弥可宝对肘管综合征致肘、腕、环指功能障碍恢复的作用

1 Subject and method 1.1 Subject 60 cases of middle and severe cubital tunnel syndrome from 1992 to 2000 were divided into three groups randomly: Group A was the Mikebao group: 20 cases including 17 male cases and 3 female cases, their ages were from 22～ 45 with the average one as 25; Group B was the vitamin B12 group: 19 cases including 17 male cases and 2 female cases, their ages were from 24～ 50 with the average one as 27; Group C was the control group: 21 cases including 19 male cases and 2 female cases, their ages were from 23～ 60 with the average one as 26. all the patients were sick at single sides, 42 cases were on the right side and 18 cases were on the left side. Causes: 15 cases were with elbow injury history and limited elbow movement, others were of no obvious causes. Courses: 5～ 72 months with the average one as 15 months. Clinical manifestation and signs: 49 cases were with elbow sour and swelling, 58 cases were with adductor pollicis muscle atrophy and 54 cases were with claw hand.Electromyography examination: ulnar nerve movement of the 60 cases at the elbows were obviously slow and CMAP (compound muscle active potential) latent periods were prolonged. All the Tinel sign of ulnar nerves were positive, one cases was with muscle paralysis and partial functional disorder at the median nerve domain, it was proven to be CTS after operation.     

前后联合入路治疗混合型颈椎病56例临床分析

临床上颈椎病多为混合型,其中脊髓型合并神经根型颈椎病多见.单一的采用一种入路往往不能解决两者的问题,并发症多,安全性小,疗效不可靠.     

椎管狭窄合并脊柱侧弯患者术前椎弓根的CT扫描及测量的临床意义重点探寻

目的:探讨椎管狭窄合并脊柱侧弯患者术前椎弓根的CT扫描及测量的临床意义。方法:选择我院2015年8月-2019年7月收治的椎管狭窄合并脊柱侧弯患者58例进行分组研究,根据矫正术前是否实施椎弓根CT扫描及测量分为两组,每组29例,其中未实施者为对照组,而实施者为观察组。比较两组椎弓根钉使用率,临床效果,以及术前术后脊椎Cobb’s角。结果:观察组椎弓根钉使用率明显高于对照组(P<0.05);观察组总有效率稍高于对照组,但对比无明显差异(P>0.05);术前组间脊椎Cobb’s角对比无明显差异(P>0.05),术后观察组明显低于对照组(P<0.05)。结论:椎管狭窄合并脊柱侧弯患者术前实施CT扫描及测量,可明确脊柱变异情况,从而提高椎弓根钉使用率,使得手术效果更明确,进而改善脊椎Cobb’s角,值得应用。     

股骨近端髓内钉-螺旋刀片（PFN-A）治疗老年股骨粗隆间不稳定骨折

目的：探讨应用股骨近端髓内钉-螺旋刀片（PFN-A）治疗老年股骨粗隆间不稳定骨折的临床疗效。方法：自2006年1月-2007年10月，采用PFN—A治疗老年股骨粗隆间不稳定骨折19例。结果：19例均获3—10个月随访，骨折全部临床愈合。按Harris关节评分：优9例，良8例，可2例，优良率89．5％。结论：PFN-A治疗老年股骨粗隆间不稳定骨折，具有手术操作简单，创伤小，固定可靠的特点，是治疗老年股骨粗隆间不稳定骨折的良好选择之一。     

踝部骨折切开复位术后康复训练

Background:Ankle joint is a weight carrying one,which treatment focuses on anatomical reduction of articular surface.The ultimate aim is completely recovery of joint function.It is much benefit for open reduction with rational rehabilitation training of post operation to function recovery of ankle joint.     

The recovery function of Mikebao on elbow,twist and finger functional disorder caused by cubital tunnel syndrome

１Subjectandmethod１．１Subject６０casesofmiddleandseverecubitaltunnelsyn－dromefrom１９９２to２０００weredividedintothreegroupsrandomly：GroupAwastheMikebaogroup：２０casesincluding１７malecasesand３femalecases，theirageswerefrom２２～４５withtheaverageoneas２５；GroupBwasthevitaminB１２group：１９casesincluding１７malecasesand２femalecases，theirageswerefrom２４～５０withtheaverageoneas２７；GroupCwasthecontrolgroup：２１casesincluding１９malecasesand２femalecases，theirageswerefrom２３～…     

足内侧皮瓣修复足跟部软组织缺损的临床研究

目的探讨足内侧皮瓣修复足跟部软组织缺损的临床效果。方法从1998年至2010年应用足内侧皮瓣修复足跟部缺损9例,其中外伤4例,骨髓炎3例,肿物2例,皮瓣面积4cm×4cm～6cm×8cm。结果皮瓣及皮肤全部成活,创面一期愈合。术后随访3个月～2年。皮瓣色泽正常,质地较正常足跟组织柔软、可耐磨、外形轮廓满意。结论足内侧皮瓣修复足跟部软组织缺损的良好方法。     

大鱼际桡侧逆行岛状瓣修复拇指末节软组织缺损的临床研究

目的探讨带血管神经蒂的大鱼际桡侧逆行岛状瓣修复拇指末节软组织缺损的效果。方法 2001年至2008年,共修复拇指末节软组织缺损71例。分别应用交腹皮瓣、食指背侧岛状皮瓣、拇指桡背侧皮瓣、大鱼际桡侧逆行岛状瓣、游离趾腹皮瓣修复缺损,并进行对比研究。其中大鱼际桡侧逆行岛状瓣应用13例,皮瓣设计在大鱼际区桡侧,以拇指桡掌侧动脉为蒂,旋转点在指间关节以近。皮瓣面积最大4.1cm×2.8cm,最小2.2cm×1.5cm,10例行皮神经与指神经吻合。术后10d开始功能锻炼。进行随访,随访内容包括拇指的色泽、外形、质地、出汗情况及综合感觉,拇指指腹痛觉、触觉、两点辨别觉及运动功能等。结果术后随访12～18个月,以最后一次复查为准,大鱼际桡侧逆行岛状皮瓣的皮肤色泽、外形、质地、出汗及综合质地感觉均优于交腹皮瓣及食指背侧皮瓣,与拇指桡背侧皮瓣、趾腹游离皮瓣优良率相似。结论应用带血管神经蒂的大鱼际桡侧逆行岛状瓣修复拇指软组织缺损,操作简单,血供可靠,能恢复感觉,修复后功能及外形均满意。