Repair of circular scar in the forearm by expanded double-pedicle Ω-shaped flap at the rear flank of bottom-waist

Objective To discuss the method for repairing the circular scar in the forearm.Methods Large expander (400-600 ml) were implanted subcutaneously at the rear flank of bottom-waist in the way of overlapping or continued expansion. After expansion was completed, the horizontal opened Ω-shaped flap was formed by advancement of expanded skin with the two pedicles at the two sides. Then the forearm was tunneled under flap with the wound covered by flap. The pedicles were cut off at the third stage. Results From April 1998 to June 2009, 8 cases were treated with no flap necrosis. The patients were followed up for1 to 3 years with good flap color and thickness. Flap sensory was partially recovered.Linear atrophic scar was left in the donor sites. Conclusions It is feasible to repair forearm circular scar by expanded double-pedicle Ω-shaped flap at the rear flank of bottom-waist.     

儿童外伤性股骨头骨骺分离治疗的临床分析

目的：探讨儿童股骨头骨骺分离治疗的手术时机、方法及效果。方法：1993年12月～2003年1月对5例外伤性股骨头骨骺分离的病儿施行手法复位及双枚克氏针内固定术，术后随访病儿均达到解剖复位，功能恢复满意。结果：所有病例无术中、术后并发症，术中出血少于5ml。术后6周离床，术后12周在局麻下取出克氏针。术后x线显示股骨头骨骺对位良好，骨痂生长满意。髋关节功能正常。结论：对于儿童外伤性股骨头骨骺分离的治疗施行闭合穿针可达到临床满意的治疗效果。     

Repair of circular scar in the forearm by expanded double-pedicle Ω-shaped flap at the rear flank of bottom-waist

Objective To discuss the method for repairing the circular scar in the forearm.Methods Large expander (400-600 ml) were implanted subcutaneously at the rear flank of bottom-waist in the way of overlapping or continued expansion. After expansion was completed, the horizontal opened Ω-shaped flap was formed by advancement of expanded skin with the two pedicles at the two sides. Then the forearm was tunneled under flap with the wound covered by flap. The pedicles were cut off at the third stage. Results From April 1998 to June 2009, 8 cases were treated with no flap necrosis. The patients were followed up for1 to 3 years with good flap color and thickness. Flap sensory was partially recovered.Linear atrophic scar was left in the donor sites. Conclusions It is feasible to repair forearm circular scar by expanded double-pedicle Ω-shaped flap at the rear flank of bottom-waist.     

鼻中隔软骨门闩法整复C形歪鼻

目的 探讨采用鼻中隔软骨门闩法整复C形歪鼻的方法.方法 于鼻中隔偏曲最重处,用回转刀切取矩形中隔软骨条约0.8 cm×1.7 cm,即"门闩",切取的残余处形成L形支撑.在鼻中隔软骨上边适度切开,形成"门闩托".将矩形软骨条缝合固定于"门闩托"处,固定的同时也加强了鼻中隔伸直强度.结果 本组18例患者术后获随访3个月至3年,鼻背外观改善的同时解决了鼻通气障碍问题,形态和功能均获得满意的恢复.优良率达到100%.结论 针对单纯由于鼻中隔软骨偏曲所导致的C型歪鼻,施行鼻中隔软骨门闩法整复治疗是一种值得推广的手术方式.     

婴幼儿静脉采血技巧探讨

婴幼儿静脉采集血样本是难度最大的群体.血管细,婴幼儿不配合.家长对孩子的疼爱,要求非常高.对于婴幼儿静脉采血,一针成功是很关键的.我们通过对560例婴幼儿静脉采血,一针成功率达96％,,使患者家属很满意.现报告如下:1临床资料2010.10-2011.6月婴幼儿门诊静脉采血560人次.最小30天,最大6岁.男283人,女277人.采血量2-8ml.采血部位四肢浅静脉.     

选择性支气管动脉灌注治疗中晚期肺癌的体会(附60例临床报告)

选择性支气管动脉灌注治疗肺癌对于那些不愿手术及不能耐受手术或手术不能切除的肺癌是一种有效的治疗方法。1临床资料本组60例病人中，男性46人，女性14入。中央型肺癌33例，周围型肺癌27例。中期肺癌45例，晚期肺癌15例。鳞癌26例，腺癌21例。小细胞末分化癌4例，未分化大细胞癌9例。2治疗方法2，l术前准备。术前检查包括胸部X线片、心电图、血尿常现、出凝血时间、血小板计数、肾功能。术前3天口服潘生了25～50ms，3次周；术前30min肌肉注射安定lOng；输液，使操作中保持静脉通道。2．2．操作步骤。22．l选右侧腹股沟韧带下方Zcm，股动…     

三维电脑腰间盘治疗机治疗腰间盘突出症763例疗效分析

腰椎间盘突出症是骨科的常见病、多发病，多数腰间盘突出症经过保守治疗，能够达到满意效果。三维电脑腰间盘治疗机是保守治疗方法之一，是现代高科技与中国传统医学的有机结合。结合本文报告763例腰椎间盘治疗机治疗的腰间盘突出症，将对疗效进行评价，并对治疗机理、适应症及治疗中的注意事项进行讨论。     

套扎法治疗食管静脉曲张的时机与疗效

目的：提高临床医师对消化内镜治疗食管静脉曲张的认识。方法：通过对24例临床病历的治疗手段及疗效分析研究。来认识内镜套扎术的优越性。结果：24例患者除1例因术后肝硬化腹水，肝功失代偿引起死亡外。其余23例术后效果均十分理想．随访后未出现再次出血情况。结论：内镜套扎术，有助于提高食管静脉曲张的疗效，降低再次复发率。有时甚至可作为独立治疗的手段。     

儿童臀肌挛缩症

臀肌挛缩症1969年由Valderrama首次报告。国内于1978年解放军总医院首次比较全面地报告本病，在这以后有许多学者陆续报道此病。本症名称甚多，有注射性臀大肌挛缩症[1]、臀肌纤维化[2]、肌肉注射后臀肌纤维化[3]、臀肌纤维化继发够关节挛缩[4]、儿童髋关节外展挛缩[5]、小儿肌肉注射后臀肌挛缩症[6]，最近杨忠汉等又提出臀肌筋模挛缩症[7]。1病因学有关臀肌挛缩症的病因尚不明确，有以下学说：1．l肌肉注射学说：由于注射的损伤和药物的化学刺激，引起创伤和化学性肌纤维炎，纤维组织增生。由于两侧臀部接受肌注的机会相等，故双侧病变多…