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Case Series of Placental Mesenchymal Dysplasia with Live Birth
Yanqing Kong,
Yanrui Zhang,
Hongping Tang,
Xueyu Chen
Issue:
Volume 6, Issue 1, January 2020
Pages:
1-4
Received:
29 June 2019
Accepted:
23 December 2019
Published:
2 January 2020
Abstract: Objective: Placental mesenchymal dysplasia (PDM) is a rare disease, the cause is unknown, some are called mesenchymal stem hyperplasia, and some are called pseudo-vesicular block or vascular malformation. The aim is to report the clinical and pathologic characteristics of three cases of placental mesenchymal dysplasia (PMD). Method: Pathologic and clinical data were retrieved from the electronic medical records. The data were reviewed and summarized by the same pathologist. Results: Maternal age was respective 36 years, 31 years and 33 years. Cesarean section was performed at 39 weeks, 37 weeks and 38 weeks, respectively. The newborns were born with birth weight of 1790, 2370 and 3150 grams, respectively, with placenta weight of 590, 579 and 510 grams respectively. Placenta for pathological examination was performed macroscopically thick-walled vessels. Microscopic observation showed that the part of the stem villus was saclikely dilated, the blood vessels were thickened in the villi, the blood vessel wall was thickened, the villus interstitial was loose, and the mucus was changed. Part of the villus edema and degeneration, no trophoblastic hyperplasia, the final villus structure is normal. Conclusion: The size of the lesions in the Placental mesenchymal dysplasia and the location of the lesion is closely related to the birth weight of the newborn. Detailed histology is necessary for diagnosis and differential diagnosis.
Abstract: Objective: Placental mesenchymal dysplasia (PDM) is a rare disease, the cause is unknown, some are called mesenchymal stem hyperplasia, and some are called pseudo-vesicular block or vascular malformation. The aim is to report the clinical and pathologic characteristics of three cases of placental mesenchymal dysplasia (PMD). Method: Pathologic and ...
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Comparative Analysis of Three Internal Fixation Methods for Intertrochanteric Fracture of Femur in the Elder
Junze Chen,
Yanfen Zheng,
Yongji Xing,
Ye Lin,
Wen Zhong
Issue:
Volume 6, Issue 1, January 2020
Pages:
5-11
Received:
12 January 2020
Accepted:
24 February 2020
Published:
10 March 2020
Abstract: As the average life span of the Chinese prolongs, the number of intertrochanteric fractures of the femur in elderly patients has increased all the time, and gradually becomes a more common type of fracture in elderly patients. From January 2011 to December 2016, 137 elderly patients with intertrochanteric fractures were treated with 3 mehhods, including locking plate, proximal femoral nail (PFNA) and artificial femoral head replacement. The mean age was 79.16±3.45 years. The mean follow-up time was 17.20±1.30 months. The operative time, intraoperative bleeding volume, postoperative complications, and Harris score of the hip joint at 1 month and 1 year after surgery were compared among the three groups. Statistical analysis by SPSS 22.0 software showed that the operation time of group C was the shortest, followed by group B and group A. The difference was statistically significant (p<0.05). There was no significant difference in operation time between group A and group B (p>0.05); There was no significant difference in bleeding volume between the three groups (p>0.05). Group A had the lowest complication rate, followed by group C and group B. But there was no significant difference between the three groups (X2=0.0618, p>0.05). All the patients were cured and discharged after active symptomatic treatment. Among the patients, the mean Harris score of group A was 38.52±6.51 at 1-month follow up postoperatively; the mean Harris score of group B was 44.28±5.97 at 1-month follow up postoperatively; the mean Harris score of group C was 70.59±6.99 at 1-month follow up postoperatively, the C group was the best and the B group was the second. There was a significant difference between the three groups (p<0.05). The mean Harris score of group A was 84.40±9.34 at 1-year follow up postoperatively; the mean Harris score of group B was 83.12±8.76 at 1-year follow up postoperatively; the mean Harris score of group C was 85.25±8.07 at 1-year follow up postoperatively. There was no significant difference between the three groups (p>0.05). During the follow-up period, there was no loosening or breakage in the internal fixation, and the fracture healed well. This study concluded that locking plate, PFNA or artificial femoral head replacement can achieve satisfactory clinical results in elderly patients with intertrochanteric fractures, but artificial femoral head replacement can achieve early functional recovery, more conducive to elderly patients.
Abstract: As the average life span of the Chinese prolongs, the number of intertrochanteric fractures of the femur in elderly patients has increased all the time, and gradually becomes a more common type of fracture in elderly patients. From January 2011 to December 2016, 137 elderly patients with intertrochanteric fractures were treated with 3 mehhods, incl...
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Application of Accurate Angle of Healthy Side Upper Limb in Body Posture in Radical Mastectomy
Lian Huizhao,
Guo Xiaoxia,
Rao Jingmin,
Qian Yuxiu,
Hou Lihuan,
Xiao Xiaolu
Issue:
Volume 6, Issue 1, January 2020
Pages:
12-16
Received:
20 February 2020
Accepted:
2 March 2020
Published:
10 March 2020
Abstract: Objective: We attempt to explore the effect of accurate angle of healthy side upper limb on body posture in radical mastectomy. Methods: We enrolled 150 patients who received radical mastectomy in our hospital and averagely randomized them into three groups: control group A, control group B and observation group. In control group A, the intraoperative abduction angle of healthy side upper limb was 90°, in control group B it was 0°, and observation group 75-80°. We scored the comfort level of the healthy side upper limb of patients in three groups prior to anesthesia induction and 24 hours after operation. At the end of operation, we scored the first assistant surgeon’s, anesthetist’s and circulating nurse’s satisfaction with standing space, the convenience of intravenous administration and convenience of observing transfusion during operation respectively. Results: There was significant difference in the comfort level between observation group and control group A, B (P<0.05). The first assistant surgeon’s satisfaction with standing space was 100% in all three groups with no significant difference (P>0.05). Anesthetist’s satisfaction with the convenience of intravenous administration during operation was 100% in observation group and control group A while it was 36% in control group B. There was a significant difference (P<0.05). Circulating nurse’s satisfaction with the convenience of observing transfusion during operation was 100% in observation group and control group A while it was 30% in control group B. There was a significant difference (P<0.05). Conclusions: When the accurate angle of healthy side upper limb in the body posture in radical mastectomy is 75-80°, it does not affect the standing space of the first assistant surgeon, intraoperative administration by anesthetist and observation of transfusion by circulating nurse, and avoids intraoperative position-related complications of patients.
Abstract: Objective: We attempt to explore the effect of accurate angle of healthy side upper limb on body posture in radical mastectomy. Methods: We enrolled 150 patients who received radical mastectomy in our hospital and averagely randomized them into three groups: control group A, control group B and observation group. In control group A, the intraoperat...
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