经皮椎体成形术合阿仑膦酸钠治疗骨质疏松症椎体压缩性骨折的疗效观察

目的:探讨经皮椎体成形术(PVP)合阿仑膦酸钠治疗骨质疏松椎体压缩性骨折的疗效.方法:55例(共62个椎体)骨质疏松性椎体压缩性骨折患者,随机分成治疗组28例和对照组27例,治疗组采用PVP加阿仑膦酸钠治疗,对照组只采用PVP治疗.分别在术前以及术后半年内对患者的疼痛、骨密度进行分析.结果:手术均顺利完成,并无严重并发症发生.随访6-18个月,平均7.5个月,治疗组疗效明显优于对照组,两组差异有统计学意义(P<0.05);治疗组治疗后腰椎骨密度增加显著(P<0 01),治疗后两组间腰椎骨密度比较,差异有统计学意义(P<0.01).结论:经皮椎体成形术后配合口服阿仑膦酸钠,对患者的骨量增加、疼痛症状缓解等方面,有较好效果.     

经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的护理体会

目的:探讨经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的效果及护理.方法:对85例骨质疏松性椎体压缩性骨折患者,在C臂X线机监视下,经皮向病变的椎体内注射骨水泥,同时做好手术并发症的观察和护理.结果:85例患者临床症状明显改善,有效率达100%,没有出现肺栓塞、骨髓压迫、神经根受损并发症.结论:骨水泥成形术治疗骨质疏松性椎体压缩性骨折是一种安全、有效的方法,护理应重视患者并发症的观察.     

16例经皮椎体成形术治疗椎体转移瘤的护理

总结了16例经皮椎体成形术治疗椎体转移瘤的护理,主要包括:术前心理护理、常规护理、术前指导.术后病情观察、疼痛护理、饮食护理及并发症的观察与护理,认为采取有效的护理措施,能使患者手术顺利,术后恢复良好.     

经皮椎体成形术治疗15例骨质疏松性椎体压缩性骨折体会

近年来,国内外文献报导经皮椎体成形术治疗骨质疏松性椎体压缩性骨折由于创伤小、效果好、并发症少而大量应用于临床.2009-2010年我们采用该手术治疗骨质疏松性骨折15例,疗效满意,现报告如下.     

陈旧性椎体压缩性骨折的微创治疗选择

经皮椎体成形术(PVP)与脊柱后凸成形术(PKP)是目前治疗椎体压缩性骨折等脊柱疾患的一项重要微创技术,该技术经皮向压缩骨折椎体内注入骨水泥填充物,从而增强骨折椎体的稳定性,缓解疼痛.而以液压球囊和Sky骨膨胀复位器为基础的PKP作为经皮椎体成形术的改进,大有取代后者之势.但对于病情缓慢且局部情况复杂的陈旧性椎体压缩性骨折来说,上述手术方式的效果应重新评价.     

早期腰背肌功能训练对腰椎压缩骨折椎体成形术疗效的影响

目的:探讨早期腰背肌功能训练对腰椎压缩骨折椎体成形术后患者康复的效果.方法:80例骨质疏松性腰椎压缩性骨折行经皮穿刺椎体成形术患者随机分为对照组和实验组,各40例,对照组按照常规康复护理.实验组在在此基础上进行系统的腰背肌群功能训练,比较两组病人腰痛残留、再次骨折的发生率.结果:80例患者得到1年以上随访,术后出现腰痛残留率和发生再次骨折率,两组发生率比较,差异有显著性意义(P<0.05).结论:早期腰背肌训练能够提高腰椎压缩骨折椎体成形术远期效果,减少腰痛残留,防止骨折再发生.     

32例腔镜下乳腺癌改良根治术加腋窝淋巴结清扫治疗乳腺癌的手术配合

总结了32例腔镜下乳腺癌改良根治术加腋窝淋巴结清扫治疗乳腺癌的手术配合,主要包括术前准备、术中配合、术后处理.手术时间平均为62min,术中出血小于50ml,无皮下气肿、血肿及感染发生.术后疼痛轻微.术后8～10d出院,患者对美容效果较满意.提示腔镜下乳腺癌改良根治术加腋窝淋巴结清扫治疗乳腺癌具有创伤小、术后并发症少、美容效果肯定、术后疼痛轻、恢复快等优点,良好的心理护理和充分的术前准备、熟练的术中配合是保证手术成功的重要环节.     

彩超引导下经皮肝穿刺胆道置管引流(PTCD)术的护理配合

总结了彩超引导下经皮肝穿刺胆道置管引流术的护理配合,包括术前准备、心理护理、术中护理及术后护理.认为熟悉手术操作流程和配合要点,不断总结经验,改进护理模式对促进超声介入治疗的顺利开展十分有利.     

子宫切除病人围手术期的心理护理

探讨了子宫切除病人围手术期的心理护理.方法:对患者实施了术前心理护理、解除焦虑心理、术后心理护理等护理措施.结果:358例子宫切除病人无一列产生并发症,术后痊愈出院.结论:通过对子宫切除病人围手术期的心理护理,是病人术前情绪稳定,配合治疗,术后恢复快.     

后路短节段联合伤椎置钉固定治疗胸腰段脊柱骨折

目的 观察后路短节段联合伤椎置钉固定治疗胸腰段脊柱骨折的临床效果.结果 选择胸腰段椎体骨折患者54例,采用后路短节段内固定联合伤椎置钉的手术方法进行治疗,对患者术前术后的x线片进行测量,测量其伤椎高度恢复的比例以及后凸角度的纠正情况.结果术前骨折椎体高度(57.5±16.4)%,节段后凸角度(20.7±9.5).;术后骨折椎体高度(93.5±11.5)%,节段后凸角度(5.9±7.4)°.手术前后骨折椎体高度和节段后凸角度差异均有统计学意义(均P<0.01).结论 有条件地应用伤椎置钉技术有利于后路术中复位以及纠正后凸畸形,并且增加内固定系统的强度.     

Patch-clamp technique]

We first describe how to set up the system for patch-clamp recording and carry out the experiments with 4 different modes of conventional patch-clamp technique: cell-attached, whole-cell, inside-out and outside-out configurations. Thereafter, we mention about an improved 'nystatin perforated' patch-clamp technique which dissolves the fault of conventional patch-clamp techniques except the cell-attached mode.     

Supraperiosteal flap technique versus mucoperiosteal flap technique in cleft palate surgery

Recent animal experiments have shown that palatal repair without denudation of bone leads to a superior dento-alveolar development. The aim of this clinical study was to evaluate the peri- and postoperative course and the dento-alveolar development of the deciduous dentition in Japanese ULCP, and CP patients up to 5 years after two different types of palatal repair. One of the methods, the Kohama (1991) supraperiosteal flap technique, is performed without denudation of the bony palate, while the other, the Wardill (1937) push-back technique, results in areas of denuded bone. It was concluded that the supraperiosteal technique can be performed successfully in approximately the same amount of time as the push-back technique. Re-epithelialization of the wound areas after supraperiosteal repair takes about 1 week, which is one third of the time associated with healing after the push-back technique. Arch depth of the deciduous dentition after the supraperiosteal technique is superior compared to the push-back technique. The question of whether or not the supraperiosteal technique produces more favorable dento-alveolar development than the mucoperiosteal technique in the permanent dentition in humans has to be elucidated in future research.