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991.
992.
Seung Yeol Lee Chin Youb Chung Kyoung Min Lee Soon-Sun Kwon Kyu-Jung Cho Moon Seok Park 《European spine journal》2016,25(3):679-686
Purpose
We estimated the annual changes in radiographic indices of the spine in cerebral palsy (CP) patients and analyzed the factors that influence its progression rate.Methods
We included CP patients who had undergone whole-spine radiography more than twice and were followed for at least 1 year. The scoliosis Cobb angle, coronal balance, apical vertebral translation, apical rotation, and pelvic obliquity were measured on anteroposterior (AP) radiographs; thoracic kyphosis and lumbar lordosis angles, and sagittal balance was measured on lateral radiographs; and migration percentage was measured on AP hip radiographs to determine hip instability. For each gross motor function classification system (GMFCS) level, the Cobb angles, apical vertebral translation, coronal and sagittal balance, and pelvic obliquity were adjusted by multiple factors with a linear mixed model.Results
A total of 184 patients (774 radiographs) were included in this study. There was no significant annual change in scoliosis Cobb, thoracic kyphosis, and lumbar lordosis angles in the GMFCS level I–II and III groups. In the GMFCS level IV–V group, there was an annual increase of 3.4° in the scoliosis Cobb angle (p = 0.020). The thoracic kyphosis angle increased by 2.2° (p = 0.018) annually in the GMFCS level IV–V group. Apical vertebral translation increased by 5.4 mm (p = 0.029) annually in the GMFCS level IV–V group. Progression of coronal and sagittal balance and pelvic obliquity with aging were not statistically significant. Sex, hip instability, hip surgery, and triradiate cartilage did not affect the progression of scoliosis and the balance of the spine and pelvis.Conclusions
The scoliosis Cobb angle, thoracic kyphosis angle, and apical vertebral translation in the GMFCS level IV–V CP patients progressed with age. These findings can predict radiographic progression of scoliosis in CP patients.993.
994.
Introduction:
Infantile hemangiomas of the airway are diagnosed at bronchoscopy as part of the investigation of stridor or other respiratory symptoms. Here, we present three-dimensional computed tomography (3D-CT)/bronchoscopy findings of submucosal subglottic hemangioma missed at bronchoscopy.Case Presentation:
We report on the clinical usefulness of 3D-CT/bronchoscopy as the primary diagnostic tool and follow-up method in the evaluation of suspected airway infantile hemangiomas, especially when the hemangioma is the submucosal type.Conclusions:
3D-CT/bronchoscopy will reduce the need for invasive laryngoscopic studies and help to diagnose submucosal hemangiomas undetected on laryngoscope. Additionally, 3D-CT/bronchoscopy will help evaluating the extent of the lesion, degree of airway narrowing, and treatment response. 相似文献995.
996.
997.
Jong Jin Oh Soo Hyun Kim Joong Sik Shin 《The journal of maternal-fetal & neonatal medicine》2016,29(3):408-411
Objective: This study aimed to investigate the independent factors for acute postpartum urinary retention (APUR) after vaginal delivery.Methods: From January 2008 to December 2013, 98 patients with APUR after vaginal delivery without instrument use were compared with 108 control patients matched by age and medical history. Multivariate logistic regression analysis was performed to identify independent risk factors for APUR. Predictive accuracy for the multivariate model was assessed using the derived area under a receiver operating characteristics curve.Results: Among maternal previous partial history, mean live birth history was lower in the APUR group (0.12 versus 0.31, p?=?0.017). Regional anesthesia use (76.5% versus 60.2%, p?=?0.036), mediolateral episiotomy (63.3% versus 31.5%, p?<?0.001) and labor time were significantly higher in the APUR group. Multivariate logistic regression analysis showed that mediolateral episiotomy, labor time and the presence of regional anesthesia were independent contributing factors for the development of APUR. This model’s predictive accuracy for APUR was 73.1%.Conclusion: Prolonged labor time, regional anesthesia and mediolateral episiotomy were independent factors for APUR. Therefore, we considered median episiotomy to be the best approach during vaginal delivery avoiding APUR. 相似文献
998.
Soo Ran Choi 《The journal of maternal-fetal & neonatal medicine》2016,29(3):457-460
Objective: To determine perinatal outcomes in uncomplicated term pregnancies with a borderline amniotic fluid index (AFI).Methods: A retrospective review was conducted of uncomplicated singleton pregnancies at term (>37 weeks). Borderline and normal AFI were defined as 5.1?≤?AFI?≤?8.0?cm and 8.1?≤?AFI?≤?24?cm, respectively. Adverse perinatal outcomes, cesarean delivery for non-reassuring fetal heart rate testing, meconium-stained amniotic fluid, a 5-min Apgar score of <7, admission to the neonatal intensive care unit (NICU), and whether the neonate was small for gestational age were compared between the borderline and normal AFI groups.Results: Borderline AFI was not significantly associated with cesarean delivery for non-reassuring fetal heart rate testing (p?=?0.513), meconium-stained amniotic fluid (p?=?0.641), admission to the NICU (p?=?0.368), or a 5-min Apgar score of <7 (p?=?1.00). However, the number of neonates who were small for gestational age (p?=?0.021) and rates of induction of labor (p?<?0.001) were significantly higher in the borderline group. Multiple logistic regression analysis showed that borderline AFI was not associated with cesarean delivery for non-reassuring fetal heart rate testing (odds ratio [OR]?=?0.72, 95% confidence interval [CI] 0.27–1.91, p?=?0.52).Conclusion: In uncomplicated term pregnancies, a borderline AFI does not increase the risk of adverse perinatal outcomes. 相似文献
999.
1000.
Min?Chong?Kim Jung?Eun?Choi Soo?Jung?Lee Young?Kyung?BaeEmail author 《Annals of surgical oncology》2016,23(11):3524-3530