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人工股骨头置换治疗高龄股骨颈骨折 人工股骨头置换治疗高龄股骨颈骨折
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.053
谢灿光
{"title":"人工股骨头置换治疗高龄股骨颈骨折","authors":"谢灿光","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.053","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.053","url":null,"abstract":"目的 探讨人工股骨头置换术治疗高龄股骨颈骨折的临床疗效.方法应用双极人工股骨头置换治疗75岁以上老年人髋部骨折46例.采用髋关节Harris评分及不同时期髋关节正、侧位X线片进行评估.结果随访3～9年,平均4.2年.本组病例优19例,良14例,中4例,差4例,有5例随访时已死亡,优良率80.5%.X线检查,2例骨水泥周围出现＞2 mm的透亮带.1例发现假体下沉,1例出现髋臼磨损,股骨头中心型突出移位.结论无明显手术禁忌证的高龄股骨颈骨折患者应积极采取人工关节置换术,注意对并存症的治疗和下肢深静脉血栓的预防。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133073064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reid阴道镜评分系统在子宫颈病变诊断中的应用 Reid阴道镜评分系统在子宫颈病变诊断中的应用
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.027
周丽琼
{"title":"Reid阴道镜评分系统在子宫颈病变诊断中的应用","authors":"周丽琼","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.027","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.027","url":null,"abstract":"目的 评价Reid阴道镜评分系统在子宫颈病变诊断中的应用及其价值.方法应用Reid阴道镜观察宫颈细胞病理学异常患者共1359例,对不正常阴道镜图像行RCI评分及诊断,然后在病变最严重的部位取多点病理活检.对于阴道镜检查不满意的病例,用宫颈管扩张器扩张宫颈后再进行阴道镜观察,并行宫颈管刮取术(ECC)作病理检查.结果①1359例中,正常阴道图像538例(39.6%);不正常阴道镜图像744例(54.8%);提示浸润癌的阴道镜图像8例(0.6%);阴道镜检查不满意69例(5.1%);宫颈扩张器扩张颈管后见不正常阴道镜图像27例.②不正常阴道镜图像744例中,RCI评分与组织病理学结果符合者627例,符合率84.3%,不符合117例(15.7%).③该检测方法诊断子宫颈病变的敏感性为91.0%,特异性为80.0%,阳性预测值为84.2%.结论Reid阴道镜评分系统诊断子宫颈病变的结果准确、可靠,有较高的敏感性,且可以减少主观判断,统一诊断观察指标,提高阴道镜诊断的准确性。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132675950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
竹叶青蛇伤致血液功能障碍的特点与救治对策 竹叶青蛇伤致血液功能障碍的特点与救治对策
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.035
李平, 黄爱玲, 梁子敬
{"title":"竹叶青蛇伤致血液功能障碍的特点与救治对策","authors":"李平, 黄爱玲, 梁子敬","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.035","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.035","url":null,"abstract":"目的 探讨竹叶青蛇伤致血液功能障碍的特点与临床救治对策.方法分析了竹叶青蛇咬伤病人59例的血液学方面变化特点和临床过程.结果本组59例中血小板计数152.6±87.8×109/L,降低或进行性下降者46例(78.0%).纤维蛋白原1.58±0.64g/L,＜2g/L者45例(76.3%),其中5例降低至测不出.血白细胞计数、PT、TT、APTT异常率分别为69.5%、67.8%、62.7%、61.0%,3P试验、D-二聚体阳性率分别为40.0%和42.1%.救治措施主要为局部清创破坏毒素,早期足量单用或联用抗蝮蛇毒血清和抗五步蛇毒血清中和蛇毒毒素,改善微循环,必要时补充血小板或纤维蛋白原.本组全部治愈(100%).结论竹叶青蛇伤致血液功能障碍主要表现为血小板、纤维蛋白原降低或进行性下降,PT、TT、APTT延长,甚至出现DIC.早期清创、足量单用或联用抗蝮蛇毒血清和抗五步蛇毒血清、保护血液功能是救治关键。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129061878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Co- relation between Hepatic Tumor Vessel Variations after RFA and RFA Efficacy,and The Monitor of Residues and Reoccurrences RFA后肝肿瘤血管变异与RFA疗效的相关性及残留和复发监测
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.007
陈永富, 伍筱梅, 商健彪, 赖清
{"title":"The Co- relation between Hepatic Tumor Vessel Variations after RFA and RFA Efficacy,and The Monitor of Residues and Reoccurrences","authors":"陈永富, 伍筱梅, 商健彪, 赖清","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.007","url":null,"abstract":"目的 探讨射频消融术(RFA)后肿瘤血管改变与疗效的相关性及残癌的监控.方法35例肝脏肿瘤41个病灶,在接受RFA术后1～12月行CT、肝动脉及间接门静脉造影检查,根据术后CT及DSA造影表现及临床随访,评估RFA术的疗效,并对残留及再生肿瘤病灶实施介入干预.结果RFA术后,在12个月的随访中,24个病灶完全坏死;17个病灶出现残留,13个出现肿瘤再生,表现为残留的肿瘤血管和肿瘤染色,以及新生肿瘤血管和不规则新肿瘤染色灶.经过肝动脉化疗和栓塞治疗后,残留和再生病灶得到控制.结论肝脏肿瘤的供血血管的再通或血管的再生(侧支循环的产生),与肿瘤残留及再生有直接相关性,DSA血管造影应作为监控肿瘤残留的金标准。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132256652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
皮质下动脉硬化性脑病的临床与CT特征 皮质下动脉硬化性脑病的临床与CT特征
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.023
石雁
{"title":"皮质下动脉硬化性脑病的临床与CT特征","authors":"石雁","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.023","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.023","url":null,"abstract":"目的 分析皮质下动脉硬化性脑病(SAE))的临床及CT特点.方法经临床及CT诊断的SAE 42例.根据Goto分型将CT分为Ⅰ、Ⅱ、ⅢⅡ型,用MMSE评分将患者认知功能进行评估.结果①SAE脑白质的缺血程度与年龄有一定的关系(p＜0.05),随着年龄的增长,脑白质缺血程度愈重.②认知功能障碍的程度与脑白质损害范围有关系(p＜0.05),脑白质损害范围愈大,认知功能障碍愈重.结论SAE常见于60岁以上的老人,早期存在智能障碍,逐渐发展为痴呆,应结合CT,提高对本病的早期诊断。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"56 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128801506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathological Study on Rat Model of Deep Venous Thrombosis 大鼠深静脉血栓形成模型的病理研究
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.018
张智辉, 林少芒, 姚燕丹, 张皓, 张柏根
{"title":"Pathological Study on Rat Model of Deep Venous Thrombosis","authors":"张智辉, 林少芒, 姚燕丹, 张皓, 张柏根","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.018","url":null,"abstract":"目的 用SD大鼠建立后肢深静脉血栓(DVT)动物模型,利用此模型进行形态学研究.方法手术结扎下腔静脉和髂总静脉法建立SD大鼠DVT模型,通过肉眼观察和组织学研究DVT模型的股静脉血栓形成情况.结果在手术后6h、12h、24h、2d、4d、8d六个时间点,实验组DVT发生率显著高于对照组;实验组动物股静脉内皮细胞受到损害,白细胞粘附并浸润股静脉壁.结论利用结扎下腔静脉和髂总静脉法可建立SD大鼠DVT模型,白细胞在DVT形成中起重要作用.","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115108730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
血浆置换治疗慢性乙型重型肝炎临床观察 血浆置换治疗慢性乙型重型肝炎临床观察
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.031
牛易, 高洪波, 关家龙, 杨湛
{"title":"血浆置换治疗慢性乙型重型肝炎临床观察","authors":"牛易, 高洪波, 关家龙, 杨湛","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.031","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.031","url":null,"abstract":"目的 观察血浆置换对慢性乙型重型肝炎不同期的临床效果.方法慢性乙型重型肝炎240例分为治疗组120例,对照组120例,2组内科治疗相同,治疗组加用血浆置换治疗,共262次,比较2组临床症状、肝功指标及生存率.结果治疗组早期及中期患者的症状明显好转,肝功能指标好转、生存率明显高于对照组同期患者,治疗组晚期患者部分肝功能指标好转,但症状及生存率无明显改变.结论血浆置换治疗有助于提高早中期慢性乙型重型肝炎患者的生存率,而对于晚期患者疗效欠佳。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123294414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
浅表型膀胱癌的生物治疗 浅表型膀胱癌的生物治疗
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.062
尹心宝, 黄健
{"title":"浅表型膀胱癌的生物治疗","authors":"尹心宝, 黄健","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.062","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.062","url":null,"abstract":"","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122664213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
降钙素原的研究现状及在急性胰腺炎的应用 降钙素原的研究现状及在急性胰腺炎的应用
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.063
黄尚书, 于建军
{"title":"降钙素原的研究现状及在急性胰腺炎的应用","authors":"黄尚书, 于建军","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.063","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.063","url":null,"abstract":"","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127028362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CT轴位与冠位扫描对发现鼻咽癌颅底受侵的对比分析 CT轴位与冠位扫描对发现鼻咽癌颅底受侵的对比分析
Journal of Modern Clinical Medical Bioengineering Pub Date : 2006-04-30 DOI: 10.3760/CMA.J.ISSN.1008-634X.2006.02.039
陈勇新, 刘立志, 姚永欢
{"title":"CT轴位与冠位扫描对发现鼻咽癌颅底受侵的对比分析","authors":"陈勇新, 刘立志, 姚永欢","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.039","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.039","url":null,"abstract":"目的 比较CT轴位与冠位扫描对鼻咽癌颅底骨质侵犯的诊断价值.方法208例初诊鼻咽癌同时行鼻咽部轴位与冠位增强扫描,观察记录颅底不同解剖部位的颅底受侵情况,比较不同检查方法的检出率.结果轴位扫描对翼突基底部和翼内外板的检出率较冠状位高,轴位扫描对圆孔的检出率较冠状位低.结论CT轴位与冠位扫描两者相结合,有利于进一步提高颅底骨质受侵的检出率。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132782384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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