鼻内窥镜鼻窦开放术98例

鼻息肉及易窦炎是耳鼻咽喉科常见病，常规手术疗效欠佳且术后易复发。自1994年12月以来我科采用鼻内窥镜行鼻窦开放术98例，术后均随访6个月以上，效果满意。1临床资料！．1一般情况98例中，男58例，女40例；年龄11～69岁，平均31岁；病程O．5～35年。鼻阻塞98例，流脓梯89例，伴头昏、头痛72例，嗅觉减退5例。术后病理诊断为鼻息肉52例，鼻息肉伴囊肿25例，鼻窦粘膜慢性炎症ZI例。根据病史、术前开窦CT、摄片和鼻内窥镜检查，诊断为：（l）反复发作性耳窦炎15例；（2）中鼻道息肉合并具窦炎37例；（3）多发性鼻息肉合并鼻窦炎ZI例；（4…     

鼻副窦CT表现对鼻内窥镜手术的临床意义（附56例分析）

目的：分析鼻窦CT表现并探讨对内窥镜手术的指导价值。方法：收集分析经手术病理证实的56例鼻窦炎的术前CT片并分析其CT表现。结果：（1）术前CT片可确定病变的程度和范围;（2）中鼻道及鼻窦解剖变异;中鼻甲气化11例,中鼻甲偏曲21例,钩突异常3例,Haller气房9例;（3）筛窦和蝶窦毗邻解剖变异;纸板缺如或破坏3例,视神经管突人后组筛窦1例,双侧颈内动脉与蝶窦毗邻4例。结论：鼻窦CT扫描对功能性鼻内窥镜手术有肯定指导价值,是术前必不可少的检查手段。     

慢性鼻炎鼻窦炎的CT表现及分型(附93例分析)

目的　探讨慢性鼻炎鼻窦炎CT表现及分型。方法　收集 93例经临床证实为慢性鼻炎鼻窦炎病人的CT影像资料。结果　慢性鼻炎鼻窦炎分为 6型 :(1 )漏斗型 ,占 1 7% ;(2 )鼻道窦口复合体型 ,占 2 8% ;(3)蝶筛隐窝型 ,占 6 % ;(4)鼻腔鼻窦息肉型 ,占 1 8% ;(5)特发型 ,占 1 4 % ;(6)混合型 ,占 1 6 %。结论　慢性鼻炎鼻窦炎的CT分型对指导鼻内镜手术治疗具有重要价值     

青少年慢性鼻窦炎的鼻内窥镜手术与CT对照研究

目的：探讨青少年慢性鼻窦炎CT检查的价值。方法：对150例青少年患者行冠状位CT扫描，并行功能性内窥镜手术，对其CT表现和手术观察情况进行对照研究。结果：150例中，146例冠状位CT显示鼻窦炎，50例解剖变异者，47例同时伴发鼻窦炎，均经手术证实，多数与手术所见相符，仅4例CT结果阴性，临床表现典型鼻窦炎症状，经手术证实为鼻窦炎。结论：冠状位CT扫描是青少年慢性鼻窦炎患者鼻内窥镜手术前必要的检查方法。CT检查阴性时不能除外鼻窦炎的可能。     

CT诊断真菌性鼻窦炎100例分析

目的回顾性总结真菌性鼻窦炎CT影像表现,并结合临床,探讨CT检查对诊断真菌性鼻窦炎的临床价值。方法收集100例确诊为真菌性鼻窦炎的病人资料并结合临床检查结果,与CT检查进行分析比较。鼻窦CT扫描采用骨窗和软组织窗扫描。结果 100例患者均为单侧鼻窦发病,其中真菌球型68例,慢性侵袭性真菌性鼻窦炎4例,变应性真菌性鼻窦炎28例。CT扫描影像特点为鼻窦腔散在较均匀毛玻璃特征或极不规则的线状,有星状分布的钙化点;伴不同程度骨质吸收或结构不清;窦壁骨质侵蚀15例。病变延伸到邻近结构3例,其中1例累及眼眶。有2例侧颅底骨质吸收。鼻腔或鼻窦内分布黏蛋白与CT显示毛玻璃样高密度影一致。结论真菌性鼻窦炎的鼻窦CT扫描显示与其他鼻窦炎不同。CT检查有助于准确诊断真菌性鼻窦炎。     

功能性鼻内窥镜鼻腔鼻窦手术27例临床观察

鼻内窥镜下的鼻腔鼻窦手术在彻底切除病变组织基础上尽可能不损伤鼻控及鼻窦的解剖结构，最大限度地保留鼻腔和鼻窦的基本功能。方法；采用功能性鼻内窥镜进行鼻腔，鼻窥手术２７例。结果；术后随访，１３例鼻息肉并鼻窦炎，５例慢性肥厚性鼻炎全部恢复正常通气功能。     

S-100吸收性止血绫在鼻内镜下鼻窦手术中的应用

慢性鼻窦炎和鼻息肉是耳鼻喉科常见病多发病之一,鼻窦内窥镜手术是目前治疗慢性鼻窦炎和鼻息肉最先进、疗效最好,创伤最小,恢复最快的手术方法,防治术后出血是鼻窦内窥镜手术关键之一[1].     

鼻内镜手术患者62例的护理

回顾性总结我院2009—05～2011—06应用功能性鼻窦内窥镜手术治疗鼻窦炎和（或）鼻息肉62例手术前后的护理临床资料，探讨应用功能性鼻窦内窥镜手术治疗鼻部疾病手术前后的护理策略。     

功能性内窥镜鼻窦手术的围手术期处理经验

目的探寻最佳的功能性内窥镜鼻窦手术围手术期处理方法,尽可能减少该手术的并发症及复发率。方法回顾性分析我院自2003年2月至2014年5月采用鼻内窥镜行鼻腔鼻窦手术患者710例(1026侧)的临床资料。术前行鼻窦CT和鼻内窥镜检查,了解鼻腔鼻窦解剖结构及病变范围,从而确定合适的手术方案。术前预防用抗生素及止血药物,以有利于减少术中、术后出血。术后加强观察和换药。结果采用上述围手术期处理措施,全部患者手术均顺利进行,无1例严重并发症发生。随访观察患者660例(985侧),892侧病情完全控制,22侧仍有小息肉生长,17侧仍少许流脓,54侧中鼻道有不同程度粘连。结论功能性内窥镜鼻窦手术是治疗慢性鼻-鼻窦炎、鼻息肉的一部分,围手术期的综合治疗是必不可少的重要环节。只有将术前、术中及术后3个阶段的治疗贯穿起来看成一个整体,才能使患者获得最佳治疗效果。     

鼻内镜围手术期微波理疗疗效观察

目前鼻窦炎、鼻息肉在功能性鼻内窥镜鼻窦手术治疗的同时要注重综合治疗，包括术前用药，正确合理的手术方式，手术后维持3-6个月术腔清理、鼻腔冲洗．全身和局部的合理药物治疗。其中围手术期治疗对临床疗效有重要作用，功能性鼻内窥镜鼻窦手术围手术期配合微波治疗可以减轻炎症和水肿．防止粘连和鼻息肉再生。本研究观察患者应用功能性鼻内窥镜鼻窦手术配合围手术期微波治疗的效果。     

The role of interventional radiology in trauma

Introduction Interventional Radiology has evolved into a specialty having enormous input into the care of the traumatized patient.In all hospitals,regardless of size,the Interventional Radiologist must consider their relationships with the trauma service in order to     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

Carbohydrate Supplementation during Exercise: Does It Help? How Much is Too Much?

KEY POINTS· Carbohydrate intake during exercise can delay the onset of fatigue and improve performance of prolonged exercise as well as exercise of shorter duration and greater intensity (e.g., continuous exercise lasting about 1h and intermittent high-intensity exercise), but the mechanisms by which performance is improved are different.     

Diagnóstico ecográfico del neumotórax

The ultrasonographic diagnosis of pneumothorax is based on the analysis of artifacts. It is possible to confirm or rule out pneumothorax by combining the following signs: lung sliding, the A and B lines, and the lung point. One fundamental advantage of lung ultrasonography is its easy access in any critical situation, especially in patients in the intensive care unit. For this reason, chest ultrasonography can be used as an alternative to plain-film X-rays and computed tomography in critical patients and in patients with normal plain films in whom pneumothorax is strongly suspected, as well as to evaluate the extent of the pneumothorax and monitor its evolution.     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

磁共振DWI和动态增强鉴别颅底脊索瘤和侵袭性垂体瘤的应用

目的 探讨磁共振扩散加权成像(DWI)和动态增强在颅底脊索瘤和侵袭性垂体瘤(IPA)鉴别诊断中的应用价值.方法 搜集经手术病理证实且影像学有鞍区破坏的颅底脊索瘤患者15例、向鼻咽部侵犯的IPA患者20例.测量二者的表观扩散系数(ADC)值,绘制受试者工作特征曲线(ROC),分析动态增强曲线的类型,统计达峰时间(TTP)、增强峰值(EP)和最大对比增强率(MCER),分析各个参数在鉴别诊断中的价值.结果 颅底脊索瘤的ADC值为(1.274±0.07)×10-3mm2/s,高于IPA ADC值(0.672±0.03) ×10-3 mm2/s(P ＜0.001),ADC阈值为0.964×10-3mm2/s时,ROC曲线下面积为0.997,敏感度为93.3％,特异度为100％.颅底脊索瘤时间-信号强度曲线(TIC)Ⅰ型14例,TICⅢ型1例,此例TICⅢ型者TTP约40 s;IPA TIC Ⅰ型7例,TICⅢ型13例.颅底脊索瘤和IPA的EP、MCER差异均有统计学意义(P ＜0.001).结论 ADC值和TIC的类型及其相关参数(EP,MCER)有助于颅底脊索瘤和IPA之间的鉴别.     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.