改良张力带钢丝内固定治疗髌骨骨折21例体会

自 1997～ 1999年以来 ,笔者采用克氏针以及钢丝构成的张力带内固定治疗髌骨骨折 2 1例 ,经平均 5个月随访 ,X线显示 ,解剖复位率达 91.7% ,疗效满意。结合临床浅谈应用体会如下。1　临床资料　　 12例患者中 ,男 9例 ,女 3例 ,年龄 13～ 6 5岁。车祸 6例 ,跌伤 15例。闭合性 2 0例 ,开放性 1例 ,其中粉碎性 12例。新鲜骨折 2 0例 ,陈旧性骨折 1例 (受伤 2周以上 )。全部病例均于伤后 2～ 48小时内施术。2　治疗方法2 .1　手术方法　仰卧位 ,硬膜外麻醉下 ,取髌前弧形横切口 ,屈膝 10～ 2 0°,清除骨折断端嵌顿的软组织及关节腔内的瘀血。…     

三金片预防导尿管伴随性尿路感染疗效观察

留置导尿是临床上常用的一种操作技术，其最常见、最重要的并发症是尿管伴随性尿路感染（urinary tract infection，UTIC）。作者将153例择期手术后留置导尿管患者随机分为观察组和对照组，观察组口服三金片。通过对拔管后24h中段尿常规及细菌学检测分析，观察UTIC的发生情况，借以探讨口服三金片对UTIC的预防作用。     

克山病病区玉米及酱块对大鼠心肌损伤的实验研究

Objective To investigate the myocardial damage in rats fed with corn from Keshan disease area added with bean puree. Methods Male Wistar rats were randomly divided into 3 groups according to their body weights, and fed with corn, corn from Keshan disease area added with bean puree, corn from non-endemic area. The GSH-Px activity of vena cardalis blood was examined in 1 and 3 months, rats were sacrificed after being fed for 6 months to examine the heart changes with HE stain. Results The three groups of GSH-Px activity were different in 1 and 3 months respectively(F=23.60,72.46, all P<0.01); GSH-Px activity was (181.58±22.15), (44.76±28.59)U/L in rats fed with corn, was (195.03±17.66), (30.38±3.35)U/L in those fed with corn added with bean puree from Keshan disease area, lower than the group fed with corn of non-endemic area[(340.90±95.42), (125.17±13.64)U/L, all P < 0.01]. But the difference of GSH-Px activity between simple corn group and corn adding bean puree groups of Keshan disease area was not obvious(P>0.05). Myocardial damage incidence of the three groups was 3/9,1/9,2/7. Difference among three groups did not have statistical significance(χ2=1.33, P> 0.05). Conclusions Only corn from Keshan disease area may induce myocardial damage pathology change. Adding bean puree into corn does not increase damage.     

大脑曼氏裂头蚴病1例及文献复习

1 临床资料 患者,女,15岁,学生。因口角和左手不自主频繁抽搐二月入院。发作时右手麻木,有针刺和沉重感,每次发作2～5min,偶伴头部左右摆动,曾出现意识丧失一次,并有发热史(不规则热)。体检:体温37℃,神志清楚,颅神经检查正常,双视乳头边界清楚,颈软,四肢感觉和运动无异常,深浅反射正常,病理反射(-)。颅脑CT检查提示:右额顶叶低密度灶。MRI     

单侧唇裂一期修复术

目的：探讨日本昭和大学医学部形成外科唇裂治疗的新方法。方法：自1980年以来唇腭裂的诊治一直采用“多科室协作治疗组”方式进行，采用基于新“鬼口法”又有区别的“保阪法”修补单侧唇裂，将传统的直线纵向切开法变为弧线切开，且下三角瓣插入一般限于上唇沟内，对口轮匝肌处理时将患侧的肌肉重叠于健侧，并以患侧粘膜瓣作为鼻腔底重建时的主要材料，同期行鼻整形术。结果：术后效果良好，瘢痕不明显，可形成明显的人中嵴，外鼻形状佳。结论：此方法远期观察效果良好，是一种值得推荐的单侧唇裂修补术。     

克山病病区玉米及酱块对大鼠心肌损伤的实验研究

Objective To investigate the myocardial damage in rats fed with corn from Keshan disease area added with bean puree. Methods Male Wistar rats were randomly divided into 3 groups according to their body weights, and fed with corn, corn from Keshan disease area added with bean puree, corn from non-endemic area. The GSH-Px activity of vena cardalis blood was examined in 1 and 3 months, rats were sacrificed after being fed for 6 months to examine the heart changes with HE stain. Results The three groups of GSH-Px activity were different in 1 and 3 months respectively(F=23.60,72.46, all P<0.01); GSH-Px activity was (181.58±22.15), (44.76±28.59)U/L in rats fed with corn, was (195.03±17.66), (30.38±3.35)U/L in those fed with corn added with bean puree from Keshan disease area, lower than the group fed with corn of non-endemic area[(340.90±95.42), (125.17±13.64)U/L, all P < 0.01]. But the difference of GSH-Px activity between simple corn group and corn adding bean puree groups of Keshan disease area was not obvious(P>0.05). Myocardial damage incidence of the three groups was 3/9,1/9,2/7. Difference among three groups did not have statistical significance(χ2=1.33, P> 0.05). Conclusions Only corn from Keshan disease area may induce myocardial damage pathology change. Adding bean puree into corn does not increase damage.     

CT和MRI诊断股骨头缺血坏死价值探讨

股骨头缺血坏死是常见的骨关节疾患，早期诊断对于该病的治疗和预后至关重要。作者对经临床和影像学确诊的39例股骨头缺血性坏死患者的CT和MRI资料进行总结分析，报道如下。     

去势大鼠血清及骨组织中白细胞介素6与其骨组织计量学参数变化的关系

目的利用骨组织计量学方法，从骨吸收与骨形成活动的组织计量学参数的变化情况，了解实验动物血清和骨微环境中ＩＬ－６与绝经后骨质疏松的关系。方法４０只雌性４月龄ＳＤ大鼠，随机分为实验组和对照组。分别于术后４、１０、１６、２２周处死一组大鼠。用ＥＬＩＳＡ方法测得血清和骨组织培养液中ＩＬ－６的浓度。利用计算机图像分析系统考察不脱钙骨组织切片的ＴＢＶ、ＭＴＴ、ＦＳ、ＲＳ、ＬＳ、和ＭＡＲ。结果相关关系分析提示：血中ＩＬ－６仅与ＲＳ呈正相关。而骨组织培养液中ＩＬ－６变化与ＲＳ、ＦＳ呈正相关。与ＭＴＴ和ＴＢＶ呈负相关。依据相关系数的大小，我们发现：骨组织中ＩＬ－６浓度与骨形态计量学参数的相关程度ＲＳ＞ＭＴＴ＞ＦＳ＞ＴＢＶ。结论本研究采用骨组织计量学的方法，在组织学水平上证实了绝经后血清和骨组织中ＩＬ－６的水平增高，使破骨细胞的骨吸收活动增强，导致了骨质疏松的发生。同时也为利用分子生物学技术，如使用ＩＬ－６及ＩＬ－６受体拮抗剂等方法治疗绝经后骨质疏松症提供了研究的方法     

不同的方法对妇女关节韧带松弛综合征治疗效果分析

妇女关节韧带松弛综合征是妇科不太常见的疾病，从１９９６年开始，采用不同的方法进行对比治疗，并观察对比其康复效果，现将有关资料总结报道如下。１对象与方法１．１对象２４例患者，年龄２２～３４岁。对照组６例，收治时间：１９９６～１９９７年，腕管综合征１例，腰骶椎疼痛３例，椎间盘脱出２例；治疗组１８例，收治时间：１９９８年至２００１年底，腕管综合征３例，腰骶椎疼痛１０例，椎间盘脱出５例，两组患者的年龄、症状、体征经对比，无明显差别，具有可比性（P＞０．０５）。１．２方法（１）对照组：采用传统治疗方法。（…