改良后路张力带钢板治疗不稳定性骶骨骨折

目的 探讨改良后路张力带钢板治疗因骶骨骨折导致的骨盆后环不稳定病人的临床疗效。方法 回顾性分析2015年6月至2018年6月我院采用改良后路张力带钢板治疗的7例因骶骨骨折导致骨盆后环不稳定病人的临床资料,其中男4例,女3例,年龄为23~63岁,Tile分型B1 1例,B2 1例,B3 1例,C1 3例,C2 1例。骶骨骨折Denis分区1区4例,2区3例。高处坠落伤3例,车祸伤4例。记录病人软组织激惹等并发症发生情况,采用Majeed评分标准评估骨盆功能。结果 病人手术时间平均为32 min,失血量平均为58 mL。所有病人均获得骨性愈合,愈合时间平均为19周。7例病人平均随访了16个月。根据Majeed评分,优6例,良1例,优良率100%。未出现软组织激惹、神经血管损伤、体表能触及钢板等并发症。结论 改良的后路张力带钢板能有效治疗因骶骨骨折导致的骨盆后环不稳定,安全有效,且软组织激惹较少。     

High frequency of two mutations in codon 778 in exon 8 of the ATP7B gene in Taiwanese families with Wilson disease.

The gene for Wilson disease (WD) has been cloned as a P type copper transporter gene (ATP7B). To elucidate the possible genetic mechanism for the diversity of clinical manifestations, we characterised 22 Taiwanese families with WD by microsatellite haplotyping of close DNA markers D13S314-D13S301-D13S316. We also screened for mutations of codon 778 in the transmembrane region. There were at least 15 haplotypes within eight broad subgroups observed among 44 WD chromosomes. Among the 22 unrelated patients, we found that six patients (27%) carried a codon 778 mutation. Nucleotide sequence analysis showed there were two different mutations: the previously reported Arg778Leu mutation in four patients and Arg778Gln, a new mutation, in two patients. The two different mutations of the same codon occurred in two distinct microsatellite haplotypes.     

Age related increase in catecholamine-containing paraganglia in male fischer-344 rats

For identification of paraganglia (PG), samples of para-aortic tissue, tissues containing the coeliac-mesenteric ganglion complex, and the hypogastric ganglia were removed from 3- and 33-month-old male Fischer-344 rats and were processed by the formaldehyde-induced fluorescence method for visualization of catecholamines. Small PG containing 5–30 cells per section were found consistently in young animals. In each of six old rats, large PG containing 500–4000 brightly fluorescent cells per section were detected. Cell counting revealed a 13.5 × increase in number of PG cells between 3- and 33-month old rats. Microspectrofluorimetric quantitation in old rats showed equal amounts of catecholemines in PG cells and in adrenal medullary cells. Most PG were located in samples from the para-aortic area.     

宽带激光熔覆工艺参数对梯度生物陶瓷复合涂层组织与烧结性的影响

采用宽带激光熔覆技术,在T i-6A l-4V合金上制备了梯度生物陶瓷复合涂层,并研究了宽带激光熔覆工艺参数对梯度生物陶瓷涂层显微组织与烧结性的影响。结果表明:当光斑尺寸D、扫描速度V不变时,随着输出功率P的增加,生物陶瓷涂层的致密度逐渐下降;随着输出功率P的增加,生物陶瓷层中的孔隙率逐渐增大。当P=2.3 KW时,生物陶瓷层中组织致密,孔隙率低(5.11%),当P=2.9 KW时,生物陶瓷涂层组织致密度差,孔隙率高达21.32%。生物陶瓷涂层显微硬度分析表明,P=2.3 KW时,显微硬度最高值约为1 100 HV。本实验条件下,宽带激光熔覆梯度生物陶瓷复合涂层的最佳工艺参数为P=2.3 KW,V=145 mm/m in,D=16mm×2mm。     

Consistent presence of isochromosome 7q in hepatosplenic t γ/δ lymphoma: A new cytogenetic-clinicopathologic entity

Peripheral T-cell lymphoma (PTL), which is characterized by hepatosplenic presentation and the γ/δ T-cell receptor (TCR) phenotype on the malignant cells, is a rare but distinct subtype of non-Hodgkin's lymphomas. Little is known about the chromosomal changes in these lymphomas. We report the cytogenetic analysis of three patients who had neoplastic proliferation of T γ/δ cells in the spleen, bone marrow, and liver, but not in lymph nodes or skin. Isochromosome 7q and trisomy 8 were observed in all three patients. Isochromosome 7q as the sole abnormality has been previously reported in one patient with similar clinicopathologic features. It is suggested that i(7q) is a primary, nonrandom chromosomal abnormality in hepatosplenic T γ/δ PTL.     

Characterization of two distinct 5-HT receptors coupled to adenylate cyclase activation and ion current generation in NCB-20 cells.

The level of cyclic AMP in NCB-20 cells was increased by serotonin (5-HT), 5-methoxytryptamine and 2-methyl-5-HT with EC50 of 0.5 +/- 0.1, 1.0 +/- 0.1, 10 +/- 0.1 microM, respectively. The 5-HT-mediated increase of cyclic AMP content was completely blocked by metergoline but unaffected by 5-HT3 antagonists, ICS 205-930, MDL 72222, quipazine and 5-HT2 antagonist, ketanserin. Putative 5-HT1A agonists (8-OH-DPAT, ipsapirone, and buspirone) and 5-HT1B agonists (TFMPP and m-CPP) affected neither basal nor forskolin-dependent cyclic AMP accumulation. Receptor binding studies suggest that NCB-20 cells are devoid of 5-HT1A and 5-HT1B receptor sites. Application of 5-HT onto NCB-20 cells resulted in membrane depolarization by an evoked inward current which displayed rapid desensitization. 5-HT-mediated current had a reversal potential around 0 mV and was potently and reversibly inhibited by ICS 205-930. Our data suggest that in NCB-20 cells the 5-HT3 receptor is involved in the generation of inward currents, while the 5-HT receptor coupled to adenylate cyclase does not seem to correspond to any of the known receptor subtypes.     

Gastrointestinal stromal tumor (GIST) in southern Taiwan: a clinicopathologic study of 93 resected cases

The purpose of this study was to determine the clinicopathologic features of gastrointestinal stromal tumor (GIST) in southern Taiwan. The pathology files from a medical center in southern Taiwan (1993 to 2003) were searched for primary mesenchymal tumors of the gastrointestinal tract. Hematoxylin/eosin sections and history were reviewed, and immunohistochemistry was performed using anti-CD 117, CD34, smooth muscle actin (SMA), and S-100 protein. Only primary resected GISTs were included in this study. Univariate and multivariate analyses were carried out using the T-test to evaluate the significance of primary tumor size and mitotic activity for the prediction of recurrence and metastasis. A total of 121 surgically resected primary mesenchymal tumors were identified, and 93 of these were GISTs. These 93 patients showed a slight female predominance (male: female = 1:1.2). The clinical presentations were variable and site-dependent. The most common tumor locations were the stomach (57%) and the small intestine (39%). Microscopically, 88 tumors (95%) were composed of spindle cells, the remaining five (5%) consisted of mixed epithelioid and spindle cells. No pure epithelioid type GIST was found. In addition to CD117, 66 cases (71%) were positive for CD34, 23 cases (25%) were positive for SMA, and 19 cases (21%) were positive for S-100. In a mean follow-up time of 27.3 months (median: 26 months), 19 cases (20.6%) were clinically malignant and mainly manifested as liver metastases (seven cases, 37% of malignant GISTs). Univariate analysis revealed that both primary tumor size and mitotic activity were significantly increased in the group affected by recurrence and/or metastasis (p = 0.001 and 0.035, respectively). Compared to GISTs in the western countries, those in southern Taiwan are characterized by a slight female predominance, a relatively higher frequency of small intestinal localization, a higher rate of S-100 protein expression, and a less aggressive behavior. Tumor size and mitotic activity were useful predictors of malignancy.