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find Author "肖国庆" 3 results
  • 关节镜治疗轻中度膝关节骨关节炎疗效分析

    目的 总结关节镜下手术治疗轻中度膝关节骨关节炎的临床疗效。 方法 2005 年6 月- 2007 年6 月,于关节镜下治疗69 例轻中度膝关节骨关节炎患者。男30 例,女39 例;年龄46 ~ 72 岁,平均58 岁。左膝26 例,右膝31例,双膝12 例。患者主要临床症状为膝关节反复疼痛和活动受限,伴不同程度关节肿胀。根据美国特种外科医院(HSS)评分为(62.7 ± 8.9)分。骨关节炎Kellgren-Lawrence 分级为:Ⅰ级22 膝,Ⅱ级39 膝,Ⅲ级20 膝。病程6 ~ 52 个月,平均29 个月。 结果 术后切口均Ⅰ期愈合。患者均获随访,随访时间3 ~ 5 年,平均38 个月。末次随访时,59 膝关节疼痛消失,其余关节偶有疼痛。膝关节屈曲活动度达110 ~ 135°;8 膝关节伸直受限,其余伸直均达0°。HSS 评分为(80.7 ±8.9) 分,与术前比较差异有统计学意义(t=4.023,P=0.003)。 结论 对于轻中度膝关节骨关节炎患者,关节镜下手术治疗可获得较满意疗效。

    Release date:2016-08-31 05:44 Export PDF Favorites Scan
  • 腹主动脉球囊阻断下骶骨肿瘤切除重建术

    目的 总结在腹主动脉球囊阻断下行骶骨肿瘤切除重建的手术方法及疗效。 方法 2006 年2 月-2008 年12 月,对8 例骶骨肿瘤采用在腹主动脉球囊阻断下切除肿瘤。男5 例,女3 例;年龄32 ~ 63 岁。脊索瘤4 例,巨细胞瘤2 例,神经鞘瘤1 例,神经纤维瘤1 例。累及节段:S3 4 例,S4 2 例。肿瘤大小6 cm × 4 cm ~ 12 cm × 10 cm。病程6 个月~ 2 年。 结果 术中出血平均1 250 mL,术后引流平均500 mL。2 例术后出现切口皮肤坏死,1 例因脑脊液漏致切口不愈,均经对症处理后愈合,其余切口均Ⅰ期愈合。术后患者均获随访,随访时间12 ~ 18 个月。未见肿瘤复治低位骶骨肿瘤的首选方法,腹主动脉球囊阻断技术可有效减少术中出血,降低神经损伤的风险,为骶骨肿瘤的完整切除提供有利条件。

    Release date:2016-08-31 05:48 Export PDF Favorites Scan
  • CLINICAL EFFECT OF ARTHROSCOPICALLY ASSISTED REPAIR AND RECONSTRUCTION FOR DISLOCATIONOF THE KNEE WITH MULTIPLE LIGAMENT INJURIES

    【Abstract】 Objective To investigate the cl inical outcomes of the treatment of knee dislocation with multiplel igaments injuries by anterior cruciate l igament (ACL) and posterior cruciate l igament (PCL) reconstruction underarthroscopy and repair of the injured structures of the knee joint. Methods From July 2003 to August 2006, there were24 patients with knee dislocation (19 males and 5 females), with the average age of 42 years (ranging from 20 years to 69years), whose ACL and PCL were reconstructed under arthroscopy and whose collateral l igaments and other structures of the knee were repaired [8 with injuries of ACL, PCL, medial collateral l igament (MCL) and lateral collateral l igament (LCL); 12 with injuries of ACL, PCL and MCL; 4 with injuries of ACL, PCL and LCL]. There were 1 case with common peroneal nerve injury, 3 with medial meniscus injury and 7 with lateral meniscus injury. Every patient had single knee dislocation. The outcome was measured from the following aspects: range of the knee, compl ication, cl inical improvement and Lysholm scoring. Results Twenty-four patients were followed up for 11 months to 36 months, with the average time of 25 months.Eleven patients (45.8%) recovered to the normal sports level and 13 (54.2%) patients’ knee function improved significantly so that they could walk by themselves. Lachman test, anterior drawer test and posterior drawer test were negative in 24 patients. The side-to-side difference was less than 5 mm in 24 patients. There were 4 patients who had sl ight knee stiffness. One patient’ s feel ing and sports function of the general peroneal nerve improved to the normal level. Lysholm scale of the knee function was 41.8 ± 4.3 preoperatively and 87.0 ± 6.0 postoperatively (P lt; 0.05). The movement ranges of the knee were (87.5 ± 12.5)° preoperatively and (125.0 ± 9.2)° postoperatively (P lt; 0.05). Conclusion Reconstructing the ACL and PCL and repairing other structures of the knee is an effective method to treat dislocation of the knee.

    Release date:2016-09-01 09:12 Export PDF Favorites Scan
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