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61.
目的 通过107例胸腰椎骨折伴脊髓损伤病例的治疗,探讨前、后路手术适应证的选择。方法 31例经前路减压植骨,采用Z-Plate等内固定。76例经后路采用短节段椎弓根钉内固定。结果 两组均获得了满意的疗效。结论 选择前或后路手术,应综合考虑脊髓损伤程度、手术时机与技巧、骨折的部位、骨折类型和影像结果等,才能确实做到减压、恢复脊柱序列和坚强固定的目的。 相似文献
62.
63.
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.
Anjan Banerjee M.Sc. M.S. D.M. Philip Quirke B.M. Ph.D. 《Diseases of the colon and rectum》1998,41(4):490-505
PURPOSE: A review ofin vivo andin vitro models of colorectal cancer is presented. METHODS: A retrospective literature review was performed with reference to CD-ROM Medline and Index Medicus. RESULTS: A comparison of the advantages and disadvantages of the models is presented in addition to a summary of individual model methodology and applications. CONCLUSIONS: Such models are a useful adjunct for surgical research in colorectal oncology.Mr. Banerjee is in receipt of support from the Yorkshire Cancer Research Organization. 相似文献
66.
Patterns of calcifications and cholangiographic findings in hepatobiliary tuberculosis 总被引:3,自引:0,他引:3
Dean D. T. Maglinte M.D. Sol Z. Alvarez Anastacio C. Ng Jose L. Lapeña 《Abdominal imaging》1988,13(1):331-335
The radiologic findings on conventional examinations (plain films and cholangiograms) in a large group of patients with proven hepatobiliary tuberculosis are reviewed. The plain film findings of large chalky and confluent hepatic calcifications or nodal-type calcifications along the course of the common bile duct are suggestive of hepatobiliary tuberculosis. Small, discrete, scattered calcifications may be mimicked by histoplasmosis but can be differentiated from hepatobiliary tuberculosis. Obstructing defects seen on cholangiography are indicative of tuberculosis when adjacent calcifications are present. The patterns of liver calcifications could provide a clue to the diagnosis of hepatobiliary tuberculosis and its differentiation from liver calcifications of various other etiologies. 相似文献
67.
Ogata T 《Medical molecular morphology》2005,38(4):243-250
Brush cells are widely distributed in the digestive and respiratory apparatus, but their function is still unknown. Because
brush cells (BC) are found in organs secreting NaHCO3, it was hypothesized that these cells may secrete NaHCO3. To test this possibility, rat common bile duct epithelia were examined by ultrastructural cytochemical methods for localizing
HCO3−, Cl−, and Na+ ions. All three ion precipitates were few in or on BCs of rats without stimulation. Lead carbonate precipitates, which localized
HCO3− ions by the lead nitrate-osmium method, increased markedly on the surface of the microvilli (MV) of BCs after secretin or
meal stimulation, but similar precipitates were few on the luminal surface of principal cells (PCs). Silver chloride precipitates,
which indicate the presence of Cl− ions by the silver-osmium method, increased in the apical cytoplasm and in MV of BCs after secretin or meal stimulation,
but they were few in PCs. Sodium pyroantimonate precipitates, which localize Na+ ions by the potassium pyroantimonate-osmium method, increased on the surface of the MV, along the basolateral membrane, and
in the apical cytoplasm of BCs after secretin or meal stimulation, but they were few in PCs. These results strongly suggest
that BCs may be a significant source of NaHCO3 secretion. 相似文献
68.
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
69.
70.
目的:总结手术中发生医源性血管损伤的处理经验。方法:10例在外科手术中损伤血管的患者,其中门静脉,下腔静脉、髂总静脉损伤各2例,股总静脉、颈总动脉、腋静脉、腘动脉损伤各1例。行血管修补术5例,行端-端吻合术1例,自体静脉移植术1例,人工血管移植1例,钳夹止血1例,血管结扎1例。结果:本组痊愈8例;死亡2例,其中下腔静脉损伤止血失败死亡1例,颈总动脉损伤结扎死亡1例。结论:医源性血管损伤重在预防,一旦发生血管损伤,迅速有效地控制出血是手术成功的关键,血管修补或吻合术疗效良好。 相似文献