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We have presented a case of chronic pancreatitis with pseudocyst involvement of the spleen complicated by splenic rupture. This complication is uncommon, only 19 cases having been reported. As illustrated by our case, there is a high risk of hemorrhage from a pseudocyst involving the spleen and pancreas. Immediate surgical intervention is therefore indicated. The treatment of choice is resection by splenectomy and distal pancreatectomy. 相似文献
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孕妇,36岁,G1P0,孕36+周,自述胎动频繁入院。血压、血糖正常,产科检查正常。产前常规超声检查:胎儿头位,脊柱连续,双顶径8.50 cm,股骨长6.72 cm,胎儿心率142次/分,律齐,羊水指数15.20 cm,透声好;胎盘位于子宫后壁,厚度4.64 cm,Ⅰ级,胎儿胸腔及腹腔各脏器及肢体均未见明确异常,羊水中见脐带漂浮,横断面呈品字形结构,但其间间距增 相似文献
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Arvin Rezaei Avval Fatemeh Hamidzadeh Pegah Sarraf Mehrfam Khoshkhounejad 《Clinical Case Reports》2022,10(8)
Infection of an injectable soft tissue filler may involve fascial spaces and appears similar to an odontogenic abscess. This case report addresses a 32‐year‐old female patient with facial swelling who was referred to the department of endodontics for the treatment of a suspected odontogenic infection. 相似文献
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Gasparetto F Collo G Pisanu G Villella D Drocco L Cerlon R Bonasia DE 《Current reviews in musculoskeletal medicine》2012,5(2):164-170
Over the decades, arthroscopy has grown in popularity for the treatment of many foot and ankle pathologies. While anterior
ankle arthroscopy is a widely accepted technique, posterior ankle/subtalar arthroscopy is still a relatively new procedure.
The goal of this review is to outline the indications, surgical techniques, and results of posterior ankle/subtalar arthroscopy.
The main indications include: 1) osteochondral lesions (of subtalar and posterior ankle joint); 2) posterior soft tissue or
bony impingement; 3) os trigonum syndrome; 4) posterior loose bodies; 5) flexor hallucis longus (FHL) tenosynovitis; 6) posterior
synovitis; 7) subtalar (or ankle) joint arthritis; 8) posterior tibial, talar, or calcaneal fractures (for arthroscopic reduction
and internal fixation). Although posterior ankle/subtalar arthroscopy has shown to be safe and effective in the treatment
of many of the above mentioned conditions, thorough knowledge of the anatomy, correct indications, and a precise surgical
technique are essential to produce good outcomes. 相似文献
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Diagnostic cholangiopancreatography is a useful procedure which is attended by a relatively low incidence of immediate or delayed complications. Perforation of the esophagus or gut, myocardial infarction, hemorrhage, cholangitis, and pancreatitis are the most commonly reported morbid or fatal events. This paper reported a case of retropharyngeal abscess which led to tracheal compression requiring an emergency tracheostomy and antibiotic therapy after a routine ERCP procedure. This dramatic case pointed out an unusual but potentially fatal complication of diagnostic ERCP. 相似文献
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关节镜手术在痛风性关节炎诊治中的应用 总被引:7,自引:2,他引:7
目的探讨关节镜手术对痛风性关节炎诊断和治疗的应用价值。方法自2001年1月-2004年1月,对29例关节镜探查术初步诊断痛风性关节炎的患者常规行关节清理术和滑膜病检术;另外对7例痛风性关节炎经保守治疗,仍不能阻止软骨与骨继续破坏,后行关节镜下的病灶清除术、滑膜切除术和软骨缺损微骨折术等;术后对确诊患者坚持正规的降尿酸治疗。结果痛风性关节炎的关节镜表现为白色针状、絮状或团块状物质沉积在滑膜、软骨和其他关节内结构的表面。术后36例症状均明显缓解、切口甲级愈合,随访6—15月,仅2例出现短暂复发,部分患者的MRI随访提示骨与软骨破坏未继续扩大。结论关节镜手术对大关节的痛风性关节炎具有较高的诊断价值,还可同时处理关节内病变,减缓病程发展。 相似文献
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目的 探讨关节镜诊治髋关节疾病的方法及疗效.方法 2003年10月~2009年4月应用关节镜诊治髋关节疾病59例(64髋),其中股骨头骨骺炎29例,非创伤性股骨头坏死11例,髋关节骨性关节炎4例,髋关节游离体2例,髋关节结核2例,滑膜软骨瘤病2例,剥脱性骨软骨炎2例,髋臼盂唇撕裂症2例,髋臼撞击综合征1例,不明原因的髋关节疼痛4例,随访分析其疗效.结果 随访54例,随访平均18个月(6~66个月),按照Harris评分进行疗效评定,术前Harris评分平均44分(29~54分),术后评分平均89分(59~98分).结论 关节镜诊治髋关节疾病具有创伤小、术后恢复快、并发症少等优点,疗效满意. 相似文献
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目的探讨关节镜下Fas T-Fix系统在半月板损伤修复中的临床疗效。方法 2013年1月-2016年1月,采用Fas T-Fix系统在关节镜下对32例半月板撕裂损伤患者进行了全关节内的半月板缝合手术。随访包括患者术后关节症状及体征,Lysholm评分等。结果随访时间6~12个月(平均9.7个月),根据Barrett临床愈合标准,28例临床愈合,临床愈合率为87.5%。Lysholm评分由术前32~74分提高到术后89~93分。其中3例进行了二次关节镜探查手术,显示缝合的半月板均已愈合。结论关节镜下应用Fas T-Fix系统进行半月板损伤的缝合修复具有很好的中期临床疗效。 相似文献
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关节镜在诊治急性踝关节痛风性关节炎中的应用 总被引:6,自引:1,他引:6
目的提高对单纯踝关节起病的急性痛风性关节炎的诊断认识并加强其早期治疗。方法回顾总结1999年以来,关节镜检查发现的14例踝关节急性痛风性关节炎的诊治经过,经过半年以上的随访,进行疗效观察。结果14例病人术前均误诊,分别诊断为化脓性关节炎、类风湿性关节炎、急性滑膜炎、骨性关节炎。全部病例在踝关节镜检查后发现确诊。并一期行关节镜下清理术,术后配合以系统药物治疗,经过随访观察,近、远期均取得满意疗效。结论单纯以踝关节起病的急性痛风性关节炎少见,且容易误诊,随着关节镜技术的不断提高和广泛应用,其诊断率将会获得提高,同时亦为早期治疗急性痛风性关节炎增加了一个新的方法。关节镜下手术仅是急性痛风性关节炎的一种局部治疗方法,它可以防止晚期骨性关节炎的早期发生,但不能代替排酸、抑酸及饮食控制的治疗。 相似文献
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Case report: "purple toes" syndrome: an uncommon complication of oral anticoagulant therapy. 总被引:2,自引:0,他引:2
M A Di Cato 《Postgraduate medicine》1975,58(7):133-134