47例骨髓穿刺干抽的临床和病理分析

分析４７例骨髓穿刺干抽的临床和病理改变，干抽占同期１３１９例骨穿的３．６％。根据骨髓细胞的密度和间质纤维增殖的程度，把干抽的原因分为４类：高细胞伴间质细胞增多者１９例（４２．２％）；间质细胞增多者１４例（３１．１％）；高细胞者８例（１７．８％）及低细胞者４例（８．９％）。主要疾病为：急性淋巴细胞白血病（２５．５％），急性非淋巴细胞白血病（１７．０％），慢性白血病（１４．９％），骨髓转移瘤（１０．６     

全关节镜下微创复位固定术治疗SandersⅡ、Ⅲ型跟骨关节内骨折的疗效分析

目的 探讨全关节镜下微创复位固定术治疗SandersⅡ、Ⅲ型跟骨关节内骨折的临床疗效。方法 前瞻性随机对照研究。纳入2017年3月—2020年12月徐州仁慈医院足踝外科Sanders Ⅱ、Ⅲ型跟骨骨折患者40例,其中男36例、女4例,年龄18~58（39.6±10.8）岁,左侧22例、右侧18例,Sanders Ⅱ型16例、Ⅲ型24例。40例患者数字表法随机分为关节镜组（采用关节镜下跟骨关节内骨折微创复位、经皮螺钉固定术治疗）、大“L”形切口组（采用传统的大“L”形切口跟骨骨折复位钢板内固定术治疗）,每组20例。观察指标：（1）比较2组患者性别、年龄、体质量指数（BMI）、骨折类型、术前美国足踝外科学协会（AOFAS）踝-后足功能评分等基线资料差异;（2）比较2组患者手术切口长度、手术时间、术中出血量、住院时间、术后切口愈合情况等围术期资料差异;（3）术后观察局部有无麻木感、是否钢板外露、切口皮肤坏死、术后1年是否有创伤性关节炎等手术并发症情况;（4）对比分析2组患者末次随访时AOFAS踝-后足功能评分、Gissnae角和Bohler角。结果 （1）2组患者性别、年龄、BMI、骨折类型、术前AOFAS踝-后足功能评分等基线资料比较,差异均无统计学意义（P值均>0.05）。（2）关节镜组患者的切口长度（0.94±0.08）cm、术中出血量（7.20±1.98）mL、手术时间（41.45±9.96）min、住院时间（8.45±2.01）d,大“L”形切口组患者的切口长度（14.35±1.63）cm、术中出血量（27.35±10.35）mL、手术时间（90.65±12.08）min、住院时间（17.15±6.72）d,关节镜组优于大“L”形切口组,差异均有统计学意义（t=-36.70、-8.54、-14.04、-5.54,P值均<0.001）。（3）术后平均随访12.3个月。术后关节镜组切口均甲级愈合,无创伤性关节炎、足背皮肤麻木。大“L”形切口组20例中,18例患者切口甲级愈合,2例患者切口皮缘坏死、钢板外露,予腓肠神经营养逆行岛状皮瓣修复后伤口愈合;有4例患者术后感足背外侧麻木,经治疗分别于术后8~14个月痊愈。（4）末次随访时AOFAS踝-后足功能评分关节镜组为（92.10±3.16）分、大“L”形切口组为（91.3±2.45）分,术后2组患者跟骨的Gissnae角和Bohler角均在正常范围内,组间比较差异均无统计学意义（P值均>0.05）。结论 与传统的切开复位内固定术相比较,全关节镜下微创手术治疗Sanders Ⅱ、Ⅲ型跟骨关节内骨折,具有手术切口小、手术时间短、内固定牢固、切口愈合好、疗程短、术后瘢痕不明显、功能恢复快等优势。     

脚压测量用传感器

本文讨论了用于脚压测量的四类压力传感器，电阻式传感器、压电式传感器，光电式传感器，电容式传感器介绍了其结构、原理和特点，并分析了几种典型的测量接口电路。     

Molecular typing of the etiologic agent of human granulocytic ehrlichiosis

The p44 gene of the agent of human granulocytic ehrlichiosis (aoHGE) encodes a 44-kDa major outer surface protein. A technique was developed for the typing of the aoHGE based on the PCR amplification of the p44 gene followed by a multiple restriction digest with HindIII, EcoRV, and AspI to generate restriction fragment length polymorphism patterns. Twenty-four samples of the aoHGE were collected from geographically dispersed sites in the United States and included isolates from humans, equines, canines, small mammals, and ticks. Six granulocytic ehrlichiosis (GE) types were identified. The GE typing method is relatively simple to perform, is reproducible, and is able to differentiate among the various isolates of granulocytic ehrlichiae in the United States. These characteristics suggest that this GE typing method may be an important epizootiological and epidemiological tool.     

系统性红斑狼疮临床特征与HLA—DR,DQ基因的相关研究

采用聚合酶链反应结合顺序特异物寡核苷酸（ＰＣＲ／ＳＳＯ）探针杂交方法对ＨＬＡ－ＤＲ，ＤＱ亚区作ＤＮＡ分型，分析了系统性红斑狼疮（ＳＬＥ）的各种临床特征与ＨＬＡ－ＤＲ、ＤＱ基因的关联，结果发现汉族ＳＬＥ中肾脏损害与ＤＲ２相关，而与ＤＲ４呈负相关，口、鼻腔粘膜溃疡与ＤＲ１２相关，未发现ＳＬＥ的其他临床特征与ＤＲ、ＤＱ基因有关，发病年龄小于３５ａ者，ＤＲ２，ＤＱ６阳性率高，而ＤＲ３则多见于发病年龄大于３     

慢性肾盂肾炎发病与巨细胞病毒感染关系初探

应用免疫酶斑点法检测慢性肾盂肾炎病人尿液中巨细胞颊毒，同时应用ＥＬＩＳＡ法检测血中ＨＣＭＶ抗体，检测结果表明，尿中ＨＣＭＶ阳性率为５２．９％，血清中ＨＣＭＶ抗体为７５．９％，与正常对照组相比，并差非常显著，证明慢性肾盂炎发病与ＨＣＭＶ感染有关。     

Aneuploidy induction by water extract from Tripterygium hypoglaucum (Level) Hutch in mouse bone marrow cells

Hie aneuploidy-inducing activity of a Chinese medicinal herb,Tripterygium hypoglaucum (level) Hutch (THH), was investigatedby means of three cytogenetic end-points, i.e. C-mitotic (CM)effects, micronuclei (MN) and parallel chromosome structuralaberration (CA) analyses in vivo. The CA analysis was expectedto reflect the origins of MN induced by clastogens or aneugens.The experiments were performed on mouse bone marrow cells. Theanimals were treated with the crude water extracts of THH (singlei.p. injection) in the dose range 120–686 mg/kg. Colchicine(COL) was taken as a positive control for its known aneuploidy-inducingeffects. THH showed similar genotoxic effects to COL in CM,MN and CA analyses: positive CM effects were observed accompaniedwith increases of mitotic index and frequencies of CM cellsas well as decreased frequencies of anaphase in all of the THH-treatedgroups. The compound showed a positive MN response in bone marrowpolychromatic erythrocytes but was negative in CA analyses.No sex differences were found in any treated group. The preliminaryresults suggested that THH is an aneuploidy inducer in mousebone marrow cells under the present experimental conditions.     

人体腰椎活动节段应力分布的实验研究

本文采用三维光弹性实验方法观察了正常腰椎活动节段的应力分布。用精密浇铸,严格几何相似的光弹性环氧树脂腰椎和硅橡胶椎间盘模型进行三维光弹性实验,并观察腰椎的等应力差图和有效应力值分布。本实验观察到,腰椎椎体上下缘应力分布较均匀对称,其后缘应力大于前缘,后部结构应力较小。作者认为,三维光弹性实验方法具有直观性强,能有效和准确地确定腰椎的应力分布,对腰椎生物力学研究具有重要的实用价值。腰椎后缘应力大于前缘,使椎体后缘承载较大,将会增加腰椎间盘退变和损伤的机会,这可能是引起腰腿痛的重要因素。     

Association of the polymorphism in manganese superoxide dismutase gene with diabetic retinopathy in Chinese type 2 diabetic patients

OBJECTIVE: To investigate the association of the polymorphism in manganese superoxide dismutase (Mn-SOD) gene in Chinese type 2 diabetic patients with diabetic retinopathy. METHODS: The Ala(-9)Val polymorphism of the Mn-SOD gene was determined by polymerase chain reaction and direct sequencing in 198 normal control subjects and 264 patients with type 2 diabetes mellitus, among them there were 139 non-diabetic retinopathy (NDR) subjects and 125 subjects with diabetic retinopathy (DR). RESULTS: There was no statistic difference in the frequencies of VV genotype and V allele between the type 2 diabetic group and the control group. However, the frequencies of VV genotype and V allele were significantly higher in the DR group than that in the NDR group (chi-square (2)=5.015, P=0.025?chi-square (2)=10.253, P=0.001),but there was no statistic difference in the NDR group compared with the control group (P > 0.05). The presence of V allele was shown to be associated with diabetic retinopathy (OR=1.96, 95%CI: 1.29-2.97). Furthermore, the subjects carrying the VV genotype had lower serum Mn-SOD level (P=0.025) and had a tendency of higher total serum SOD activity, but this tendency had no statistic significance. CONCLUSION: The Ala(-9)Val polymorphism in the Mn-SOD gene may not be related to the etiology of type 2 diabetes, but it seems to contribute to the development of diabetic retinopathy in Chinese type 2 diabetic patients.     

ADHD儿童在钟表绘画测验中的执行功能特征

目的研究ADHD儿童在钟表绘画(CDT)测试中体现出的执行功能特征。方法对60例ADHD儿童和60例正常对照儿童进行CDT测试,综合分析两组儿童的大脑额叶执行功能的差异。结果ADHD儿童在CDT测试中的时间总分和构造总分低于对照组(3.23±1.40/4.15±0.78,11.2±1.48/11.90±0.76,t=7.742、5.073,P<0.01)。在给定十字位相标定点(3、6、9、12点)后ADHD儿童的钟面构造得分高于给定标定点之前(11.93±0.95/11.19±1.48,t=5.645,P<0.001),但时间设置评分却没有明显的提高(P>0.05)。结论ADHD儿童CDT测试得分偏低体现了其存在计划性、注意调控功能和工作记忆的缺陷,这些缺陷的核心问题是执行功能的缺陷。