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PFNA与Inter Tan内固定联合抗骨质疏松治疗伴骨质疏松股骨粗隆间骨折患者的效果 被引量:1
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作者 李玉华 马梓昆 +2 位作者 冯子攀 翟功伟 范志远 《河南医学研究》 2025年第3期444-448,共5页
目的观察股骨近端抗旋转髓内钉(PFNA)与Inter Tan内固定联合抗骨质疏松治疗伴骨质疏松股骨粗隆间骨折患者的效果。方法将2020年1月至2023年4月就诊于郑州人民医院的60例伴骨质疏松股骨粗隆间骨折患者采用随机法分为两组,PFNA组接受PFNA... 目的观察股骨近端抗旋转髓内钉(PFNA)与Inter Tan内固定联合抗骨质疏松治疗伴骨质疏松股骨粗隆间骨折患者的效果。方法将2020年1月至2023年4月就诊于郑州人民医院的60例伴骨质疏松股骨粗隆间骨折患者采用随机法分为两组,PFNA组接受PFNA内固定联合抗骨质疏松治疗,Inter Tan组接受Inter Tan内固定联合抗骨质疏松治疗。比较两组临床效果。结果Inter Tan组负重活动时间[(60.88±8.41)周]、早期下地行走时间[(5.94±1.07)d]短于PFNA组,切口长度[(8.61±0.87)cm]小于PFNA组,术中透视次数[(4.95±0.94)次]、术中出血量[(204.15±26.22)mL]多于PFNA组,血红蛋白(Hb)[(18.56±4.74)g·L^(-1)]和血细胞比容(Hct)下降值[(4.16±0.59)%]高于PFNA组,手术时间[(123.26±23.36)min]长于PFNA组,差异有统计学意义(P<0.05)。两组术后24周Harris评分及碱性磷酸酶(BALP)、总Ⅰ型胶原氨基端延长肽(tPⅠNP)、骨钙素(OC)较高于术前,视觉模拟评分法(VAS)评分、Ⅰ型胶原羧基端肽β特殊序列(β-CTX)低于术前,差异有统计学意义(P<0.05)。Inter Tan组术后24周Harris评分高于PFNA组,VAS评分低于PFNA组,差异有统计学意义(P<0.05)。Inter Tan组解剖复位优良率高于PFNA组,内固定松动率与PFNA组比较,差异无统计学意义(P>0.05)。结论Inter Tan内固定与PFNA内固定联合抗骨质疏松治疗伴骨质疏松股骨粗隆间骨折相比,Inter Tan内固定切口小,术后髋关节功能恢复好,术后解剖复位优良率高,但手术时间长,术中透视次数相对较多。 展开更多
关键词 骨质疏松 股骨粗隆间骨折 股骨近端抗旋转髓内钉 inter Tan内固定
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PFNA与Inter Tan髓内钉治疗老年股骨粗隆间骨折的临床对比研究
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作者 沈华君 张凯 《智慧健康》 2025年第21期83-85,89,共4页
目的探究老年股骨粗隆间骨折应用股骨近端防旋髓内钉(PFNA)与Inter Tan髓内钉治疗的对比研究。方法选取江阴璜土医院骨科2020年3月—2023年10月收治的60例老年骨粗隆间骨折患者作为研究对象,采取1∶1比例法分为参照组和研究组,每组30例... 目的探究老年股骨粗隆间骨折应用股骨近端防旋髓内钉(PFNA)与Inter Tan髓内钉治疗的对比研究。方法选取江阴璜土医院骨科2020年3月—2023年10月收治的60例老年骨粗隆间骨折患者作为研究对象,采取1∶1比例法分为参照组和研究组,每组30例患者。参照组给予PFNA治疗,研究组给予Inter Tan髓内钉治疗,分析对比两组临床治疗有效率、手术治疗指标、疼痛程度及膝关节功能恢复情况。结果研究组临床治疗有效率为86.67%,明显高于参照组的70.00%(P<0.05);研究组临床手术指标情况明显优于参照组(P<0.05);治疗前,两组疼痛程度、膝关节功能对比差异无统计学意义(P>0.05);治疗后,研究组疼痛程度评分低于参照组,膝关节功能评分高于参照组(P<0.05)。结论与PFNA治疗相比,对老年股骨粗隆间骨折患者实施Inter Tan髓内钉治疗,疗效更为确切,可有效缩短相关康复指标时间,减轻疼痛程度,改善患者膝关节功能。 展开更多
关键词 PFNA inter Tan髓内钉 老年 股骨粗隆间骨折
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First isolation and genomic characterization of a novel inter-genotype recombinant feline calicivirus from domestic cats:Implications for viral evolution
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作者 Xiaomei Tan Liangliang Lin +9 位作者 Qi Zhang Na Li Ningning Dong Shishi Wang Wenqi Zhu Maoqing Luo Shuaisai Pang Yanzhao Xu Guangqing Liu Chunchun Meng 《Virologica Sinica》 2025年第4期672-675,共4页
Dear editor,As of 2023,the domestic cat population in China reached 65 million,surpassing dogs to become the most numerous companion animal in the country.Feline calicivirus(FCV)infection,one of the three most prevale... Dear editor,As of 2023,the domestic cat population in China reached 65 million,surpassing dogs to become the most numerous companion animal in the country.Feline calicivirus(FCV)infection,one of the three most prevalent infectious diseases in cats,poses a severe threat to feline health.FCV,classified under the Caliciviridae family(genus Vesivirus). 展开更多
关键词 domestic cats genomic characterization companion animal viral evolution novel inter genotype recombinant feline calicivirus
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Working Together for Inter-Civilizational Exchange and Mutual Learning
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作者 JIA GUIDE 《China Today》 2025年第5期32-36,共5页
Italy is a key member of the EU,and the China-Italy relationship is an important aspect of the China-EU relationship.
关键词 mutual learning eu member china italy relationship inter civilizational exchange china eu relationship
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Role of Folic Acid Supplementation on Association between Short Inter-Pregnancy Intervals and Adverse Birth Outcomes:A Retrospective Cohort Study in Changsha,China
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作者 Zhiqing Zhao Ling Chen +3 位作者 Wenbin Ouyang Jing Deng Xiaohui Chen Xin Huang 《Biomedical and Environmental Sciences》 2025年第6期751-756,共6页
Preterm birth and suboptimal fetal growth remain significant perinatal challenges worldwide.Recent data indicate that China's perinatal profile has improved due to reductions in preterm birth rates.However,the cou... Preterm birth and suboptimal fetal growth remain significant perinatal challenges worldwide.Recent data indicate that China's perinatal profile has improved due to reductions in preterm birth rates.However,the country has a 6.5%prevalence of small-for-gestational-age(SGA),ranking fifth globally in total SGA birth numbers^([1,2]). 展开更多
关键词 preterm birth short inter pregnancy intervals perinatal profile suboptimal fetal growth folic acid supplementation adverse birth outcomes perinatal challenges
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Relationship between Inter Canine Width and Inter Alar Width, Inter Commissural Width, and Inter Canthal Distance: A Pilot Study
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作者 Grevisse Bindele Ndombolo Augustin Mantshumba Milolo +5 位作者 Fidele Nyimi Bushabu Em Kalala Kazadi Pierrot Kumpanya Ntumba Jean Marie Kayembe Bukama Elias Lubadi Tshilumba Jean Paul Sekele Isouradi 《Open Journal of Stomatology》 2024年第6期279-290,共12页
The aim of this study was to determine the relationship between inter canine width (ICW) and inter alar width (IAW), inter commissural width (ICoW), and inter canthal distance (ICaD) in Bantu population. Materials and... The aim of this study was to determine the relationship between inter canine width (ICW) and inter alar width (IAW), inter commissural width (ICoW), and inter canthal distance (ICaD) in Bantu population. Materials and Methods: It was a pilot study included all participants who were aged at least 18 years, without a history of orthodontics treatment from Prosthodontics Department, Faculty of Dental Medicine, University of Kinshasa. The Ethics committee of the National Center of Research for Dental Sciences in DR Congo approved the study protocol (CNRSB 1504.218). The participants medical records were obtained from the interview and dental examination. Nature of the study was explained with participant information sheet, and an informed consent of all participants was obtained. The inclusion criteria were no missing maxillary and mandibular teeth, no diastema, and no anterior restorations, 18 years old before enrollment in the study. The exclusion criteria were inability to meet the above requirements, pregnancy, and refusal to participate in the study. The inter-canine width (ICW), inter alar width (IAW), inter canthal distance (ICaD) and inter-commissural width (ICoW) of each participant were measured with a digital Vernier caliper (Mitutoyo, UK Ltd.,) (0.01 mm) three times and the average value was recorded. The inter canthal distance (ICaD) was measured without applying pressure by bringing the recording parts of the caliper just in contact with the medial angle. The inter alar width (IAW) was marked with a fine marked pencil on the widest outer surface of the alae of the nose on either side or width. Those two points were measured without applying pressure by bringing the recording parts of the caliper just in contact with the outer surface. The participant was told to stop breathing shortly to avoid any change in shape of the nose. The inter-commissural width (ICoW) was determined by measuring the maxillary lip vermilion from commissure to commissure without the application of pressure on the tissue in the relaxed state. The inter-canine width (ICW) was measured indirectly using a dental floss. A dental floss was marked on one end prior to placement in the mouth. Using that point as reference, the dental floss was circumference along the curvature of the anterior dentition such that it passed along the contact point of all the teeth. The distal end of the canine teeth on both sides was then marked on the floss while it was stretched in the patients mouth. Floss was marked on both sides with the marker pencil. The distance between the two proximal contact points was measured and recorded. Data, analysis and validation were performed by the SPSS software (version 22.0, IBM SPSS Statistics, Chicago, IL, USA). Unpaired t-test was used, of Kolmogorov-Smirnov test. Analysis of variance (ANOVA) test was used to test for comparability between socio-demographic characteristics dental measurements. Pearsons correlation coefficients test was calculated to determine the relationship between facial and dental parameters. Significance was set at P 0.01. Results: Of 314 participants enrolled, 202 were included. The age ranged from 18 to 68 years, with a mean age of 40.62 12.99 years. Although the Pearsons correlation coefficients were negative. Ninety-three participants (46%) were men and one hundred and nine (54%) were women. The overall mean age was 40.62 12.99 years. Facial and dental measurements were greater in women than men with significant differences for ICW (p = 0.04). However, no significant difference was seen between men and women for IAW, ICaD and ICoW (p = 0.44, p = 0.23, p = 0.31 respectively). The correlation including Pearsons correlation coefficient and P-values for all participants is not demonstrated. Conclusion: Within the limitations of this study, the results suggest that IAW, ICaD and ICoW cannot be used as a preliminary method for determining the width of the maxillary for anterior teeth for edentulous patients. 展开更多
关键词 RELATIONSHIP inter-Canine Width inter Alar Width inter Canthal Distance inter Commissural Width
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微创Inter
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作者 梁喜斌 《医学前沿》 2024年第13期288-288,共1页
目的:分析微创InterTan髓内钉治疗老年股骨粗隆间骨折的效果。方法:选择我院在2020年1月份至2023年6月份收治的42例患者进行研究,随机分成对照组和实验组,每组21例患者,对照组DHS内固定,实验组Inter Tan,分析两组患者的临床指标以及Har... 目的:分析微创InterTan髓内钉治疗老年股骨粗隆间骨折的效果。方法:选择我院在2020年1月份至2023年6月份收治的42例患者进行研究,随机分成对照组和实验组,每组21例患者,对照组DHS内固定,实验组Inter Tan,分析两组患者的临床指标以及Harris评分。结果:通过不同的治疗方式后,实验组患者的临床指标优于对照组,Harris评分优于对照组,p<0.05。结论:对老年股骨粗隆间骨折患者提供微创Inter Tan髓内钉治疗,可以改善患者的临床指标,促进其恢复,值得提倡。 展开更多
关键词 微创inter Tan髓骨钉治疗 老年股骨粗隆间骨折
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Inter-Row Spacing of PV Power Plant
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作者 Laiqat Ali Khan 《Energy and Power Engineering》 2024年第3期121-129,共9页
When designing a solar power plant, it is much more important to avoid the shadow on the PV Panels. As the shadow falls on the PV Panels;it significantly reduces the generation of required power as planned and designe... When designing a solar power plant, it is much more important to avoid the shadow on the PV Panels. As the shadow falls on the PV Panels;it significantly reduces the generation of required power as planned and designed. This research paper and case study will help a lot to avoid shadow, especially when selecting inter-row spacing between the strings of solar power plants. 展开更多
关键词 inter Row Spacing Shadow Effect on PV Plant Hot Spot Heating
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Genetic relationship of interspecies for eight birch species 被引量:2
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作者 姜静 杨传平 +2 位作者 刘桂丰 武金华 李同华 《Journal of Forestry Research》 SCIE CAS CSCD 2002年第4期281-284,337,共4页
Genetic relationships of eight species of genus Betula were evaluated using ISSR marks. A total of 236 loci were generated from 17 ISSR primers. Percentage of polymorphic bands (PPB) varied from 5.93 to 19.92. The hig... Genetic relationships of eight species of genus Betula were evaluated using ISSR marks. A total of 236 loci were generated from 17 ISSR primers. Percentage of polymorphic bands (PPB) varied from 5.93 to 19.92. The highest and the lowest level of genetic differentiation were detected in B. ovalifolia and B. maximowicziana Regel respectively. In these eight species, genetic diversity of birch (HT) was 24.38 %, and the genetic variation (GST ) interspecies was accounting for 79.36% of total genetic variation. According to the cluster results of genetic distance, the eight species were classified into three groups as B. davurica, B. ovalifolia, B. platyphylla and B. pendula for one group; B. schmidtii, B. costata and B. ermanii Cham. var. communis for one group, and B. maximowicziana Regel for another group. The result of cluster is consistent with traditional morphological classification. 展开更多
关键词 BIRCH inter simple sequence repeat Genetic relationship interspecies
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Inter-Fraction Analysis of One Week Hypo-Fractionation of Deep Inspiration Breath Hold (DIBH) Technique for Left Sided Breast Cancer Radiation Treatment
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作者 Ntombela N. Lethukuthula Mathuthu Manny Nyathi Mpumelelo 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2024年第3期41-52,共12页
The aim of this study was to investigate the inter-fraction variations, patient comfort and knowledge at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). The differences in set-up that occurred between treatme... The aim of this study was to investigate the inter-fraction variations, patient comfort and knowledge at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). The differences in set-up that occurred between treatment sessions for the left sided breast patients were observed and recorded. Measurements of routine set-up variation for 24 patients were performed by matching the cone beam computed tomography (CBCT) and the planning computed tomography (CT). Scans of all five fractions per patient were used to quantify the setup variations with standard deviation (SD) in all the three directions (anterior posterior, left right, and superior inferior). The patients DIBH comfort and knowledge was also evaluated. The average translational errors for the anterior posterior (AP, z), left-right (LR, x), and Superior-inferior (SI, y) directions were 0.40 cm, 0.40 cm, and 0.40 cm, respectively. The translation variation of the three directions showed statistical significance (P < 0.05). On comfort and knowledge investigation, among all participants, 80% moderately agreed that the therapist’s instructions for operating the deep inspiration breath hold (DIBH) technique were easy to understand, and 63.33% indicated that their comfort with the DIBH technique was neutral or average. The inter-fraction variations in patients with left-sided breast cancer were qualitatively analyzed. Significant shifts between CBCT and planning CT images were observed. The daily treatment verification could assist accurate dose delivery. 展开更多
关键词 Breast Cancer Deep Inspiration Breath Hold Hypo-Fractionation inter-Fraction
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老年股骨粗隆间骨折股骨近端抗旋髓内钉和股骨近端髓内钉InterTAN的选择和疗效评价 被引量:46
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作者 张金辉 张科学 +4 位作者 张立海 张里程 陈超 唐佩福 张伯勋 《中国修复重建外科杂志》 CAS CSCD 北大核心 2015年第5期538-541,共4页
目的分析比较股骨近端抗旋髓内钉(proximal femoral nail antirotation,PFNA)和股骨近端髓内钉Inter TAN治疗老年股骨粗隆间骨折的临床效果和手术并发症。方法 2011年1月-2013年6月共178例患者符合选择标准纳入研究,根据手术所选髓内... 目的分析比较股骨近端抗旋髓内钉(proximal femoral nail antirotation,PFNA)和股骨近端髓内钉Inter TAN治疗老年股骨粗隆间骨折的临床效果和手术并发症。方法 2011年1月-2013年6月共178例患者符合选择标准纳入研究,根据手术所选髓内钉的不同分为PFNA组(100例)和Inter TAN组(78例)。两组患者性别、年龄、侧别、致伤原因、骨折分型及伤后至手术时间等一般资料比较差异无统计学意义(P〉0.05),具有可比性。记录两组患者的手术时间、术中出血量、术中透视时间、术后并发症发生情况、住院时间、骨折愈合时间并进行比较;术后采用Harris评分评价关节功能。结果 PFNA组手术时间、术中出血量及术中透视时间均明显少于Inter TAN组(P〈0.05);两组住院时间比较差异无统计学意义(t=1.270,P=0.206)。两组各有2例切口出现红肿,经清创后愈合;其余患者术后切口均Ⅰ期愈合,无皮肤坏死等并发症发生。术后PFNA组92例、Inter TAN组63例患者获随访,随访时间8~16个月,平均11个月;失访患者中PFNA组4例死亡,Inter TAN组3例死亡,其余患者失联。PFNA组(含4例死亡患者)中出现下肢深静脉血栓形成2例、髋内翻2例,并发症发生率4.2%;Inter TAN组(含3例死亡患者)中出现下肢深静脉血栓形成1例、髋内翻2例,并发症发生率4.5%;两组比较差异无统计学意义(χ2=0.077,P=0.782)。术后X线片示骨折线消失,均未出现畸形愈合、骨不连、感染、内固定物松弛失效等并发症,患者可正常行走;两组患者骨折愈合时间比较差异无统计学意义(t=1.324,P=0.188)。末次随访时,两组Harris评分比较差异无统计学意义(t=1.594,P=0.113)。结论 PFNA是治疗伴骨质疏松的老年股骨粗隆间骨折理想的治疗方法;Inter TAN更适用于较年轻及不稳定股骨粗隆间骨折患者。 展开更多
关键词 股骨粗隆间骨折 内固定 股骨近端抗旋髓内钉 inter TAN 老年患者
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PFNA与Inter Tan治疗老年股骨粗隆间骨折的临床研究 被引量:19
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作者 侯克东 马东印 周自广 《中国矫形外科杂志》 CAS CSCD 北大核心 2012年第18期1705-1706,共2页
[目的]比较股骨近端抗旋髓内钉(proximal femoral nail antirotation,PFNA)和Inter Tan治疗老年股骨粗隆间骨折的手术疗效及并发症。[方法]本科收治60岁以上股骨粗隆间骨折135例,71例采用PFNA内固定,64例采用Inter Tan内固定。比较2种... [目的]比较股骨近端抗旋髓内钉(proximal femoral nail antirotation,PFNA)和Inter Tan治疗老年股骨粗隆间骨折的手术疗效及并发症。[方法]本科收治60岁以上股骨粗隆间骨折135例,71例采用PFNA内固定,64例采用Inter Tan内固定。比较2种术式在平均出血量、平均手术时间、平均住院日、骨折愈合时间、Harris评分的差异,观察术后并发症发生情况。[结果]无围手术期死亡,术后13例病情不稳定,转入外科重症监护室,平均16 h;两组在手术平均出血量、平均手术时间、平均住院日、骨折愈合时间比较无统计学差异;围手术期出现并发症20例次,经治疗后好转。3例患者分别于术后3、9、11个月死于并存的内科疾病。术后大腿疼痛共7例,PFNA组6例,Inter Tan组1例。PFNA组1例出现螺旋刀片切出股骨头。随访终点PFNA组、Inter Tan组Harris评分总体疗效优良率分别为87%和88.9%。[结论]PFNA与Inter Tan均具有操作简便、手术时间短、出血量少等优点,是治疗老年股骨粗隆间骨折有效的治疗方法,如能进一步设计改良,将更能提高手术疗效。 展开更多
关键词 股骨粗隆间骨折 PFNA inter TAN
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防旋髓内钉和InterTan固定A3型股骨转子间骨折:生物力学变化的有限元分析 被引量:12
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作者 刘建斌 刘敏 +3 位作者 马林 崔忠宁 刘明 郭惠康 《中国组织工程研究》 CAS 北大核心 2015年第26期4242-4246,共5页
背景:股骨转子间骨折是髋部常见骨折之一,伴随着老年骨质疏松以及高能量伤,骨折线常常下移导致A3型股骨转子间骨折,治疗困难。常见的髓内固定包括股骨近端防旋髓内钉和Inter Tan等,由于其具有较高的稳定性和微创性,得到了广泛的应用。目... 背景:股骨转子间骨折是髋部常见骨折之一,伴随着老年骨质疏松以及高能量伤,骨折线常常下移导致A3型股骨转子间骨折,治疗困难。常见的髓内固定包括股骨近端防旋髓内钉和Inter Tan等,由于其具有较高的稳定性和微创性,得到了广泛的应用。目的:通过有限元分析的方法比较股骨近端防旋髓内钉和InterT an修复股骨转子间A3型骨折的生物力学稳定性。方法:分别建立AO3.1,3.2,3.3型股骨转子间骨折及股骨近端防旋髓内钉和InterT an两种内固定的三维有限元模型,按骨科要求予以固定,观察不同模型股骨、内固定的应力分布,比较股骨及内固定模型不同区域的应力峰值,分析其生物力学稳定性。结果与结论:AO3.1型骨折股骨近端防旋髓内钉组股骨侧应力集中在股骨近端外侧,InterT an组股骨侧应力集中在股骨近端内侧;AO3.2型骨折两种内固定系统股骨侧各个区域均无明显应力集中;AO3.3型骨折股骨近端防旋髓内钉组股骨侧应力集中在股骨近端内侧及内固定远端内侧,InterT an组股骨侧无明显应力集中。6种模型内固定远端应力均集中在内侧,其中股骨近端防旋髓内钉组应力大于InterT an组;内固定远端内外侧应力差值股骨近端防旋髓内钉组大于InterT an组;除股骨近端防旋髓内钉固定AO3.3型骨折外,其余5种模型应力峰值均位于头钉与主钉交叉处内侧。提示AO3.1和AO3.3型骨折中,InterT an比股骨近端防旋髓内钉具有更好的稳定性,AO3.2型骨折中,二者稳定性无明显差异;采用InterT an修复股骨转子间骨折时股骨端应力分布更加合理。 展开更多
关键词 植入物 骨植入物 股骨转子间骨折 股骨近端防旋髓内钉 inter TAN
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InterTAN治疗老年股骨转子间骨折疗效的影响因素分析 被引量:11
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作者 高冲 徐静 +1 位作者 宫福良 李杰 《实用医学杂志》 CAS 北大核心 2014年第22期3638-3640,共3页
目的:探讨多因素对于Inter TAN治疗老年股骨转子间骨折疗效的影响,为其合理治疗提供临床依据。方法:回顾分析2010年4月至2012年10月期间收治的老年股骨转子间骨折115例。回顾期间的5个相关影响因素:致病原因、年龄、骨折类型、手术... 目的:探讨多因素对于Inter TAN治疗老年股骨转子间骨折疗效的影响,为其合理治疗提供临床依据。方法:回顾分析2010年4月至2012年10月期间收治的老年股骨转子间骨折115例。回顾期间的5个相关影响因素:致病原因、年龄、骨折类型、手术时机、术后康复。采用Harris评分及患者满意度评价术后疗效。首先进行单因素分析。计数资料、等级分组资料采用χ2检验,将单因素分析后P〈0.05的因素进行Logistic回归分析。结果:随访6~36个月[平均(12.2±4.6)个月]。末次Harris功能评分:52~98分,平均(73.6±10.4)分,依据评判标准结果:优72例,良28例,一般15例,差0例,优良率86.95%。单因素分析,术后疗效不受年龄、致病原因影响。Logistic回归分析:骨折类型系数值=-1.508,P=0.003;手术时机系数值=-1.419,P=0.009;术后康复系数值1.351,P=0.000。结论:股骨转子间骨折使用Inter TAN治疗,临床疗效满意。建议尽早行手术治疗,并进行术后康复锻炼。 展开更多
关键词 股骨转子间骨折 inter TAN LOGISTIC分析
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颈椎前路减压Inter Fix椎体间融合 被引量:6
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作者 陈德玉 贾连顺 +5 位作者 倪斌 肖建如 沈强 叶晓健 陈雄生 王新伟 《临床骨科杂志》 2001年第1期17-19,共3页
目的 观察颈椎前路减压InterFix椎体间融合的稳定性及融合效果。方法 采用前路减压InterFix椎体间融合术治疗颈椎病及颈椎间盘突出症 2 7例 ,术后定期摄颈椎X线片检查 ,观察手术椎节的稳定性和融合情况。结果 随访 7~ 19个月 ,术后... 目的 观察颈椎前路减压InterFix椎体间融合的稳定性及融合效果。方法 采用前路减压InterFix椎体间融合术治疗颈椎病及颈椎间盘突出症 2 7例 ,术后定期摄颈椎X线片检查 ,观察手术椎节的稳定性和融合情况。结果 随访 7~ 19个月 ,术后次日即下床活动 ,手术节段稳定 ,术后 3~ 4个月融合。结论 InterFix颈椎椎体间固定融合技术使施术椎节立即稳定 ,避免了自体植骨引起的并发症 ,可作为颈椎前路减压后椎体间融合的一种方法。 展开更多
关键词 inter FIX 颈椎病 颈椎间盘突出症 脊柱融合术 治疗
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Inter Tan、PFNA在治疗老年股骨粗隆间骨折加压作用的对比研究 被引量:7
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作者 刘星明 王彦人 +1 位作者 卫陈刚 张涛 《河北医药》 CAS 2015年第1期78-79,共2页
目的比较Inter Tan和PFNA两种方法治疗老年股骨粗隆间骨折加压固定后的加压效果。方法 59例老年股骨粗隆间骨折患者随机分为2组,分别给予Inter Tan(n=39例)和PFNA(n=20例)治疗,X线随访2组患者术前、术后即时、术后4周和术后24周时骨折... 目的比较Inter Tan和PFNA两种方法治疗老年股骨粗隆间骨折加压固定后的加压效果。方法 59例老年股骨粗隆间骨折患者随机分为2组,分别给予Inter Tan(n=39例)和PFNA(n=20例)治疗,X线随访2组患者术前、术后即时、术后4周和术后24周时骨折分离距离。结果 Inter Tan和PFNA两种方法治疗患者术前、术后即时和术后24周时骨折分离距离差异均无统计学意义(P>0.05),但是在术后4周时发现PFNA组有20.0%患者有骨折线增宽表现,而Inter Tan组仅为5.1%,组间比较差异有统计学意义(P<0.05)。结论 Inter Tan固定系统由于具有双螺钉交锁加压作用,在粗隆间骨折患者骨折复位后二次加压及持续维持加压作用方面,优于PFNA固定系统。 展开更多
关键词 inter TAN PFNA 老年粗隆间骨折 加压
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G形臂X线机透视下闭合复位InterTan髓内钉固定治疗股骨近端骨折41例 被引量:5
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作者 刘运晃 姜华 +3 位作者 孙小平 王明新 刘水涛 邢更彦 《武警医学》 CAS 2016年第1期72-74,共3页
老年人容易发生股骨近端骨折,包括股骨颈骨折、股骨粗隆骨折、股骨粗隆下骨折。尽管外科技术发展很快,但对股骨近端骨折的固定方式还存在一些争议,大多采用关节置换的方法,效果较好,但可造成较大创伤。近年来有专家认为,对老年股骨颈骨... 老年人容易发生股骨近端骨折,包括股骨颈骨折、股骨粗隆骨折、股骨粗隆下骨折。尽管外科技术发展很快,但对股骨近端骨折的固定方式还存在一些争议,大多采用关节置换的方法,效果较好,但可造成较大创伤。近年来有专家认为,对老年股骨颈骨折可选择性的进行关节置换,可采用G形臂X线机透视辅助下闭合复位手术[1]。 展开更多
关键词 G形臂 闭合复位 inter Tan髓内钉 股骨近端骨折
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TRIGEN InterTan系统与PFNA内固定治疗老年股骨粗隆间骨折疗效分析 被引量:12
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作者 马彦成 陈爱民 杨鹏 《中国骨与关节损伤杂志》 2015年第6期630-631,共2页
目的比较TRIGEN Inter Tan系统与股骨近端防旋髓内钉(PFNA)内固定治疗老年股骨粗隆间骨折的疗效。方法自2010-01—2012-10分别采用TRIGEN Inter Tan(Smith&Nephew公司提供)和PFNA(康辉公司提供)内固定治疗56例老年股骨粗隆间骨折... 目的比较TRIGEN Inter Tan系统与股骨近端防旋髓内钉(PFNA)内固定治疗老年股骨粗隆间骨折的疗效。方法自2010-01—2012-10分别采用TRIGEN Inter Tan(Smith&Nephew公司提供)和PFNA(康辉公司提供)内固定治疗56例老年股骨粗隆间骨折,其中Inter Tan内固定31例,PFNA内固定25例。比较2组手术时间、术中出血量、住院时间及髋关节功能Harris评分。结果 56例均获得平均17.3(9~20)个月随访,1例出现伤口脂肪液化延期愈合,其余无明显并发症。末次随访时骨折均骨性愈合,患者行走能力达到骨折前水平。与Inter Tan组相比,PFNA组手术时间较短、术中出血量较少,差异有统计学意义(P〈0.05)。2组住院时间、骨折愈合时间、末次随访时髋关节功能Harris评分差异均无统计学意义(P〉0.05)。结论 TRIGEN Inter Tan系统和PFNA均是治疗老年股骨粗隆间骨折的有效手术方法。 展开更多
关键词 股骨粗隆间骨折 TRIGEN inter TAN 股骨近端防旋髓内钉 内固定 老年
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InterTan与PFN-A治疗老年股骨粗隆间骨折的疗效比较 被引量:3
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作者 马学忠 王剑 +2 位作者 赵志彩 刘兴华 石金柱 《实用老年医学》 CAS 2018年第6期588-590,共3页
由于人口老龄化的加剧,老年人群数量逐渐增多。据统计,髋部骨折在老年病人中最为常见,而粗隆间骨折约占髋部骨折的50%,并以每年1%~3%的比例增长。随着医疗水平的发展,内固定材料取得长足的进步,手术治疗成为老年股骨粗隆间骨折的主要... 由于人口老龄化的加剧,老年人群数量逐渐增多。据统计,髋部骨折在老年病人中最为常见,而粗隆间骨折约占髋部骨折的50%,并以每年1%~3%的比例增长。随着医疗水平的发展,内固定材料取得长足的进步,手术治疗成为老年股骨粗隆间骨折的主要治疗方式。本研究通过回顾性分析92例老年股骨粗隆间骨折病人的临床资料,探究Inter Tan与P FN-A治疗老年股骨粗隆间骨折的疗效,现报告如下。 展开更多
关键词 老年股骨粗隆间骨折 治疗方式 疗效 人口老龄化 内固定材料 inter 老年人群 老年病人
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Inter Tan系统治疗老年股骨转子间骨折19例 被引量:2
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作者 刘韦兵 卢建树 +1 位作者 贾玉庆 孙大辉 《中国老年学杂志》 CAS CSCD 北大核心 2013年第6期1427-1428,共2页
据统计,1990年全球与骨质疏松有关的股骨近端骨折患者约166万,预计2050年可能达到626万,69岁以上老年患者髋部骨折病死率高,其中股骨转子间骨折死亡率约15%~20%〔1〕。为了尽量减少老年患者保守治疗并发症的发生,老年转子间骨折临床上... 据统计,1990年全球与骨质疏松有关的股骨近端骨折患者约166万,预计2050年可能达到626万,69岁以上老年患者髋部骨折病死率高,其中股骨转子间骨折死亡率约15%~20%〔1〕。为了尽量减少老年患者保守治疗并发症的发生,老年转子间骨折临床上首选内固定治疗,可供选择的内固定方法很多〔2,3〕,但由于老年人骨质的特殊性,现有的内固定器材都很难满足老年患者股骨转子间骨折的治疗需求。新一代股骨近端顺行联合拉力交锁髓内(Inter Tan)系统的问世,给老年股骨转子间骨折的治疗提供了新的途径。本文就应用Inter Tan系统治疗老年股骨转子间骨折进行临床分析。 展开更多
关键词 inter Tan系统 转子间 骨折
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