股骨近端解剖钢板治疗老年转子间骨折

正2004年8月～2010年3月,我科采用股骨近端解剖钢板固定治疗56例老年股骨转子间骨折患者,取得满意疗效,报道如下。1材料与方法1.1病例资料本组56例,男32例,女24例,年龄50～82(65±15)岁。骨折     

经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折

2006年1月～2011年12月,我们采用经皮椎体成形术(PVP)治疗28例老年骨质疏松性椎体压缩性骨折患者,疗效满意,报道如下。1材料与方法1.1病例资料本组28例,男10例,女18例,年龄71～82岁。单椎体压缩性骨折21例,多椎体压缩性骨折7例。     

郝美补片治疗腹壁切口疝、脐疝45例

我院2005年10月-2009年10月应用郝美补片在治疗腹壁切口疝、脐疝45例中疗效满意,现报告如下. 1 资料与方法 1.1 一般资料 本组45例,其中男30例,女15例;年龄45～82岁.     

微晶磨削术治疗浅表凹陷性瘢痕82例

2009年3月～2010年8月,笔者采用苏州秀诺SA-1微晶祛疤机,通过微晶磨削治疗面部浅表凹陷性瘢痕患者82例,并取得满意疗效,现将结果报道如下。1资料和方法1.1一般资料：面部凹陷性瘢痕患者82例,其中男25例,     

解剖型钢板治疗肱骨外科颈骨折

<正>肱骨外科颈骨折临床较为常见,治疗上有很多方法,内固定物的的种类也有很多。2001年2月～2007年12月,笔者使用解剖型钢板治疗肱骨外科颈骨折82例,取得满意效果。现报告如下。1临床资料1.1一般资料本组82例,男56例,女26例,年龄25～74岁,平均43岁。损伤原因:车祸伤54例,高处跌伤13例,滑倒摔伤     

肛裂扩肛术应用长效止痛剂200例疗效分析

我院外科门诊采用复方亚甲蓝长效止痛剂加扩肛术治疗肛裂200例,疗效显著,现报告如下. 1资料与方法 1.1一般资料肛裂患者200例,男76例,女124例;年龄16～58岁,其中20～40岁占82%,病史6个月至30年.     

生物蛋白胶防治屈肌腱粘连82例报告

1996～1997年,我院采用一期缝合肌腱并修复腱鞘及腱周组织,同时应用生物蛋白胶,治疗手指指屈肌腱断裂82例。术后随访4个月～1年,疗效比较满意。一、资料与方法1.一般资料:本组共82例,男61例,女21例;年龄13～53岁,平均33岁。损伤部位:区25例,区12例,区9例,区36例。同时选择1995～1996年住院的指屈肌腱损伤92例为对照组。其中男70例,女22例;年龄12～52岁,平均32岁。损伤部位:区28例,区16例,区10例,区38例。术后随访时间均为4个月～1年。两组的一般资料无明显差异。2.手术方法:1断裂的屈肌腱采用Kessler缝合法修复,并用7-0或9-0无损伤尼龙线,…     

9千克以下婴幼儿唇裂修复术的麻醉处理

我院自 1 990年至 2 0 0 2年共进行 9kg以下婴幼儿唇裂修复术 82 1例 ,现将其麻醉处理体会报告如下。资料与方法一般资料　本组共 82 1例 ,男 6 1 6例 ,女 2 0 5例 ,年龄 3～1 8个月 ,体重 4 5～ 9kg,麻醉时间 4 5～ 2 5 5min ,手术时间 30～ 1 85min。 1 996年以前用氯胺酮肌注加双眶下神经阻滞麻醉共 36 1例 (Ⅰ组 )。 1 996年以后全麻气管内插管下进行共 4 6 0例 ,其中 1 4 5例全麻插管后未行双眶下神经阻滞 (Ⅱ组 ) ,31 5例在全麻插管后加双眶下神经阻滞下进行 (Ⅲ组 )。麻醉与监测　术前 4～ 6h喂糖水 1 5 0～ 2 0 0ml,并开始禁食 ;术…     

腹腔镜胃十二指肠溃疡穿孔修补术

<正>2008年6月至2010年2月我科在腹腔镜下成功为23例胃十二指肠溃疡穿孔患者施行修补术,疗效满意。现报道如下。1资料与方法1.1临床资料本组23例中男14例,女9例,23～82岁。胃穿孔2例,十二指肠球部穿孔21例。     

电刀切割和一层缝合法在胃肠吻合术中的应用

我院自1993～1995年,在胃肠吻合手术中应用电刀切割胃肠组织并做一层吻合,方法简便,效果满意,报告如下。 材料与方法 本组(电刀切割和一层吻合)患者156例,男98例,女58例,年龄12～82岁,平均57岁。胃溃疡47例,胃癌78例,胃平滑肌瘤1例,十二指肠溃疡19例,复合溃疡11例。其中并发幽门梗阻11     

跟骨关节内骨折切开复位与撬拨复位治疗比较

目的评价跟骨关节内骨折切开复位与撬拨复位的疗效。方法我院自2005年1月至2009年12月收治85例共98足跟骨骨折,成功随访51例58足,其中撬拨复位24足,切开复位34足。按Maryland评分标准进行评价患者术后功能,术后X片Bohler角的恢复情况,患者术后踝关节的活动角度以及VAS疼痛评分法评价患者术后日常生活的自我舒适度。结果随访51例58足,随访率为62．4％;随访时间为3个月～4年,平均23个月。随访时切开复位内固定组及撬拨复位管型石膏固定组Maryland评分、术后踝关节的活动角度以及VAS疼痛评分,各指标比较显示切开复位内固定组均明显优于撬拨复位管型石膏固定组,差异有统计学意义（P〈0．05）。结论对于跟骨关节内骨折,特别是Sanders分型Ⅲ-Ⅳ型患者宜采取切开复位内固定治疗。     

跟骨压缩性骨折切开复位与撬拨复位治疗比较

目的评价切开复位与撬拨复位治疗跟骨骨折的疗效。方法1997年6月～2002年12月收治跟骨关节压缩性骨折62例，其中切开复位33例，撬拨复位29例。结果按Maryland足部评分系统评价术后功能，切开复位组优良率明显高于撬拨复位组。结论切开复位能较好的恢复跟骨的解剖结构，从而取得较好疗效。     

A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients

Objectives

Data of randomly controlled trials comparing the hydrostatic and pneumatic reduction for intussusception in pediatric patients as initial therapy are lacking. The aim of this study was to conduct a randomly controlled trial to compare the effectiveness and safety of the hydrostatic and pneumatic reduction techniques.

闭合复位或有限切开复位交锁髓内钉治疗胫骨干骨折

2005年6月～2007年6月,我院在未配备C臂X线机的情况下采用闭合复位或小切口有限切开复位、顺行穿钉治疗胫骨干骨折36例,疗效满意。     

垂直切口乳房缩小术

目的　探讨应用垂直切口巨乳缩小术以减少术后瘢痕的方法与体会。方法　采用Lejour手术设计 ,切除乳房下方的皮肤、腺体 ,乳头乳晕以上方真皮腺体组织蒂转移提高到正常位置 ,进行乳房塑形 ,术后仅留有垂直瘢痕。结果　采用垂直切口巨乳缩小术治疗 2 4例 ,手术效果满意。 1例术后 6个月切口下端局部修整残留的“猫耳朵”。 1例单侧乳头乳晕完全坏死。结论　垂直切口巨乳缩小术疗效良好 ,术后瘢痕细小 ,乳房形态良好。     

Subcutaneous reduction clitoroplasty

Congenital clitoral hypertrophy should be corrected in infancy. Most surgeons perform a total clitorectomy or one of several kinds of clitoral recession procedures. There are some reasons for dissatisfaction with both of these alternatives. An operation in which the corpora cavernosum are resected subcutaneously and the glans sutured to the pubis preserves blood supply and sensation and results in a perineal appearance close to normal. The author has performed this operation in five cases of clitoral hypertrophy associated with adrenogenital syndrome and suggests a wider trial of this procedure.     

闭合复位及撬拨法在椎体成形术中的应用

Objective To discuss the effects of closed reduction and levering manipulation on ver-tebral height restoration and kyphosis correction in vertebroplasty for osteoporotic compression fractures. Methods From January 2005 to June 2007, a total of 38 patients with osteoporotic vertebral compression fractures were treated with vertebroplasty. In closed reduction, a transfixion pin was used to lever the collapsed vertebral endplate through the pedicle. Before and after surgery, pain relief and functional improvement were evaluated using a visual analogue scale (VAS) and the Oswestry' s disability index (ODI). Changes in ver-tebral height and kyphotic angle and distribution of bone cement in the vertebral body were observed by Lee's method. Results All patients were followed up for 6 to 24 (average, 13.4) months. The average VSA scores were reduced from preoperative 8.6±2.3 to postoperative 3.8±2.6. The average ODI scores reduced from preoperative 64.8% to postoperative 48.7%. The differences were of statistical significance. The average increase in vertebral body height was 5.8 mm anteriorly, 6.6 mm centrally, and 1.0 mm posteriorly. The mean reduction in the kyphosis angle was 9.7 degrees. The percentages of restoration of vertebral height were 54.6% at the anterior border, 58.1% at the center, and 46.5% at the posterior border. The differences were of sta-tistical significance between preoperation and postoperation. Conclusion Closed reduction and levering manipulation is effective in vertebroplasty for osteoporotie vertebral compression fractures.     

Secondary reduction mammaplasty: does initial pedicle design matter?

Reduction mammaplasty is one of the most common plastic surgical procedures performed in the United States. Occasionally patients will require a second reduction to address persistent or recurrent symptomatic macromastia. When the vascular pedicle of a primary breast reduction is unknown, there is uncertainty regarding how best to proceed with a secondary reduction. When the pedicle is known, we include at least the primary pedicle in our operative plan. When unknown, we performed a modified central mound (MCM) reduction technique. The MCM reduction respects the blood supply to the nipple-areolar complex (NAC) by preserving any remaining vascularity that is present within the central mound tissue while also maintaining superior and inferior vascular pedicles. We avoid using a free nipple graft.Thirty patients (60 breasts) underwent repeat breast reductions between 2009 and 2016. Patients were placed into two groups whether their primary vascular pedicle was known or unknown, and then further grouped based on the type of reduction they received. There was no significant difference in the complication rate between patients that underwent an MCM reduction versus those that underwent reduction with other techniques. Most patients maintained breast sensation and none required a free nipple graft.Patients can be offered repeat reduction mammaplasty with the possibility of nipple sensation preservation and a normal-appearing NAC regardless if the primary vascular pedicle is known. If the primary pedicle is unknown, the MCM technique is an excellent option.     

Breast reduction: Shortening scars with liposuction

The authors describe a mammaplasty reduction technique they believe is safe due to modern cutaneous resection and adequate areolar nourishment. It is made possible by maintaining a large pedicule which is also versatile since it can be used on all kinds of breasts. Good results can be reproduced by other surgeons.     

乳头肥大缩小整形的新方法

目的　介绍一种具有较好外形及功能的乳头肥大缩小整形的新方法。方法　局部麻醉下按设计线切除肥大的乳头顶部多余的皮肤及皮下组织 ,注意不要伤及乳腺管 (特别是对未哺乳的患者 ) ,在皮下分离乳头基底部组织 ,对皮下组织肥厚者可切除部分皮下组织。结果　为 17例双侧乳头肥大者行乳头缩小整形术 ,均取得满意效果。结论　这种新方法可以使乳头肥大且两侧形态、大小各异的乳头缩小 ,形成符合美学标准的乳头 ,满足了患者的要求 ,并且愈合快、肿胀轻 ,不破坏乳头的感觉及血运 ,术后不影响哺乳