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A Rare Case Report of Impacted Metallic Rhinolith 金属鼻石撞击1例报道
Pub Date : 2019-02-04 DOI: 10.5958/2321-1024.2019.00007.2
Abhayjeet Singh, P. Athwal, Harsimrat Singh, A. Roy, V. P. Venketachalam
Introduction Rhinolithiasis is an uncommon condition. It is usually confused with both benign and malignant nasal tumors. They have various clinical presentations. Case Presentation We report a rare case of rhinolith due to inhalation of industrial fumes. The patient presented to the OPD of Saraswathi institute of medical sciences, hospital with history of nasal obstruction, yellowish nasal discharge, frequent headache and epistaxis of 3 months duration. The patient was an industrial worker by profession and gave history of inhalation of industrial fumes (zinc oxide). After taking a thorough history of the patient local examination including anterior rhinoscopy and nasal endoscopy was carried out. Nasal endoscopy revealed a greyish irregular densely impacted solid mass. Computed tomography (CT) scan of nose and paranasal sinuses showed a radiopaque mass in right and left side of nasal cavity. Rhinolith was removed endoscopically under general anaesthesia, leading to the complete resolution of his symptoms. Discussion Diagnosis of rhinolithiasis can be made by keeping a strong suspicion based upon history and symptoms. The current case report shows the importance of rigid nasal endoscopy and radiological assessment in diagnosis and management of rhinolith.
鼻石症是一种罕见的疾病。它通常与良性和恶性鼻肿瘤混淆。它们有不同的临床表现。我们报告一例因吸入工业废气而致鼻石的罕见病例。患者就诊于Saraswathi医学研究所门诊,有鼻塞、淡黄色鼻分泌物、频繁头痛和鼻出血病史,病程3个月。患者为工业工人,有工业烟气(氧化锌)吸入史。在对患者进行全面的病史调查后,进行了包括前鼻镜和鼻内窥镜在内的局部检查。鼻内窥镜检查显示一灰色不规则致密实性肿块。鼻及鼻窦电脑断层扫描显示左、右鼻腔有一不透射线肿块。鼻石在全身麻醉下被内镜切除,导致他的症状完全消失。鼻石症的诊断可以根据病史和症状保持强烈的怀疑。目前的病例报告显示刚性鼻内窥镜检查和放射学评估在鼻结石的诊断和治疗中的重要性。
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引用次数: 3
Study of Autonomic Functions in Patients with Non-Specific Low Back Pain 非特异性腰痛患者自主神经功能的研究
Pub Date : 2019-02-04 DOI: 10.5958/2321-1024.2019.00006.0
Nishant Kashyap, Jhillmill Kumari, W. Ahmad, Santosh Kumar
Aim and Objectives To evaluate parasympathetic and sympathetic reactivity and assess any derangement in either or both of the limb of autonomic functions in patients of non specific chronic low back pain. Introduction Non specific chronic low back pain (nCLBP) is prevalent among adults and often leads to functional limitations, psychological symptoms, lower quality of life, and expenditure on health care. The focus of autonomic function and health has been cardiovascular diseases; musculoskeletal syndromes have been paid much less attention. However, there are many epidemiological and other studies suggesting that there is a connection between musculoskeletal disorders and psychological risk factors such as stress. Material and Method Male patients within the age group of 24–45 years(n= 40), who had a history suggesting chronic non specific low back pain were recruited from Orthopedics OPD and the control were the age and BMI matched healthy young adults within the same age bracket as that of study group. Autonomic function was assessed by using conventional autonomic function test. The data collected was evaluated using SPSS 17. Unpaired student “t” test was applied to compare the results P-value ˂ 0.05 was taken as statistically significant. Result The E: I ratio of control group was1.85±0.14 and in study group it1.30±0.17, the difference being statistically significant, Similar observation was made for other parasympathetic reactivity test like 30: 15 ratio. Conclusion Our results and review of literature make us of the view that parasympathetic activity decreases in patients of non specific chronic low back pain.
目的和目的评估非特异性慢性腰痛患者的副交感神经和交感神经反应性,并评估任何一方或双方肢体自主神经功能的紊乱。非特异性慢性腰痛(nCLBP)在成年人中普遍存在,通常导致功能限制、心理症状、生活质量降低和医疗保健支出。自主神经功能与健康的焦点一直是心血管疾病;肌肉骨骼综合症的关注要少得多。然而,有许多流行病学和其他研究表明,肌肉骨骼疾病与压力等心理风险因素之间存在联系。材料与方法从骨科门诊招募年龄在24-45岁、有慢性非特异性腰痛病史的男性患者(n= 40),对照组为与研究组年龄和BMI相匹配的同龄健康青年。采用常规自主神经功能测试法评估自主神经功能。收集的数据使用SPSS 17进行评估。采用Unpaired student " t "检验比较结果,p值小于0.05被认为具有统计学意义。结果对照组的E: I比值为1.85±0.14,研究组的E: I比值为1.30±0.17,差异有统计学意义,其他副交感神经反应性试验的E: I比值为30:15,差异有统计学意义。结论我们的研究结果和文献综述使我们认为非特异性慢性腰痛患者的副交感神经活动减少。
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引用次数: 0
A Retrospective Study on Use of Neostigmine for Management of Non Mechanical Bowel Obstruction 新斯的明治疗非机械性肠梗阻的回顾性研究
Pub Date : 2019-02-04 DOI: 10.5958/2321-1024.2019.00011.4
Pradeep Kumar, V. Saxena, Sohal Pal Singh, U. Singh, Nitin Chauhan, V. Mittal
Introduction In this study we study the role of neostigmine in nonmechanical bowel obstruction either it may be due to post operative ileus or may be due to some severe illness like pancreatitis and liver abcess. In post operative ileus normal bowel function can be affected by three main mechanism: neurogenic, inflammatory mediators and gastrointestinal hormones. In GI system parasympathetic system increase gut motility while sympathetic system inhibit gut motility.. After major surgeries sympathetic nervous system tends to be more active than parasympathetic one which causes ileus. Method All patients  receive 2.5 mg of neostigmine IV (diluted in 10 ml normal salie) over a period of five minutes. All patients were monitored by electrocardiography; atropine and glycopyrolate was kept ready on bedside and 1.0 mg was given intravenously in case of symptomatic bradycardia. Results In our study we retrospectively analyzed 45 patients. Out which 28 were male and 17 patients were female. Male to female ratio was 1.65: 1. The patient ranged from 18 years to 70 years. 27 patients showed improvement in clinical symptoms(passed flatus and faeces) after 3 to 5 minutes, 12 patients showed improvement in 5 to 10 minutes and 4 patients showed improvement in more than 10 minutes. 2 patients was not improved till one hour after injecting neostigmine. Symptomatic bradycardia was seen in 3 (∼7%) patient. In two patient pulse rate was decreased upto 36. Abdominal pain was the most commen side effect noticed in 23 (∼51%) of patients, excessive salivation(∼30%) and vomiting(∼20%) were second and third most commen side effect respectively. Conclusion On the basis of our findings we can suggest that it is feasible to use neostigmine in non mechanical bowel obstruction.
在这项研究中,我们研究了新斯的明在非机械性肠梗阻中的作用,这种肠梗阻可能是由于术后肠梗阻,也可能是由于一些严重的疾病,如胰腺炎和肝脓肿。术后肠梗阻的正常肠功能主要受三种机制的影响:神经源性、炎症介质和胃肠激素。胃肠系统副交感神经系统增加肠道运动,而交感神经系统抑制肠道运动。大手术后,交感神经系统往往比副交感神经系统更活跃,从而导致肠梗阻。方法所有患者均给予2.5 mg新斯的明IV(稀释于10 ml正常唾液中),持续5分钟。所有患者均采用心电图监测;床边备妥阿托品和甘copyrolate,如有症状性心动过缓,静脉给予1.0 mg。结果在我们的研究中,我们回顾性分析了45例患者。其中男性28例,女性17例。男女比例为1.65:1。患者年龄从18岁到70岁不等。27例患者3 ~ 5分钟后临床症状(排便、排气)改善,12例患者5 ~ 10分钟改善,4例患者10分钟以上改善。2例患者注射新斯的明1小时后才好转。3例(约7%)患者出现症状性心动过缓。有两个病人的脉搏率下降到36次。在23例(~ 51%)患者中,腹痛是最常见的副作用,多涎(~ 30%)和呕吐(~ 20%)分别是第二和第三常见的副作用。结论新斯的明治疗非机械性肠梗阻是可行的。
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引用次数: 1
A Study of Minimally Invasive Percutaneous Plate Osteosynthesis with Locking Compression Plate for Distal Tibial Fractures 微创经皮锁定加压钢板内固定治疗胫骨远端骨折的研究
Pub Date : 2013-07-10 DOI: 10.5958/J.2321-1024.1.2.041
R. Bhatia, S. Gupta, F. Khan
Introduction: Distal tibial fractures present a serious challenge, often requiring operative treatment but are very difficult to deal with. Fixation with locking compression plate (LCP) by minimally invasive percutaneous plate Osteosynthesis (MIPPO) technique has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanically sound fixation. The aim of this study was to find out the results of MIPPO with LCP for distal tibial fractures in our set up. Method: Twenty nine patients were treated by minimally invasive technique (MIPPO with LCP) for distal tibial fracture, only 24 patients were having proper follow-up. These 24 patients-(AO classification: 14 type A, 5 type B & 5 type C) were prospectively followed up. Twenty two male and two female patients with a mean age of 35 years were included. Results: In our study 17 (70.83%) patients had excellent results, 6(25%) patients had good results & 1(4.17 %) patient was having poor result. One patient had delayed union & required bone grafting. Malleolar skin irritation and pain due to prominent hardware was observed in two patients. One patient had hardware failure due to non-compliance. Another patient had infection in fibular fixation site that required hardware removal. Conclusion: The MIPPO technique for distal tibia has shown good results with many additional advantages over the conventional methods. It appears to be a reliable & effective method of stabilisation for these fractures. Rigid fixation allows the patient to be mobilized earlier & complications like displacement, contractures & stiffness can be avoided.
胫骨远端骨折是一个严重的挑战,通常需要手术治疗,但很难处理。微创经皮钢板成骨(MIPPO)技术的锁定加压钢板(LCP)固定已成为一种替代治疗选择,因为它尊重胫骨远端和骨折血肿的生物学特性,并提供生物力学上良好的固定。本研究的目的是找出MIPPO与LCP治疗胫骨远端骨折的结果。方法:对29例胫骨远端骨折患者采用微创技术(MIPPO + LCP)治疗,其中24例进行了随访。对24例患者(AO分型:A型14例,B型5例,C型5例)进行前瞻性随访。包括22名男性和2名女性患者,平均年龄35岁。结果:优17例(70.83%),良6例(25%),差1例(4.17%)。1例患者延迟愈合,需要植骨。2例患者因硬体突出引起踝部皮肤刺激和疼痛。一名患者因不遵守规定而发生硬件故障。另一名患者腓骨固定部位感染,需要取下固定物。结论:MIPPO技术在胫骨远端有较好的效果,与传统方法相比有许多优点。这似乎是稳定这些骨折的可靠和有效的方法。刚性固定可使患者更早活动,避免移位、挛缩和僵硬等并发症。
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引用次数: 1
Study and Evaluation of Cases of Total Condylar Knee Replacement 髁突全膝关节置换术的研究与评价
Pub Date : 2013-07-10 DOI: 10.5958/j.2321-1024.1.2.044
V. Vijay, M. Hardikar
Background: The incidence of chronic disabling conditions of the knee such as osteoarthritis, rheumatoid arthritis, inflammatory arthritis, osteonecrosis are on the rise. So patients prefer to get rid of these conditions permanently and this could be done only by means of Total Knee Replacement. Total knee arthroplasty is a generally effective procedure and is associated with substantial functional improvement. Objectives: 1) To elaborate the role of Total Condylar Knee Replacement in osteoarthritic knees and rheumatoid arthritis. 2) To study the role of Total Knee Replacement in Indian patients keeping in mind their socioeconomic status&habits. Method: In the present study 25 patients with 33 total condylar knee replacements were evaluated in Sushrut Medical care&Research Society's Hardikar Hospital, Pune between July 2008 to June 2010 using Nexgen LPS, high flex, fixed total condylar knee system. Results: The patients were followed up for an average of 1 year (range 6 months to 2 years) after the procedure. According to Knee Society Score, 70% had excellent results, 24% good results and 6% fair results. Conclusion: Osteo arthritic cases showed better results in all parameters of the score as compared to rheumatoid patients. Relief of pain is predictable and often total. Rontgenographic study till last follow up did not show shift of prosthetic components, loosening, ectopic bone formation, though it may be too short a follow up for such evidence.
背景:膝关节慢性致残疾病如骨关节炎、类风湿关节炎、炎症性关节炎、骨坏死的发病率呈上升趋势。所以患者更愿意永久摆脱这些状况这只能通过全膝关节置换术来实现。全膝关节置换术通常是一种有效的手术,并能显著改善患者的功能。目的:1)探讨全髁膝关节置换术在骨性膝关节炎和类风湿关节炎中的作用。2)考虑印度患者的社会经济状况和习惯,研究全膝关节置换术在印度患者中的作用。方法:对2008年7月至2010年6月在普纳Sushrut医疗与研究学会的Hardikar医院采用Nexgen LPS高屈曲固定全髁膝关节系统进行的25例33例全髁膝关节置换术进行评估。结果:术后平均随访1年(6个月~ 2年)。根据膝关节社会评分,70%的人表现优异,24%的人表现良好,6%的人表现一般。结论:骨关节炎患者的各项评分指标均优于类风湿患者。疼痛的缓解是可以预见的,而且往往是完全的。到最后随访的x线造影研究未发现假体部件移位、松动、异位骨形成,尽管随访时间可能太短,无法获得这些证据。
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引用次数: 0
Ruptured Rudimentary Horn Pregnancy at 20 Weeks of Gestation in a Primigravida: a Case Report 孕20周初生角破裂1例报告
Pub Date : 2013-07-10 DOI: 10.5958/J.2321-1024.1.2.033
B. Girija, T. Sudha, Rajeshwari, S. Shridhar, Poornima
Unicornuate uterus occurs due to a complete or partial non development of one mullerian duct1. Sometimes it is associated with a rudimentary horn, which may consist of functional cavity which is usually non - communicating or it may be small solid muscle with no functional endometrium. Pregnancy in rudimentary horn is rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis is usually made at laparotomy. Ultrasound may help in pre-operative diagnosis. A case of 37 yr old primigravida with acute abdomen is reported here. Laparotomy revealed unicornuate uterus with rupture of rudimentary horn on left side. The incidence, diagnosis and management of such cases are discussed.
单角子宫是由于一个苗勒管完全或部分未发育所致。有时它与一个初级角相关联,它可能由功能腔组成,通常没有交通,或者它可能是小的固体肌肉,没有功能子宫内膜。角胚妊娠很少见,通常在妊娠早期或中期破裂终止。诊断通常在剖腹手术时进行。超声可能有助于术前诊断。本文报告一例37岁初产妇急腹症。剖腹探查显示子宫呈独角状,左侧子宫角破裂。本文对此类病例的发生率、诊断及处理进行了讨论。
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引用次数: 0
A Study of Urinary Tract Infections in Patients with Catheter in Tertiary Care Hospital in Western Uttar Pradesh 北方邦西部三级医院导尿患者尿路感染的研究
Pub Date : 2013-07-10 DOI: 10.5958/J.2321-1024.1.2.036
S. Dimri, H. Sharma, S. Datta, D. Gupta
Aim: The aim of this study was to determine microorganisms responsible for urinary tract infections (UTI) in patients with indwelling urinary catheter and their antibiotic susceptibility patterns to commonly used antibiotics. Subjects and Method: The study was carried out from April 2011 to January 2012 on 108 patients with indwelling urinary catheters. The organisms were isolated by conventional culture methods and identified by conventional biochemical methods. The antibiotic susceptibility pattern was determined by Kirby-Bauer disc diffusion method on Muller-Hinton agar. Results: In this study, 93 (86.1%) patients were found to be culture positive for microbial pathogens in their urine samples. Escherichia coli (50.5%) was the most frequently isolated bacteria followed by Klebsiella species (14%) and Pseudomonas aeruginosa (10.8%). The in-vitro susceptibility pattern of frequently isolated gram negative bacteria shows high resistance to commonly used antibiotics such as ampicillin, amoxicillin+clavulanic acid and fluoroquinolones. Carbapenems and amikacin were found to be the most effective antibiotics for frequently isolated gram negative bacteria. Conclusion: Emphasis should be placed on good catheter management rather than using prophylactic antibiotic therapy to reduce the incidence of catheter associated urinary tract infection.
目的:探讨留置导尿患者尿路感染的病原微生物及其对常用抗生素的药敏模式。对象与方法:对2011年4月至2012年1月108例留置导尿患者进行研究。采用常规培养方法分离微生物,采用常规生化方法鉴定。采用Kirby-Bauer圆盘扩散法在Muller-Hinton琼脂上测定其药敏谱。结果:93例(86.1%)患者尿液微生物病原菌培养阳性。大肠杆菌(50.5%)是最常见的分离菌,其次是克雷伯菌(14%)和铜绿假单胞菌(10.8%)。常见革兰氏阴性菌的体外药敏模式对氨苄西林、阿莫西林+克拉维酸、氟喹诺酮类等常用抗生素均有较高耐药性。碳青霉烯类和阿米卡星是常见革兰氏阴性菌最有效的抗生素。结论:应重视良好的导尿管管理,而不是预防性使用抗生素治疗,以减少导尿管相关性尿路感染的发生。
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引用次数: 2
A Study to Assess the Effectiveness of Nesting on Posture and Movements among Preterm Babies in Selected Hospitals at Mysore 在迈索尔选定的医院评估筑巢对早产儿姿势和动作的有效性的研究
Pub Date : 2013-07-10 DOI: 10.5958/J.2321-1024.1.2.024
N. Joseph, K. Ambika, S. J. Williams
Background: Preterm babies are the most vulnerable group to get adjusted to the new environment. Following birth, the first few months acts as a transitory period during which the baby adjusts from the aquatic to the aerial environment. As a result, the way in which baby is positioned throughout this time is very important and his posture dictates the level of his wellbeing. Promoting good positioning and encouraging opportunities for flexion can prevent the problems like motor coordination, balance and posture difficulties. The correct positioning will help the baby to develop good posture and improve muscle control. Method: In this study, a quasi-experimental control group pretest- posttest design was used and non probability convenience sampling technique was adopted to select 60 preterm babies, both in experimental and control group. Pilot study was conducted, the tool and study design were found to be feasible. Data were collected using structured observation checklist for posture and movement. An intervention, nesting was provided for the experimental group. The data were collected and analyzed using descriptive and inferential statistics. Results: The result of the study revealed that the significance of difference between the mean pretest and post test posture score which was statistically tested using paired 't' test and was found to be highly significant at 0.05 level of significance.(t(29) = 5.42 in post test 1, 46.14 in post test 2 and 56.82 in post test 3 ; (p < 0.05) and the significance of difference between the mean post test posture score between experimental and control group which was statistically tested using independent 't' test was found to be highly significant at 0.05 level of significance t(58) = 7.41, 7.89 and 8.49; (p < 0.05 ). The significance of difference between the mean pretest and mean post test movement score which was statistically tested using paired 't' test was found to be highly significant at 0.05 level of significance.(t(29) = 36.94 in post test 1, 15.59 in post test 2 and 22.80 in post test 3 ; p< 0.05 ) and the significance of difference between the mean post test movement score between experimental and control group which was statistically tested using independent t test was found to be highly significant at 0.05 level of significance. (t(58) = 8.12, 5.26 and 4.88 ; p < 0.05 ). The result shows that the posture and movement score had no significant association with their selected personal variables. Conclusion: Therefore, the study concluded that the nesting was an effective method to maintain the normal posture and movement of preterm babies.
背景:早产儿是最容易适应新环境的群体。出生后的头几个月是婴儿从水生环境适应到空中环境的过渡时期。因此,在这段时间里,宝宝的姿势是非常重要的,他的姿势决定了他的健康水平。促进良好的定位和鼓励屈曲的机会可以防止运动协调,平衡和姿势困难等问题。正确的体位有助于宝宝养成良好的姿势,提高肌肉控制能力。方法:本研究采用准实验对照组前测-后测设计,采用非概率方便抽样技术,选取60例早产儿,分别为实验组和对照组。进行了初步研究,发现工具和研究设计是可行的。数据收集采用结构化观察表的姿势和运动。实验组采用套巢干预。数据收集和分析使用描述性和推理统计。结果:研究结果显示,前测和后测姿势均分差异显著,采用配对t检验进行统计学检验,在0.05显著水平上具有高度显著性(t(29) = 5.42后测1,46.14后测2,56.82后测3;(p < 0.05),试验组与对照组平均测后姿势评分差异在0.05水平下显著性显著,t(58) = 7.41、7.89、8.49;(p < 0.05)。前测均值与后测均值运动得分差异采用配对t检验,在0.05显著水平上有高度显著性,后测1 t(29) = 36.94,后测2 t(15.59),后测3 t(22.80);P < 0.05),试验组与对照组的平均测后运动得分差异在0.05显著水平上,采用独立t检验进行统计学检验,差异有高度显著性。(t(58) = 8.12, 5.26, 4.88;P < 0.05)。结果表明,姿态和运动得分与他们选择的个人变量没有显著的相关性。结论:因此,本研究认为,筑巢是维持早产儿正常体态和运动的有效方法。
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引用次数: 2
A Study of Incidence and Clinical Presentation of Deviated Nasal Septum in Western UP 西部地区鼻中隔偏曲的发病率及临床表现研究
Pub Date : 2013-07-10 DOI: 10.5958/J.2321-1024.1.2.043
Vandana Singh, Rameshwari Singhal
Septal deformity is of two kinds, which may occur independently, or together: 1) anterior cartilage deformity of the quadrilateral septal cartilage, caused by direct trauma or pressure at any age; and 2) combined septal deformity involving all the septal components, caused by compression across the maxilla from pressures occurring during pregnancy or parturition. This is part of a facial deformity. The incidence of septal deformity and symptoms attributed by it was investigated in 50 patients in the out door of Saraswathi Institute of Medical Sciences. It seems that the focus of attention in the recent studies have been shown towards finding out the incidence of deviated nasal septum in the general population. This possibility suggest that majority of the authors believed that the septal deviation may be considered to be present in all but gains significance only when it is severe enough to cause disturbances in the physiology of nose. Result: The present study showed the incidence of septal deviation to be maximum in the age group of 21-30 yrs in which males were around 74% and females being 26%. In this students were found more affected that was around 30%. Trauma was found to be the aetiological factor of septal deviation and nasal blockage was the one of the major responses to this deviation. Conclusion: Septal deviation is considered to be present in all but it gains significance only when it is severe enough to cause disturbance in the normal physiology of nose leading to clinical presentation of sinusitis.
鼻中隔畸形分两种,可单独发生,也可同时发生:1)鼻中隔四边形软骨前软骨畸形,任何年龄直接外伤或压力所致;2)合并的中隔畸形,包括所有的中隔组成部分,由妊娠或分娩时的压力压迫上颌骨引起。这是面部畸形的一部分。本文对Saraswathi医学科学研究所50例室间隔畸形的发生率及其引起的症状进行了调查。近年来研究的焦点似乎已显示在找出一般人群中鼻中隔偏曲的发生率。这种可能性表明,大多数作者认为,鼻中隔偏曲可以被认为是存在于所有,但只有当它严重到足以引起鼻子生理紊乱时才有意义。结果:21 ~ 30岁年龄组中室间隔偏曲发生率最高,其中男性约占74%,女性约占26%。在这个实验中,学生受到的影响更大,约为30%。外伤是鼻中隔偏曲的病因,鼻阻塞是鼻中隔偏曲的主要反应之一。结论:所有鼻中隔偏曲均可被认为是存在的,但只有当其严重到足以扰乱鼻子的正常生理机能而导致鼻窦炎的临床表现时才有意义。
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引用次数: 0
Morphometric Study of Sacral Hiatus with Significance in Interventional Clinical Procedure 骶骨裂孔形态计量学研究在介入临床手术中的意义
Pub Date : 2013-07-10 DOI: 10.5958/J.2321-1024.1.2.031
R. P. Gupta, N. Gupta, A. Rai
Introduction: The sacral hiatus is an important portal for interventional clinical procedure. Identification of sacral hiatus is usually easy but sometime it becomes difficult particularly in obese person. Aim of present study was to identify additional anatomical landmarks to increase the success rate of trans-sacral hiatal procedure. Methodology: The morphometric study was conducted on 31undamaged adult sacra. The measurements were done with the help of Vernier caliper and goniometer. Results : The posterior superior iliac spines impose upon upper part of lateral sacral crest (superolateral crest). The distance between two superolateral crests was considered as the base and distance from two superolateral crests to apex of sacral hiatus as two sides of the triangle. The base, right side and left side of the triangle were 65.81 mm ± 4.00mm, 66.74 mm ± 6.18 mm and 66.84mm ± 6.07m respectively. The mean depth (AP diameter) of sacral canal at the apex of sacral hiatus was 4.17 mm ± 1.18 mm. An additional important landmark, the mean distance from the level of sacral cornua to the level of S2 foramina was 59.23mm ± 4.77mm. Conclusion: The triangle formed by the two superolateral crests and apex of the sacral hiatus was an equilateral triangle in most of the sacra and this is very important parameter in localization of sacral apex in transacral hiatal procedures. The AP diameter of sacral canal at the apex was adequate for passage of needle and endoscope in most of the specimens.
前言:骶骨裂孔是介入临床手术的重要入口。骶骨裂孔的识别通常很容易,但有时会变得困难,特别是对于肥胖的人。本研究的目的是确定额外的解剖标志,以提高经骶裂孔手术的成功率。方法:对31例未损伤成人骶骨进行形态计量学研究。测量是借助游标卡尺和测角仪完成的。结果:髂后上棘作用于骶外侧嵴上部(上外侧嵴)。以两个上外侧嵴之间的距离为基底,以两个上外侧嵴到骶裂孔顶点的距离为三角形的两条边。三角形的基底、右侧、左侧分别为65.81 mm±4.00mm、66.74 mm±6.18 mm、66.84mm±6.07m。骶管裂孔顶端平均深度(AP直径)为4.17 mm±1.18 mm。另一个重要的标志是骶角至骶2孔水平的平均距离为59.23mm±4.77mm。结论:骶骨裂孔的两个上外侧嵴与裂孔顶端形成的三角形在大部分骶骨内为等边三角形,这是经骶裂孔手术中骶骨尖定位的重要参数。大多数标本的骶管顶端AP直径足以通过针和内窥镜。
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引用次数: 1
期刊
International journal of contemporary surgery
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