计算机辅助复杂性骨盆髋臼和骶骨骨折的临床应用

目的：评价计算机辅助技术在复杂骨盆骨折诊断与治疗中的应用价值。方法：对12例复杂骨盆骶骨骨折患者行CT扫描获取病变部位的二维数据,采用计算机辅助技术行骨盆骶骨骨折的三维重建解剖学模型,快速成型制作出与实体1：1大小的骨盆模型。依此对骨盆骨折做出明确的诊断、分型,制定手术方案,术前模拟手术,指导手术治疗。结果：术中所见与虚拟三维重建图像及快速成型骨盆模型非常相似,术前的模拟手术使手术时间明显缩短,减少了术中失血,12例患者均获得了良好的骨折复位。结论：计算机辅助技术能全面、直观、精确地显示骨盆的立体形态和各部位解剖结构的空间关系,对于骨盆骶骨骨折的诊断、分型及治疗均有很强的临床指导作用,它使手术更精确、更可靠、更方便,它在复杂骨盆骶骨骨折的治疗中有着广阔应用前景。     

计算机辅助在下肢多发性骨折方面的应用

目的：评价三维重建与快速成型技术应用于复杂性下肢多发性骨折诊断与治疗中的价值。方法：对10例复杂性下肢多发性骨折患者利用Mimics软件三维重建和快速成型制作出1：1大小的实体模型,依此对骨折做出明确的诊断,制定手术方案,术前模拟手术,指导手术治疗。结果：术中所见与虚拟三维重建图像及快速成型骨盆模型非常相似,术前的模拟手术使手术时间明显缩短,减少了术中失血和麻醉药量。10例患者均获得了良好的骨折复位,内固定器械的植入更加直观和准确。结论：计算机辅助快速成型技术对于复杂性下肢骨折的诊断及治疗均有很强的临床指导作用。     

3D数字骨科技术在髋臼骨折治疗中的应用

目的：探讨3D数字骨科技术在髋臼骨折治疗中的应用价值及其疗效。方法回顾分析2009年1月~2013年12月采用3D数字骨科技术进行辅助治疗的50例髋臼骨折患者资料,术前行薄层CT扫描获取骨盆二维数据,导入Mimics软件重建三维模型,计算机辅助分析髋臼骨折情况并进行模拟复位,快速成型技术制出与实体1∶1大小的骨盆模型。根据模型对髋臼骨折做出明确的诊断、分型,指导手术治疗。结果术中所见骨折及移位情况与术前三维重建图像及快速成型模型非常相似,术前模拟缩短了手术时间,减少了术中出血量。所有患者随访6~24个月,骨折复位情况根据Matta影像学评分标准：解剖复位41例,复位满意9例;髋关节功能按照Harris评分标准,优32例,良12例,可6例,优良率88%。结论 CT扫描三维重建、计算机辅助分析和模拟骨折复位,快速成型技术能直观、精确地显示髋臼骨折的立体形态和各解剖结构的空间关系,对髋臼骨折的诊断、分型及治疗具有良好的指导作用。     

快速成型技术在复杂性骨折方面的临床应用

目的：评价三维重建与快速成型技术应用于复杂性骨折诊断与治疗中的价值。方法：对23例复杂性骨折患者利用Mimics软件三维重建,快速成型制作出1：1大小的实体模型,依此对骨折做出明确的诊断,制定手术方案,术前模拟手术,指导手术治疗。结果：术中所见与虚拟三维重建图像及快速成型骨盆模型非常相似,术前的模拟手术使手术时间明显缩短,减少了术中失血和麻醉药量。23例患者均获得了良好的骨折复位,内固定器械的植入更加直观和准确。结论：计算机辅助快速成型技术对于复杂性骨折的诊断及治疗均有很强的临床指导作用。     

多层螺旋CT三维重建在髋臼骨折Letournel-Judet分型及手术选择中的应用

目的报道多层螺旋CT三维重建在髋臼骨折Letournel-Judet分型诊断及手术入路选择中的应用方法。方法髋臼骨折患者29例,均行骨盆前后位X线摄片,同时行骨盆髋臼多层螺旋CT扫描和三维重建,确定髋臼骨折Letournel-Judet分型。结果简单骨折18例,其中后壁骨折8例,后柱骨折3例,前壁前柱4例,横行骨折3例;复杂骨折11例,其中后壁加后柱4例,前壁加前柱2例,T型骨折3例,双柱骨折2例。根据三维重建结果,保守治疗6例,行手术治疗23例,均得到解剖或近似解剖复位;经随访髋关节功能优8例,良15例,优良率79.3%。结论多层螺旋CT三维重建在髋臼骨折Letournel-Judet分型治疗及手术入路选择中有重要指导作用。     

计算机辅助快速成型技术在儿童发育性髋关节脱位的临床应用

目的:评价计算机辅助技术和快速成型技术在儿童发育性髋关节脱位诊断与治疗中的疗效。方法:对14例发育性髋关节脱位患儿行CT扫描获取病变部位的二维数据,采用计算机辅助技术行DDH骨盆的三维重建解剖学模型,快速成型制作出骨盆模型。依此对发育性髋关节脱位做出明确诊断,制定手术方案,术前模拟手术,指导手术治疗。结果:术中所见与虚拟三维重建图像及快速成型骨盆模型非常相似,术前的模拟手术使手术时间明显缩短,减少了术中失血,14例患儿均获得了良好矫正。结论:计算机辅助快速成型技术能够准确和直观地反映儿童发育性髋关节脱位骨盆畸形的立体形态和各部位解剖结构的空间关系,可指导制定手术计划和手术操作。     

计算机辅助快速成型技术在复杂性跟骨骨折方面的应用

目的：评价计算机辅助技术和快速成型技术在跟骨骨折诊断与治疗中的疗效。方法：对30例跟骨骨折患者行CT扫描获取病变部位的二维数据,采用计算机辅助技术行跟骨骨折的三维重建解剖学模型,快速成型制作出跟骨骨折模型。依此对跟骨骨折做出明确诊断、分型,制定手术方案,术前模拟手术,指导手术治疗。比较传统手术和计算机辅助手术两组的切开暴露时间、复位与固定时间及手术疗效优秀。结果：所有患者术后随访8—22个月。两组切开暴露时间差异无统计学意义（P〉0．05）;传统手术复位与固定时间为（60．28±5．45）min,计算机辅助手术复位与固定时间为（48．75±5．83）min,差异有统计学意义（P〈0．05）。结论：计算机快速成型辅助个体化技术能对跟骨骨折的诊断、分型及治疗均有很强的临床指导作用,可提高跟骨骨折手术效率与精确度。     

应用数字化技术对胸外科肿瘤9例临床报告

目的：评价计算机辅助和快速成型技术在胸外科肿瘤方面的临床应用。方法：对9例胸外科肿瘤患者,术前行CT血管成像扫描,应用Mimics10．0软件对骨组织和肿瘤进行三维重建,采用快速成型打印血管、肿瘤块,根据术前设计方案完成手术。结果：全部病例均进行胸肿瘤数字化三维重建,得到肿瘤的三维立体图像。可以方便地从任意角度和方向观察肿瘤情况,测量有关数据。在数字化模型上进行手术设计。术中发现打印模型与肿瘤实际情况完全一致,随访术后效果满意。结论：采用数字化技术和快速成型,进行术前模拟训练,设计手术,并发症减少,手术时间缩短,手术精确度提高。     

移位髋臼骨折合并骨盆后环损伤的手术治疗

目的探讨移位髋臼合并骨盆后环损伤的手术治疗方法。方法对19例移位髋白骨折合并同侧骶骨骨折或骶髂关节分离患者，根据患者病变情况，对髋臼骨折应用重建钢板和（或）拉力螺钉内固定19例，骨盆后环损伤应用支架外固定10例，骶骨棒固定2例，骶髂螺钉固定1例，骶髂关节前方钢板固定3例，骶髂关节前方钢板联合支架固定1例。结果经过1～5年随访，19例患者中疗效达优者13例（68．4％），良1例（5．3％），可2例（10．5％），差3例（15．8％）。术后并发症主要包括髋关节创伤性关节炎1例，髋臼软骨坏死2例，BrokerⅡ异位骨化1例，迟发性神经损伤3例。结论对移位髋臼骨折合并骨盆后环损伤的患者，在对髋臼骨折进行手术治疗的同时，应同期处理骨盆后环损伤，方可达到较满意治疗效果；其髋臼骨折的损伤程度及复位质量则是决定远期疗效的主要因素。     

利用Mimics软件骨盆三维重建基础上快速成模型在骨盆髋臼骨折手术治疗中的临床应用

目的探讨利用Mimics软件骨盆三维重建基础上快速成模型应用在骨盆髋臼骨折手术治疗中与传统手术方法相比较的优越性。方法至2010年10月至2014年6月,我们选取收治的30例骨盆髋臼骨折病人,随机分成两组,每组15例,一组应用CT扫描,利用Mimics软件行三维重建并快速打印出1:1比例的模型,术前模拟复位操作并将钢板预弯;结果另一组行传统手术,通过记录术中出血量及手术时间,对比有无显著差异性。结论与传统手术相比,利用Mimics软件骨盆三维重建基础上快速成模型在骨盆髋臼骨折手术中可明显缩短手术时间,减少出血量,有显著差异性。     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.