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21.
Ph. Greant M.D. M. Pipeleers-Marichal P. Wylockt 《European journal of plastic surgery》1987,10(1):29-31
Summary Ectopic salivary glands in the neck are very unusual lesions. Generally they are localized to the oropharyngeal region, near the mandible and para-parotid lymph nodes. They occur occasionally on the anterior border of the sternocleidomastoid muscle in the soft tissues of the neck. We wish to report on a singular association of ectopic salivary glands with partial hearing loss, preauricular fistula, palatoschisis, anal fistula, and an arteria lusoria. Morphological, histological and embryological aspects are discussed. 相似文献
22.
H Angus-Leppan GA Lambert J Michalicek 《Cephalalgia : an international journal of headache》1997,17(6):625-630
Co-existence of facial and occipital pain may occur in occipital neuralgia, migraine and cluster headache; suggesting convergence of trigeminal and cervical afferents. Such convergence has been shown in humans and other animals, but the site and extent of this are uncertain. In anaesthetized adult cats, the superior sagittal sinus and occipital nerve were stimulated electrically, and extracellular recordings made in the dorsolateral area of the upper cervical cord using glass-coated tungsten electrodes. Of 49 units in 10 cats, 33 (67%) had input from the superior sagittal sinus and the occipital nerve. Thirteen (27%) had superior sagittal sinus input and 3 (6%) had occipital nerve input. Convergent receptive fields were identified mechanically in 7 units. These experiments in cats show convergent input from occipital nerve and superior sagittal sinus on dorsolateral area units in two-thirds of cases studied. This experimental site of trigeminocervical convergence may relate to referral of pain in occipital neuralgia and other headaches. 相似文献
23.
Deepu Banerji Rajesh Acharya Sanjay Behari Devendra K. Chhabra Dr. Vijendra K. Jain MCh 《Neurosurgical review》1997,20(1):25-31
The choice of a surgical approach for multi-level cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL) is still a controversial issue. While most of the surgeons are still performing decompression by laminectomy some are doing multi-level anterior decompression. Few neurosurgeons are performing decompression by corpectomy. We have treated 26 patients by median cervical corpectomy during the last 4 years. These patients were followed up for a mean period of 25 months. Twenty one (80%) patients had a good outcome, 2 patients remained unchanged and 3 expired. Review of the literature and our experience indicates that patients with CSM and OPLL should be operated by median cervical corpectomy (anterior approach). 相似文献
24.
25.
目的 探讨多种形式的健康教育对提高宫颈糜烂治疗依从性的作用。方法 将确诊为宫颈糜烂的120例患者随机分为研究组、对照组。均给予相应的治疗。研究组增加健康教育内容。两组患者同时观察复诊率、治愈率、对医疗服务的满意程度、疾病的认知情况。结果 研究组增加健康教育后,患者复诊率、治愈率、诊疗满意程度、疾病认知情况均较对照组高(P<O.05)。结论 健康教育能提高宫颈糜烂患者的治疗依从性,获得较高的治愈率。 相似文献
26.
目的 将人乳头瘤病毒16型(Human papillomavirus type 16,HPV-16)的晚期表达蛋白E7上的抗原24肽(从第38位氨基酸到第61位氨基6病毒感染防治酸)与人免疫球蛋白G的重链恒定区融合表达,并以此融合蛋白作为抗原,可能为HPV-1提供免疫治疗方法。方法 利用PCR方法分别扩增HPV-16 E7(38-61)24肽的DNA片段和人免疫球蛋白G的重链恒定区DNA片段,并构建到pEV21a表达载体上,转化入E.coli中表达,利用SDS-聚丙烯酰胺凝胶电泳(SDS-PAGE)和蛋白质免疫印迹(Western-blotting)的方法对表达结果进行鉴定。结果 构建的表达载体HPV16E7e/hIgGHCCR-pET21a经酶切鉴定和测序显示序列正确;通过SDS-PAGE和Western-blotting的鉴定,重组融合蛋白Mr约40000,表达量可占菌体蛋白的20%左右。结论 成功构建HPV16-E7的抗原多肽片段和人免疫球蛋白G的重链恒定区的融合蛋白,并可在E.coli中高效表达。 相似文献
27.
应用显微外科技术治疗脊髓型颈椎病疗效分析 总被引:4,自引:0,他引:4
目的:探讨应用显微外科技术治疗脊髓型颈椎病的方法及疗效。方法:2003年1月~2004年10月对39例脊髓型颈椎病患者经颈前入路应用显微外科技术切除椎间盘、突出的髓核及骨赘.全部操作均在显微镜(10x)放大监视下应用高速磨钻、显微器械、1mm枪式椎板咬骨钳及微型刮匙配合进行。充分减压后作自体髂骨移植及钛板固定。结果:术中失血量平均每节段为80ml,术后咽喉部牵拉反应较轻.无并发症,33例患者术后症状即刻改善,2例术后3个月开始改善,4例术后6个月症状改善。无神经症状加重病例。经12~24个月随访,JOA评分由术前平均9.5分增加至13.4分,平均改善率为75.6%,影像学证实减压充分。椎体间植骨均愈合良好。结论:经颈前路应用显微外科技术治疗脊髓型颈椎病可明显提高组织分辨能力,操作精细.手术创伤小.提高了手术的安全性.疗效确切。 相似文献
28.
目的对3种不同颈椎前路钢板系统重建并维持颈椎融合节段曲度和高度的作用进行比较.方法 2002年1月~2004年6月,行颈前路减压,自体髂骨植骨,钢板内固定术122例;男85例,女37例,年龄14~70岁.根据采用Orion、Zephir、Codman 3种颈椎前路钢板系统分为A组37例、B组39例及C组46例.于术前、术后1周和随访时摄颈椎侧位X线片,测量融合节段的曲度和高度,并比较其变化及3组间差异.结果术后患者均获随访6~35个月,平均17.3个月.术后6个月3组患者术段颈椎均获骨性融合.且术后1周时颈椎融合节段曲度和高度较术前明显改善(P<0.05),但最后1次随访时和术后1周比较,差异无统计学意义(P>0.05),3组间比较差异无统计学意义(P>0.05).结论 3种钢板系统均能有效重建并维持颈椎融合节段曲度和高度,近期效果优良. 相似文献
29.
J. Francisco Salomão Sérgio Cavalheiro Hamilton Matushita René D. Leibinger Antonio R. Bellas Elide Vanazzi Luiz A. M. de Souza Andréa G. Nardi 《Child's nervous system》2006,22(3):234-242
Background Cystic dysraphic lesions of the cervical and upper thoracic region are rare and only a few series have been published about the topic. These malformations can be divided into categories that include both myelocystoceles and the so-called cervical meningoceles or myelomeningoceles.Methods A retrospective study of 18 patients was conducted.Results In 17 patients a squamous or a cicatricial epithelium of variable thickness covered the dome of the lesions, while the base was covered with full-thickness skin. In one case the skin was entirely normal. Four patients displayed associated CNS malformations and three more had systemic congenital anomalies. All patients underwent surgical exploration and the length of time between birth and surgery ranged from 6 h to 9 months. The most frequent surgical finding, seen in 14 patients, was a stalk connecting the dorsal surface of the spinal cord to the cyst. In three patients the findings were consistent with myelocystocele. Only in one case was a true meningocele found. Hydrocephalus and Chiari II malformation were not as consistently associated as in myelomeningoceles. Neurological signs and symptoms were not so marked as in myelomeningoceles and were found in the follow-up of four patients. In two of them there was a non-progressive deficit, probably expressing an imperceptible involvement of the nervous system in the first year of life. The histopathological findings were of three types: neuroglial stalks, fibrovascular stalks and myelocystoceles.Conclusions Cystic dysraphisms of the cervical and upper thoracic region differ clinically and structurally from meningomyelocele and have a more favorable outcome. We believe that these malformations have not been properly labeled and propose a classification based on the structures found inside the cyst. 相似文献
30.
狗喉上神经袢神经束性质的鉴别 总被引:1,自引:0,他引:1
用成年杂种狗12只,在全麻状态下放血,取其颈交感干与喉上神经外支间的交通支及其与喉上神经外支汇合后的神经干,甲醛固定,明胶包埋,恒冷切片后用Karnovsky乙酰胆碱酯酶组化方法,对上述材料进行观察。我们发现交通支多为无髓纤维,酶反应呈强阳;混合后的神经含有髓酶反应阳性和阴性纤维及无髓酶反应强阳性纤维,证实喉上神经袢含有体躯运动、内脏运动(交感神经)纤维及感觉纤维。因此,喉上神经拌为混合神经。 相似文献