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41.
乳腺病变的彩色多普勒超声、超声弹性成像与X线钼靶的诊断价值 总被引:1,自引:0,他引:1
目的:分析彩色多普勒超声、超声弹性成像与X线钼靶对乳腺病变的影像学表现,探讨彩色多普勒超声、超声弹性成像与X线钼靶在乳腺成像及诊断方面的价值。方法:回顾性分析经病理证实的479例患者共502个手术病灶,分别分析彩色多普勒超声、超声弹性成像与X线钼靶的诊断符合率以及三者结合的诊断符合率。结果:彩色多普勒超声、超声弹性成像与X线钼靶的诊断符合率分别为81.90%、83.50%、79.91%,三者相结合诊断符合率为95.62%。结论:①彩色多普勒超声、超声弹性成像对乳腺病变的诊断价值优于X线钼靶;②X线钼靶对钙化诊断价值高;③超声弹性成像对液化诊断价值较高;④三者结合可明显提高诊断符合率。 相似文献
42.
目的评价可视喉镜联合管芯与UE电子软镜引导经鼻气管插管用于口腔科手术患者的效果。方法选取择期行全麻下经鼻气管插管手术的口腔科患者60例,ASAⅠ~Ⅱ级,年龄18~65岁,BMI<30 kg/m^2。按随机数字表法分为可视喉镜联合管芯组(K组)和UE电子软镜组(U组),每组30例。记录2组一次置入导管成功率、气管插管时间、插管并发症发生率,以及麻醉诱导前(T0)、诱导后插管前即刻(T1)、气管导管置入即刻(T2)、插管后1 min(T3)、插管后3 min(T4)的无创收缩压(SBP)、舒张压(DBP)和心率(HR)。结果 U组气管插管时间为(50.7±2.3)s,明显比K组的(55.2±1.6)s缩短,差异有统计学意义(P<0.05);2组一次插管成功率及插管时鼻咽腔出血率差异无统计学意义(P>0.05)。与T0、T1比较,2组患者T3、T4的SBP、DBP均降低,差异有统计学意义(P<0.05)。与K组比较,U组T2、T3的SBP、DBP均降低,血流动力学波动更小,差异有统计学意义(P<0.05)。结论与可视喉镜联合管芯比较,UE电子软镜快速诱导经鼻气管插管时间短、血流动力学稳定。但可视喉镜联合管芯引导经鼻插管简便、经济,值得在临床推广。 相似文献
43.
44.
目的比较3种视频喉镜:GlideScope(GS),AirTraq(AT)与UE视频喉镜在行气管插管时对患者血流动力学及术后气管插管并发症的影响.方法 60例择期手术患者随机分为3组:GS,AT和UE组.监测诱导前、插管前、插管后即刻和插管后1 min、2 min、3 min的血压(BP)和心率(HR),并记录插管时间、插管次数和插管相关并发症.结果插管后,GS、AT和UE组的BP各时间点差异无统计学意义(P〉0.05).插管后即刻3组患者BP,HR都上升至插管前水平;GS、UE组插管后心率增快持续时间长于AT组(P〈0.05).AT组插管后声嘶、咽痛率显著高于GS和UE组(P〈0.05).结论 GlideScope,AirTraq与UE视频喉镜在插管时间和对患者血流动力学的影响没有明显差异,但AirTraq视频喉镜术后并发症的发生率高于其他2种视频喉镜. 相似文献
45.
Anson B. Rosenfeldt Susan M. Linder Sara Davidson Cynthia Clark Nicole M. Zimmerman John J. Lee Jay L. Alberts 《Archives of physical medicine and rehabilitation》2019,100(5):923-930
Objective
The aim of this project was to determine the effects of lower extremity aerobic exercise coupled with upper extremity repetitive task practice (RTP) on health-related quality of life (HRQOL) and depressive symptomology in individuals with chronic stroke.Design
Secondary analysis of data from 2 randomized controlled trials.Setting
Research laboratory.Participants
Individuals (N=40) with chronic stroke.Interventions
Participants received one of the following interventions: forced exercise+RTP (FE+RTP, n=16), voluntary exercise+RTP (VE+RTP, n=16), or stroke education+RTP (EDU+RTP, n=8). All groups completed 24 sessions, each session lasting 90 minutes.Main Outcome Measures
The Center for Epidemiological Studies-Depression Scale (CES-D) and Stroke Impact Scale (SIS) were used to assess depressive symptomology and HRQOL.Results
There were no significant group-by-time interactions for any of the SIS domains or composite scores. Examining the individual groups following the intervention, those in the FE+RTP and VE+RTP groups demonstrated significant improvements in the following SIS domains: strength, mobility, hand function, activities of daily living, and the physical composite. In addition, the FE+RTP group demonstrated significant improvements in memory, cognitive composite, and percent recovery from stroke. The HRQOL did not change in the EDU+RTP group. Although CES-D scores improved predominantly for those in the FE+RTP group, these improvements were not statistically significant. Overall, results were maintained at the 4-week follow-up.Conclusion
Aerobic exercise, regardless of mode, preceding motor task practice may improve HRQOL in patients with stroke. The potential of aerobic exercise to improve cardiorespiratory endurance, motor outcomes, and HRQOL poststroke justifies its use to augment traditional task practice. 相似文献46.
Ronald J. Triolo Stephanie Nogan Bailey Kevin M. Foglyano Rudi Kobetic Lisa M. Lombardo Michael E. Miller Gilles Pinault 《Archives of physical medicine and rehabilitation》2018,99(2):289-298
Objective
To quantify the long-term (>2y) effects of lower extremity (LE) neuroprostheses (NPs) for standing, transfers, stepping, and seated stability after spinal cord injury.Design
Single-subject design case series with participants acting as their own concurrent controls, including retrospective data review.Setting
Hospital-based clinical biomechanics laboratory with experienced (>20y in the field) research biomedical engineers, a physical therapist, and medical monitoring review.Participants
Long-term (6.2±2.7y) at-home users (N=22; 19 men, 3 women) of implanted NPs for trunk and LE function with chronic (14.4±7.1y) spinal cord injury resulting in full or partial paralysis.Interventions
Technical and clinical performance measurements, along with user satisfaction surveys.Main Outcome Measures
Knee extension moment, maximum standing time, body weight supported by lower extremities, 3 functional standing tasks, 2 satisfaction surveys, NP usage, and stability of implanted components.Results
Stimulated knee extension strength and functional capabilities were maintained, with 94% of implant recipients reporting being very or moderately satisfied with their system. More than half (60%) of the participants were still using their implanted NPs for exercise and function for >10min/d on nearly half or more of the days monitored; however, maximum standing times and percentage body weight through LEs decreased slightly over the follow-up interval. Stimulus thresholds were uniformly stable. Six-year survival rates for the first-generation implanted pulse generator (IPG) and epimysial electrodes were close to 90%, whereas those for the second-generation IPG along with the intramuscular and nerve cuff electrodes were >98%.Conclusions
Objective and subjective measures of the technical and clinical performances of implanted LE NPs generally remained consistent for 22 participants after an average of 6 years of unsupervised use at home. These findings suggest that implanted LE NPs can provide lasting benefits that recipients value. 相似文献47.
目的评价国产UE可视喉镜在小儿气管插管中的应用价值。方法择期全身麻醉下气管插管行手术治疗患儿200例,随机分为可视喉镜组和普通喉镜组各100例,分别应用UE可视喉镜和普通喉镜行气管插管,记录2组声门暴露程度(Cormark—Lehane分级)、气管插管时间、插管成功率并进行比较。结果可视喉镜组声门暴露程度优于普通喉镜组,插管成功率高于普通喉镜组(P〈0.05);2组气管插管时间比较差异无统计学意义(尸〉O.05)。结论国产UE可视喉镜用于小儿气管插管明显优于普通喉镜。 相似文献
48.
Amr El Badry Usama Ghieda Radwa M. El khouly Eman A. Elreweny 《The Egyptian Journal of Radiology and Nuclear Medicine》2018,49(1):119-127
Aim and objectives: To assess the role of SEL in evaluation of Achilles tendon. Methodology: This study included 40 healthy volunteers and 40 patients with symptomatic Achilles tendon. All patients were examined by conventional B-mode ultrasound, sonoelastography and MRI. Results: Achilles tendons of the volunteers were characterized by hard texture with higher strain ratios than those of the patients with Achilles tendinopathy. No significant differences could be detected between SR of male and female volunteers yet significant differences could be detected in the volunteer group above and below forty being lower with softer tendon properties in the group above forty with a cut-off value of ≤1.84 between healthy and diseased group. Sonoelastography had the sensitivity of 89.1% and specificity of 96.1% for diagnosis of tendinopathy with results superior to those of conventional B-mode ultrasonography. Conclusion: SEL is a reliable tool in the evaluation of Achilles tendinopathy with sensitivity and specificity superior to B-mode US. Strain ratio provides excellent non-invasive diagnostic data adds strongly in more objective evaluation of Achilles tendon properties. 相似文献
49.
We highlight a potential major complication from GlideScope intubation—perforation of the soft palate. With increasing use of video laryngoscopy, precautions must be taken to ensure that its continued use does not increase airway complications. 相似文献