To study on the clinical efficacy of the repairing of the toe defect of the tip of the toe artery with skin flap. 48 patients withÂ tip of toe defects who were admitted to our department fromÂ May 2014 to December 2015 were randomly divided into twoÂ groups: control group and observation group, 24 cases in eachÂ group. The patients in the control group were treated withÂ abdominal pedicle flap while the patients in the observationÂ group were treated with the toe artery skin flap for repair. TheÂ clinical curative effect of the two groups was analyzed. TheÂ total effective rate of clinical treatment was 23 (95.83%) inÂ the observation group was significantly higher than that in theÂ control group, 19 (79.16%), and the elasticity and texture ofÂ the flap were good and no obvious adverse reaction occurred.Â The difference between the two groups was significant, p<0.05. The use of the toe artery skin flap for the treatment ofÂ the tip of toe defect has a significant clinical effect, and noÂ serious adverse reactions occurred, highly safety.
To explore the clinical application of three-row stapler in theÂ operation of gastric cancer, and to provide a reference for clinical application. 31 patients with gastric cancer from JanuaryÂ 2015 to April 2017 were randomly divided into observationalÂ group and control group. The observational group (n = 16)Â received three rows of theÂ stapler; the control group (n = 15)Â received two rows of the stapler. The general condition, complication and anastomotic condition of the two groups wereÂ recorded,Â and the occurrence of anastomotic leakage was tested by methylene blue test. There was no significant differenceÂ in the operation time between the two groups ( P> 0.05). TheÂ length of stay in the hospital for the observational group wasÂ (16.17 Â± 5.25) d, which was significantly lower than that ofÂ the control group (22.35 Â± 7.18) d, the difference was statistically significant (P < 0.05). The incidence of complicationsÂ was 7.14%, which was significantly lower than that of theÂ control group (26.67%, P < 0.05). The number of bleeding inÂ the anastomosis of the observational group was (0.87 Â± 0.61),Â and the number of the outermost anastomosis was 0.95 Â± 0.49,Â which was significantly lower than that of the control group (P<0.01). In the observational group, only one case (6.28%) wasÂ positive in the methylene blue test, which was significantlyÂ lower than that in the control group (20%) (P < 0.05). Three-row stapler can be used to treat the traditional two-row nailÂ stapler, and no external reinforcement is needed after anastomosis. At the same time, it can effectively control the anastomotic bleeding, outer ring nail exposure and anastomoticÂ leakage complications occur and clinical hospital stays shorter, more efficient treatment, worthy of clinical application.