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11.
儿童颈椎间盘钙化症(cervical incervertebral dise calcification in children)是一种少见的疾病。1924年Baron首先报道本病.国内1982年至今陆续报道,迄今仅百余例。作者经治儿童颈椎间盘钙化症5例.结合文献对其诊断和治疗加以讨论。 相似文献
12.
李利琼 《中国医学研究与临床》2007,5(2):43-44
目的观察硬膜外间隙注药配合牵引治疗腰椎间盘突出症。方法162例经体查,X线、CT、MRI摄片确诊为腰椎间盘突出症。硬膜外间隙注入利多卡因lmg/kg与强的松龙lmg/kg的混合液10ml,注药1次/7d,3次为一疗程。并行牵引4h/d。结果疗效优良率94.4%。结论此疗效确切。 相似文献
13.
腰椎间盘突出是骨科常见病。CT扫描能够显示间盘组织的直接影像,是诊断间盘病变的重要方法。本文对80例腰间盘突出进行分析,探讨CT对腰间盘突出的诊断价值。1 材料和方法 1.1一般资料 选用临床及CT表现均典型病例80例,男13例,女37例,年龄17岁-74岁,病程最短2d,最长22a, 相似文献
14.
The objective was to determine whether vaginal topography accurately predicts the location of the pelvic viscera on fluoroscopy
in women with pelvic organ prolapse. Eighty-nine women undergoing preoperative evaluation for reconstructive pelvic surgery
at a tertiary care referral practice formed the study population. Each woman completed a comprehensive urogynecologic history
and physical examination, which included a quantified (POP-Q) assessment of her vaginal topography, as described by Bump et
al. In addition each woman underwent pelvic floor fluoroscopy (PFF). Visceral sites were selected which corresponded clinically
to the vaginal sites measured by the POP-Q. The most dependent portion of the bladder, small intestine, rectum and urethrovesical
junction was measured. Twenty-five (28%) women had stage II prolapse, 34 (38%) had stage III prolapse, and 28 (32%) had stage
IV prolapse. The remaining 2 women were symptomatic, with stage I prolapse. For the entire study population there was no correlation
between the fluoroscopic position of the small bowel and/or rectum and any apical or posterior wall POP-Q site (C, Ap or Bp).
There was no correlation with the fluoroscopic position of the UVJ at rest or with straining and the corresponding POP-Q site
(Aa). The fluoroscopic position of the most dependent portion of the bladder correlated only modestly with the upper (Ba,ρ=0.51) and lower Aa,ρ=0.68) anterior vaginal wall POP-Q sites. In women without prior surgery (n=33) there was only modest correlation between the fluoroscopic position of the bladder and the corresponding POP-Q site (Aa,ρ=0.71). In this unoperated subpopulation there was no correlation with PFF and any other POP-Q site. In women who had undergone
prior hysterectomy (n=25) or hysterectomy with anterior and/or posterior colporrhaphy (n=17), there was only a modest correlation of the most dependent portion of the bladder and the upper anterior vaginal wall
site (Bb,ρ=0.67 andρ=0.55, respectively). It was concluded that vaginal topography does not reliably predict the position of the associated viscera
on PFF in women with primary or recurrent pelvic organ prolapse.
EDITORIAL COMMENT: The authors seek to evaluate whether physical examination of vaginal prolapse using the POP-Q test correlates
with fluoroscopic findings of visceral position. Surprisingly, little correlation is found, even in previously unoperated
patients. One reason for this lack of correlation between the two modalities of evaluation may lie in the use of two different
fixed points of reference: the POP-Q examination uses the hymen as the fixed point of reference, whereas the investigators
chose to use the posterior edge of the femur as a fixed bony point of reference when evaluating pelvic floor fluoroscopy in
the same patient. The lack of correlation between visual inspection of vaginal wall prolapse and what lies deep to that prolapse
should not be used to invalidate the use of the POP-Q as a means to evaluate pelvic prolapse. Rather, the findings support
the premise behind the ICS/AUGS/SGS committee on pelvic organ prolapse, specifically that clinical pelvic examination of the
vaginal walls looks at surfaces only, and as such cannot determine what, if any, organ lies deep to that surface. 相似文献
15.
采用经皮弧式椎间盘切除器械治疗L_5~S_1椎间盘突出症22例,21例成功。术后优良率为86.4%。该器械能够避开髂嵴阻挡进入L_5~S_1椎间隙,并增加椎间盘切除量,提高经皮L_5~S_1椎间盘切除成功率。定位正确是成功的关键。 相似文献
16.
David G. Wilder 《American journal of industrial medicine》1993,23(4):577-588
This work is a review of the mechanical factors related to low back pain production in a vibration environment. The sitting posture is an extreme orientation for the lumbar intervertebral disc that 1) increases its internal pressure, 2) increases its anteroposterior shear flexibility, while: 3) decreasing its resistance to buckling instability and 4) stressing the posterior region of the disc. Vibration is an additional mechanical stressor. Several studies suggest that the following preventive measures be taken to reduce the risk of low back pain due to driving: 1) minimize the vibration reaching the driver, 2) avoid lifting or bending immediately following driving, and 3) walk around for a few minutes following driving. © 1993 Wiley-Liss, Inc. 相似文献
17.
18.
G. Van Goethem J.-J. Martin A. Lfgren I. Dehaene P. Tack M. Van Zandycke D. Ververken C. Ceuterick C. Van Broeckhoven 《European journal of neurology》1997,4(5):476-484
We studied 14 patients from three unrelated Belgian pedigrees with a familial mitochondrial disorder and multiple deletions of mitochondrial DNA (mtDNA). In one family with an oculopharyngeal presentation there is a clear autosomal dominant inheritance. Progressive external ophthalmoplegia (PEO), “ragged red fibres” (RRF) and multiple deletions of mtDNA are common to all three families. Therefore a diagnosis of autosomal dominant progressive ophthalmoplegia with multiple deletions of mtDNA (adPEO) was made in one family at least. Our data confirm the previous observations that adPEO is a systemic disorder rather than a pure myopathy. In our pedigrees frequently associated features include axonal peripheral neuropathy, dysphagia, psychiatric illness, and sudden death. Mild ataxia, pes cavus and mitral valve prolapse with associated mitral insufficiency also occur. In some cases onset is atypical with neuropathy, adolescent onset myopathy or psychiatric illness. In such cases the common features of PEO and muscle weakness always complete the clinical phenotype later during the course of the disease. Biochemical studies on mitochondrial fractions prepared from one patient's muscle, revealed no abnormalities of respiratory chain enzyme activities. 相似文献
19.
The inability to completely mobilize the redundant colon in perineal rectosigmoidectomy (Altemeier's procedure) for full-thickness
rectal prolapse is a main contributor to the recurrence rate associated with the procedure. However, the presence of a redundant
sigmoid after the Ripstein procedure or other rectal sling operations is the main cause of the high rate of postoperative
constipation and stool impaction. Low anterior resection as the definitive treatment is associated with the higher morbidity
of laparotomy and the risk of anastomotic leak. We describe a laparoscopic-assisted surgical approach which combines the benefits
of completely resecting the redundant sigmoid colon as well as the performance of extraperitoneal anastomosis at the level
of the anus.
Received: 22 April 1996/Accepted: 16 May 1996 相似文献
20.
报告手术治疗腰椎间盘突出症合并退行性腰椎管狭窄症104例。术后随访90例,随诊时6个月~6年。优良率86.5%,无腰椎不稳和腰椎滑脱等并发症。为获得优良效果,作者强调在处理椎间盘突出的同时必须彻底解除侧隐窝及神经根管,黄韧带肥厚对神经根的压迫,才能彻底根除症状 相似文献