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该文对应用游离髂骨瓣修复颌骨缺损的病例进行回顾研究,并分析手术并发症。作者共用26块髂骨肌瓣、1块髂骨肌皮瓣修复18例下颌骨和8例上颌骨缺损。1例因微血管再灌注问题而导致手术失败:3例术后行组织瓣抢救,其中2例吻合口血栓形成,重新吻合血管后抢救成功;10例术后出现股外侧皮神经支配区皮肤麻木,3例并发切口疝,1例供区创口裂开,2例并发口鼻瘘,1例颈部创口感染, 相似文献
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The perceived impact of public involvement in palliative care in a provincial palliative care network in the Netherlands: a qualitative study 下载免费PDF全文
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Braun SM Beurskens AJ Borm PJ Schack T Wade DT 《Archives of physical medicine and rehabilitation》2006,87(6):842-852
OBJECTIVE: To assess the effects of a mental practice intervention on recovery in stroke patients. DATA SOURCES: A systematic literature search of the Cochrane Database of Systematic Reviews, PubMed/Medline, PsycINFO, Pedro, Rehadat, and RehabTrials was performed by 2 researchers independently. Eligible studies published through August 2005 were selected. STUDY SELECTION: Four randomized controlled trials (RCTs), 1 controlled clinical trial (CCT), 2 patient series, and 3 case reports that investigated the effects of a mental practice intervention on recovery of stroke patients were included. DATA EXTRACTION: The selected RCTs and CCT were assessed on a methodologic quality rating scale. Important characteristics and outcomes were extracted and summarized. Results and characteristics from the patient series and case reports were only provided if they added information. DATA SYNTHESIS: Included studies differed clearly from one another with regard to patient characteristics, intervention protocol, and outcome measures. Four different mental practice strategies were used. Most tasks involved mentally rehearsing movements of the arm. Intervention periods varied from 2 to 6 weeks, frequencies ranged from multiple sessions per day to 3 times a week. Studies were limited in size. Power could not be increased by pooling or meta-analysis because studies were not comparable. Three of the 4 RCTs were of reasonable methodologic quality. There was some evidence that mental practice as an additional therapy intervention had positive effects on recovery of arm function after stroke. Two mental practice techniques appeared to be effective-tape instruction and self-regulation. Results from the single case studies indicate that mental practice is also promising for improvement of leg function. CONCLUSIONS: No definite conclusions could be drawn except that further research, using clear definitions of the content of mental practice and standardized measurement of outcome, are needed. 相似文献
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