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InterFuse棘突间融合固定治疗腰椎手术失败综合征1例
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作者 张敬中 刘纯兴 +3 位作者 赵水军 王爽 孟继双 李子川 《沈阳医学院学报》 2025年第1期71-73,共3页
患者,女,67岁,曾于2018年行腰椎全椎板切除、椎弓根钉内固定术。术后6年间反复出现腰部疼痛伴双下肢麻木,间歇性跛行,活动后加重,病情反复发作。于2024年4月16日入院。体格检查显示:腰曲平直,肌肉僵硬,屈伸活动受限,L3-S1间棘旁压痛,叩... 患者,女,67岁,曾于2018年行腰椎全椎板切除、椎弓根钉内固定术。术后6年间反复出现腰部疼痛伴双下肢麻木,间歇性跛行,活动后加重,病情反复发作。于2024年4月16日入院。体格检查显示:腰曲平直,肌肉僵硬,屈伸活动受限,L3-S1间棘旁压痛,叩击痛(+);双侧小腿、足部皮肤感觉减退;直腿抬高试验:左侧<70°,右侧<70°,加强试验(-);股神经牵拉试验:左侧(-),右侧(-);“4”字试验(+);屈膝、屈髋试验(-);屈髋肌力:双侧Ⅲ级,伸膝肌力、足背伸肌力:双侧Ⅳ级;伸拇肌力:左侧Ⅳ级,右侧Ⅴ级;屈拇肌力:左侧Ⅴ级,右侧Ⅴ级;膝腱反射、跟腱反射均未引出;跟臀实验:双侧(+);双侧巴宾斯基征(-)。术前VAS疼痛量表评分为3分,腰椎日本骨科协会评估治疗分数(JOA评分)为14分,腰椎Oswestry功能障碍指数(ODI评分)为16分。 展开更多
关键词 InterFuse棘突间固定系统 腰椎手术失败综合征 脊柱微创 棘突间融合器植入 椎管狭窄 腰椎间盘突出
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Optimization methods of cutting depth in mining Co-rich crusts
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作者 秦宣云 管继红 +1 位作者 任波 卜英勇 《Journal of Central South University of Technology》 EI 2007年第4期595-599,共5页
For optimizing the cutting depth of spiral drum type cutting head,the relations among collecting ratio,interfusing ratio of mullock and cutting depth of the mining cobalt-rich crusts in ocean were discussed.Furthermor... For optimizing the cutting depth of spiral drum type cutting head,the relations among collecting ratio,interfusing ratio of mullock and cutting depth of the mining cobalt-rich crusts in ocean were discussed.Furthermore,the multi-extremum problem about cutting depth was analyzed in mining at a certain interfusing ratio of mullock.Through introducing genetic algorithm(GA),the cutting depth-control problem when the collecting ratio is maximized by controlling the interfusing ratio of mullock was solved with global-optimization-search algorithms.Then optimization theory for cutting depth in mining cobalt-rich crusts by GA,and computer programming were given to realize the algorithm.The computation result of actual data proves the validity of this method. 展开更多
关键词 Co-rich crust collecting ratio interfusing ratio of mullock gene algorithm
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