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锁骨钩钢板在锁骨远端创伤的应用及并发症分析 总被引:6,自引:3,他引:3
目的:探讨应用锁骨钩钢板内固定治疗锁骨远端创伤患者的临床效果,分析并发症的原因并探讨进一步防治措施。方法:2001年9月至2008年2月治疗50例锁骨远端创伤患者,其中男36例,女14例;年龄19~77岁,平均43岁。新鲜NeerⅡ型锁骨远端骨折36例,TossyⅢ型肩锁关节脱位14例。应用锁骨钩钢板内固定治疗。术后随访测量肩关节前屈上攀活动度和并发症发生情况,分别采用Karlsson标准及Constant—Murley评分标准进行功能评价。结果:所有患者随访7~18个月,平均12个月,术后1周所有患者均能进行肩关节主动活动。术后6周均完全恢复日常生活和工作能力。按照Karlsson标准,优44例,良6例。对患肩进行Constant—Murley评分,术前患肩平均(73.8±8.3)分,术后平均(59.6±6.7)分,术后评分高于术前。无伤口感染发生,5例发生术后并发症均得到及时治疗,随访骨折全部愈合,无肩锁关节再次脱位。结论:应用锁骨钩钢板内固定治疗NeerⅡ型锁骨远端骨折和TossyⅢ型肩锁关节脱位,具有固定坚强可靠、能早期功能锻炼的优点,同时又能减少手术并发症。 相似文献
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胸腰段脊柱骨折内固定使用长节段还是短节段 总被引:4,自引:1,他引:3
自上个世纪60年代Holdsworth棘突钢板应用治疗脊柱骨折以来,胸腰椎骨折的内固定治疗已走过了近半个多世纪的历史。 相似文献
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Jun Li Tao Gu Hao Yang Lei Liang Dong-jie Jiang Zhan-chao Wang Wen Yuan Xin-wei Wang 《Medical hypotheses》2014
Sympathetic symptoms associated with cervical disorders, such as vertigo, headache, dizziness, etc., are common clinical disorders bewildering both clinicians and patients. In our clinical practice we observed that sympathetic symptoms associated with cervical disorders were apparently relieved in some patients after undergoing routine anterior cervical decompression and fusion plus posterior longitudinal ligament (PLL) resection. This study was designed to investigate the sympathetic nerve innervations in the cervical PLL and its potential correlation with cervical sympathetic symptoms such as vertigo. 相似文献
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Rohrweck S España-Gregori E Gené-Sampedro A Pascual-Lozano AM Aparici-Robles F Díaz-Llopis M 《Archivos de la Sociedad Espa?ola de Oftalmología》2011,86(11):377-379
CLINICAL CASE: A 42-year-old man presented with ptosis and miosis in his left eye and a history of headache over the last 20 days. An angioresonance showed dissection of internal carotid artery. DISCUSSION: "Painful Horner's Syndrome" is considered to be a medical emergency due possible onset of an internal carotid artery dissection. We consider that awareness of neuro-ophthalmologic emergencies is very important in the clinical praxis of an ophthalmologist. Multidisciplinary treatment and follow-up of these patients is required. 相似文献
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