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find Author "张伟峰" 2 results
  • 关节镜下胫骨髁间嵴骨折手术方式选择

    摘要:目的:探讨关节镜辅助下治疗胫骨髁间嵴前交叉韧带止点撕脱骨折的手术方式。 方法:本组6例患者,根据髁间嵴骨折不同的形态类型,分别选择丝线、克氏针、可吸收螺钉、空心螺钉固定前交叉韧带止点撕脱骨块,术后指导功能锻炼 。结果:所有病例随诊3~36个月,术后3~4个月骨折部位均愈合,采用Lysholm膝关节评价疗效,平均得分92.6分。 结论:关节镜辅助下根据髁间嵴撕脱骨折的不同类型选择不同内固定方式,可得到准确的复位、良好的骨折愈合及满意的膝关节功能恢复。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • Shor-term effect of coronary artery bypass grafting by different ways for harvesting great saphenous vein

    Objective To compare the short-term effect of no-touch technique and routine method for harvesting great saphenous vein in coronary artery bypass grafting. Methods The clinical data of patients receiving the great saphenous vein by no-touch technique (a NT group) or routine method (a routine group) for coronary artery bypass grafting from April 2016 to July 2017 in our hospital were retrospectively analyzed. There were 26 males and 13 females with an average age of 60.1±8.0 years ranging from 40 to 75 years in the routine group, as well as 21 males and 17 females with an average age of 61.3±6.9 years ranging from 38 to 75 years in the NT group. The operation time, postoperative ventilation duration, postoperative myocardial injury index, postoperative complications, postoperative ejection fraction, postoperative hospital stays and other indicators were compared. Results There was no statistical difference between the two groups in operation time, postoperative ventilation time, postoperative ejection fraction or postoperative hospital stays. Incisions of postoperative lower extremity in two groups successfully healed. There was no recurrence of acute myocardial infarction or death. All patients recovered and discharged. One patient was treated with thoracotomy in the routine group. One patient in the NT group had bad healing of chest incision, and one patient with acute kidney injury recovered after treatment. Conclusion The great saphenous vein by no touch technique has a good early effect in coronary artery bypass grafting without increasing the risk of surgery.

    Release date:2018-06-26 05:41 Export PDF Favorites Scan
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