Acupuncture Treatment of Habitual Constipation

The authors have in recent years used acupuncture totreat 188 cases of habitual constipation withremarkable curative effects.A report follows.General DataThere were altogether 188 cases in this study.Ofthem,99 were male and 89 female.The patientsvaried from 12 to 67 years old in age and from 6months to 35 years in courses of diseases.The main     

Revision of failed surgery of lumbar spondylolithesis

Objective To evaluate the clinical outcome of revision lumbar spondylolisthesis surgery a retrospective study was conducted. Methods From 1997 to 2004,43 cases with failed spondylolisthesis surgery were treated with revision procedures of decompression, instrumentation and posteriolateral fusion. There were 26 males and 17 females with an average age of 46.5years, ranging from 23 to 65 years. The clinical results of 1 year postoperative were evaluated.[第一段]     

Treatment and Prognosis of Pituitary Adenomas in Children

In order to explore the treatments and prognosis of pituitary adenomas in children, the experience in the treatment of 15 children with pituitary adenomas was summed up. The clinical data of 15 children with pituitary adenomas in Tongji Hospital were retrospectively analyzed from Jan. 1997 to Aug. 2004, including 9 males and 6 females with the age ranging from 9-15 years old （mean 12.8）. The disease duration was 3 months to 5 years （mean 2 years）. Fourteen cases were subjected to the microsurgical operation through oral tanssphenoidal approach and one case to medical treatment. All cases were followed up from 1 to 5 years by imaging studies and endocrine investigation. The results showed that 13 eases obtained total removal of the tumor and one subtotal removal of tumor. No severe complications and operation death occurred. It was concluded that the tanssphenoidal approach was the optimal treatment for children with pituitary adenomas. Regular and long-term follow-up is of great importance.     

Treatment of Phlegm-and Heat-induced Insomnia by Acupuncture in 120 Cases

Clinical DataThe 120 cases in this series were outpatients sufferingfrom insomnia due to interior-stirring by phlegm-heat,ranging in age from 28 to 67 years.They wererandomly divided into a treatment group and acontrol group.In the treatment group,34 cases weremale and 26 female,aged 43.2 years on the average.In the control group,28 cases were male and 32female,aged 38.5 years on the average.     

Solid cystic papillary tumor of pancreas in children

Objective To estimate the incidence and establish clinicopathological, immunohistochemical , diagnostic and therapeutic features in children with solid cystic papillary tumor (SCPT) of the pancreas in children. Methods Eleven cases (male 1,frmale 10) aging from 9 to 14 years with a mean of 11.1 years with SCPT were analyzed. The chief complains were abdominal pain and palpable mass. The tumors were often located in the head of pancreas. The mean diameter of tumors was 8. 7 cm. The procedures employed included local resections (6), distal pancreatectomy (2) and pancreatico-duodenectomies (3). Routine pathological, histochemical, and immunohistochemical methods were utilized to analyze the specimens. Representative blocks of SCPT specimens were immunostained for NSE, α-1 AT, S - 100, CgA, CK, EMA and insulin. Results The patients were followed-up for 1 to 15 years and were alive postoperatively. Histological examination showed solid with cystic areas and papillary protrusions. Immunohistochemically, the p     

Treatment by Electro-Acupuncture and Massage in 172 Cases of Cervical Spondylopathy

The authors have treated 172 cases of cervicalspondylopathy by electro-acupuncture and massagein recent 6 years.The results were satisfactory asreported in the following.Clinical DataIn this series of 172 patients,84 were male and 88female,ranging in age from 25 to 72 years,and incourse of illness from 1 month to 20 years.42 caseswere of the cervix type,32 cases the vertebral artery     

Clinical experience of 2 086 cases of kidney preservation

Objective To summarize the experience of 20 years in using hypertonic citrate adenine(HC-A) for clinical kidney preservation. Methods A total of 2 086 cases of kidneys for transplantation from Angust 1980 to December 2000 were reported. The donors' age ranged from 18 to 49 years. The cadaveric kidneys were harvested with en-bloc method, and were perfused via renal arteries with 250 ml HC- A at 2 - 4 ℃ and 10 cm H2O, and then stored in HC- A at 2 - 4 ℃ throughout preservation. Serum creatinine was measured at 1 week and 1 month after transplantation. Graft survival rates at 1 year and 3,5,10 years and mean graft survival periods were followed up. According to the cold ischemic time, the cases were divided into 3 groups; Group 1, n = 573, with cold ischemic time less than 12 h; Group 2, n = 779, with 12 to 24 h; and Group 3, n = 734, with more than 24 h. Results The mean cold ischemic period of 2 086 cases was(23.68±4.51) h. The mean level of serum creatinine at 1 week and 1 month after transplantation     

Epidemiologic Study of Cancer Mortality among Chloroprene Workers

Both case-control and cohort studies were undertaken from July 1,1969 to June 30,1983 toascertain whether exposure to chloroprene increases the risk of cancer.Fifty-five cases of cancerdeaths were verified,16 of which had histories of exposure to chloroprene ranging from 3 to 23years(median 11 years)with a latent period of 8-27 years,except for one case of 3 years(median12.5 years).Fifty-four pairs were obtained by matching the cancer deaths to noncaneer deathsin accordance with strict requirements.The odds ratio for the paired data was 13,x~2=8.64,P<0.005.The average age at death from cancer of workers exposed to chloroprene was 12.7 yearsyounger than that of unexposed workers,t'=2.98,P<0.001.The total cohort consisted of1213 persons,among whom 149(11.6%)had histories of exposure for over 25 years,381(31.5%)for over 20 years,and 852(70.2%) for over 15 years.The SMR for the total cohort was 2.38(P<0.01),and all SMRs for the high-exposure occupations were of significance(P<0.05orP<0.01),in contrast to those of the low-exposure groups whose SMRs were low or zero.Thus,a dose-response relationship existed.Among the high-exposure occupations,maintenance me-chanics seem to have the highest risk of cancers,and SMRs for liver,lung,and lymphatic cancerswere significant in this group.These results suggested that chloroprene exposure increases therisk of developing cancer.1989 Academic Press,Inc.     

Evaluation of stability and clinical results of Hangman＇s fractures

Objective To discuss the selection of therapy for complex Hangman＇s fractures and analyse its results. Methods There were 15 males and 8 females with average age of 36 years （19-54 years）. The fractures were classified according to Levine-Edwards system. All cases were divided into two groups： Group B associated with fractures in other parts of the cervical spine and Group A without. In Group B, there were four cases with Jefferson fracture and instability of atlantoaxis, six with C6 fracture and seven with dislocation.     

TCM Treatment of 18 Cases of Sicca Syndrome with the Heat-Removing and Dampness-Eliminating Method

With rich clinic experience of over 30 years,the author have treated 18 cases of sicca syndromewith the heat-removing and dampness eliminatingmethod,and obtained satisfactory therapeutic results.A report followsClinical DataOf the total 18 cases,17 cases were female.Their age ranged from 45 years to 73 years,(10 caseswere from 45 years to 55 years,6 cases from 56 yearsto 65 years,and 2 cases over 66 years).Their coursesof illness varied from 1 year to 18 years (14 caseswere within 10 years).Symptoms:1) xenophthalmia;2) xerostomia;3)complicated by such clinical symptoms as     

A Study of Siliceous Pneumoconiosis in a Desert Area of Sunan County,Gansu Province,China

Three hundred and ninety five residents in a desert area were examined with chest radiographs and 28 cases with siliceous pneumoconiosis were found.The prevalence of siliceous pneumoconiosis was 7.09%,and that over 40 years of age was 21%.The histological findings of lungs from a camel living in that area for 20 years also confirmed to have siliceous pneumoconiosis.     

Strategies of surgical treatment of the spinal metastatic tumors

Objective To study the clinical features, surgical treatments and the prognosis of the 103 patients with the metastatic tumors in the spine. Methods From Jan. 1996 to Dec. 2001,103 cases were treated by operation in our department, there were 62 males and 41 females, aging from 33 to 79 years old (average,59 years). The lesions were located at cervical spines in 34 cases, thoracic spines in 39,lumbar spines in 25 and sacrum in 5. The patients underwnet anterior, prosterior,combined or staged antero-posterior operations based on the location of lesions in the spine. Most of the patients were adopted vertebral reconstruction and internal fixation depending on the conditions. Preoperative clinical evaluation included of general conditions,X-ray films,CT scan.MRI and ECT in odrer to decide the endurance of the patient to the surgical treatment. The operation was only considered when the patient could have the expected survival time more than 6 months. Operative indications, surgical methods and prognosis we     

Forty Cases of Insomnia Treated by Multi-output Electric Pulsation and Auricular Plaster Therapy

The writer has treated 40 cases of insomnia by the method of multi-output electric pulsation in combination with auricular plaster therapy (with a seed of Vaccariae segetalis 王不留行 taped tightly to a particular ear point and pressed) and received satisfactory therapeutic effects. A report follows. General Data Forty cases were enrolled from outpatients in the Department of Acupuncture and Moxibustion, with cases of mental disorders or cerebral organic disorders excluded. Of them, 16 cases were males and 24 females; 20 cases aged from 18-35 years, 12 from 36-50 years, and 8 over 51 years. The duration of sickness was from 2 weeks to 30 years. 65% of cases had to take tranquilizers for sleep.     

Therapeutic Effect of Massotherapy for Prospermia

Clinical DataAll the 60 cases of prospermia treated in thisseries were outpatients of our hospital.Their ageranged from 24 to 46 years,averaging 36.4 years.The prospermia caused by chronic prostatitis wasfound in 26 cases,urethritis in 8 cases,andcolliculitis in 2 cases,and the rest were functionalprospermia.The patients were divided into twogroups according to the patient's condition,age,andother factors.There were 30 cases in themassotherapy group,including 13 cases of     

Long-term result of dynamic cardiomyoplasty

Objective To evaluate the long-term outcome of dynamic cardiomyoplaty in patients with dilated cardiomyopathy. Methods Three male patients with dilated cardiomyopathy at age of 36,45 and 62 years were underwent dynamic cardiomyoplasty from 1994 to 1995. Postoperative follow-up were performed. The data of hemodynamic parameters, functional grade and dimension of heart were analyzed. Results There was no operative death in these patients. All patients recovered eventlessly. From early postoperative stage, the hemodynamic parameters and clinical symptoms were improved and the patients' exercise tolerance augmented. The quality of life of patients was enhanced significantly. All patients showed NYHA functional grade I . One patient died of severe arrhythmia at the 19th postoperative month. In 2 long-term survivors, the hemodynamic parameters and heart function were declined and the heart tended to be dilated after 3 postoperative years. One patient died of congestive heart failure at 4. 5 postoperative year     

Treatment of Floating Knee Injury in Children

The necessity and superiority of the surgical operation on children with floating knee injury and the fracture union and complications were investigated. Twenty-eight children with floating knee injury were subjected to open reduction and internal fixation or external fixator. The patients were followed up for 18 months to 7 years. The curative effectiveness was scored by Karlstrom criteria. The results showed that no nonunion or deformity was found. The affected limb was 1.2 cm to 1.5 cm longer in 2 cases, 0.8 to 1.2 cm shorter in 3 cases than the contralateral. No severe dysfunction of knee joint occurred. The excellent-good rate was 92.8 % and the curative rate 71.4 respectively. So for children whose age is older than 5 years, it＇s a good way to treat the fractures of femur and tibia with open reduction and internal fixation or external fixator. The method can be advantageous for the nursing care, early function recovery, shortening of the hospital stay and avoidance of severe complications.     

A six-year survey of immunogenicity and efficacy of hepatitis B vaccine in infants born to HBsAg carriers.

Although the efficacy of hepatitis B vaccine is well documented, the duration of immunity of healthy infants after vaccination is unknown. 99 infants born to hepatitis B surface antigen (HBsAg)-carrier mothers were studied and found to have positive anti-HBs (titer: greater than or equal to 10 mIU/mL) after a first injection of vaccine at the ages of 1 to 6 years. The infants were randomly divided into four groups of recipients treated with the vaccine of the National Institute of Allergy and Infectious Diseases (NIAID), U.S.A. or that of the Beijing Biological Products Research Institute (BBPRI), BBPRI vaccine in combination with hepatitis B immune globulin (HBIG) and placebo. The results showed that the protective efficacy dropped considerably after 5 years with NIAID vaccine, after 3 years with BBPRI vaccine and after 4 years with BBPRI vaccine plus HBIG. This suggests that a booster injection is needed 5 years after the first injection of NIAID vaccine, 3 years after BBPRI vaccine, and 4 years after BBPRI vaccine plus HBIG.

     

Treatment of Prolapse of Rectum with Acupuncture Combined with TCM Drugs in 38 Cases

Prolapse of rectum is usually seen in children and seniorcitizens.By means of acupuncture combined with TCM drugs,the authors have treated 38 cases of the disorder,and achievedgood therapeutic effects.This is reported as follows.Clinical DataOf the 38 cases in this series,20 cases were male and 18female,ranging from 6 to 70 years in age.Of them,12 casesaged 6-10 years,22 cases 50-70 years,and only 4 cases 10-50years.     

Characteristics and treatment of meningiomas in children-reports of 12 cases and literature review

Objective To study the characteristics and treatments of meningiomas in children. Methods 12 cases of meningiomas in children treated in Qilu hospital were analyzed retrospectively and the literature was reviewed. Resuits In this series of 12 cases, the ratio of boys and girls was 2 ： 1, the age ranged from 1.5 to 15 years （mean 11. 5 years）. Increased intracranial pressure was the most common symptoms and signs. The tumors were located in the convexity in 5, ventricles in 2, parasagittal, parafalcine and intraparenchymal regions in 1 respectively.     

Microsurgical Treatment of Occupying-space Lesions of Brainstem

Twenty-two cases of patients with occupying-space lesions of brainstem (OSLB) were treated microsurgically in our hospital from May 1996 to September. 2002. Patients include 16 male, 6 female aged 15 to 52 years (average 27.5 years). Exacerbation varied between 10 days and 6 months (mean 3.5 months). Headaches, dizziness, cranial nerve palsy, mild he-