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[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。

So it has given an obviously harmful influence on the daily life to the patients. Therefore, it is a difficulty point being studied to restore the patients who can down with the upper limbs paralyses caused by cerebral infarction as well as a focus being studied all the time .

本实验主要通过对头针快速提插捻转法与普通头针法治疗脑梗死上肢功能障碍疗效的对比研究,揭示头针快速提插捻转法在头体针综合疗法治疗脑梗死上肢功能障碍中的作用,并进一步探讨该针法临床疗效的作用机制。

In the part 1, to observe the validity and security of "Xiao Ban Jing Xie Yin" decoction in treating active psorasis vulgaris, which belongs to blood-heat pattern in Traditional Chinese Medicine. 55 patients with psorasis vulgaris were divided into 2 groups at random: 30 patients in experimental group were treated with "Xiao Ban Jing Xie Yin" decoction. 25 patients in control group were treated with "Fu Fang Qing Dai" capsule. To evaluate the treatment effect by comparing PASI scores 12 weeks later, and analyze it with the software of SPSS13.0 for windows.

第一部分旨在探讨消斑净屑饮治疗进行期寻常型银屑病的有效性及安全性。55例患者随机分成两组,治疗组30例口服消斑净屑饮,对照组25例口服复方青黛胶囊,连续治疗12周后观察疗效,通过对比治疗前后PASI评分情况,经SPSS13.0 for windows统计分析结果,表明消斑净屑饮治疗进行期寻常型银屑病疗效显著,优于复方青黛胶囊(P<0.05)。

In this research project, 60 scapulohumeral periarthritis patients were divided into 2 groups: thermoacupuncture group and acupuncture group.

本研究将临床60例肩周炎患者分为温针组和针刺组,通过对两组病例治疗前后的肩关节运动功能、疼痛评定、肩关节活动度以及临床疗效的观察,以对温针治疗肩周炎的临床疗效作出客观的评价。

First, the effect of 32 cases of periarthritis of shoulder were compared with random controlled test. And then, 312 cases of periarthritis of shoulder were treated by acupuncture point injection, and the clinical factors were statistically analysed.

按照随机对照的研究方法,对32例符合人组标准的肩周炎病例,比较了穴位注射疗法和局部痛点封闭疗法的疗效;另外,进一步扩大样本,研究312例肩周炎患者的临床疗效,并进行相关因素的分析。

These three internal fixations of femoral peritrochanteric fracture were differ. For example, Gamma nail is less harmful, better clinical treatment, shorter in shape and stronger in anti-hip inversion. DHS, DCS have a better treatment and are stronger in anti-hip inversion but more harmful and excessive bleeding, and HCS, which is named Minimally Invasive Surgery, is the least harmful, less bleeding, suitable for old patients and the patients of tolerance of poor operation, but poor in anti-hip inversion.

3种不同方法内固定治疗转子间骨折具有各自的特点,Gamma钉具有手术损伤小及良好的临床疗效力臂短对抗髋内翻的能力强;滑动加压鹅头钉具有良好的临床疗效及相对坚强的抗内翻能力,但手术损伤相对较大,失血量较大;空心加压螺钉固定的手术损伤最小,属于微创手术方法,可经皮完成,手术出血少,适用于高龄及手术耐受性差的患者,但抗髋内翻的能力最差。

SUMMARY Objective: To introduce an internal fixation of the latest design for peritrochanteric fracture , a new device for clinical application, called Biaxis Sliding Instrument ; Summary the clinical results of femoral neck fracture treated with dynamic compression screw . Analyse factors related to the clinical results and the failure of treatment. Methods: Apply BSI to biomechanical tests and clinical test.

目的:介绍一种设计新颖治疗股骨转子部骨折的双轴滑动内固定器(Bi-axis Sliding Instrument,BSI),为临床治疗股骨转子部骨折提供一个新的内固定法;评价动力加压螺钉(Dynamic Compression Screw,DCS)股骨颈骨折的治疗效果,分析与股骨颈骨折疗效相关的因素及总结股骨颈骨折治疗失败的因素,为提高临床疗效及降低内固定失败提供依据和措施。

Finally confirmed that,The thighbone and the osteoporosis morbidity is possibly connected protein 6, respectively are: The lactoferrin light chain, membrane association protein A3, the enolase, ATP gather the enzyme, the acetyl coenzyme A reductases, the myo calcium protein; The lumbar vertebra and the osteoporosis morbidity is possibly connected protein 5, respectively are: The actin, the keratin, the enolase, ATP gather the enzyme, the myosin; The thighbone and the strong bone valuable curative effect is possibly connected protein 9, respectively are: The enolase, ATP gather the enzyme, the myo-calcium protein, the creatine activating enzyme isozyme, the phosphoglyceric acid change flavor the enzyme, the myosin, the lactoferrin light chain, the pyruvic acid activating enzyme isozyme, the crown protein; The lumbar vertebra and the strong bone valuable curative effect are possibly connected protein 8, respectively are: The carbonic anhydrase, the actin, the αB-crystal protein, 3-phospho-glycerol aldehyde oxidase, the serum albumin, ATP gather the enzyme, the myosin, the enolase.

最后确认:股骨与骨质疏松发病可能相关的蛋白6个,分别为:乳铁蛋白轻链、膜联蛋白A3、烯醇化酶、ATP合酶、乙酰辅酶A还原酶、肌钙蛋白;腰椎与骨质疏松发病可能相关的蛋白5个,分别为:肌动蛋白、角蛋白、烯醇化酶、ATP合酶、肌球蛋白;股骨与强骨宝疗效可能相关的蛋白9个,分别为:烯醇化酶、ATP合酶、肌钙蛋白、肌酸激酶同工酶、磷酸甘油酸变味酶、肌球蛋白、乳铁蛋白轻链、丙酮酸激酶同工酶、冠蛋白;腰椎与强骨宝疗效可能相关的蛋白8个,分别为:碳酸酐酶、肌动蛋白、αB-晶体蛋白、3-磷酸甘油醛脱氢酶、血清白蛋白、ATP合酶、肌球蛋白、烯醇化酶。

ObjectiveTo observe the influence on IgE、 EOS、 IL-5、 IL-12 and clinical effect of ChuanFuLingTieJi by applying on the points (Dazhui 、 Dingchuan、 Feishu、 Pishu 、 Shenshu) of children patients with asthma,and compare with the ChuanFuLing-paste, researching the mecharism of CFLTJ and providing theoretical basis for feasibility of CFL form improvement and prevention and treatment of asthma.

通过观察中药喘敷灵贴剂三伏穴位(大椎、双侧定喘、双侧肺俞、双侧脾俞、双侧肾俞)敷贴对缓解期哮喘患儿临床症状、非特异性免疫球蛋白E、嗜酸性粒细胞、白细胞介素5(IL-5)、白细胞介素12(IL-12)的影响,并与疗效确切的喘敷灵传统剂型比较,探讨中药喘敷灵贴剂穴位敷贴防治缓解期小儿哮喘的临床疗效及其可能的作用机理,从而为中药喘敷灵剂型改良的可行性及其临床推广应用提供依据。

Objective To investigate the long-term effects and influence factors of posterolateral fusion for spondylolisthesis.

目的 研究后外侧融合治疗腰椎滑脱的远期疗效及影响疗效因素。

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