modular
    flexibleureteroscopewithholmiumlasercanbethefirstchoiceforthetreatmentofupperurinary
    calculi.
    A preliminary comparison between transurethral bladder tumor enucleation by needle shape electrode and conventional transurethral resection of bladder tumor
    LIShou-bin,LIUJun-jiang,SUNFu-zhen,WANGGang,ZHANGPan-ying,GUShou-yi
    2016, 37(10):  1135-1138.  doi:10.3969/j.issn.10073205.2016.10.006
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    [
    Abstract ] Objective Tocomparethesafetyandefficacybetweentransurethralbladder
    tumorenucleationbyneedleshapeelectrodeandconventionaltransurethralresectionofbladder
    tumor.Methods Twenty-eight patients with non-muscle invasive bladder cancer were
    randomizedtoreceiveconventionaltransurethralresectionofbladdertumorortransurethral
    bladdertumorenucleation by needleshape electrode.Operation time , complications , and
    postoperativerecurrenceat3 monthswerecompared.Results Theaverageoperationtimein
    needleshapeelectrodegroup werelongerthanconventionaltransurethralresectionofbladder
    tumorgroup ( P <0.05 ) .Therewerenoseriouscomplicationsinbothgroups.Inneedleshape
    electrodegroup , theincidenceofobturatornervereflexwassignificantlylower
    , andallspecimens
    wereabletobediagnosedaccuratelyinpathology.Norecurrenceswerefoundinbothgroups3
    monthspostoperatively.Conclusion Transurethralbladdertumorenucleationbyneedleshape
    electrodeissafeandeffective , furthermore , specimenscanbediagnosedaccuratelyinpathology ,
    whichisimportantforprognosisandfollowingtreatment.
    Expression of SphK1 and its effect on the proliferation and metastasis of bladder transitional cell carcinoma
    MENG Xiaodong1, QIU Jianhong1*, ZHOU Zhansong2, ZHAO Xinhong1
    2016, 37(10):  1139-1143,1148.  doi:10.3969/j.issn.10073205.2016.10.007
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    [
    Abstract ] Objective Toinvestigatethesphingosinekinase1 ( SphK1 ) expressioninbladder
    urothelialcarcinomaandeffectsontheproliferationand metastasisofurothelialcancercells.
    Methods TheexpressionofmRNAinbladderurothelialcancertissueandadjacentnormaltissue
    SphK1wasdetectedbyqRT-PCR method.Phorbol12-myristate13-acetate ( PMA ) wasusedas
    SphK1activator.N-dimethylD-erythrosphingsine ( DMS ) wasusedasSphK1inhibitor.0.9%
    NaClreagentwasusedasblankcontrol.BladdercancercelllineBIU-87wastreatedasactive
    group , controlgroupand blankcontrolgroup.Thecellproliferationsineach group were
    measuredbyCCK-8method.Matrigelmethodwasusedtoobservethevascularcellsvasculogenic
    mimicry ( VM ) formingabilityinthree-dimensionalculturemethod.Results Theexpressionof
    SphK1mRNAinbladderurothelialcancertissuewassignificantlyhigherthanthatinadjacent
    normaltissue.SphK1activatorcanpromotetheproliferationofBIU-87cellsandtopromotethe formationof VM inthethreedimensionalculturesystem constructed by Matrigel.SphK1
    inhibitorscaninhibittheproliferationofBIU-87cells , andcannotformatubularVMinthree
    dimensionalculture.Conclusion SphK1 plays an importantrolein the occurrence and
    developmentofbladdercancer , anditsmechanism mayberelatedtopromotingtheproliferation
    ofcancercellsandpromotingtheformationofVM
    The pathogenesis of recombinant human brain natriuretic peptide for prevention of further renal damage in patients with chronic kidney disease undergoing coronary angiography or nonemergent percutaneous coronary intervention
    WANG Hongchao1， HE Fang2， LIU Jinming1*， XIE Yanan1， LI Fang1， WANG Wensu3
    2016, 37(10):  1149-1152,1156.  doi:10.3969/j.issn.10073205.2016.10.009
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    [
    Abstract ] Objective Toinvestigatetheeffectofrecombinanthuman brainnatriuretic
    peptide ( rhBNP ) forpreventionofcontrast-induced nephropathy (
    CIN ) in unstableangina
    patientswithmoderatechronickidneydisease ( CKD ) undergoingcoronaryangiography ( CAG ) or
    non-emergentpercutaneouscoronaryintervention ( PCI ) .Methods Twohundredandninecases ofselectedpatients wererandomlydividedinto : Hydrationgroup ( 103cases ) whoreceived
    intravenous0.9%sodiumchloridewith1.0mL ·
    kg
    -1 · h -1 inthepreoperativeandpostoperative
    12h ; rhBNPgroup ( 106cases ) whoreceivedthelowdoserhBNP ( 0.005 μ g ·
    kg
    -1 · min -1 )
    inthe
    preoperative24h.CystatinC ( CysC ), serumcreatinine ( SCr ) andestimatedglomerularfiltration
    rate ( eGFR ) levelswerecollectedbeforeprocedure , at24h , 48h , 1weekand1monthafter
    procedure.And wedetectedtumornecrosisfactor ( TNF-α ) andaldosterone ( ALD ) inthe
    preoperativeandpostoperative12h .TheprimaryoutcomewasCINincidence.Thesecondary
    endpointwasthechangesintheCysC , SCr , eGFR , TNF-αandALDbeforeandafterprocedure.
    Results TheincidenceofCINinpatientsonrhBNPgroupwas8. 5% , whichwassignificantly
    lowerthanthoseonhydrationgroupof23.3% ( P <0.01 ), whetherperformingCAGorPCI ( all
    P <0.05 ) .CysCofthetwogroupswaselevatedtopeakatpostoperative24h , andreturnedto
    thepreoperativelevelsonemonthafteroperation.ButrhBNPgroupelevatedtoalesserextent
    thanhydrationgroup.TheSCrandeGFRofthetwogroupsbegantoincreaseordecreaseat
    postoperative24h , hydrationgroupachievedtomaximumchangeatpostoperative1week , and
    returnedtothepreoperativelevelsonemonthafteroperation.rhBNPgroupachievedtomaximum
    changeatpostoperative48h , andreturnedtothepreoperativelevelsoneweekafteroperation.
    AndthevariationwidthofSCrandeGFRwassmaller.AfteroperationthelevelsofTNF-αand
    ALD weresignificantlyhighercompared withbeforeoperation ( P <0.05 ), hydrationgroup
    increasedmoresignificantly ( P <0.05 ) .Conclusion Exogenousadministrationoflowdoseof
    rhBNPbeforeCAG ornon-emergentPCIhasaprotectiveeffectonrenalfunctionandcan
    significantlydecreasetheincidenceofCIN , theeffectisbetterthanhydrationtreatment.rhBNP
    canreducethedegreeofrenaldamageandshortenthetimeofrecoveryofrenalfunction.The
    effectofpreventedCINofrhBNPmaybethroughthemechanismofinhibitingtheinflammatory
    responseandtherenin-angiotensin-aldosteronesystem.
    Effect of administration mode on the prognosis of PCI in patients with acute myocardial infarction
    GONGXiao-li,MIJie,WULin,HEXue-hui,XUEZheng,LIUXiao-ying
    2016, 37(10):  1153-1156.  doi:10.3969/j.issn.10073205.2016.10.010
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    [
    Abstract ] Objective Toinvestigatetheeffectofcoronaryinterventionontheprognosisof
    patientswithacutemyocardialinfarctiontreatedbypercutaneouscoronaryintervention ( PCI ) .
    Methods Two hundredcasesofpatients with acute myocardialinfarction wererandomly
    selected , whoweredividedintothreegroups , namelyintravenousgroup ( n =70 ), intracoronary
    group ( n =70 ) andcontrolgroup ( n =60 ) .Theintravenousgroupweregivenintravenousbolus10
    μ g
    / kgloadingdosetirofiban , theintracoronarygroupweregivencoronary10 μ g / kgloadingdose
    tirofiban , thecontrolgroupweregivenconventionaltreatment.Results Thethrombolysisin
    myocardialinfartionflow0 , 1 , 2ratiosafterPCIoftheintravenousgroup , coronarygroupwere
    significantlylower ( P <0.05 ), the3ratiowassignificantlyhigher ( P <0.05 ) .Therewasno
    significantdifferenceinmortalitybetweenthe3groups ( P >0.05 ) .Theincidencesofthedeath ,
    refractoryischemia , malignantarrhythmia , againprimaryendpointofmyocardialinfarctionin
    intravenousgroupandcoronaryarterygroupweresignificantlylowerthanthatinthecontrol
    group ( P <0.05 ) .TheLeftventricularejectionfraction , E / A>1ratio , incidenceofbleeding
    weresignificantlyhigher ( P <0.05 ), theplateletcountwassignificantlylessthanthatinthe
    controlgroup ( P <0.05 ) .Conclusion Intravenousandintracoronaryloadingdoseoftirofibanare
    abletoimprovethePCIprognosisofpatientswithacutemyocardialinfarction.
    A comparative study on the effects of dexamethasone pretreatment and treatment on acute myocardial injury induced by isoproterenol in mice
    ZHANG Yangao1， YU Lei2, WANG Jianli2, YIN Daijiajia1, ZHU Minxiang3*
    2016, 37(10):  1157-1161.  doi:10.3969/j.issn.10073205.2016.10.011
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    [
    Abstract ] Objective Toinvestigatethepotentialprotectiveeffectofglucocorticoidreceptor
    agonistdexamethasone onisoproterenol ( ISO ) -induced myocardialinjury and the possible
    mechanism.Methods Thesixteenmicewererandomlydividedintocontrol ( CON ) group ( n =4 ),
    ISOgroup ( n =4 ), dexamethasonepretreatment (
    DEX-pre ) group ( n =4 ) anddexamethasone
    treatment ( DEX ) group ( n =4 ) .ThemiceinCONgroupandISOgroupweregiventhesame amountof0.9% sodium chlorideand DEX-pregroup given dexamethasone ( 1.25 mg /
    kg
    )
    injectionbyintraperitonealinjectionasapretreatmentat30 minutesbeforetreatment.CON
    groupwasgiventhesameamountof0.9%sodiumchlorideinjectionbyintraperitonealinjection ;
    ISOgroup , DEX-pregroupandDEXgroupreceived5mg
    / kgisoproterenolhydrochloride , daily
    intraperitonealinjection of1time , for3 consecutive days.Atthesecond and third day ,
    dexamethasone ( 1.25 mg /
    kg
    ) wasgivenafterISOinjectedfor30 minutesin DEX group.
    MyocardialtissueinjurywasassessedbyHEstaining.Flowcytometrywasadoptedtodetectthe
    expressionofCD4
    +
    T , CD8
    +
    T , CD4
    +
    CD69
    +
    T , CD8
    +
    CD69
    +
    Tcellsinspleen.Results ①
    ComparedwithISOgroup , thedegreeofmyocardialinjuryweregreatlyimproved (
    P <0.05 );
    thedegreeofmyocardialinjurywasn'tsignificantlydifferenceinDEXgroup ( P >0.05 ) .②The
    expressionofTNF-αinseruminDEXgroupwassignificantlydifferencetotheothergroup ( P <
    0.05 ) .③Theexpression0fCD4
    + T ,
    CD4
    + CD69 + T ,
    CD8
    + CD69 + TcellsinDEX-pregroupwas
    significantlydifferencetotheothergroup ( P <0.05 ) .TheexpressionofCD8
    + TcellsinDEX-pre
    groupwassignificantlyreducedtotheothergroup ( P <0.05 ) .TheexpressionofCD8
    + Tcellsin
    DEXgroupwassignificantlyreducedtothecontrolgroupandISOgroup ( P <0.05 ) .Conclusion
    DEX pretreatment has protective effect against ISO-induced myocardial injury. But
    dexamethasonetreatmentdon'thaveprotectiveeffectafterinjury.Themechanism mightbethe
    relatedwiththechangesofimmunefunctionandchangesofinflammatorycytokines.Theexact
    mechanismremainstobefurtherstudied
    Effect of butylphthalide injection on neurological function and serum inflammatory factor in patients with acute cerebral infarction
    ZHANG Luqing1, CHEN Pin1, LI Ning1, DU Shupeng1, TIAN Huiyu2*
    2016, 37(10):  1162-1164,1169.  doi:10.3969/j.issn.10073205.2016.10.012
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    [
    Abstract ] Objective ToinvestigatetheeffectofButylphthalideinjectiononneurologic
    functionandseruminflammatoryfactorinpatientswithacutecerebralinfarction.Methods
    Eightypatients withacutecerebralinfarctioninneurologydepartmentofourhospitalwere
    enrolledandwererandomlydividedintocontrolgroup ( n =40 ) andtreatmentgroup ( n =40 ) .The
    patientsinthecontrolgroupwereadministratedconventionaltherapy.Thepatientsintreatment
    groupwereadministratedbutylphthalideinjection ( 100 mL , 2 /
    day ) andconventionaltherapy.
    Thecourseoftreatmentistwenty-onedaysincontrolgroupandtreatmentgroup.Thirtypatients
    ofhealthyphysicalexaminationwereenrolledintonormalcontrolgroup.Thelevelsofserum
    interleukin-6 ( IL-6 ), tumornecrosisfactor-α ( TNF-α ) weremeasuredbyenzyme-linkedabsorbed
    assay.ThedegreeofeurologicaldeficitswasevaluatedbyNIHSS.Apollodocumentationlistwas
    estimatedbymodifiedBarthelindex ( BI ) .Results Theclinicalcurativeeffectandeffectiverateof the2groupswerestatisticallysignificant ( P <0.05 ) .Aftertreatment , theNIHSSscoresofthe2
    groupsweresignificantlydecreasedcomparedwiththosebeforetreatment.TheBIscoresofthe2
    groupswassignificantlyhigherthanthatbeforetreatment.Thedifference wasstatistically
    significant ( P <0.05 ) .ThelevelsofserumIL-6and TNF-αinpatientswithacutecerebral
    infarctionweresignificantlyhigherthanthoseinthecontrolgroup ( P <0.05 ) .Theserumlevels
    ofIL-6and TNF-α weresignificantlydecreasedinthe2groupsaftertreatmentthanbefore
    treatment ( P <0.05 ) .Comparedwiththecontrolgroup , thelevelsofserumIL-6andTNF-αin
    thetreatmentgroupweresignificantlydecreased ( P <0.05 ) .Conclusion Butylphthalideinjection
    maydecreasethelevelsofserum IL-6 , TNF-α , inhibitinflammation , i
    Expression changes of peroxiredoxin Ⅲ in the myocardium of renal ischemia reperfusion injury model in rats
    HUO Hongchang1, WANG Qie2, WANG Suling3, WANG Lei2*
    2016, 37(10):  1165-1169.  doi:10.3969/j.issn.10073205.2016.10.013
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    [
    Abstract ] Objective Toobservetheexpressionofperoxiredoxin Ⅲ ( PrxⅢ ) inrenal
    ischemiareperfusioninjurymodelratsandstudytheroleinoxidativestressresponse.Methods
    Afterremovaloftherightkidney , theleftrenalarterywithoutinjurywasremoved , andthe
    modelofrenalischemiaandreperfusioninjurywasestablished.After24hoursofreperfusion , the
    bloodandkidneyweretaken.Theserumbloodureanitrogen ( BUN ) andserumcreatinine ( SCr )
    weredetectedwithpicricacid methodandenzymecouplingratemethod , themalondialdehyde
    ( MDA ) contentinmyocardialtissuewasdeterminedbythiobarbituricacidcolorimetricmethod.
    Therenalmorphologychangewasobservedby HEstaining.ThePrxⅢ mRNA andprotein
    expressioninmyocardiumwereevaluatedbyreversetranscriptionpolymerasechainreaction ( RT-
    PCR ) andwesternblot.Results Comparedwiththecontrolgroup , theBUNandSCrinserum ofrenalischemiareperfusioninjurygroupweresignificantlyincreased.TheMDAcontent , the
    PrxⅢ mRNArelativeexpressionlevelandproteinrelativeexpressionlevelin myocardium of
    renalischemiareperfusioninjurygroup werehigherthanthatofcontrolgroup , there were
    statisticallysignificantdifference ( P <0.05 ) .Conclusion Afterrenalischemiareperfusion
    injury , myocardialtissueappearedoxidativedamage.PrxⅢplaysaroleofantioxidativestressin
    thehearttissueofratswithrenalischemiareperfusioninjury.
    Analysis of the related factors of the effect of total thyroidectomy on parathyroid function
    YAN Li, LI Qinghuai, SHEN Wei, ZHANG Linlei, LI Xiaoyu, ZHAO Suyuan
    2016, 37(10):  1170-1173,1177.  doi:10.3969/j.issn.10073205.2016.10.014
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    [
    Abstract ] Objective Toassessthevarietyandsignificanceofserumcalcium , magnesium ,
    phosphorus , parathyroidhormone ( PTH ), andrelatedclinicalriskfactorsofparathyroidinjury
    aftertotalthyroidectomy.Methods One hundred and twenty-nine patients with total
    thyroidectomy , consistingof82caseswiththyroidpapillarycarcinomaand47caseswithNodular
    goiterandthyroidadenoma , wereretrospectivelystudied.Levelsofserumcalcium , magnesium ,
    inorganicphosphorusandPTHbeforeoperationand30minutes , 1d , 3dafteroperationwere
    measuredrespectively , andage , gender , preoperativethyroidstimulating hormone (
    TSH ),
    intraoperativeidentificationofparathyroidglands , pathologicdiagnosiswerecounted.Andthen
    therelationshipbetweentheabovefactorsandhypocalcemiawhichaffectedbyparathyroidinjury
    afteroperationwereanalyzedrespectively.Results Serumcalcium , magnesiumandPTHlevels
    afteroperationintotalthyroidectomypatients werealllowerthanthosebeforeoperation ,
    especiallyserumcalciumandmagnesiumlevelsin1dayafteroperationdecreasedsignificantly ,
    andserumPTHlevelsdeclinedin30minutesafteroperation.Therewerestatisticallysignificant differencesonserumcalciumlevelsindifferentthyroidectomygroupsordifferenttimepoints
    (
    P <0.05 ), buttherewasnosignificantinteractionbetweenthetwogroupsatthesametime
    P >0.05 ) .Andtherewerealsostatisticallysignificantdifferencesonserum magnesiumandPTH
    indifferentgroups , differenttimepointsandtheinteractionbetweenthetwogroups ( P <0.05 ),
    whiletherewasnosignificantdifferenceintheinteractionofserum phosphorusindifferent
    groupsofallthegroups , betweendifferentpoints , andbetweenthetwogroups ( P >0.05 ) .
    Among129caseswithtotalthyroidectomy , 77cases ( 59.7% ) werenormalserumcalcium , 31
    cases ( 24.0% ) wereasymptomatichypocalcemia , and21casesweresymptomatichypocalcemia.
    Theriskofhypocalcemiathyroidcancerunderwenttotalthyroidectomygroupaftersurgerywas
    significantlyhigherthanthatinbenignthyroiddiseasegroup ( P <0.05 ) .Theidentification
    numberandtheage , gender , parathyroidsurgerypreoperative TSH levelandpostoperative
    hypocalcemiawerenotstatisticallysignificant ( P >0.05 ) .Conclusion Thescopeofoperationand
    thyroidcancermaybetheinfluencingfactorsofparathyroidinjuryafteroperation.Afterthyroid
    surgery , bloodPTH monitoringismoresensitivethanserumcalcium monitoring.Lowserum
    calciumafterthyroidsurgeryisoftenaccompanywithlowserum magnesium , soserumcalcium
    supplementneedsserum magnesiumsupplementatthesametime.
    Application of solutionfocused approach in the health education for patients with lung cancer surgey
    ZHANG Lingling1, GAO Yongping1, WEI Suxia2
    2016, 37(10):  1174-1177.  doi:10.3969/j.issn.10073205.2016.10.015
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    [
    Abstract ] Objective Toexploretheapplicationeffectofsolution-focusedapproachin
    individualizedhealtheducationinpatientswithlungcanceroperation.Methods Ninety-twocases
    oflungcancerpatientswererandomlydividedintocontrolgroupandobservationgroup , each
    with46cases.Controlgroupreceivedthetraditionalhealtheducationpattern , observationgroup
    receivedthehealtheducationaccordingtosolution-focusedapproach.The masterydegreeof
    perioperative knowledge , the nursing satisfaction , postoperative hospitalization time and
    incidenceofpulmonarycomplications werecomparedbetweenthetwogrous.Results The
    masterydegreeofperioperativeknowledgeandthenursingsatisfactionwerebetterthanthatof
    the control group , the difference was statistically significant ( P < 0.05 )
    .Postoperative
    hospitalizationtimeinobservationgroupandtheincidenceofpulmonarycomplicationswere
    lowerthanthatofthecontrolgroup ( P <0.05 ) .Conclusion Theapplicationofsolution-focused
    approachinthehealtheducationforpatientswithlungcanceroperationcanimprovethecognition
    ofthediseaseandthenursingsatisfaction , reducetheoccurrenceofpostoperativecomplications ,
    whichencouragepatientstoparticipateinthetreatmentandnursing.
    Analysis of the wound pathogens after orthopaedics operations
    DONG Mei1, ZHANG Xuemei2*
    2016, 37(10):  1178-1180,1200.  doi:10.3969/j.issn.10073205.2016.10.016
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    [ Abstract ] Objective Toinvestigatetheinfectionofincisionindepartmentoforthopedicsof
    thethirdaffiliatedhospitalofHebeimedicaluniversity.Methods Therelateddataof2106
    patientswithincisioninfectionafteroperationindepartmentoforthopedicswereretrospectively
    analyzed.Results Thewoundinfectionratewas6.23%afterorthopaedicsoperations.Themain
    pathogenswereGram-negativebacteria ( 65% ), thenextwasGram-postivebacteria ( 32% ), and
    therateoffungusinecftionwas3%.Thetop7pathogenswerestaphylococcusaureus ( 27.87% ),
    pseudomonasaeruginosa ( 23.87% ), enterobactercloacae ( 12.25% ), escherichiacoli (
    11.30% ),
    baumanii ( 7.74% ), coagulasenegativestaphylococcus ( 3.99% ), andbacillusproteusvulgaris
    (
    2.85% ) .Thecausivefactorsforinfecetrion wereopeninfection wound , hyperglycemia ,
    repeatedusageofantibiotics , andlonghospitalization.Thereweremulti-resistantbacteriassuch
    asmethicillin-resistantstaphylococcusaureus ( 4.84% ), multiresistantAcinetobacterbaumannii
    (
    1.19% ), produceultrabroadspectrumbetalactamasecoli ( 0.94% ), and1caseofpan-drug-
    resistantpseudomonasaeruginosa.Conclusion Theinfectionrateofincisioninfectionafter
    operationindepartmentoforthopedicswashigh , andthedrugresistanceofsomepathogenic
    bacteriawasobviously.
    Effect of pipeline identification application on safety nursing intervention of pipes in neurosurgical patients
    SANG Linxia, GAO Zengmin
    2016, 37(10):  1181-1183,1187.  doi:10.3969/j.issn.10073205.2016.10.017
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    [
    Abstract ] Objective Toinvestigatetheeffectofpipelineidentifiesappliedinpipelinesafety
    nursinginterventionforneurosurgicalpatients.Methods Atotalof112casesofneurosurgery
    hospitalizedpatientsweredividedintoobservationgroupandcontrolgroupaccordingtotheorder
    ofadmission , 56casesineachgroup.Thecontrolgroupreceivedgeneralpipelinesafetycare , the
    observationgroupreceivedpipelineidentifiescareonthebasisofthecontrolgroup.Thecare
    effectsofthetwogroupswerecompared.Results Therateofpipelinesafetyissuesoccurredin
    theobservationgroupwas8.93% , whichissignificantlylowerthan35.71%inthecontrolgroup
    (
    P <0.05 ) .Aftercare , qualityofcarescorespipeline , pipeline-relatedknowledgescoreof
    patientsandpatientswithcatheterscomplianceratesintheobservationgroupweresignificantly
    higher ( P <0.05 ) .Thecaresatisfactioninobservationgroupwas96.43% , whichissignificantly
    higherthan85.71%inthecontrolgroup ( P <0.05 ) .Conclusion Theapplicationofpipeline
    identifiesinpipelinesafetynursinginterventioninneurosurgery willhelpreducetheriskof
    pipelinecareandimprovequalityofcareandpipelinesafety , whichshouldbewidelyapplied.
    Multidisciplinary management of treatment of dangerous placenta previa with placenta increta participated by HIFU#br#
    YU Wanqin, TAN Shuzhuo, ZHAO Congying
    2016, 37(10):  1184-1187.  doi:10.3969/j.issn.10073205.2016.10.018
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    [ Abstract ] Objective To discussthefeasibility of multidisciplinary management of
    treatmentofdangerousplacentapreviawithplacentaincretaparticipatedby HIFU.Methods
    Fortypatientsofdangeroursplacentaprevia with placentaincretacaused byterriblefetal
    malformation metaphase wereselected.Thosepatients weredividedintotwogroups : non-
    multidisciplinarygroup ( group A , 28patients ) and multidisciplinarycare with HIFU group
    (
    groupB , 12patients ) .Thenthetreatmentresultswerecompared.Results Thebloodloss
    ,
    volumeofbloodtransfusion , averagehospitalizationexpenses , uterinearteryligationratioin
    groupBwerelowerthanthatingroupA.Thediffferencwasstatisticallysignificant ( P <0.05 ) .
    Hysterectomies , ICU treatmentsand mortality werenotstatiscallysignificantbetweentwo
    groups ( P >0.05 ) .Conclusion MultidisciplinarycarewithHIFUcanimprovematernaloutcomes
    ofplacentaincretaduringpergnancy , whichismoresafeandfeasible.
    The effect of nasal irrigation combined with pollen barrier in the treatment of allergic rhinitis in pregnancy women
    SUN Chenxin1, GAO Ruiyao2, DI Menglinqian3
    2016, 37(10):  1188-1191.  doi:10.3969/j.issn.10073205.2016.10.019
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    [
    Abstract ] Objective Tocomparetheeffectsofnasalirrigationandpollenbarrieronrhinitis
    symptomsandqualityoflifeinthepregnancywomenwithallergicrhinitis , andtoexploreits
    potentialvalueinthetreatmentofallergicrhinitisin pregnancy women.Methods Thrity
    pregnancywomendiagnosedasallergicrhinitiswererandomlydividedintothreegroups : 10
    patientsingroupA ( nasalirrigation ); 10patientsingroupB (
    pollenbarrier ); 10patientsingroup
    C ( combinedirrigationwithpollenbarrier ) .Beforeandafter8weekstreatment , nasalsymptoms
    scoresandRhinoconjunctivitisQualityofLifeQuestionnaire ( RQLQ ) wereobservedandcompared
    ineachgroup.Results Beforetreatmentnasalsymptomsofthreegroupspatientsweremoderate
    toseverelevels.Thereisnosignificantlydifferentamongthethreegroupsinnasalsymptomsand
    RQLQscores ( P >0.05 ) .After8 weekstreatment , nasalsymptomsandRQLQscoreswere
    significantlydecreased ( P <0.05 ) .ButsymptomsscoresofnasalcongestionofgroupC were significantlylessthangroup A andgroup B ( P <0.05 ) .Conclusion Nasalirrigationcan
    amelioratenasalsymptoms , improvequalityoflifeofpregnancywomenwithallergicrhinitis.
    Nasalirrigationisaneffectivetreatmentofallergicrhinitis.Nasalirrigationcombinewithpollen
    barriercanachievemoresignificantefficacy.
    Diagnosis and treatment of the cause of catheter dysfunction of central verlous port access system
    WANG Jianxin1, WU Zhonglin2*, SUN Jinna1, XIE Yanli1, SUN Yuqiao1, JIAO Junqin1
    2016, 37(10):  1192-1195.  doi:10.3969/j.issn.10073205.2016.10.020
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    [
    Abstract ] Objective ToinvestigatethevalueofthechestX-rayanddigitalsubtraction
    angiography ( DSA ) incentralvenousportaccesssystem (
    CVPAS ) catheterdysfunction.Methods
    Onehundredandforty-twocasesofcatheterdysfunctionofCVPASwerestudied.Weanalyzed
    thecausesofcatheterdysfunctionbythechestX-rayandDSA , treatedthecausesandobserved
    theeffect.Results Thecausesof98 ( 69.01% ) catheterdysfunctionpatientswerefoundbyDSA
    andchestX-rayin142casesofcatheterdysfunction , including51casesoffibrinshellformation ,
    13casesofcatheterbendinthebodies , 11casesofcatheterfracture , 8casesofPinch-offsign , 7
    casesofthrombusformation , 5casesofabnormallocationofendcatheterand3casesofcatheter
    fastenerloosenessorfallout.Wetreatedthe98casesofcatheterdysfunctionagainstthesecauses.
    77patients'CVPAScouldcontinuedtobeusedand21patients'CVPASwereremoved.Conclusion
    ThechestX-rayisthe mostsimpleandeffective methodtofindthecausesofcatheter
    dysfunctionofCVPAS.ThemainreasonforCVPAScatheterdysfunctionisfibrinshellformation.
    DSAandthechestX-raycaneffectivelyevaluatethecauseofCVPAScatheterdysfunction , which
    isworthyofclinicalapplication.
    The differential diagnosis of small breast mass according to 4B grade of breast imaging reporting and data system ultrasound by ultrasound elastography
    DAN Haijun, ZHANG Zuoyang, WU Yuee， CHEN Zan， ZHAI Shumei
    2016, 37(10):  1196-1200.  doi:10.3969/j.issn.10073205.2016.10.021
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    [
    Abstract ] Objective Toevaluatedthedifferentialdiagnosticvalueofreal-timeultrasound
    elastography ( USE ) onsinglesolidbreastmass≤15mminmaximumdiameteraccordingto4B
    gradeofbreastimagingreportinganddatasystem ultrasound ( BI-RADS-US ) .Methods One
    hundredandsevenconsecutivepatientswithsmallsinglesolidbreastmasswereconductedtwo-
    dimensionalandcolorDopplerultrasound.Allsmallbreasttumorswereclassifiedas4Baccording
    toBI-RADS-USclassificationcriteria.Beforesurgeryeachpatientwasthenexaminedbyreal-time
    USE , andthefindingsonelastography wereclassifiedinto Ⅰ - Ⅴ grades.Ultrasonographic
    resultswerecomparedwithhistopathologicdata.Results Forty-fourpatientswerefoundwith
    gradeⅠandⅡbenignlesions ; 22withgradeⅢ ( 17benignand5carcinoma ); 41withgradeⅣ
    andⅤ ( 4benignand37carcinoma ) lesionatultrasonographicelastography.Basedontheelastic
    stageⅣ-Ⅴishighlymalignantpredictiveindex , thesensitivity , specificityandaccuracywere
    88.1% , 93.8% and91.6% respectively.Thepositivepredictivevalue was90.2% andthe
    negativepredictivevaluewas92.4%.Conclusion Real-timeUSEseemstohavegreataccuracy
    fordifferentialdiagnosisofsmallsinglesolidbreastmass≤15mminmaximumdiameter , which
    isclassifiedas4BgradefollowedtheBI-RADS-UScriteria.