腹部和阴道超声检查在子宫腺肌病患者诊断中的对比分析

目的:对腹部和阴道超声检查在子宫腺肌病患者中的诊断效果进行分析比较。方法:对84例子宫腺肌病患者同时进行腹部超声检查和阴道超声检查,比较两种超声检查方法在诊断中的准确性。结果:术后病理证实,84例子宫腺肌病患者中合并子宫肌瘤37例,合并巧克力囊肿26例,合并盆腔子宫内膜异位21例。57例患者经腹部超声检查诊断为子宫腺肌病,准确率为67.86%;75例患者经阴道超声检查诊断为子宫腺肌病,准确率为89.29%。阴道超声诊断子宫腺肌病的准确率显著高于腹部超声检查,差异有统计学意义(P<0.05)。结论:阴道超声检查相比于腹部超声检查诊断子宫腺肌病具有更高的准确率,值得在临床上推广使用。     

腹部超声与阴道超声诊断子宫腺肌病的效果研究

目的:探讨子宫腺肌病采取腹部超声与阴道超声诊断的效果。方法:将108例子宫腺肌病患者作为研究对象,均经术后病理证实,术前采取腹部超声(腹部组)与阴道超声(阴道组)诊断,比较两种诊断方法结果。结果:术后病理证实108例子宫腺肌病中合并子宫肌瘤48例、合并巧克力囊肿28例、合并盆腔子宫内膜异位症32例,阴道组诊断总符合率及合并巧克力囊肿符合率均明显高于腹部组,差异有统计学意义(P<0.05)。结论:子宫腺肌病患者采取阴道超声诊断,其诊断符合率要明显高于腹部超声诊断,而且在合并巧克力囊肿诊断符合率上也要更高,值得借鉴。     

对比经阴道超声与腹部超声诊断子宫肌瘤与子宫腺肌病的价值

目的:探讨经阴道超声与腹部超声诊断子宫肌瘤与子宫腺肌病的价值.方法:选取2014年1月至2016年12月在该院妇产科手术治疗子宫肌瘤和子宫腺肌病患者45例,对所有患者进行腹部超声检查及经阴道超声检查,将腹部超声结果定为对照组,将阴道超声结果定为观察组,结合术后病检结果,回顾性分析两组超声检查结果的诊断符合率,及对其声像图表现进行分析.结果:观察组检测出病变44例,漏诊1例,诊断符合率97.8%,对照组检测出病变40例,漏诊5例,诊断符合率88.9%,观察组的诊断符合率高于对照组,差异具有统计学意义(P<0.05).结论:经阴道超声检查子宫腺肌病及子宫肌瘤,诊断准确率优于单纯经腹部超声检查,具有较高的临床实用价值,推荐临床诊断子宫腺肌病及子宫肌瘤首选经阴道超声.     

经阴道超声与腹部超声在子宫腺肌病诊断中的作用分析

目的:通过分析不同超声诊断方法在子宫腺肌病临床诊断中的应用效果,探讨其临床价值。方法:选取子宫腺肌病患者198例,随机分为腹部超声组、阴道超声组,分析两组诊断符合率、漏诊率、误诊率。结果:阴道超声组确诊的子宫肌腺病阳性的患者占91.92%,漏诊率为8.08%;腹部超声组确诊的子宫肌腺病阳性的患者占86.87%,漏诊率13.13%,两组比较,差异有统计学意义(P<0.05)。结论:诊断子宫腺肌病可以常规应用经阴道超声检查,诊断效果明显,值得临床推广应用。     

超声检查在子宫肌瘤与子宫腺肌病诊断中的价值

目的 探讨经阴道超声及阴道联合腹部超声在子宫肌瘤与子宫腺肌病的诊断中的应用价值.方法 收集手术治疗子宫肌瘤与子宫腺肌病的患者89例,对经阴道超声、阴道超声联合腹部超声的检查结果进行回顾性分析,并与病理检查结果进行比较.结果 病理检查结果为子宫腺肌病35例,子宫肌瘤52例,子宫肌瘤合并子宫腺肌病2例.经阴道超声检查结果为子宫腺肌病36例（误诊11例）,与病理检查结果比较,诊断准确率为71.43％;子宫肌瘤53例（误诊6例）,诊断准确率为90.38％.联合检查结果为子宫腺肌病37例（误诊6例）,与病理检查结果比较,诊断准确率为88.57％;为子宫肌瘤51例（误诊3例）,诊断准确率为92.31％;子宫肌瘤合并子宫腺肌病1例,诊断准确率为50.00％.经阴道超声和阴道、腹部联合超声对子宫肌瘤诊断准确率的差异无统计学意义（P＞0.05）,对子宫腺肌病诊断的准确率差异有统计学意义（P＜0.05）.结论 经阴道超声检查与阴道、腹部联合检查在子宫肌瘤诊断中的准确率接近,在子宫腺肌病诊断中联合检查的准确率明显高于阴道超声检查,联合超声检查在两种疾病诊断中具有更高的应用价值.     

经腹部联合经阴道检查对子宫腺肌病的诊断价值分析

目的分析经腹部联合经阴道检查对子宫腺肌病的诊断价值。方法选取濮阳市华龙区人民医院79例子宫腺肌病患者,随机分为对照组39例,观察组40例。对照组行单一经腹部超声检查,观察组行经腹部联合经阴道超声检查,观察比较两组诊断结果及动脉阻力指数、血流量、动脉搏动指数。结果观察组诊断准确率(87.50%)、敏感度(87.50%)均高于对照组(66.67%、66.67%),漏诊率(12.50%)低于对照组(50.00%),差异有统计学意义(P<0.05);观察组血流量低于对照组,差异有统计学意义(P<0.05)。结论经阴道检查联合经腹部检查对子宫腺肌病具有较高诊断价值,准确率、敏感度高,漏诊率低。     

经腹联合经阴道超声在子宫腺肌病诊断中的应用价值研究

目的:研究经腹联合经阴道超声在子宫腺肌病诊断中的应用价值.方法:回顾性分析本院2016年2月～2017年5月经病理证实的136例子宫腺肌病患者临床资料,按照不同检查方式分为两组,各68例.对照组患者均进行单一腹部超声检测,观察组在对照组基础上联合经阴道超声检查.比较两组检查正确率及动脉血流动力学指标.结果:本研究中136例患者经病理诊断为子宫腺肌病,对照组共诊断出45例,出现漏诊误诊24例,观察组共诊断出59例,出现漏诊误诊9例,对照组漏诊误诊率明显高于观察组,差异有统计学意义(P<0.05);对照组血流量明显高于观察组,动脉阻力指数及动脉搏动指数明显低于观察组,差异有统计学意义(P<0.05).结论:经腹联合经阴道超声诊断子宫腺肌病准确率比单一腹部超声检测子宫肌瘤诊断率高,刻避免误诊漏诊的出现,为临床子宫腺肌病的诊疗提供坚实依据,临床应用价值较高.     

单纯经腹部超声检查与联合经阴道超声检查对子宫腺肌病的诊断价值评估

目的探讨对子宫腺肌病患者实施单纯经腹部超声检查与联合经阴道超声检查的诊断价值。方法择本科室2014年11月至2017年11月间60例子宫腺肌病患者,均实施经腹部超声检查和经阴道超声检查,分析总结患者的诊断效果。结果与单纯经腹部超声检查相较,实施经腹联合经阴道超声检查对子宫腺肌病检出率、检测子宫动脉搏动指数及子宫动脉阻力指数更高,检测血流速度更低(P0.05)。结论对子宫腺肌病患者实施经腹联合经阴道超声检查效果优于单纯经腹部超声检查。     

阴腹联合超声对子宫腺肌病的诊断价值

目的:探讨阴腹联合超声对子宫腺肌病的诊断价值,提高超声诊断符合率。方法:对经手术和病理证实为子宫腺肌病的145例患者进行回顾性图像分析。结果:145例子宫腺肌病患者子宫均有不同程度增大,多无形态改变。35例子宫弥漫性均匀性增大,47例肌层增厚以后壁型较多见,其次为前壁型,侧壁型较少见22例合并子宫肌瘤,27例合并子宫腺肌瘤,14例合并卵巢巧克力囊肿。超声诊断子宫腺肌病132例,诊断符合率为91%。结论:经腹与经阴道超声检查的联合应用在诊断子宫腺肌病上具有重要价值,并为临床选择治疗方案有直接指导作用。     

经阴道与经腹超声对子宫腺肌病的临床诊断价值分析

目的:探讨经阴道与经腹超声对子宫腺肌病的临床诊断特征,并分析其临床诊断价值。方法:我院收治的168例子宫腺肌病患者的临床资料,其中,观察组(TVU组)42例患者采用经阴道超声检查,对照组(TAU)42例患者采用经腹超声检查,比较两组患者的诊断准确度。结果:168例子宫腺肌病患者,全部经过手术或者病理验证。其中,TVU检出82例,漏诊2例,检出率为97.62%(82/84)。TAU检出72例,漏诊12例,检出率为85.71%(72/84)。TVU的检出率比TAU的检出率高,有统计学差异(P?0.05)。结论:经阴道超声对子宫腺肌病具有较高的确诊率,明显高于经腹超声检查的准确度,值得临床应用。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.