目的:观察桥接组合式内固定系统治疗复杂股骨骨折的临床疗效和安全性。方法:2016年1月至2018年1月,采用桥接组合式内固定系统治疗复杂股骨骨折患者15例。男10例,女5例。年龄22~88岁,中位数43岁。左侧10例,右侧5例。均为闭合性骨折,其中...目的:观察桥接组合式内固定系统治疗复杂股骨骨折的临床疗效和安全性。方法:2016年1月至2018年1月,采用桥接组合式内固定系统治疗复杂股骨骨折患者15例。男10例,女5例。年龄22~88岁,中位数43岁。左侧10例,右侧5例。均为闭合性骨折,其中股骨转子间骨折髓内钉内固定术后股骨中段骨折2例,股骨干延长术后股骨干骨折1例,股骨干骨折合并股骨颈骨折2例,股骨近端或远端多段骨折10例。受伤至手术时间3~8 d,中位数5 d。术后随访观察骨折愈合及并发症发生情况,采用Harris髋关节功能评分标准评价髋关节功能,采用美国特种外科医院(Hospital for Special Surgery,HSS)膝关节功能评分标准评价膝关节功能。结果:所有患者均获随访,随访时间6~16个月,中位数11个月。骨折均愈合,愈合时间12~20周,中位数13周。术后6个月,Harris髋关节功能评分94~98分,中位数96分,优15例;HSS膝关节功能评分80~97分,中位数89分,优14例、良1例。所有患者均未出现切口感染、内固定物松动或断裂、下肢深静脉血栓等并发症。结论:桥接组合式内固定系统治疗复杂股骨骨折,骨折愈合率高、髋关节及膝关节功能恢复良好、并发症少,值得临床推广应用。展开更多
OBJECTIVE:To evaluate the effectiveness and safety of cervical spondylosis formula granules in reducing the symptoms of patients with the nerve root type and the vertebral artery type of cervical spondylosis.METHODS:T...OBJECTIVE:To evaluate the effectiveness and safety of cervical spondylosis formula granules in reducing the symptoms of patients with the nerve root type and the vertebral artery type of cervical spondylosis.METHODS:This was a multicenter, single-blind,randomized, controlled trial.From April 2002 to November 2003, 499 patients were randomly assigned to either the treatment or the control group.The treatment group was orally administered granules prepared with a formula for cervical spondylosis, while the control group was given Jingfukang granules.The treatment course was 1 month for both groups.RESULTS:In patients with the nerve root type of cervical spondylosis, the total effect rate in the treatment group(87.21%) was significantly higher than that in the control group(80.70%, P < 0.01).After the treatment period in both groups, the treatment group had a significantly greater rate of resolution of pain, numbness of the upper limbs, muscle strength of the upper limbs, and fatigue than the control group(all P < 0.05).In patients with the vertebral artery type of cervical spondylosis, the total effect rate in the treatment group(82.07%) was similar to that in the control group(71.21%, P >0.05).After the treatment period in both groups,the treatment group had a significantly greater rate of resolution of weakness of the waist and knees than the control group(P < 0.05).CONCLUSION:The cervical spondylosis formula granules significantly improve numbness, muscle strength, and fatigue, and reduce pain in patients with the nerve root type of cervical spondylosis,and improve the weakness of the waist and knees in patients with the vertebral artery type of cervical spondylosis.展开更多
文摘目的:观察桥接组合式内固定系统治疗复杂股骨骨折的临床疗效和安全性。方法:2016年1月至2018年1月,采用桥接组合式内固定系统治疗复杂股骨骨折患者15例。男10例,女5例。年龄22~88岁,中位数43岁。左侧10例,右侧5例。均为闭合性骨折,其中股骨转子间骨折髓内钉内固定术后股骨中段骨折2例,股骨干延长术后股骨干骨折1例,股骨干骨折合并股骨颈骨折2例,股骨近端或远端多段骨折10例。受伤至手术时间3~8 d,中位数5 d。术后随访观察骨折愈合及并发症发生情况,采用Harris髋关节功能评分标准评价髋关节功能,采用美国特种外科医院(Hospital for Special Surgery,HSS)膝关节功能评分标准评价膝关节功能。结果:所有患者均获随访,随访时间6~16个月,中位数11个月。骨折均愈合,愈合时间12~20周,中位数13周。术后6个月,Harris髋关节功能评分94~98分,中位数96分,优15例;HSS膝关节功能评分80~97分,中位数89分,优14例、良1例。所有患者均未出现切口感染、内固定物松动或断裂、下肢深静脉血栓等并发症。结论:桥接组合式内固定系统治疗复杂股骨骨折,骨折愈合率高、髋关节及膝关节功能恢复良好、并发症少,值得临床推广应用。
文摘OBJECTIVE:To evaluate the effectiveness and safety of cervical spondylosis formula granules in reducing the symptoms of patients with the nerve root type and the vertebral artery type of cervical spondylosis.METHODS:This was a multicenter, single-blind,randomized, controlled trial.From April 2002 to November 2003, 499 patients were randomly assigned to either the treatment or the control group.The treatment group was orally administered granules prepared with a formula for cervical spondylosis, while the control group was given Jingfukang granules.The treatment course was 1 month for both groups.RESULTS:In patients with the nerve root type of cervical spondylosis, the total effect rate in the treatment group(87.21%) was significantly higher than that in the control group(80.70%, P < 0.01).After the treatment period in both groups, the treatment group had a significantly greater rate of resolution of pain, numbness of the upper limbs, muscle strength of the upper limbs, and fatigue than the control group(all P < 0.05).In patients with the vertebral artery type of cervical spondylosis, the total effect rate in the treatment group(82.07%) was similar to that in the control group(71.21%, P >0.05).After the treatment period in both groups,the treatment group had a significantly greater rate of resolution of weakness of the waist and knees than the control group(P < 0.05).CONCLUSION:The cervical spondylosis formula granules significantly improve numbness, muscle strength, and fatigue, and reduce pain in patients with the nerve root type of cervical spondylosis,and improve the weakness of the waist and knees in patients with the vertebral artery type of cervical spondylosis.
