微创治疗颧弓颧骨骨折与常规方法的比较

目的:探讨应用微创复位以及常规开放复位的方法对颧弓颧骨骨折病患进行治疗,研究微创治疗颧弓颧骨骨折治疗效果。方法:选取2007年01月～2011年12月到本院进行颧弓颧骨骨折治疗的80例病患为主要的研究对象,均为治疗组,采用回顾性分析方法,将同期80例应用传统治疗方法的患者分为对照组,在治疗组采取微创复位治疗方法对颧弓颧骨骨折病患进行治疗,在对照组采取常规开放复位的方法对颧弓颧骨骨折病患进行治疗,研究治疗前后张口受限情况、骨折对位情况、术后不良反应情况、骨折解剖位愈合情况、面部对称情况、治疗有效率、感觉神经恢复情况、病患满意度情况、治疗费用以及恢复时间等指标。结果:两组研究治疗前后张口受限情况、骨折对位情况以及治疗费用,无显著性差异;两组术后不良反应情况、骨折解剖位愈合情况、面部对称情况、治疗有效率、感觉神经恢复情况、病患满意度情况以及恢复时间等指标,存在显著性差异,有统计学意义。结论:应用微创治疗颧弓颧骨骨折与常规方法的比较,创伤更小,术后不易复发,恢复情况较好,总体效果更加显著,极具安全性,有较高的推广价值。     

The application of perilesional bioelectrical stimulation in mechanical treatment of wounds

Clinico-experimental substantiation of the around-wound electrostimulation in the apparatus method of the wounds treatment was performed. The electrostimulation influence, while in active electrodes situated in the around-wound tissues, was studied. The method efficiency was confirmed by the results obtained while treatment of patients with purulent process in epithelial coccygial trench. The proposed method application have promoted the reduce of postoperative complications occurrence as well as the patients stationary treatment duration.     

肾损伤450例的诊断和治疗

目的　提高肾损伤的诊疗水平。方法　对450例肾损伤进行了回顾性分析。结果　闭合性损伤423例,开放性损伤27例, 合并伤227例。B超阳性率68.2%,双倍剂量IVU阳性率47.9%,CT阳性率100%。根据病情分别选择手术与保守治疗,非手 术治愈365例,超选择性肾动脉栓塞4例,手术治愈67例,死亡14例。结论　B超检查快捷安全,应作为肾损伤首选检查方法, 在诊断中主要起到筛选作用。CT扫描为肾损伤程度分类和选择治疗方案提供可靠依据,应作为重度肾损伤和术前常规检查方 法。治疗取决于伤情,保守治疗是重要的治疗方法,严格掌握手术和非手术治疗指征是处理肾损伤的关键。     

Early experience with the use of the Halo device in the treatment of damage to the cervical spine

Authors report on their experiences gained in 5 cases with the Halo device. The method of treatment is described. On the basis of a literary overview the field of indication, the advantages and the disadvantages of the method are described. In the assessment of the method it is stressed that according to their opinion this is the best conservative method of treatment, and the results compete with that of the operative treatment.     

A method of surgical treatment of acute ischio-rectal and pelvio-rectal paraproctitis with a transsphincter and extrasphincter position of the primary pus meatus

A one-moment radical method of surgical treatment was used in treatment of 36 patients with ischio-rectal and pelvio-rectal forms of acute paraproctitis. The method of surgical treatment of acute paraproctitis considerably shortened the period of hospital treatment, promoted the formation of a soft scar, excluded the development of the anal sphincter incompetence, and reduced the percentage of recurrent diseases.     

Puncture of liver cystic masses and abscesses

The results of punctional treatment of cavital masses and abscesses of the liver in 58 patients are analysed. In 33 patients sanation was carried out according to traditional method, including local application of broad spectrum antibiotics; in 25 patients the solution of sodium-hypochlorite was used for treatment. Control group consisted of 38 patients, who underwent open surgical procedure. The application of the developed method of punctional treatment with the use of electrolyze solution of sodium hypochlorite provides the possibility to increase the terms of temperature normalization and cleansing and elimination of cavity 1.5 times comparing to traditional method of treatment, to decrease the number of complications and lethality, to reduce the duration of postoperation period 1.5-2 times comparing to the patients in whom traditional method of treatment was used, and 2-2.5 times comparing to the patients, who underwent operation.     

Extrawound programmed vulnosynthesis in the treatment of festering wounds

The treatment of 200 patients with granulating wound of soft tissues was analyzed. A conventional method of treatment was used in 90 patients. In the study group (110 patients) different types of adaptive-reposition devices and the method of extrawound programmed vulnosynthesis were used. This method demonstrated technical advantages compared with standard methods of treatment of festering wounds that permitted to improve the results of complex treatment.     

Comparative results of the conservative treatment in clubfoot by two different protocols

The current study aims at presenting the results of the two methods of conservative treatment in clubfoot: the Romanian traditional method and the Ponseti method. The study population included 103 children (148 clubfeet) treated in our department between 1998 and 2005. Between 1998 and 2003, the conservative treatment protocol was based upon the Romanian method. The Ponseti method has been used since 2004. The main criterion for the assessment of the efficiency of the two conservative methods in clubfoot is the number of feet requiring surgical treatment - posteromedial release at 18 months. This criterion is clearly in favor of the Ponseti method: four feet (5%) needed posteromedial release in Ponseti group patients versus 13 feet (18%) in Romanian group patients (P=0.0193). The Ponseti method is safe, efficient in the conservative treatment of clubfoot and decreases the number of surgical interventions needed for the correction of the deformation compared with our traditional method.     

Surgical treatment of phlegmons of the maxillofacial region

A method was developed for active surgical treatment of phlegmons of the maxillofacial region with the application of intraarterial regional drug therapy. The suggested method was used in operations on 75 patients. The results were compared with those in 65 patients who were treated by the traditional method--opening of the phlegmon. In 95.7% of patients in whom the active method of surgical treatment was applied, the postoperative wound healed by first intention. The treatment produced the best clinical and aesthetic effect. The period of incapacity of the patients reduced almost by half.     

Effectiveness of acupuncture analgesia in the treatment of chronic post-traumatic pain syndromes]

The present work is dedicated to the study of the acupuncture analgesia efficiency in ambulatory practice in treatment of chronic post-traumatic pain syndrome as well as the comparative characteristics of the acupuncture analgesia and electric analgesia in treatment of this pathology. There have been analyzed the results of treatment of the pain syndrome after the traumata of the lower limbs by the IRT method (106 patients), compared the terms and the results of the treatment by the above mentioned methods as well as by the separate acupuncture analgesia and electro-analgesia methods. As a result, it should be noted that the IRT method is more effective in treatment of the chronic pain syndrome as compared with the common traditional methods. The electroanalgesia method, in turn, contributes to more rapid pain soothing and restoration of the vegetative and trophic functions than acupuncture.     

两种不同术式治疗耳廓假性囊肿的临床分析

目的:探讨耳廓假性囊肿理想治疗方法。方法:100例患者随机分成2组,A组采用囊肿前层软骨切除加缝线包扎手术方法,B组采用囊肿前层软骨切除加绷带加压包扎手术方法,比较治疗效果。结果:A、B组在Ⅰ期愈合例数、治疗时间,疼痛时间、复发例数两者比较(χ2=6.061,P=0.014;t=-4.334,P=0.000;t=-13.061,P=0.000;χ2=5.005,P=0.025)有统计学意义。结论:囊肿前层软骨切除加缝线包扎法治疗耳廓假性囊肿,治愈率高,疗程短,疼痛程度轻、持续时间短,是其理想治疗方法,值得临床推广和应用。     

Radiotherapy in the combined treatment of cancer of the rectum

Analysis of the results of two methods used in the treatment of operable carcinoma of the rectum showed the advantages of the combined method over the purely surgical method: the survival of patients after combined treatment was practically twice that among patients subjected only to operation. No essential differences were found in the character and incidence of postoperative complications and postoperative lethality. All this allows the combined method of treatment to be recommended for wide use in clinical practice.     

Method of surgical treatment of stenosing ligamentitis of fingers

The authors present results of surgical treatment of patients with stenosing ligamentitis of fingers using different methods. A new method of operative treatment is described. The strategy of decision on this method is grounded, its practicability and results of treatment.     

A comparison of the open and closed methods in the initial treatment of sternal wound infections

To determine the optimal initial treatment method for sternal wound infections, a retrospective review of 3,229 consecutive adult open heart operations was performed. There were 40 deep sternal wound infections (1.2%). All types of open heart procedures had approximately the same rate of infection except for left ventricular aneurysm repair plus coronary artery bypass grafting, which had a sternal wound infection rate of 5.8% (p less than 0.01). The use of single and double internal mammary artery grafts did not increase the rate of sternal wound infections. Treatment outcome was available for 39 patients. Twenty-eight patients were initially treated with debridement and closed mediastinal irrigation, which had a failure rate of 42% and a mortality rate of 35%. Six patients were initially treated with debridement, open packing, and muscle flap closure of the sternal wound. No deaths or treatment failures occurred in this group. The mortality and failure rates for the open treatment method were significantly better than for the closed treatment method in the initial treatment of sternal wound infections (p less than 0.05). These data, as well as a review of the literature, suggest that the open method is superior to the closed method in the initial treatment of deep sternal wound infections.     

The functional treatment of transcondylar and epicondylar fractures of the humerus in children

Functional treatment of 275 children with epicondylar and transcondylar fracture of shoulder bone with II-IV degree dislocation was done. The conventional method of functional treatment was applied using dissected in articulation ulnaris plaster bandage, the Blaunt bandage and the elaborated method using the external fixation apparatuses--hinge-rotational apparatus (HRA). The highest efficacy of functional treatment using HRA was noted.     

沙丁胺醇氧驱动雾化治疗小儿呼吸阻塞临床观察

目的：探讨对小儿呼吸阻塞以沙丁胺醇氧驱动雾化方法进行治疗所取得的临床效果。方法选择2012年4月～2013年10月曾在我院儿科进行治疗的呼吸阻塞患儿90例，将这些患儿以随机方法分为观察组与对照组，对照组患儿以常规方法进行治疗，观察组患儿以硫酸沙丁胺醇氧驱动雾化方法进行治疗。结果对照组中患儿的临床治疗总有效率为77.8％，观察组中患儿的临床治疗总有效率为93.3％，两组患儿之间差异具有统计学意义。观察两组患儿的治愈时间，观察组时间明显短于对照组；顺利完成治疗，未出现严重不良反应。结论对于小儿呼吸阻塞以硫酸沙丁胺醇氧驱动雾化方法进行治疗能够取得较好的临床治疗效果，临床治疗有效率比较高，能够使患儿尽快恢复，缩短治疗时间，减轻患儿痛苦，并且不会有严重不良反应出现，可在临床上进行广泛推广应用。     

负压引流联合中药制剂在慢性创面治疗中的应用

慢性创面是一种难以治愈的创伤类型,通常需要长期的治疗和护理。负压引流是一种常用于慢 性创面治疗的方法,通过在创面上施加负压,促进伤口愈合和康复。中药制剂作为一种传统的药物治疗方 式,近年来在慢性创面治疗中也得到了广泛应用。本文对负压引流联合中药制剂在慢性创面治疗中的应用 进行介绍,并结合实际提出合理应用措施,以期为慢性创面治疗的研究提供一定的参考和指导。     

Surgical treatment of urethral strictures in children

Under analysis were results of treatment of posttraumatic strictures of the urethra in 34 children. A method of treatment of the urethra structures has been developed in experiments in dogs with the use of permanent magnet. Comparison of results of treatment of 2 groups of patients treated by traditional methods (19 patients) and by the proposed method (15 patients) has shown that using the new method is followed by two times less amount of recurrences and complications.     

Surgical correction of cicatricial deformation of the extremity using the tissue expanding method

Modern approaches to the treatment of cicatricial deformation of extremity are presented. The results of treatment of 20 patients using the tissue expanding method are adduced. During the expander implantation and dermotension in 20% of patients the complications had occurred. The analysis of the results obtained permits to consider dermotension the method of choice in the treatment of the extremity cicatricial deformation.     

Chemo-irradiation therapy of non-organ malignant tumors of abdominal cavity and retroperitoneal space

There are presented the results of treatment of 76 patients with nonorganic malignant tumor of abdominal cavity and retroperitoneal space, to whom surgical treatment (radical or palliative one with partial excision of tumor) was not conducted due to various reasons. In 25 patients special treatment was not conducted, in 14--was performed chemotherapy only, in 17--radiation therapy only and in 17--the treatment using radiation plus chemotherapy. Application of special method of treatment have permitted to increase the patients life span, to improve its quality. An advantage of endolymphatic method of chemotherapy in comparison with conventional methods of chemopreparations administration was noted.