Chronic eczema is a kind of skin disease which is difficult to treat.It is easy to occur repeatedly,and itching is intolerable during the attack,which seriously affects the daily life of patients.Through the review of...Chronic eczema is a kind of skin disease which is difficult to treat.It is easy to occur repeatedly,and itching is intolerable during the attack,which seriously affects the daily life of patients.Through the review of the treatment of chronic eczema with Mongolian medicine Cymbaria mongolica Maxim.,it has the advantages of improving the cure rate and the quality of life,and reducing the recurrence rate,and so on,which provides a scientific basis for the promotion and further research of traditional Mongolian medicine Cymbaria mongolica Maxim.展开更多
文摘目的 :探讨超声骨刀不同的切骨入点和切骨角度在颈椎后路单开门椎管扩大成形术(cervical expansive open-door laminoplasty,CEOL)中应用的对比。方法:收集在我院骨科自2016年1月~2020年6月行CEOL术256例。根据术中开门侧的切骨方式将所有患者分为超声骨刀片状刀头竖直切骨组(A组)64例,改良片状刀头垂直椎板切骨组(B组)69例,改良钩状刀头切骨组(C组)46例及传统工具组(D组)77例。记录4组患者的开门时间、术中出血量,术中异体输血和截骨相关并发症;记录术前及术后3天JOA评分,JOA评分改善率等。结果:所有患者均行C3-C7节段CEOL。A、B、C三组开门时间均显著少于D组(10.3±2.7min、10.9±2.8min、10.1±2.7min vs 13.3±2.8min)(P<0.05)。术中出血量B、C两组显著少于D组(205.9±127.1ml、226.5±104.9ml vs 273.5±164.3ml)(P<0.05),A组与其余三组均无显著差异(P>0.05)。A组异体输血率显著高于B、C、D三组(12.5%vs 2.9%、2.2%、2.6%)(P<0.05)。A组C5神经麻痹发生率显著高于B、C、D组(P<0.05),其余组间无显著差异(P>0.05)。四组患者术后JOA评分均显著优于术前(P<0.05);四组患者间术前JOA评分、术后3天JOA评分及JOA改善率相比较,均无显著统计学差异(P>0.05)。结论:在CEOL中使用超声骨刀可显著减少开门时间及手术出血量,术后神经功能改善显著。在开门侧传统切骨入点竖直切骨会增加异体输血率,切骨入点内移1~2mm后垂直椎板切骨或选择钩状刀头可降低异体输血率。
文摘Chronic eczema is a kind of skin disease which is difficult to treat.It is easy to occur repeatedly,and itching is intolerable during the attack,which seriously affects the daily life of patients.Through the review of the treatment of chronic eczema with Mongolian medicine Cymbaria mongolica Maxim.,it has the advantages of improving the cure rate and the quality of life,and reducing the recurrence rate,and so on,which provides a scientific basis for the promotion and further research of traditional Mongolian medicine Cymbaria mongolica Maxim.
