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尺骨鹰嘴是肘关节的重要组成部分,具有稳定肘关节的作用。尺骨鹰嘴骨折是上肢常见骨折,多见于成年人,约占肘关节周围骨折的10%[1],全身骨折的1%[2]。除小块撕脱骨折外,多数尺骨鹰嘴骨折波及半月状切迹关节面,任何残留的关节面不平整 相似文献
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目的总结MayoⅡB型尺骨鹰嘴骨折术中重建滑车切迹关节面的方法及疗效。方法 2009年1月-2010年12月,收治10例直接暴力所致MayoⅡB型尺骨鹰嘴骨折患者。男6例,女4例;年龄21~65岁,平均31.5岁。受伤至手术时间为2~11 d,平均5 d。术中根据滑车切迹关节面骨缺损程度,采用直接复位、截骨短缩复位或植骨重建关节面。结果术后切口均Ⅰ期愈合。患者均获随访,随访时间8~13个月,平均10个月。X线片示骨折愈合时间为6~8周,平均6.5周;无关节面塌陷等并发症发生。术后8个月根据Mayo关节功能评分标准评定疗效,获优6例,良3例,可1例,优良率为90%。结论对于MayoⅡB型尺骨鹰嘴骨折,术中重建滑车切迹关节面是恢复肘关节良好功能的基础。 相似文献
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尺骨鹰嘴粉碎骨折的手术治疗分析 总被引:1,自引:0,他引:1
目的总结尺骨鹰嘴粉碎骨折的手术方法和疗效。方法1991年2月至2004年10月对28例尺骨鹰嘴粉碎骨折患者进行切开复位植骨内固定。男20例,女8例。右侧18例,左侧10例。高处坠落伤8例,带惯性摔伤18例,非惯性摔伤2例。全部为尺骨鹰嘴粉碎骨折,23例带有2块以上的骨折碎块。结果全部病例均获得随访,随访时间6~15个月,平均8.5个月。术后20例得到较好的恢复,5例病人关节功能受限,3例骨折块吸收,二次行植骨手术,骨折愈合但是功能受限明显。优良率89%。结论关节面良好复位、充分植骨、确实内固定及早期功能锻炼是治疗尺骨鹰嘴粉碎骨折的关键。 相似文献
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目的观察分析Cable-Pin系统在治疗尺骨鹰嘴骨折中的疗效。方法应用Cable-Pin系统作为张力带固定治疗尺骨鹰嘴骨折14例,均为横断型的尺骨鹰嘴骨折。结果 14例获得6~18个月随访,平均10个月。骨折全部愈合,无退钉、钢缆松动断裂等并发症发生。采用Broberg-Morrey功能评分标准对肘关节功能进行评分:优11例,良3例。结论Cable-Pin系统对尺骨鹰嘴骨折固定可靠,并发症少,是治疗横断型尺骨鹰嘴骨折较理想的新选择。 相似文献
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目的 介绍经软骨面开槽钢丝固定关节面骨折块的方法 及其在治疗肱骨远端关节面骨折中的疗效.方法 采用侧方入路或经尺骨鹰嘴截骨入路直视下复位,经软骨面开"V"形槽钢丝固定关节面骨碎块治疗肱骨远端关节面骨折32例.结果 32例均获随访.骨折愈合时间10~18周,平均14.8周.以Jupiter评分系统评价肘关节功能:优16例,良11例,可5例,优良率84.4%.结论 早期手术,经软骨面开"V"形槽钢丝固定关节面骨碎块,早期功能锻炼是治疗肱骨远端关节面骨折的有效方法 . 相似文献
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Objective: Conventional fixation of syndesmotic injuries with screws remains problematic. A novel fibrewire device (Tightrope) has suggested advantages. However, small case series have reported high soft tissue complication rates. The purpose of our study was to quantify complication rates and further procedures in patients treated with Tightropes. A secondary objective was to determine incidence of complications and further procedures in those treated with syndesmotic screws over the same period. Methods: All patients undergoing syndesmotic fixa- tion for ankle fracture between May 2008 and October 2009 were retrospectively reviewed. Incidence of complications, secondary procedures, maintenance of syndesmotic reduc- tion and time spent on non-weight bearing were recorded. Family doctors were contacted for those treated with Tight- ropes to check for any complications managed elsewhere. Results: Thirty-five patients required syndesmoticfixation, in which 12 were treated with Tightropes. They were followed up in clinic for a mean of 12.4 weeks. Family doctors were contacted at mean 14.6 months after treatment to determine any complications suffered. There were no complications attributable to method of fixation. In this series, 12 patients underwent 13 procedures and no patient had recurrent diastasis at discharge; 23 patients treated with screw fixation underwent 45 procedures (19 were screw removals). There was 1 case ofsyndesmotic diastasis. Screw removal resulted in 2 minor complications. Conclusion: Tightrope fixation provideds effective syndesmotic fixation that is maintained at discharge. We do not experience soft tissue complications reported elsewhere. 相似文献
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骨盆骨折诊断与治疗的重要性 总被引:8,自引:7,他引:1
骨盆骨折属高能量损伤,约占全身骨折的4.21%,男性多于女性,高发年龄为31~40岁;约5~20%合并血管神经损伤,髂动脉的钝性损伤可达3.5%;骨盆后环骨折46%~64%合并神经根损伤。严重不稳定骨盆骨折可引起全身血流动力学的改变。对出血处理不当,可继发凝血功能障碍、酸中毒、休克所致多器官功能衰竭,甚则危及生命。 相似文献
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蔡俊超 《中华移植杂志(电子版)》2010,4(4):10-10
<正>免疫诱导治疗可降低器官移植后急性排斥反应的发生率,但其对移植物和受者长期存活的影响尚未明确。我们试图通过分析美国器官分配联合网络 相似文献
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第5届全国器官移植学术会议纪要 总被引:1,自引:0,他引:1
<正>中华医学会外科学分会第5届全国器官移植学术会议于2010年11月26—27日在山东省济南市举行。大会由中华医学会外科学分会器官移植学组 相似文献
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The earliest report linking environmental (occupational) exposure to adverse human male reproductive effects dates back to1775 when an English physician, Percival Pott, reported a high incidence of scrotal cancer in chimney sweeps. This observation led to safety regulations in the form of bathing requirements for these workers. The fact that male-mediated reproductive harm in humans may be a result of toxicant exposures did not become firmly established until relatively recently, when Lancranjan studied lead-exposed workers in Romania in 1975, and later in 1977, when Whorton examined the effects of dibromochloropropane (DBCP) on male workers in California. Since these discoveries, several additional human reproductive toxicants have been identified through the convergence of laboratory and observational findings. Many research gaps remain, as the pool of potential human exposures with undetermined effects on male reproduction is vast. This review provides an overview of methods used to study the effects of exposures on male reproduction and their reproductive health, with a primary emphasis on the implementation and interpretation of human studies. Emphasis will be on occupational exposures, although much of the information is also useful in assessing environmental studies, occupational exposures are usually much higher and better defined. 相似文献
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患者男,18岁,因刀刺伤心脏致心脏贯通伤15min入院。入院后急诊手术,修补心脏室壁。术后心脏彩色多普勒超声检查:室间隔距心尖6mm处回声失落,缺损口径8mm;彩色多普勒血流显像(color Doppler flowimaging,CDFI):收缩期可见五彩镶嵌的穿隔血流由左心室经缺损口进入右心室;脉冲多普勒:取样容积置于缺损口右心室侧,测得分流速度2.2m/s。 相似文献
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外固定架结合掌侧钢板治疗桡骨远端粉碎性骨折 总被引:1,自引:1,他引:0
2006年5月~2010年2月,我院采用掌侧T形钢板结合外固定架治疗桡骨远端粉碎性骨折32例,取得较好效果。1材料与方法 相似文献
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圆锥角膜是一种双眼角膜锥形扩张的致盲性眼病,一般青春期发病,影响患者终身。对于曲率较大,特别是中央明显变薄前突的完成期圆锥角膜一般需要手术治疗。我们采用改良深板层角膜移植治疗完成期圆锥角膜,不仅手术安全性提高,而且患者术后1年以后的视觉效果与穿透角膜移植差异没有统计学意义^[1]。现将手术方法介绍如下,具体操作见视频。 相似文献
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黄丽萍 《中华移植杂志(电子版)》2010,4(4):52-55
<正>由中华医学会器官移植学分会主办、山西省第二人民医院承办的2010年全国器官移植学术会议于10月15—17日在山西省太原市召开,来自全国 相似文献
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2003年1月-2010年11月,我院用锁骨钢板治疗锁骨粉碎性骨折48例,疗效理想,报道如下。 相似文献