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61.
目的 介绍一种新型逆行筋膜皮瓣修复示指皮肤缺损。方法 我院于1997~2003年,采用第一掌背动脉逆行筋膜皮瓣修复示指皮肤缺损9例,该皮瓣以第一掌背动脉在第二掌骨背侧的纵轴为轴线,以筋膜为蒂,蒂部设计在皮瓣的远侧,供血动脉为示指桡侧指动脉。结果 皮瓣全部成活,随访半年以上5例,修复后指腹两点辨别觉为6mm~11mm(平均7.9mm),外形满意,患均恢复原工作。结论 切取第一掌背动脉逆行岛状筋膜皮瓣修复示指皮肤缺损安全可行,是修复示指皮肤大面积缺损的较理想方法。 相似文献
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Stefan Tigges M.D. B. J. Manaster M.D. Ph.D. Gordon Carson M.D. 《Emergency radiology》1996,3(3):105-112
Although magnetic resonance imaging is the most accurate imaging method of evaluating the anterior cruciate ligament, several
plain radiographic signs suggestive of anterior cruciate ligament injury have been described. Plain radiographs also play
an important role in evaluating anterior cruciate ligament reconstruction. 相似文献
64.
The aim of this study was to estimate the incidence of morbidity and mortality due to injuries in the population over the age of 14 years in Barcelona, Spain. Injury distribution according to sex, age, external cause, place of occurrence of the injury and severity was also obtained. A one-year survey was conducted in the emergency departments of the six main hospitals in Barcelona, based on a multistage sampling. Information was collected prospectively in emergency services by specially trained non-staff interviewers. Mortality data were drawn from death certificates. The incidence rate was 74.7 injury cases per 1,000 person-years over 14 years of age, higher in males than in females. Injury rates were highest in the youngest age-group and progressively lower until people over 75 years of age. Main external causes of injury were falls, being struck or caught by objects, and traffic-related injuries. The leading specific causes of injury mortality were traffic injuries, suicides and poisonings. While the overall admission incidence was 3.34 cases per 1,000 inhabitants, the proportion of hospitalized cases was 45.0 per 1,000 injury cases admitted to emergency rooms, higher for females, for traffic injuries and in the elderly population. Ninety-six percent of injury cases had an ISS value of 8 or less, mean ISS being highest for traffic injuries and falls. Injury morbidity and mortality amongst residents of Barcelona follow sex, age and cause of injury patterns which are, overall, comparable to those observed in other industrialized countries, suggesting that similar etiologic factors might be operating in those areas. The results should enable the orientation of injury prevention policies in the urban environment targeted on the young and the elderly population. 相似文献
65.
目的 探讨急性脑外伤患者脑脊液髓鞘碱性蛋白(CSF-MBP)水平与其损伤类型的关系。 方法 采用放射免疫测定法(RIA)对42例急性脑外伤患者的CSF-MBP进行测定,并测定26例非神经系统疾病患者作对照。结果 严重脑内原发性损伤患者CSF-MBP平均水平显著高于轻中度脑内原发性损伤和单纯颅内血肿者(P<0.01),单纯颅内血肿患者CSF-MBP仅伤后第5天增高;弥漫性脑损伤组CSF-MBP水平显著高于局灶性脑损伤组(P<0.01),伤后1周内持续处于高水平状态。结论 CSF-MBP的测定有助于急性脑外伤患者损伤程度及类型的判定。 相似文献
66.
背景 血栓栓塞(TE)事件是肥厚型心肌病(HCM)的重要并发症。目前针对HCM患者TE事件的风险预测,仅国外学者构建了两个模型:HCM Risk-CVA及French HCM score,然而,现有研究发现HCM Risk-CVA模型对于中国HCM患者的临床价值较为有限。目的 本研究拟构建适合中国HCM患者的TE事件风险预测模型。方法本研究系回顾性队列研究,收集2010—2018年在四川大学华西医院就诊的537例HCM患者的病例资料。本研究通过电话随访或电子病历系统查询患者就诊记录,每6~12个月随访1次,直至出现终点事件或死亡或研究拟定的评估日期(2019-12-31),终点事件定义为复合性TE事件。采用单因素和多因素Cox回归分析构建风险预测模型,并使用自助重抽样的方法进行内部验证。结果 537例患者中,24例患者有不同程度的数据缺失,最终纳入513例患者。中位随访时间为4.2(1.3,6.2)年,随访过程中42例(8.18%)发生TE事件,年发病率为2.10%[95%CI(1.47%,2.73%)]。根据多因素Cox回归模型构建TE事件风险预测模型,最终纳入年龄、既往TE事件、心... 相似文献
67.
《The Knee》2022
BackgroundKnee osteoarthritis (KOA) is increasingly prevalent in North American society. The significant societal burden it represents makes it essential to promote and target new treatments in earlier phases of the disease. Among others, subchondroplasty is a newly documented technique using calcium phosphate injection targeting the osteochondral lesions preceding KOA, also known as Bone Marrow Lesions (BMLs). This article aimed to review the existing literature on clinical and radiological outcomes of subchondroplasty in the treatment of BMLs in KOA.MethodA systematic review was performed using PubMed, Embase, Medline and Cochrane Database of Systematic Reviews. Studies on calcium phosphate injections into BMLs for KOA and its clinical and radiological outcomes were screened and reviewed by independent evaluators.ResultsAfter screening, ten articles were included, totaling 540 patients. Follow-up ranged from 6 months to 7 years. Overall, the procedure showed significant functional and quality of life improvement, as well as pain relief, as shown by Patients-Reported Outcomes Measures (PROMs). There were very few complications reported, the most important being leakage of calcium phosphate outside the targeted site. Conversion rate to total knee arthroplasty (TKA) ranged from 14 % to 30 % at 2 years post-procedure. Long term radiological outcomes have been poorly documented.ConclusionsSubchondroplasty is a promising avenue for the treatment of KOA. However, quality evidence is still required before any real conclusions and practical management guidelines can be drawn. Prospective, randomized studies with a control group and a rigorous assessment of long-term clinical and radiological outcomes are recommended. 相似文献
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69.
The forces produced during stretches of passive and activated muscles, and isometric force deficits after stretching of activated
muscles were examined in rat plantor flexor muscle-tendon complexes with reduced collagen cross-links (pyridinoline). Female
Sprague-Dawley rats (n=6, age 87 days) were injected twice daily for 43 days with β-aminopropionitrile (BAPN, 333 mg/kg/day i.p.), an inhibitor
of lysyl oxidase, which is responsible for the production of collagen cross-links. The relative weights of the plantar flexor
muscles were similar for BAPN and saline-injected (control, C) rats (n=6). Pyridinoline was lower in the tendon (22.9%), and in the plantaris (17.1%), and soleus (7.4%) muscles (P<0.05), with no changes observed in collagen content (hydroxyproline), as determined by high-pressure liquid chromatography.
At an ankle position of 90°, groups had similar forces at 5, 10, 20, 40, 60 and 80 Hz before stretching. Forces at 40° with
stretches of the passive muscles (five times from 90° to 40°) were lower for all stretches in BAPN-injected rats (P<0.05). Isometric force deficits resulting from stretches of activated muscles (80 Hz, 20 times from 90° to 40°, rest intervals
3 min) followed similar courses for BAPN-injected and C rats, and were 51.1 (2.4)% (C) and 54.7 (4.6)% (BAPN) before the last
stretch. After 1 h of rest, isometric force deficits were 26% and 29% larger at 10 Hz and 5 Hz, respectively, in BAPN-treated
rats (P<0.05). The reduction in BAPN-injected collagen cross-linking of the skeletal muscle-tendon complex reduced the forces produced
during stretches without muscle stimulation (i.e. passive stretch), and stretching of activated muscles produced larger isometric
force deficits only at low stimulation frequencies.
Electronic Publication 相似文献
70.