首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   1篇
  免费   2篇
内科学   1篇
特种医学   1篇
中国医学   1篇
  2019年   1篇
  2015年   1篇
  2011年   1篇
排序方式: 共有3条查询结果,搜索用时 6 毫秒
1
1.
薛建学  张军伟  吕宏乐 《新中医》2019,51(4):184-187
目的:探讨丹红注射液联合唑来膦酸治疗胸腰椎骨折术后的临床疗效及对血清骨代谢指标的影响。方法:将行胸腰椎骨折术患者120例随机分为实验组与对照组,各60例;对照组术后给予唑来膦酸治疗,实验组术后给予丹红注射液联合唑来膦酸治疗,2组均治疗30天,观测2组骨钙素(BGP)、骨碱性磷酸酶(BALP)、Ⅰ型前胶原羧基端肽(PICP)、Ⅰ型胶原羧基端肽β特殊序列(β-CTX)、总前Ⅰ型前胶原氨基端延长肽(T-PINP)等骨代谢指标水平、骨密度及Cobb角变化,并比较2组临床疗效。结果:总有效率实验组为96.67%,对照组为75.00%,2组比较,差异有统计学意义(P 0.05)。治疗后,2组血清BGP、BALP、PICP水平较治疗前升高(P 0.05),β-CTX、T-PINP水平较治疗前下降(P 0.05);且实验组上述各项指标改善较对照组更显著(P 0.05)。治疗后,2组BMD值均较治疗前增高(P 0.05);且实验组BMD值明显高于对照组(P 0.05)。治疗后2组Cobb角均较治疗前缩小(P 0.05);且实验组Cobb角明显小于对照组(P 0.05)。结论:丹红注射液联合唑来膦酸治疗胸腰椎骨折术后患者疗效显著,可有效调节患者骨性标志物水平,促进骨密度增加,改善Cobb角,值得临床推广应用。  相似文献   
2.
目的 探讨尿道会师同期骨盆骨折复位内固定治疗骨盆骨折合并后尿道断裂的疗效.方法 自2003年12月至2009年8月,采用尿道会师同期骨盆骨折复位内固定治疗骨盆骨折合并后尿道断裂33例.全部为后尿道完全断裂.骨盆骨折按AO分类:A2型2例,B1型6例,B2型7例,B3型5例,C1型6例,C2型4例,C3型3例.12例急诊同期行尿道会师术和骨盆骨折切开复位内固定术,21例因病情危重急诊先行耻骨上膀胱造瘘、骨盆骨折外固定,病情稳定后,在早期行尿道会师术同时行骨盆骨折切开复位内固定术.结果 术后随访3~63个月,平均37个月.术后76%(25/33)的患者无须尿道扩张或仅需短期尿道扩张,24%(8/33)需要进一步复杂的尿道手术治疗,尿失禁和勃起障碍发生率仅为6%(2/33)和18%(6/33),其中33%(2/6)勃起障碍者与骶神经损伤有关.末次随访骨盆骨折根据Majeed功能评分平均90.3分(66~100分),其中优24例,良8例,可1例.结论 尿道会师术同期骨盆骨折复位内固定是治疗骨盆骨折合并后尿道断裂的一种创伤小、治疗周期短、疗效切实可靠、并发症低的方法.
Abstract:
Objective To investigate the outcome of the urethral realignment simultaneous internal fixation in treatment of pelvic fracture associated with posterior urethral disruption. Methods The study included 33 patients with pelvic fracture associated with posterior urethral disruption treated simultaneously by urethral realignment and internal fixation from December 2003 to August 2009. According to AO classification, two patients were with type A2 fracture, six with type B1 ,seven with type B2,five with type B3 ,six with type C1 ,four with type C2 and three with type C3. All the patients were found with complete posterior urethral disruption. Primary urethral realignment combined with emergency open reduction and internal fixation of pelvic fracture were performed in 12 patients. Due to unstable condition, 21 patients underwent primary suprapubic cystostomy and external fixation, sequentially delayed urethral realignment and internal fixation.Results The mean follow-up time of all patients was 37 months ( range, 3-63 months). Of all the patients, 25 patients (76%) regained good without urethral dialation or needed only short term urethral dilatation, and eight patients (24%) suffered from urethral stricture and needed further complex surgery. The incidences of urinary incontinence and erectile dysfunction were 6%(2/33) and 18% (6/33). The erectile dysfunction of two patients was ascribed to sacral nerve injury.At the final follow-up, the mean score was 90.3 points (range, 66-100) according to the Majeed' s scoring system, which showed that the result was excellent in 24 patients, good in eight and fair in one.Conclusions Urethral realignment and simultaneous internal fixation can attain good clinical results for pelvic fracture associated with posterior urethral disruption. It takes advantages of minor surgical trauma,short treatment cycle, good outcome and low complication rate.  相似文献   
3.
目的探讨短节段椎弓根联合附加伤椎内固定治疗胸腰椎爆裂骨折的临床效果,为临床治疗提供参考。方法选择2009-01~2013-12收治的68例胸腰椎爆裂骨折患者,按随机数字表随机分为观察组和对照组各34例,对照组单纯应用短节段椎弓根螺钉内固定治疗,观察组在对照组治疗的基础上联合附加伤椎内固定治疗,两组患者均随访一年,对比治疗前后矢状面Cobb角、伤椎前缘高度比、VAS疼痛评分、美国脊髓损伤协会(ASIA)神经功能评级。结果术后一年观察组Cobb角为(6.19±1.87)°,明显低于对照组的(7.86±2.76)°,两组比较差异有统计学意义(t=6.247,P=0.008);术后一年观察组伤椎前缘高度比为(94.22±10.37)%,明显高于对照组的(86.55±9.93)%,两组比较差异有统计学意义(t=4.247,P=0.018);术后12个月观察组VAS评分为(0.97±0.17),明显低于对照组的(1.69±0.66),两组比较差异有统计学意义(t=3.553,P=0.024);两组患者ASIA评级比较差异无统计学意义(Z=1.076,P=0.246)。结论胸腰椎爆裂骨折应用短节段椎弓根联合附加伤椎内固定治疗临床效果较好。  相似文献   
1
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号