ObjectiveTo explore the diagnosis and surgical treatment of hepatic hydatid. MethodsWe collected 51 cases of liver hydatid treated in our department from January 2008 to September 2012, and retrospectively analyzed its diagnosis and surgical treatment. ResultsCT and ultrasonography were both effective in diagnosing liver hydatid (P>0.05). Several surgical methods were all effective in the treatment of hepatic hydatid. ConclusionCT and ultrasonography are effective in the diagnosis of hepatic hydatid. Economic, convenient, and noninvasive ultrasound can be used as a routine examination. Combined with CT examination, the diagnosis of hepatic hydatid can be intensely enhanced. Treatment of hepatic hydatid should be individualized.
ObjectiveTo analyze the clinical and dosimetric impacts on radiation pneumonitis (RP), and provides data for radiotherapy planning. MethodsWe reviewed 59 non-operative esophageal cancer patients who underwent radiotherapy from October 2010 to November 2012 to identify the correlation between the clinical and dosimetric parameters with acute radiation pneumonitis (ARP) and severe acute radiation pneumonitis (SARP) by t-Test, Chi-Square Test and logistic regression analysis. ResultsAmong the 59 patients, 33 (55.9%) developed ARP, in whom 9 (15.3%) developed SARP. Univariate analysis showed that lung infection during radiotherapy, mean lung dose (MLD), and dosimetric parameters are significantly correlated with RP. Multivariate analysis revealed lung infection during radiotherapy, MLD≥13 Gy, and V30≥13% were significantly correlated with the increasing risk RP. ConclusionLung infection during radiotherapy, MLD, and V30 are the influencing factors of RP, which should be seriously considered when formulating radiotherapy plan to avoid RP.
ObjectiveTo compare clinical outcomes between triluminal-tube feeding combined with tubular stomach and traditional esophagectomy for the treatment of esophageal carcinoma (EC)in elderly patients. MethodsA total of 196 elderly patients (>60 years)with EC who received esophagectomy in the Department of Cardiothoracic Surgery, Mianyang Central Hospital from January 2007 to January 2013 were enrolled in this study. According to different surgical methods, all the patients were divided into triluminal-tube feeding combined with tubular stomach group (group A)and traditional esophagectomy group (group B). There were 96 patients including 51 males and 45 females in group A with their age of 60-81 (66.21±7.32)years, and 100 patients including 54 males and 46 females in group B with their age of 60-82 (65.43±6.37)years. Clinical indexes were compared between the 2 groups. ResultsRadical esophagectomy was successfully performed for all the patients. There was no statistical difference in operation time, intraoperative blood loss, postoperative incidence of chylothorax, recurrent laryngeal nerve paralysis, anastomotic leakage, anastomotic stricture or mortality between the 2 groups (P > 0.05). Time to first passage of flatus and postoperative length of hospital stay of group A were significantly shorter than those of group B, and the incidences of postoperative arrhythmias, pulmonary complications and thoracic-stomach syndrome of group A were significantly lower than those of group B (P < 0.05). ConclusionTriluminal-tube feeding combined with tubular stomach can significantly reduce postoperative morbidity, shorten hospital stay and improve quality of life of elderly patients undergoing esophagectomy.
Objective To investigate the present situation and effect of public health education based on WeChat platform in a first class of the third grade hospital in Sichuan province. Methods We designed the patient/relative health education questionnaire by literature reading and analysis, and expert consultancy. Then according to the inclusion and exclusion criteria, from April to December 2015, the questionnaire was used to investigate inpatients and their relatives in departments within the WeChat platform including the Department of Endocrinology, International Health Care Center, Department of Gastrointestinal Surgery, Department of Thoracic Surgery, and Department of Dermatovenereology. Results There were 5 WeChat public accounts in the hospital, and the average running days was 177.2, the average number of subscription was 2 974, and the average number of pushed messages was 30. A total of 289 patients/relatives were surveyed, among whom 137 subscribed to the WeChat public account. The investigation results showed that 54.02% of the responders were university or college graduates, most of whom had stable jobs (civil servants: 12.41%, factory workers: 13.87%, medical staff: 9.49%, teachers: 7.30%, IT workers: 6.57%), and had a longer disease course averaging 4.5 years. Among the respondents, 87.59% came to know the WeChat public account through the publicity work by the hospital departments where they stayed, 30.66% thought it was very helpful and 63.50% considered it to be useful, and 47.45% read WeChat messages every day. They admitted that it was convenient and could be found at any time (63.50%, 66.42%), but the drawback was online communication with health educators was not integrated in the platform (54.74%). Conclusions Health education WeChat platform is effective to give health education to the patients and their relatives, but there are also some shortcomings. More functions should be integrated in order to provide comprehensive health education knowledge to the patients.