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Three groups of patients received different interventions under the prerequisites of routine medications including blood-activating and stasis-eliminating, neurotrophy, and vasodilator patients of nitric ether group received oral administration of isosorbide dinitrate or glycerin trinitrate; patients of calcium antagonist group received oral administration of Sibelium or Novarsc; and patients of no specific medication group did not receive any preventive medicine.

对192例行高压氧治疗的3组患者在常规使用活血化瘀、神经营养、血管扩张剂等药物的前提下,硝酸酯类组口服消心痛或硝酸甘油,钙拮抗剂组口服西比灵或络活喜等,未特殊用药组则没有预防性使用药物。

[Objective] To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion [Method] From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score [Result] All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found [Conclusion] Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。[方法]2005年12月至2007年6月间,对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间(12~16 d,平均135 d)后采用枕骨大孔后缘扩大,寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术,手术后采用日本骨科学会神经功能评分分析临床疗效。[结果]8例患者随访6个月~2年,平均为15个月。8例患者无一例出现术后并发症,术前寰齿前间隙为5~9 mm,经颅骨牵引后为5~7 mm,寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复,影像学检查示枕颈区减压充分植骨区获得骨性融合,无一例出现内固定松动或断裂。[结论]合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变,采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的,且临床效果满意。

Of 299 patients in this retrospective study, most had mild stenosis and no need for surgery.Dr. Oldenburg told Medscape that the study also included patients who were not good operative candidates."I think that patients with mild stenosis who are poor operative candidates is a good option. Unfortunately, the chances of LESI being beneficial for patients with severe stenosis are far less."

在这项收纳299位病患的回溯性研究中,大部分病患其狭窄度为轻微的,且不需要接受手术;Oldenburg医师向Medscape表示,该试验也收纳非手术适当人选的病患,使用LESI治疗非手术适当人选的轻度狭窄病患是一项好的选择,不幸的,LESI对严重狭窄病患的好处就没有那么明显。

Of 299 patients in this retrospective study, most had mild stenosis and no need for surgery.Dr. Oldenburg told Medscape that the study also included patients who were not good operative candidates."I think that patients with mild stenosis who are poor operative candidates is a good option. Unfortunately, the chances of LESI being beneficial for patients with severe stenosis are far less."

在这项收纳299位病患的回溯性研究中,大部分病患其狭窄度为轻微的,且不需要接受手术;Oldenburg医师向Medscape表示,该试验也收纳非手术适当人选的病患,使用LESI治疗非手术适当人选的轻度狭窄病患是一项好的选择,不幸的,LESI对严重狭窄病患的好处就没有那麼明显。

Res ults:Before IST colonies of CFU-F from only 5 patients were normal,and the colo nies of CFU-F in decreased severely or even absent for the rest;the response ra te of AA patients with CFU-F formation was higher than that of those without CF U-F Formation but not significantly;after IST colonies of CFU-F in creased in significantly from those patients achiveve complete remission and parial remissi on Also they no significant as compared with nonresponsive patients.

结果:IST前仅5例患者CFU-F数量正常,余75例患者CFU-F生长严重缺陷或无生长;有CFU-F生长者疗效优于无CFU-F生长者,但差异无显著性(P>0.05)。IST后获基本治愈者骨髓CFU-F数量增加最为显著(P<0.01 ),缓解者及明显进步者CFU-F数量亦增加,但差异不显著(P>0.05)。

Methods Four hundred and seventy patients were divided into Perclose group(164 patients), Angio-Seal group(143 patients) and manual compression group(163 patients).

根 据术后止血方式,470例接受冠脉造影或介入治疗患者分为Perclose组(164例)、Angio-Seal组(143例)和手工压迫组(163 例)。

32 Patients over 50 years old (range 50~63) received surgical treatment.concomitant cardiac anomalys:tricuspid regurgitation in 18 patients,mitral valve regurgitation in 8,atrial tibrillation in 6,CAD in 2.preoperative ment pulmonary arterypressure Was(40.98±8.52)mmHg.All of the patients underwent Dacron or pericardia patch,18 TVR and 6 MVR,2MVP,2 patients with artrial fibrillation underwent right sided maze pricdure,and 2,CABG.

其中合并三尖瓣中重度返流18例、二尖瓣关闭不全8例、房颤6例、冠心病2例;肺动脉平均压力49.08±8.52,最高65mmHg;心功能三级10例、四级2例,采用心包补片或涤纶补片补缺损,同期行三尖瓣成形18例、二尖瓣成形术6例、二尖瓣置换术2例、右房迷宫术2例、冠状动脉搭桥术2例。

Results: The male patients appeared more than females in spinal cord AVMs, but the occult intramedullary AVMs had the same morbidity The patients with intramedullary AVMs and perimdeullary AVF were younger, in contrast, patients with dural AVF were usually older than 40 years of age. The intra - medullary AVMs were most common located in the cervical and thracic - lumbar spinal cord, the perimedullary AVF and dural AVF were most seen in the low thracic of lumbar region. The most common initial symptom associated with intramedullary lesions was accute onset where as the progressive aggravation was the most common presenting symptom in cases of dural AVF. The prognosis of the patients with intramedullary lesions had hemorrhage was worse than who without hemorrhage.

结果:脊髓AVM s中,隐匿型AVMs无明显的性别差异,余各类型男性均多于女性;髓内AVMs、髓周AVF以青少年多见,硬膜型AVF发生于中老年;髓内AVMs多见于颈髓及胸腰段脊髓,髓周AVF及硬膜型AVF多见于胸腰段;髓内AVMs以急性起病多见,髓周AVF表现为进行性加重,少数可急性发作,硬膜型AVF以慢性起病多见;髓内出血者预后较无出血者差。

All the patients were divided into groups according to the results of the perimetry testing: early stage group, 12 patients (21 eyes), advanced stage group, 13 patients (17 eyes), and late stage group, 16 patients (24 eyes).

采用Humphrey C30-2程序检查患者的视野,根据视野检查结果将青光眼患者分为早期组12例(21眼),进展期组13例(17眼)和晚期组16例(24眼)。

Results 17 patients reported in the literature had primary bronchogenic carcinoma with metastases of phalanges of fingers as its first symptom. 7 patients' metastatic lesions located in their phalanges of left hands, 9 right hands and 1 both hands. The distribution of the quantity of the phalangeal metastases between two hands was almost equal. 3 patients' metastatic lesions were situated in proximal phalanges of fingers, and the rest in distal. 6 patients' ill fingers had had trauma history.

结果 在文献报道的以单纯指骨转移为首发症状的17例原发性肺癌的病人中,其转移病灶位于左手指骨者7例,右手指骨者9例,双手指骨者1例,指骨转移病灶的数量在两手之间的分布大致相等,除3例病人其转移病灶位于近节指骨外,其余病人的转移病灶均位于其末节指骨;有6例病人的患病手指既往曾有外伤史。

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