Transoral protrusion of a peritoneal catheter: a case report and literature review

Transoral protrusion of a peritoneal catheter is rare. Only two cases have been reported in the English literature. We now report the case of a 5-year-old girl who presented with a catheter that had been inserted 4 years previously, protruding from her mouth. Signs of cerebrospinal fluid infection or peri- tonitis were absent. The peritoneal catheter was cut and externalized at the chest. The distal portion, which had perforated the stomach wall, was removed using endoscopic procedures. After 3 weeks of antibiotic treatment, a new shunt was inserted. Analysis of 50 cases of bowel perforation extracted from the English literature showed that among the suggested factors such as age, gender, nutritional state, history of abdominal surgery, and length and type of the catheter, age was the only predisposing factor. In the treatment of bowel perforation by a peritoneal catheter, suspected shunt infection should be managed properly and contamination be minimized during removal of the peritoneal catheter. Received: 15 May 1999     

舒适护理在腰椎间盘突出病人护理中的应用

目的探讨舒适护理在腰椎间盘突出病人护理中的应用，使腰椎间盘突出病人更积极地、乐观地、舒适地接受治疗。方法对2006年1月-2007年12月在我科住院的182例腰椎间盘突出病人（实验组）实施舒适护理；2005年7—12月在我科诊治的56例腰椎间盘突出病人（对照组）实施常规护理。所有病人出院前进行自行设计的问卷调查，比较两组病人的舒适度、满意度和对治疗、护理的依从性。结果实验组患者均有生理和心理方面的改善，病人的舒适度为95．8％，满意度为96．2％，治疗、护理依从性达到94．5％；对照组病人舒适度为62．0％，满意度为71．5％，治疗护理依从性为78．0％。两组比较，（P〈0．05），差异有显著性意义。结论舒适护理模式在腰椎间盘突出病人护理中的应用可以改善腰椎间盘突出症患者的不适症状，减轻病痛，提高患者的治愈率和生活质量，同时提高了护理服务质量，体现了以人为本的护理内涵。     

双牙弓前突支抗控制的临床体会

目的探讨双牙弓前突支抗控制的方法。方法回顾分析了17例双牙弓前突的诊治病例。结果17例轻中度双牙弓前突的支抗控制有效，患者的前牙最大程度内收，取得了比较满意的矫治效果。结论口外弓、J-Hook、颌间牵引以及一系列的后倾曲是支抗控制的有效方法，在矫治双牙弓前突患者中发挥重要的作用．使该类患者的磨牙最低限度地前移和前牙最大限度的内收，从而使双牙弓前突的患者收到比较满意的治疗效果。     

经腹超声测量膀胱内前列腺突入程度在良性前列腺梗阻诊断中的价值

目的:探讨经腹超声测定膀胱内前列腺突入程度(IPP)在良性前列腺梗阻(BPO)诊断中的价值。方法:收集2005年4月～2006年12月以下尿路症状就诊的BPH患者109例,应用经腹超声测定IPP,同时行尿流动力学检查测定最大尿流率(Qmax)、最大尿流率时逼尿肌压力(PdetQmax),并计算AG数(Pdetmax-2Qmax),根据AG数>40为梗阻,将所有患者分别归入非梗阻组(n=40)和梗阻组(n=69)。结果:在梗阻组和非梗阻组中IPP存在显著差异(P<0.01),IPP与AG数呈显著正相关(r=0.729,P=0.001)。若以IPP≥10mm为标准判断BPO,敏感度为89.9%,特异度97.5%,准确度为92.7%。结论:应用经腹超声测定IPP对BPO有良好的诊断价值。     

240例社区内就诊的腰椎间盘突出症患者临床资料分析

目的：探讨社区内就诊椎间盘突出症病人的临床资料,以便更好地指导社区医疗临床。方法：对在广西南宁市五所社区门诊的240例非急性期腰椎间盘突出症患者的相关临床资料进行总结和分析。结果：本组240例患者中,女性发病率略高于男性,发病年龄多集中在40~59岁之间,职业以非体力劳动者为主,长期慢性积累性劳损、腰部外伤史是发病的主要因素,病程较短但容易复发。结论：社区内就诊椎间盘突出症病人有不同于住院椎间盘突出症病人的临床特征。     

腰部银质针针刺与下肢微循环变化的研究

目的　探讨腰部银质针针刺疗法对改善下肢微循环的疗效。方法　将 92例腰椎间盘突出症患者随机分为银质针针刺疗法治疗组 (4 1例 )和常规疗法治疗组 (4 1例 ) ,治疗前及治疗后 1 4d ,下肢甲皱微循环的输入枝管径、输出枝管径、输入 /输出枝管径、流速等各项指标的变化情况 ,研究银质针针刺疗法在治疗下肢发凉病症方面的治疗作用。结果　银质针针刺疗法组 1 4d后 ,患者下肢甲皱微循环比常规治疗组改善显著P <0 .0 5。结论　腰部银质针针刺疗法对改善下肢微循环较常规温热治疗效果好 ,且疗效稳定     

腰椎间盘突出症再手术原因分析

目的 探讨腰椎间盘突出症再手术的原因及预防。方法 对18例腰椎间盘突出症再手术的病例进行回顾分析。结果 再手术原因主要为术前定位错误、术前漏诊、原间隙再突出、侧隐窝狭窄、脊柱稳定性破坏等。结论 腰椎间盘突出症手术前诊断及定位需准确，尽量选择对脊柱稳定性破坏小的术式，常规探查隐窝，术后避免外伤和重体力劳动。     

Risk Factors and Cup Protrusion Thresholds for Symptomatic Iliopsoas Impingement After Total Hip Arthroplasty: A Retrospective Case-Control Study

Background

Groin pain and functional limitations may occur after total hip arthroplasty (THA) due to iliopsoas impingement (IPI). We aimed to determine the risk factors and thresholds of cup protrusion for symptomatic IPI.

Severe skeletal bimaxillary protrusion treated with micro-implants and a self-made four-curvature torquing auxiliary: A case report

BACKGROUNDBimaxillary protrusion is a clinically common dentofacial deformity, particularly among Chinese patients. This kind of malformation can severely affect facial esthetics and, even in mild cases, is difficult to correct without surgery. Unfortunately, many patients abandon treatment because of fear of surgery. Here, we describe a case of severe skeletal bimaxillary protrusion treated with nonsurgical orthodontic treatments, highlighting an alternative treatment option.CASE SUMMARYA 31-year-old woman wished to address a severe protrusion profile (approximately 8 mm overbite) and gummy smile. Cephalometric analysis and superimposition showed a severe skeletal class II pattern with a mandibular retrusion, and proclined and protrusive mandibular incisors. Panoramic radiograph showed a missing mandibular right third molar. A diagnosis of severe bimaxillary dentoalveolar protrusion was made. Taking into account the patient’s fear of orthognathic surgery, she accepted the proposed alternative treatment using micro-implants and a self-made four-curvature torquing auxiliary. The treatment allowed for maximal en masse anterior tooth retraction, proper relocation of incisors, and alleviation of the skeletal class II pattern. Esthetically, the patient’s lip protrusion was significantly decreased as was the overjet (from 10.5 mm to 1.8 mm), and the results remained stable throughout the 2-year follow-up.CONCLUSIONNonsurgical treatment using micro-implants and a four-curvature torquing auxiliary may benefit severe cases of skeletal bimaxillary protrusion in adults.