皮肤神经症

Results and Conclusions: The polyneuropathy, organomegaly, endocrinopathy, M-protein and skin changes syndrome is a rare multisystemic disorder associated with plasma cell dyscrasia.

结果和结论：POEMS综合徵是以进行性多神经病变、脏器肿大、内分泌病、M蛋白血症和皮肤改变以及浆细胞恶性增生为特徵的一种较少见的系统性疾病。

This therapy could be considered as a first line treatment for patients with polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes syndrome with younger onset even if they are tetraplegic.

这种疗法可被视为年轻起病的即使是四肢瘫的多发性神经病变-脏器肿大-内分泌障碍-M蛋白血症-皮肤病变综合征患者的一线治疗。

objective to investigate the effect of radiography and method of operation on the surgical indication as well as the operation treatment of lumbar disc herniation and lumbar canal stenosis.methods the data of 300 cases with lumbar disc herniation and lumbar canal stenosis were reviewed from jan 1999 to dec 2004.all cases were treated by the method of minimal invasive open operation.the nucleus was resected through an 3.5～4.5cm in length.the sacrospinalis muscle between laminae was stripped partly and the part of upper lamina and the part of medial facet was resected.

目的 探讨影像学检查和手术方法对腰椎间盘突出症和椎管狭窄症手术方式和适应证的影响。方法自1999年1月～2004年12月，为300例腰椎间盘突出症和椎管狭窄症患者实施微创开放式手术，做3.5～4.5cm长的皮肤切口，剥离椎间的部分骶棘肌，咬除部分椎板上缘及小关节内侧缘后，摘除髓核，并根据需要做半椎板或全椎板手术或扩大神经根管和切除肥厚的黄韧带及神经管内的骨性增生。

The review analyzes its clinical data, postoperative complications is 42 cases (15.1%), pedicles screw broken is 25 cases （9.0%）, pedicles screw loosened is 9cases（3.2%）,nervous stimulated symptom is 2 cases（0.7%）,postoperative infected is 3 cases（1.1%）,among them 1 case skin infected,inflammatory substance around screw is 2 cases, Internal fixators projection sense at dorsa is 3 cases（1.1%）.

回顾分析其临床资料，术后随访出现术后并发症42例，发生率为15.1%，椎弓根钉断裂25例（占9.0%），椎弓根钉松动9例（占3.2%），神经刺激症2例（占0.7%），术后感染3例（占1.1%），其中1例皮肤感染，2例取钉时发现钉周围有炎性物质，背部内固定物突出感3例（占1.1%）。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。