股骨头缺血坏死的CT及X线诊断比较

报告了２８例股骨头缺血坏死的ＣＴ表现,并与Ｘ线平片进行了比较,同时选择了２０例４０个正常股骨头作为对照,分析了股骨头缺血坏死的早期和晚期ＣＴ表现,ＣＴ与Ｘ线平片对照结果表明,ＣＴ在诊断股骨头缺血坏死方面优于Ｘ线平片。     

股骨头缺血性坏死介入治疗的临床研究

研究介入放射对股骨头缺血性坏死的治疗效果。采用Ｓｅｌｄｉｎｇｅｒ技术，对４８例（共计６６髋）非创伤性股骨头缺血坏坏死患者实施了介入治疗。随访２个月至２年，结果显示，９３．８％患者疼痛症状消失或减轻；８７．５％，患者髋关节功能恢复正常或基本正常（Ⅰ级）；Ｘ线平片及血管造影按统一准评定均为优良。说明介入治疗股骨头缺血坏死是安全可靠，简便易行，并发症少且疗效显著的治疗方法。     

中西医结合治疗早期非创伤性股骨头坏死62例

目的探讨中西医结合治疗早期非创伤性股骨头坏死的近期疗效。方法 2005年10月～2010年10月,用美多巴联用中药复方治疗早期非创伤性股骨头坏死62例（96髋）,男性48例（72髋）,女性14例（24髋）;年龄24～70岁。按Ficat方法进行分期：Ⅰ期8髋,Ⅱa期80髋,Ⅱb期8髋。患者均表现有髋关节疼痛及活动受限。西药美多巴初次剂量为每日0.25g,可逐步增加至每日3次,每次0.25g或每日2次,每次0.5g;中药复方每日1剂,水煎早晚服。所有患者均摄双侧髋前后位X线片及行MR检查,采用Charnley改良Merled＇Aubigne临床综合评分方法评估疗效。结果患者临床症状均改善,X线片显示股骨头骨密度增高,68.75%（66/96）的股骨头维持原有形状,临床满意率91.67%（88/96）;治疗成功率72.92%（70/96）。结论中西医结合治疗早期非创伤性股骨头坏死近期临床疗效确切。     

早期股骨头缺血性坏死不同诊断方法的应用分析

目的：探讨早期股骨头缺血性坏死采用MRI、CT和X线片三种影像学方法的应用分析。方法：选择30例30个病变经临床病理确诊的股骨头缺血性坏死病人的临床资料及影响学资料进行回顾性分析,比较X线平片、CT扫描及MRI影响学结果表现情况。结果：30个病变股骨头当中的X线平片仅14个显示,占46．7％的检出率,cI扫描后显示了18个病变部位,占60．0％的检出率,MRI的检出率为100％。X线平片与CT扫描的检出率进行对比差异无统计学意义（P〉0．05）,X线平片与CT扫描的检出率显著低于MRI的检出率,二者与MRI的检出率比较差异有统计学意义（P〈0．01）。结论：对于早期股骨头缺血性坏死病例,关庠IMRT诠断的敏威,畦明昂特．千X线罩睹知CT扫描．高危人群和已有髋关节症状的病人可首选MRT检查     

X线平片与CT对股骨头缺血性坏死的诊断价值

目的:比较和评价X线平片与CT扫描2种检查方法对股骨头缺血性坏死(ANFH)的诊断价值.方法:回顾性分析我院50例经X线平片与CT扫描并经我院或外院手术或骨穿病理证实的股骨头缺血性坏死(ANFH).结果:发现50例股骨头受累,单侧股骨头受累28例,占56.0%;双侧股骨头受累22例,占44.0%.普通X线平片诊断Ⅰ～Ⅱ期ANFH6例,Ⅲ～Ⅳ期34例,阳性率80%;CT诊断Ⅰ～Ⅱ期ANFH 13例,Ⅲ～Ⅳ期34例,阳性率95%.结论:①X线平片是诊断ANFH最基本、最经济、简单的方法,但在早期不易发现导致漏诊.②CT可以早期发现病变,对诊断起决定性作用.随着CT的普及,是早期诊断或者确诊ANFH必要检查方法.     

27例成人股骨头缺血坏死CR和常规X线平片的影像探讨

目的探讨cR摄影技术在股骨头缺血坏死中的临床应用。方法选取27例（双侧股骨头缺血性坏死3例,余24例为单侧股骨头缺血性坏死进行常规X线平片和CR检查。结果27例髋关节分别摄CR片与普通X线平片,受检者CR照射剂量低于传统X线的照射剂量。27例髋关节CR图像显示清晰,而27例普通X线平片显示皮下组织较差,骨小梁结构及小的头下囊变显示不如CR图像清晰。结论CR检查对成年人股骨头缺血性坏死的早期诊断优于常规X线平片。     

钻孔减压及注入中药治疗股骨头缺血性坏死104例

笔者自 1992— 1999年 ,以大粗隆下斯氏针钻孔减压结合注入中药的方法 ,治疗股骨头缺血性坏死10 4例 ,共 174个髋 ,经随访 1— 7年 ,疗效满意 ,现报道如下。1　临床资料本组 10 4例 ,其中男 76例 ,女 2 8例 ;单侧发病34例 ,双侧发病 70例 ;发病原因系股骨颈骨折 5 1例 ,其它髋部创伤 9例 ,有激素应用史 4 1例 ,有酗酒史 11例 ,无明显诱因 2 1例。Ｘ线分期 :根据Ｆｉｃａｔ对股骨头缺血性坏死的Ｘ线 4期分型法 ,本组 10 4例 174个髋中 ,Ⅰ期 8个髋 ,Ⅱ期 12 6个髋 ,Ⅲ期 36个髋 ,Ⅳ期 4个髋。根据病史、临床症状、体格检查和影像学检查 ,结合…     

中药结合髓芯减压术治疗早期股骨头坏死疗效观察

目的：以早期股骨头坏死患者为研究对象,通过临床观察探讨中药结合髓芯减压术治疗早期股骨头坏死的疗效,为股骨头坏死的保髋治疗提供临床依据。方法：临床观察将42例ARCO I期、Ⅱ期的早期股骨头坏死患者,随机分为对照组20例26髋,治疗组22例28髋。对照组单纯采用中药治疗,治疗组采用中药结合髓芯减压术治疗。每3个月为1个疗程,两个疗程后进行疗效判定。结果：治疗组优7髋,良16髋,可5髋,差0髋,总有效率100.0%（95%C I=87.7%~100.0%）;对照组优1髋,良11髋,可12髋,差2髋,总有效率92.3%（95%C I=74.9%~99.1%）;两组综合疗效比较（u=2.760 1,P=0.007 7）,具有显著性差异。结论：中药结合髓芯减压术治疗早期股骨头坏死较单纯中药治疗能较好地减轻甚至消除患者病髋疼痛、改善病髋活动度和下肢生理功能,促进骨修复。     

成人股骨头缺血坏死的早期影像学诊断

目的：回顾性总结股骨缺血坏死的早期影像学征象、材料和方法：9例均行X线平片检查和CT检查,其中3例行ECT检查。结果：9例13病骨中,有10个股骨头X片线有早期异常改变,主要表现为骨小梁形态异常,其中1例关节面下有约2mm新月形密度带。11个股骨头有早期CT表现,主为“星状征”变形。3例ECT检查得有一个股骨头表现为局限性“冷区”,而X线平片和CT均见异常;4个股骨头表现为局限性“冷区”,伴局限性“热区”。结论：CT和ECT对股骨头缺血性坏死的早期诊断优于X线,但其早期X线征象仍需重视。     

股骨头缺血性坏死的影像学诊断结果分析

探讨X线、CT及MRI对股骨头缺血性坏死的诊断、分期及对治疗方法提供依据，40例患者经X平片、CT平扫及MRI扫描，并对其进行了手术和非手术治疗。分析其MRI的信号改变。结果显示5个股骨头为早期病变，而CT及X线平片为阴性；并且依据MRI的信号改变对病变进行分期，以指导临床治疗。MRI是上述三种检查方法中，对于发现早期病变最好。     

“一贯煎”的实验研究

本文报告“一贯煎”煎剂有显著的抗疲劳、抗缺氧、抗炎、增强巨噬细胞吞噬功能、镇静和镇痛作用,并能桔抗乙酰胆碱所致家兔离体肠管痉挛。     

EFFECT OF ACUPUNCTURE ON ELECTROMYOGRAPH OF MYOSITIS AND PATHOLOGY OF MUSCLE

An animal model of experimental polymyositis(EPM)similar to humampolymyositis(PM)was made by immuning with skeletal muscular homogenate of rabbits.We treatedthem by acupuncturing Zusanli(ST 36)and Xuehai(SP 10)for 8 consecutive weeks and comparedthem with control group.The changes of electromyogram and muscular pathology were analysed.The results show that all changes in acupuncture group are milder than that in control group and sug-gest that acupuncture has some beneficial adjustment for the immunity of PM.     

心痛的古代针灸治疗特点分析

运用计算机对 62种古籍中用针灸治疗心痛的内容进行统计 (古人有时误将心脏周围脏器组织的疼痛也叫作“心痛”) ,结果显示 ,治疗本证共涉及文献 340条 ,穴位 1 60个 ,总计 592穴次。常用穴位及其次数如下 ,中脘 2 9,内关 2 4 ,大陵 2 3,巨阙 2 3,上脘 2 1 ,间使 1 4,足三里 1 3,曲泽 1 3,劳宫 1 3,公孙1 2 ,神门 1 2 ,太冲 1 2 ,太溪 1 1 ,中冲 1 1 ,行间 1 1。常用经络及其次数如下 ,任 1 1 5,心包 1 0 4 ,肾 47,肝 42 ,脾 39,心 37,膀胱 36。常用部位及其次数如下 ,胸脘1 33,足阴 96,臂阴 84,手掌 75,上背 34,小腹 2 6。各种方法的穴次为 …     

初识小结胸证

小结胸证乃由邪气入里或表证误下,邪热内陷,与心下痰饮相结而成。其病位在心下,按之则痛,脉浮滑。清热开结化痰为其治法,小陷胸汤为主方。     

青蒿琥酯对恶性疟原虫配子体感染性影响的观察

越南南方疟区15例携带恶性疟原虫配子体和无性体的患者分为A、B、C 3组,A组口服青蒿琥酯片5天总量600mg,B组口服青蒿琥酯片2天总量200mg,C组静脉注射青蒿琥酯5天总量360mg。给药前、后定时血检计算配子体密度,并取血离体感染大劣按蚊。配子体转阴时间,A组为15.4±5.0天,B组为20.6±4.8天,C组为20.3±4.0天。配子体失去感染性,A组D_7(给药后7天)2/5例、D_(14)5/5例;B组D_70/5例、D_(14)1/5例、D_(21)5/5例;C组D_70/5例、D_(14)2/4例、D_(21)3/3例。研究结果表明口服青蒿琥酯5天总量600mg对清除恶性疟原虫配子体血症及抑制配子体的感染性有明显影响。     

大黄有毒物质基础的研究

目的：进行大黄体内有毒物质基础的研究。方法：以病理切片和血清生化为指标,对大黄总提取物组、大黄游离葸醌组、大黄结合蒽醌组、大黄总蒽醌组、大黄鞣质组和大黄多糖组进行小鼠体内毒性实验。结果：大黄各蒽醌组尤其是游离蒽醌组对小鼠主要毒性靶器官为肾脏,而鞣质部位则有潜在的肝毒性。结论：大黄中鞣质及蒽醌类成分有潜在肝肾毒性。     

ELECTROACUPUNCTURE TREATMENT OF 30 CASES OF HYPERPLASIA OF MAMMARY GLANDS

In the present paper,30 cases of hyperplasia of mammary glands were treated withelectroacupuncture in different times following menstruation,showing satisfactory results.The totaleffective rate was up to 96.67％.In addition,the symptom of mastalgla abated abviously after treat-ment.     

COMBINED TREATMENT OF 198 CASES OF INSOMNIA WITH ACUPUNCTURE OF BODY ACUPOINTS PLUS PELLET PRESSING OF OTOPOINTS

Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pelletpressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserted the filiform needles into Shenmen (HT 7), Neiguan (PC 6), Zhaohai (KI 6) and Zusanli (ST 36) and manipulated the needles with uniform reinforcing-reducing method, then otopoints as Ershenmen (MA-TF 1 ), Shen (MA-SC), Gan (MA-SC 5), etc. were stimulated by pressing the stuck vaccaria seeds. Ten treatments were considered as a therapeutic course. Results: Of the 198 cases, 65 (32%) were cured, 76 (38%) had remarkable improvement, 53 (26%) had improvement and 4 (2%) had no effect, with the total effective rate being 97% Conclusion:Acupuncture of body acupoints plus otopoint pellet pressing works well in treatment of insomnia.     

电针强度和频率对镇痛效应的影晌

<正> 针刺镇痛是两种不同感觉传入相互作用的结果。刺激强度与频率是影响这种相互作用的基本因素,研究电针强度与频率对镇痛作用的影响是有重要意义的。关于强度的影响,过去报道的结果很不一致:有的认为电针强度增强,对疼痛反应的抑制效应增大     

STUDY OF EFFECTIVENESS OF ACUPUNCTURE TREATMENT ON HYPERPLASIA OF MAMMARY GLANDS

Objective: To observe whether there is an improvement in breast pain, swelling or breast ultrasound after acupuncture treatment and to compare the results with the effects of widely used medicines such as dairy Acbel capsule.Methods: A total of 160 research-suitable HMG patients were selected through the Beijing University of Chinese Medicine Oriental Hospital's Galactophore Department and Acupuncture Branches.Totally 153 patients completed the study according to the protocol.The patients were randomly categorized into two groups.One group was treated by acupuncture and the other by Chinese medicine.The acupuncture group selected Danzhong, Wuyi, Rugen, Qimen, and Sanyinjiao acupoints for treatment.There were a total of 15 treatments for each patient and each treatment lasted for 20 min.Treatments were not carried out during the patients' menstrual period.Patients in the Chinese medicine group were prescribed three orally ingested dairy Acbel capsule three times a day.The medicine was not taken during the patients' menstrual period.Both groups started their respective treatments during their luteal phase and the effectiveness of treatment was evaluated during their next luteal phase.Results: In the acupuncture group, 15.1% of the patients had successful treatments and 83.6% of the patients had improvement in their symptoms, whereas for the Chinese medicine group, 19.0% of the patients had successful treatments and 83.5% saw improvement in their conditions.There was no statistically significant difference between the two groups(P0.05).The treatments used for both groups significantly alleviated breast pain and reduced swelling among HMG patients.Conclusion: Acupuncture treatment can improve the conditions of HMG patients significantly.The treatment effect is positive and the effectiveness is equivalent to that of the dairy Acbel capsules.This method is simple and convenient, free of harmful side effects, relatively inexpensive, and suitable for clinical promotion.