There were 60 guys and 54 females, aged 37~84 (63±10) many years. All patients underwent preoperative transvenous contrast-enhanced ultrasound (CEUS), intraoperative puncture needles, postoperative ultrasound-guided percutaneous transhepatic cholangiocarcinography (UG-PTC) and three-dimensional ultrasound cholangiography (3D-USC) through an external drainage pipe, called DCUS. The classification of hilar cholangiocarcinoma and also the nature of low biliary system obstruction were determined in accordance with the attributes of DCUS pictures. All clients who possess received DCUS underwent magnetized resonance cholangficant difference in the analysis of hilar cholangiocarcinoma (P=0.438), and DCUS had statistically significant difference when you look at the diagnosis of hilar cholangiocarcinoma (P=0.039).ROC curve evaluation recommended that the cut-off worth of MRI+MRCP grade and DCUS quality for diagnosing benign and malignant reduced biliary obstruction had been both 2.5; the location beneath the bend (AUC) were 0.897 and 0.906, respectively (both P less then 0.01); susceptibility had been 77.5% and 93.1%, respectively; as well as the specificity had been 87.5% and 82.8%, respectively. Conclusion The value of DCUS within the classification of hilar cholangiocarcinoma in addition to qualitative analysis of low biliary tract obstruction was similar to compared to X-ray cholangiography and MRCP. DCUS had important medical application worth in the classification of hilar cholangiocarcinoma plus the etiological analysis of reduced obstructive jaundice.Objective To investigate proper protocol of treatment modulation for seasonal sensitive rhinitis (AR) patients, in order to advertise the implementation of personalized medication. Methods Total of 124 AR patients sensitive to cypress pollens had been recruited from January to February 2020 in Department of Allergy in Peking Union Medical College Hospital, 43 males and 81 females with the average age of (41±9) many years. The customers were divided in to two teams with block randomization strategy. In the 1st group, therapy ended up being modulated every 2 days in accordance with the typical everyday rhinoconjunctivitis symptom score associated with the final 2 days (short term symptom-score group); within the second team, treatment regimen had been modified each week based on the Allergic Rhinitis Control Test (ARCT) score for the last week (long-lasting ARCT team). The procedure Next Generation Sequencing degree had been up-regulated as soon as the cypress pollen matter enhanced and stayed at increased degree (step-up pharmacotherapy stage); and treatment had been down-regulated while the pollen count reduced (step-down pharmacotherapy stage). Daily symptom ratings, medication scores, and ARCT scores regarding the two groups were taped and contrasted. Outcomes throughout the entire cypress pollen period, the everyday rhinoconjunctivitis symptom rating of temporary symptom-score group was notably lower than that in long-term ARCT group(2.4±1.0 vs 2.7±1.0, P0.05). The percentage of incompliance with doctor’s guidance ended up being higher medical rehabilitation in long-term ARCT team compared to that in temporary symptom-score group (30.1% vs 6.7%, P less then 0.001). Conclusion The protocol of treatment modulation for seasonal AR clients sensitive to pollens should always be created flexibly in line with the variation trend of pollen allergen exposure, in order to apply the concept of personalized medicine.Objective To analyze the efficacy of arthroscopic posterior ankle debridement through Tang’s approach to treat impingement of posterior tubercle of this talus. Methods A retrospective analysis was done on 64 customers (35 males and 29 females) with posterior tubercle impingement associated with talus who underwent medical procedures from September 2011 to May 2019 in First Affiliated Hospital of Military Medical University of the Army. The illness occurred in left-foot in 31 situations and in right foot in 33 situations, with an age ranged from 15 to 65 years ((36±7) years). All patients underwent arthroscopic debridement of this posterior tubercle for the talus through Tang’s method, where the patients were placed in the horizontal decubitus place, together with arthroscopic access ended up being built via the horizontal malleolus apex method and also the posterolateral calf msucles strategy. All clients had been assessed preoperatively and postoperatively with the American Association of Ankle Surgeries (AOFAS) ankle-hindfoooach can effortlessly relieve the symptoms caused by the posterior tubercle of talus. Tang’s method gets the advantages of preventing duplicated position modification and disinfection, and decreasing the potential for infection.Objective to analyze the effect of dexmedetomidine on remifentanil-induced hyperalgesia and its underlying mechanism through a prospective cohort research. Practices From July 2018 to July 2019, 80 customers which underwent time surgery in Taizhou Central Hospital (including customers with laparoscopic cholecystectomy and oophorocystectomy) had been selected, there have been 46 men and 34 females with a mean age of (28.8±4.3) years. The clients had been divided into dexmedetomidine group and control team Rigosertib with arbitrary number dining table, 40 instances in each group. After anesthesia induction, the dexmedetomidine group was managed with intravenous infusion of dexmedetomidine (1 μg/kg) within ten minutes, as the control group had been addressed with an equal number of regular saline. The individual’s general information additionally the intraoperative information had been taped. The aesthetic analogue scale (VAS) was assessed ahead of the procedure and 1, 6 and 12 h following the surgery. The Von Frey cilia strategy was conducted to determine the technical pain limit regarding the person’s non-surgical body parts.