单纯减压与联合融合手术治疗两节以上老年腰椎管狭窄患者的疗效观察

目的:观察单纯减压与联合融合手术对于治疗两节以上老年腰椎管狭窄患者的疗效差别。方法:回顾性分析行手术治疗的60岁以上腰椎管狭窄症患者52例,随机分为观察组与对照组,对照组行单纯减压治疗,观察组使用减压联合融合手术治疗,对比观察不同组间患者的治疗时间以及治疗效果的差别。结果:观察组患者的住院时间明显少于对照组,而治疗效果比对照组更好,差异有统计学的意义(P<0.05)。结论:减压联合融合手术较单纯减压治疗可以有效的提高治疗两节以上老年腰椎管狭窄治疗效果,降低患者并发症发生率。     

关节镜结合中药治疗膝关节骨性关节炎

目的 探讨膝关节骨性关节炎采用关节镜结合中药治疗的临床效果.方法 选择我院2009年6月～2011年6月收治的膝关节骨性关节炎患者80例,随机分为两组,对照组40例单纯采用关节镜清理治疗,观察组40例在此基础上结合中药治疗,就两组临床资料进行回顾性分析.结果 观察组40例中,治愈30例,显效4例,有效5例,无效1例,有效率为97.5％.对照组40例中,治愈24例,显效6例,有效2例,无效8例,有效率为80％.观察组优于对照组临床有效率,差异有统计学意义(P＜0.05).Lequence膝关节严重指数评分两组治疗后情况均优于治疗前,治疗6个月后情况显著优于对照组(P＜0.05).结论 关节镜为治疗膝关节骨性关节炎的有效方法,结合中药治疗可明显提高临床效果,改善膝关节功能,减轻疼痛,明显改善了患者生存质量.     

老年人股骨转子间骨折两种手术方法疗效的比较

目的比较老年股骨转子间骨折两种手术方法疗效。方法对85例老年股骨转子间骨折分别采用动力髋螺钉（DHS）45例,Gamma钉40例进行手术治疗,比较2组疗效和并发症发生率。结果85例老年股骨转子间骨折经治疗后优良率为83．5％;DHS及Gamma钉治疗股骨转子问骨折的优良率分别为77．8％和90．0％（0=2．84,P〉0．05）;DHS组的手术时（66．4±19．4）min少于Gamma钉组（875±25．5）min（t=2．451,P〈0．05）,但手术切口长度（19．6±5．1）cm大于Gamma钉组（10．3±4．7）cm（t=2．501,P〈0．05）,DHS组并发症11．1％明显高于Gamma钉组2．5％（X2=3．94,P〈0．05）。结论股骨转子间骨折患者只要身体状况能耐受手术者推荐其使用DHS和Gamma钉手术方法。     

老年人股骨转子间骨折两种手术方法疗效的比较

Objective To compare the curative effects of intertrochantefie fractures in aged by two operative methods. Methods 85 cases of elderly patients suffered from intertrechanteric fractures were retrospectively ana-lyzed. Out of the 85 cases,45 cases were treated with dynamic hip screw(DHS) and 40 cases were fixed with Gamma nails. The curative effects and complications were compared simultaneously. Results The total excellent rate was 83.5% in 85 patients,the rates of DHS and Gamma nails group were 77. 8% and 90% (X2 = 2. 84, P 0. 05), re-spectively. The operative time (66. 4 ± 19. 4)min in DHS group were less than the Gamma nail group (875 ± 25.5) rain (t=2. 451 ,P < 0. 05), but the length of surgical incision (19. 6± 5. 1)cm greater than the Gamma nail group (10. 3 ± 4. 7) cm(t = 2. 501, P < 0. 05). The complications of DHS group (11.1%) were significanfly higher than that of Gamma nail group(2. 5%) (X2 =3.94,P<0. 05). Conclusion As long as the physical condition can toler-ate,surgery recommend the use of DHS and Gamma nail surgical techniques in aged patients with intertrechanteric fractures.     

DOMELUX6262手术无影灯常见故障维修

台湾TRIDENT DOMELUX6262双头双灯手术无影灯具有出色的聚焦效果、无影效果、深孔照射效果及冷光效果，并采用自动灯泡监测与备用自动递补系统，保证光源全程供应，能出色地满足各种手术要求，本文介绍了其几种常见故障的维修。     

YBDS-11A型电脑输液泵的工作原理和检修方法

YBDS-11A型电脑输液泵是一种较常使用的国产输液泵,它是一种电脑化的自动输液装置,可以满足不同的输液要求,同时,还具有多种报警功能,是降低工作强度,提高治疗精度的理想设备。本文介绍了YBDS-11A型电脑输液泵的工作原理,并对几种常见故障现象及分析处理进行了较详细的叙述。     

关节镜治疗膝关节盘状半月板损伤

[目的]探讨关节镜手术治疗膝关节盘状半月板损伤的临床疗效.[方法]2006年2月～2008年12月对28例膝关节盘状半月板损伤进行关节镜下手术治疗.[结果]随访12～25个月.采用Ikeuchi膝关节评价等级对患者疗效进行评定.优19例,良7例,可2例,差0例,优良率92.9%.[结论]关节镜治疗膝关节盘状半月板损伤可获得良好的疗效,具有创伤小,恢复快,并发症少等优点.     

中药熏洗配合经皮微创内固定治疗胫骨远段骨折的疗效观察

目的:观察中药熏洗配合经皮微创内固定治疗胫骨远段骨折的疗效。方法:将50例患者随机分为观察组与对照组;观察组在常规康复护理的基础上配合中药熏洗疗法护理;对照组仅采用常规康复护理;比较两组患者在干预治疗2个疗程后的疗效。结果:两组患者干预治疗后临床愈合疗效的比较,观察组疗效明显优于对照组,差异有统计学意义(P<0.05)。结论:中药熏洗配合经皮微创内固定治疗胫骨远段骨折的愈合率及止痛效果显著,可缩短住院天数,减轻患者经济负担,有积极的临床意义。     

老年人股骨转子间骨折两种手术方法疗效的比较

Objective To compare the curative effects of intertrochantefie fractures in aged by two operative methods. Methods 85 cases of elderly patients suffered from intertrechanteric fractures were retrospectively ana-lyzed. Out of the 85 cases,45 cases were treated with dynamic hip screw(DHS) and 40 cases were fixed with Gamma nails. The curative effects and complications were compared simultaneously. Results The total excellent rate was 83.5% in 85 patients,the rates of DHS and Gamma nails group were 77. 8% and 90% (X2 = 2. 84, P 0. 05), re-spectively. The operative time (66. 4 ± 19. 4)min in DHS group were less than the Gamma nail group (875 ± 25.5) rain (t=2. 451 ,P < 0. 05), but the length of surgical incision (19. 6± 5. 1)cm greater than the Gamma nail group (10. 3 ± 4. 7) cm(t = 2. 501, P < 0. 05). The complications of DHS group (11.1%) were significanfly higher than that of Gamma nail group(2. 5%) (X2 =3.94,P<0. 05). Conclusion As long as the physical condition can toler-ate,surgery recommend the use of DHS and Gamma nail surgical techniques in aged patients with intertrechanteric fractures.     

运用单臂外固定器治疗胫腓骨骨折33例

探讨外固定器治疗胫腓骨骨折的疗效。回顾分析1998～2003年间应用单臂外固定器治疗胫腓骨骨折33例临床资料，认为外固定器治疗胫腓骨骨折可获良好效果。