共查询到20条相似文献,搜索用时 93 毫秒
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目的回顾并总结8例逆行交锁髓内钉(GSH)微创、动力固定治疗股骨髁上A型骨折的方法和疗效。方法白2010-10-2012—10采用膝正中小切口劈开髌韧带置人逆行交锁髓内钉并动力固定治疗8例股骨髁上A型骨折。结果手术切口均一期愈合。术后随访过程中复查X线片提示骨折部位达到解剖或临床复位的要求。平均随访15(6~24)个月,骨折均一期愈合。按Merehan膝关节功能评分标准进行疗效评定:优7例,良1例。结论本术式具有微创、固定可靠、创伤小、操作简便的优点,可作为治疗股骨髁上A型骨折的一种相对良好的手术方式。 相似文献
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目的:探讨逆行交锁髓内钉GSH内固定治疗股骨髁上骨折的疗效。方法:从2004年6月—2010年4月采用逆行交锁髓内钉治疗股骨髁上骨折患者68例。男性42例,女性26例。结果:68例全部随访12~36个月,平均19个月。骨折均愈合。膝关节功能恢复良好。优良率94.12%。结论:逆行交锁髓内钉是治疗股骨髁上骨折的理想方法之一,扩大了髓内钉手术适应症。具有固定牢固。操作安全简单,有利于骨折生长和膝关节的早期功能锻炼,疗效满意。 相似文献
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股骨髁上交锁髓内钉治疗股骨远端粉碎骨折 总被引:6,自引:0,他引:6
目的:评价股骨髁上交锁髓内钉治疗股骨远端粉碎骨折的效果。方法:应用股骨髁上交锁髓内钉治疗股骨远端骨折37例,闭合及小切口开放复位,做膝关节小切口,从股骨髁间窝处插入交锁髓内钉治疗股骨髁上皮髁间粉碎骨折,结果:37例切口顺利愈合,无关节感染发生,骨折复位好,35例骨愈合平均12.4周,膝关节屈曲平均105度,结论:股骨髁上交锁髓内钉手术操作简单,固定可靠,对软组织破坏少,骨愈合率明显,骼于治疗股骨远端复杂骨折手术效果好。 相似文献
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李军 《中华现代外科学杂志》2005,2(23):2122-2123
目的 探讨股骨髁上骨折行逆向交锁髓内钉固定治疗的效果。方法 对38例股骨髁上骨折行逆向交锁髓内钉固定治疗,术后追踪随访3~26个月,对其效果进行分析。结果 38例患者均获随访,随访时间8个月~3年,平均14个月,骨折愈合时间为3~9个月,平均6个月,膝关节功能均恢复正常。结论 股骨逆向交锁髓内钉治疗股骨髁上骨折创伤小,对骨折处骨膜剥离小,骨折愈合时间短,是治疗股骨髁上骨折的好方法。 相似文献
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目的 探讨经髌旁微创逆行置入交锁髓内钉治疗老年股骨远端骨折的方法并评价疗效.方法 自2002年6月~2008年4月,笔者采用髌旁微创逆行置入交锁髓内钉治疗28例股骨远端骨折,于髌旁内侧作2~3 cm切口,膝关节屈曲显露股骨髁间窝,后交叉韧带止点前方8~10 mm处开口,沿髓腔方向扩髓后置人髓内钉.结果 24例获得12~... 相似文献
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闭合复位逆行交锁髓内钉治疗股骨髁上A型骨折 总被引:16,自引:2,他引:14
目的总结临床应用闭合复位逆行交锁髓内钉治疗股骨髁上骨折的经验.方法1997年12月~2000年12月应用闭合复位逆行交锁髓内钉内固定的方法治疗新鲜的股骨髁上骨折11例.结果11例骨折全部愈合.骨折愈合时间平均14周.无内外翻畸形发生.根据Lysholm膝关节功能评分标准进行疗效评定,其中膝关节评分85~100分为优,70~84分为良好,60~69分为一般,小于60分为差.结果优8例,良2例,一般1例.差0例.优良率为90.91%.结论应用逆行交锁髓内钉治疗股骨髁上骨折是一个理想的方法,采用闭合复位内固定技术,更利于骨折愈合与膝关节功能恢复. 相似文献
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Preliminary observations were made to assess theantihypertensive efficacy and safety of treatmentwith valsartan plus spironolactone.
Thirteenhypertensive patients were studied, 7 were males(54%), and 6 females (46%) with an age range from 61years to 83 years
(mean: 74±7.1 years). Patients had amean daytime SBP / DBP of 164±9.2 / 99±9.5 mmHg.Echocardiography showed cardiac hypertrophy
and mildcavity enlargement in all patients. After baselinemeasurements of HR, serum creatinine and electrolytes(potassium
and sodium), patients received valsartan80 mg/day plus spironolactone 100 mg/day forconcomitant chronic heart failure due
tohypertension. Study parameters were measured at the 30, 60, and 90 day of therapy. Mean ambulatory SBP/DBP monitoring, mean
Holter heart rate, mean serumcreatinine, and mean serum electrolytes (sodium andpotassium) were recorded. These parameters
did notshow statistically significant changes after 90 daysof follow up, except in one patient who had anincrease in serum
potassium concentration from 4.3mmol/l to 5.8 mmol/l after 30 days of therapy. MeanBP was reduced up a maximum of 7%. No side
effectwas seen in the study patients. Combination therapyvalsartan and spironolactone seemed to be aneffective and safe approach
for older hypertensivepatients with mild concomitant chronic heart failure.
This revised version was published online in August 2006 with corrections to the Cover Date. 相似文献
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目的:探讨腹腔镜联合胆道镜治疗肝内胆管结石的临床价值。方法:随机将80例肝内胆管结石患者分为2组,实验组(n=45)行腹腔镜联合胆道镜取石术,对照组(n=35)行单纯腹腔镜手术。结果:实验组45例手术均获成功,手术时间110~118 min,平均(160±15)min;术中出血量45~280 ml,平均(140±60)ml;住院6~8天,平均(7±2)天;42例结石完全取净,结石清除率93.3%,术后无一例发生胆漏、出血、脓肿等并发症。对照组手术时间130~220 min,平均(150±30)min;术中出血量80~350 ml,平均(180±75)ml;住院8~12天,平均(9±1)天;32例结石完全取净,结石清除率91.4%,术后2例发生胆漏。两组患者手术时间、术中出血量、住院时间差异有统计学意义(P<0.05),结石完全取净率及并发症发生率差异无统计学意义(P>0.05)。术后随访所有患者3~6个月,经胆道镜复查无一例复发。结论:腹腔镜术中联合胆道镜治疗肝内胆管结石安全有效,值得推广应用。 相似文献
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目的:探讨阿昔洛韦联合纳洛酮在小儿病毒性脑炎治疗中的作用。方法:将在本院入院的108例小儿病毒性脑炎患儿随机分为观察组和对照组,对照组患儿在综合治疗的基础上加服阿昔洛韦,观察组在对照组的基础上再静滴纳洛酮。对两组患儿的疗效及后遗症进行比较。结果:经治疗后,观察组的总有效率为92.6%,对照组的总有效率为72.2%,两组疗效比较,差异具有统计学意义(P<0.05)。结论:应用阿昔洛韦联合纳洛酮治疗病毒性脑炎,在提高总有效率和减少后遗症的发生率方面,疗效满意,值得在临床推广。 相似文献
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Malyshev KV 《Vestnik khirurgii imeni I. I. Grekova》2000,159(4):59-63
An investigation of the antioxidant activity of blood plasma allowed a conclusion to be made of an alteration of the free radical processes in patients with chronic osteomyelitis. Experimental data on the influence of the antioxidants Xymedon and Methyluracil on the main free radicals, lipid peroxidation and chemiluminescence of peritoneal macrophages of rats allowed the substantiation of using the medicines in the complex treatment of patients in the pre- and postoperative periods. As a result, in 25 patients Xymedon improved the blood indices, increased antioxidant activity of plasma and reduced the amount of recurrences of the disease as compared with the patients taking Methyluracil. 相似文献
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Karpova IIu Parshikov VV Batanov GB Nikolaĭchuk VA 《Vestnik khirurgii imeni I. I. Grekova》2012,171(2):58-60
At the period from 1984 through 2010 there were 306 patients with necrotizing enterocolitis aged from 1 to 13 days. Conservative therapy in 214 (70%) cases resulted in favorable outcome of the disease. Operative treatment was necessary in 92 (30%) neonates. In 26 of them double entero-, colostomies were performed, in 7 patients ulcer defects were sutured, in 6 patients parts of intestinal necroses were resected with applying primary end-to-end anastomoses, in 15 patients--laparostomas in combination with intestinal stomas, in 13 patients isolated laparostomas, in 8 patients diagnostic laparotomies. 相似文献
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目的:探讨应用Dynesys腰椎动态固定系统配合显微外科技术单侧入路双侧减压治疗腰椎椎管狭窄症的有效性和临床效果。方法分析2012年1月~2013年6月,21例应用显微外科技术配合Dynesysx系统治疗伴随腰椎不稳的腰椎椎管狭窄症的临床资料。记录术前及术后疼痛视觉模拟量表(visual analogue scale,VAS)评分(10分法)及日本骨科学会( Japanese Orthopaedic Association ,JOA)评分,评估手术疗效。结果所有患者末次随访VAS及JOA评分较术前均显著改善,所有病例症状无加重或复发。结论显微外科技术配合Dynesys系统治疗伴随腰椎不稳的腰椎椎管狭窄症术中显露充分、减压彻底、安全性高、出血量少,术后腰椎稳定性恢复好、效果佳。 相似文献