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Objective To investigate the clinical characteristics, diagnosis of cervicothoracic spine, spinal cord trauma and effect of anterior decompression, bone graft, Orion plate fixation on treatment of cervicothoracic junction trauma.

目的 探讨颈胸段脊柱脊髓损伤的临床特点、诊断及颈胸段前路减压、植骨、Orion钢板内固定术的治疗作用。

Methods Among the three cases of cervicothoracic spinal cord compression,two were diagnosed as ossification of the posterior longitudinal ligament and one as fracture of the thoracic spine.

3例颈胸段脊髓压迫症中,2例为后纵韧带骨化,1例为胸椎骨折。

Objective To investigate the clinical characteristics, diagnosis of cervicothoracic spine, spinal cord trauma and effect of anterior decompression, bone graft, Orion plate fixation on treatment of cervicothoracic junction trauma.

目的探讨颈胸段脊柱脊髓损伤的临床特点、诊断及颈胸段前路减压、植骨、Orion钢板内固定术的治疗作用。

Cervicothoracic spine ; Anterior approach ; Applied anatomy

颈胸段脊柱;前入路;应用解剖

The cervicothoracic junction is a transitional area where the cervical spine lateral masses decrease in size and the vertebral pedicles increase in size within the thoracic region.

颈胸段是颈椎侧块减小向胸椎椎弓根增大的过渡区域。

METHODS: 10 mL bone marrow was extracted from dog posterior superior iliac spine, heparin anticoagulation, diluted using Hanks juice, treated with 1.077 g/mL Ficoll solution 3 mL, and centrifuged at 2 000 r/min for 20 minutes. Karyocytes were absorbed to form white cloudlike layering interface, and then centrifuged twice using DMEM supplemented with fetal bovine serum, incubated at 12×104/cm2 at 37 ℃ in a 5% CO2 incubator.

于犬髂后上棘抽取骨髓液10 mL,肝素抗凝,Hanks液稀释后,加入1.077 g/mL Ficoll液3 mL,2 000 r/min离心20 min,吸取有核细胞形成白色云雾状的分层界面,用含胎牛血清的DMEM离心2遍,按12×104/cm2密度接种,于37 ℃、体积分数为5%的CO2培养箱内培养。

Sit on the ball points of the buttocks bones, plug the coccygeal band inward and ascent the rest of the back and spine.

坐在臀骨的圆球点上,尾骨向内插入骨盆,使背部和脊椎向上伸展。

Results Bone mineral density in lumbar spine(L1~L4) and collum femoris of the treatment group and control group significantly increased , the treatment group increased more significantly than control group.

结果 治疗组和对照组患者腰椎(L1~L4)及股骨颈骨密度明显增加,治疗组较对照组增加显著。

Methods Sixty cases with Glucocorticoid induced osteoporosis were divided randomly divided into two groups:32 patients in the treatment group were treated by Lugua polypeptide injection and 28 patients in the control group by GaierqiD.All patients were measured for bone mineral density in lumbar spine(L1~L4) and collum femoris before and after the treatment.

60例糖皮质激素性骨质疏松症患者随机分为2组,治疗组32例患者采用鹿瓜多肽注射液治疗,对照组28例患者采用钙而奇D治疗,检测治疗前后股骨颈及腰椎(L1~L4)骨密度的变化情况。

METHODS: Through vestibular and columellar approach, the major alar cartilage and nasalis were repositioned to the normal anatomical positions, the deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle to the anterior nasal spine.

鼻唇畸形二期修复时做鼻翼缘前庭合并鼻小柱切口,矫正大翼软骨、鼻肌、鼻小柱及鼻中隔的异常解剖位置,离断鼻中隔的异常附着,部分患者去除多余的鼻中隔组织,并将鼻中隔软骨末端可靠固定在正确的位置,与软组织逢合固定,或与前鼻棘等骨性组织缝合固定,同时矫正偏斜的鼻小柱等软组织,通过鼻部软、硬组织的矫正,恢复鼻的正常形态。

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