蜡泪样骨病1例

蜡泪样骨病（melorheostosis）为一罕见的骨质硬化性疾病，多侵犯一侧肢体，增生的骨质自上而下沿骨干一侧向下流注，酷似蜡烛表面的烛泪，故名为蜡泪样骨病或蜡油样骨病，又称肢骨纹状肥大症。据国内文献报道自2003年以来共发现该病10余例。本科于2006年收治该病人1例。报道如下。     

Surgical strategy of one stage surgery of anterior release combined with posterior correction in treatment of severe scoliosis

Objective: Severe scoliosis refers to scoliosis with serious and stiff curve. It always combins with trunk imbalance in coronal and sagittal contour. Besides complex pathological changes, cardiopulmonary deficits and other concomitant diseases increase treatmental difficulties. So the treatment of severe scoliosis is always a great challenge to spine surgeon. Methods :Thirty-six patients with severe scoliosis received one stage posterior correction followed by anterior release during July 1997 to January 2003, including 9 males and 27 females. Mean age was 17.2 years. Of them, 33 was idiopathic scoliosis and 3 was neurofibromatosis scoliosis( Cobb angle: 85-116 degree); 20 cases were abnormal in sagital plane. Three-dimensional devised instrumentation were applied such as CD, CD-Horizon, TSRH or Isola in posterior procedure followed by anterior release during the same anesthesia. 31 cases of this group received thorac icplasty. Results: The correction in the frontal plane achieved an average of 48.5%. In the sagittal plane, the pathological shape of the spine was reduced and distinctly ameliorated. 80. 6% of the patients maintained or achieved balance of sagittal plane. There were no complications of severe neurological deficit, hook displacement, rod broken, and deep infection at follow-up. One case occurred traumatic pleurisy after operation and another appeared pseudarthrosis 2 years later. One case demonstrated imbalance 11 months after operation. One patient was presented loss of correction more than 10 degree at one year follow-up and 5.2 degree in average. Conclusion:The study indicates that the one stage posterior correction combined with anterior release in treatment of severe scoliosis can achieve satisfactory correction. Appropriate choice of cases, preoperational detailed assessment and application of SEP and wake-up test during operation can possibly reduce severe complication. The long-term outcomes still need further observation.     

结节性黄瘤1例

临床资料患者男,17岁。因臀部和四肢多个黄色结节10余年于2007年2月1日就诊于我科门诊。患者10余年前无明显诱因发现臀部出现多个黄色的境界清楚的略隆起的豌豆大小球形结节,后逐渐增多增大,个别如鸡蛋大小,随后双侧膝关节及肘关节伸侧亦发现数个黄色的略隆起的圆形小结节。无明显瘙痒、疼痛。未进行特殊治疗。患者既往体健,无高血压、糖尿病、高血脂病史,家族中无类似病史。体检:一般情况尚可,各系统未见明显异常。皮肤科检查:臀部、大腿后部、窝、双侧膝关节及肘部伸侧可见片状黄色的境界清楚的略隆起的斑块,臀沟处及大腿后部可见豌豆至…     

脑血管病并发偏侧舞蹈病3例报告

偏侧舞蹈病是局限于一侧肢体的不自主的舞蹈样运动．临床上并不常见，而脑血管病引起的继发性偏侧舞蹈病则更少见，现报告3例如下。     

会阴正中切开在阴道分娩中的应用体会

分娩是正常的生理过程,大多数产妇都能从阴道自然娩出胎儿。但是,近年来各医院会阴侧切率直线上升,有的医院甚至常规作会阴侧切。一些产妇一怀孕就开始担心分娩时     

尺骨鹰嘴骨折术后克氏针滑入前臂一例

尺骨鹰嘴骨折术后克氏针滑入前臂一例沈阳市骨科医院（１１００４４）王常启××男３０岁，干部１９８８年５月８日骑自行车摔伤右肘，伤后２小时入院。Ｘ线片示右尺骨鹰嘴粉碎性骨折５天后切开复位，３枚克氏针内固定，石膏托屈肘外固定。拆线后嘱患者适当屈时活动。术后...     

针刺矫治骨折后肘内外翻畸形52例

针刺矫治骨折后肘内外翻畸形５２例黄伯灵，刘永年，庞俊，刘道生（江苏省南京市中医院，２１０００１）主题词针刺疗法，骨折／并发症，肘关节／畸形肘部骨折是常见的骨关节损伤，尤以儿童多见，骨折后出现的肘内外翻畸形，则是肘部骨折最常见的并发症，综合国内外文献报...