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New Frontiers in Medicine and Medical Research Vol. 16最新文献

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Placenta Accreta Presenting as a Placental Polyp: A Rare Case Report 胎盘增生表现为胎盘息肉:一例罕见病例报告
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/13073d
R. Garg, P. Kaur, N. Chopra
A placental polyp is a polypoidal or pedunculated mass of placental tissue that remains in the uterus after delivery or abortion for an indefinite period. For its rarity, there are few references in the literature, and there are many different approaches to diagnosis and management. A rare case of placenta accreta appearing as a uterine polyp is presented. This is the sole case that has been diagnosed and treated conservatively at our hospital. A proper preoperative diagnosis with accurate interpretation of imaging findings and satisfactory curettage or biopsy can prevent unnecessary hysterectomy as was in our case.
胎盘息肉是一种息肉状或带梗的胎盘组织团块,在分娩或流产后无限期地留在子宫内。由于其罕见性,在文献中很少提及,并且有许多不同的诊断和治疗方法。一个罕见的情况下,胎盘增生表现为子宫息肉提出。这是我院唯一一例保守诊断和治疗的病例。正确的术前诊断、准确的影像学表现和满意的刮除或活检可以避免不必要的子宫切除术,正如我们的病例。
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引用次数: 0
Determination of Climatic Impact of Temperature in Presence of Avian Respiratory Infections in Villa Clara Province, Cuba 古巴维拉克拉拉省存在禽类呼吸道感染时温度对气候影响的测定
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/13030d
R. F. Duarte, Ricardo Osés Rodríguez, David del Valle Laveaga, María Patricia Zambrano Gavilanes, P. Rodriguez, Yanira Zaita Ferrer, F. González, I. Hurtado
The objective of the research was to determine the climatic impact of temperature on avian respiratory infections in Villa Clara province, Cuba. In this work retrospective data were used to obtain the epizootiological statistical information of susceptible and dead birds regarding avian respiratory infections, in specialized poultry farms of Villa Clara province, during the period 2005-2007. These data were correlated with the temperatures stockings average corresponding to this period in this county. The total of deaths was correlated with the total of susceptible; these last ones correlated in turn with the provincial temperatures stockings. For the information processing, the model Autoregressive Integrated Moving Averages (ARIMA) was used of Box-Jenkins Methodology through the statistical package SPSS Version 13. Techniques of multivariate regression for modeling the total of poultry deaths were also applied. The final ARIMA model expressed that an increase of 1 degree of temperature, which meant an increase of 53.37 deaths. It was also used a 95% of probability value. This work allows corroborating and quantifying the impact of mean temperature in the susceptible and in the poultry deaths in the study area of Villa Clara province, Cuba. It was obtained that with 1oC of monthly half temperature, it can be expected an increase of 8 894 susceptible cases and as the susceptible ones’ increase in 1000 the deaths, are increased in 6 birds, for what the susceptible ones for 0.06 will be the same approximately to the total of deaths.
研究的目的是确定温度对古巴维拉克拉拉省禽类呼吸道感染的气候影响。本研究采用回顾性资料,对2005-2007年比利亚克拉拉省专业家禽养殖场禽类呼吸道感染的易感和死禽进行了流行病学统计。这些数据与该县同期的平均气温相关联。死亡总人数与易感人群总人数相关;这些最后的数据依次与各省的气温长袜相关。信息处理采用Box-Jenkins方法,通过SPSS Version 13统计软件包,采用自回归综合移动平均(ARIMA)模型。还应用了多变量回归技术对家禽死亡总数进行建模。最终的ARIMA模型表明,温度每升高1度,就意味着死亡人数增加53.37人。也使用了95%的概率值。这项工作可以证实和量化平均温度对古巴维拉克拉拉省研究地区易感人群和家禽死亡的影响。结果表明,当月平均气温为1℃时,预计易感病例增加8 894例,每增加1000例死亡,易感病例增加6例,0.06℃的易感病例与死亡总数大致相同。
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引用次数: 0
Neovascular Glaucoma: Etiology and Staging 新生血管性青光眼:病因和分期
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/3955f
T. Mayuri
Purpose: To identify the most common cause and the most common stage of presentation of the patient in neovascular glaucoma. Methods: The current study is an observational prospective study. The study comprised 136 eyes from 109 patients with neovascular glaucoma in one or both eyes.  Visual acuity, slit lamp biomicroscopy, intraocular pressure (IOP) measurement by Goldmann applanation tonometry, gonioscopy with Posner 4 mirror indirect gonioscope, and dilated fundus examination were all performed on all patients. Neovascularization of iris (NVI) was identified as tuft of new vessels on iris mostly at the pupillary margin in an undilated state, presence of any ectropion uveae, hyphema, anterior chamber reaction, pseudoexfoliative material, keratic precipitates and other signs of uveitis were noted. The number of neovascularized quadrants in the angle was counted. Results: The average age was58.18±13 years, with 80.73 percent of men and 19.26 percent of women. The average IOP was 27.14 ± 11.3 mm Hg.  The rubeosis iridis stage was represented by 74 (54.4%), the angle closure stage by 38 (27.9%), and the open angle stage by 24 (17.6%). 89 (65.4%) of the participants had diabetic retinopathy of varying severity, whereas 16 (11.7%) had uveitis and 14 (10.2%) had retinal vein occlusion. The average IOP angle closure stage was 36.53±16.259 mm Hg, much greater than the other two stages (P = 0.000). Conclusion: The most common cause of NVG is proliferative diabetic retinopathy, and rubeosis iridis is the most common stage of presentation, according to the findings of this study.
目的:确定新生血管性青光眼患者最常见的病因和最常见的表现阶段。方法:本研究为观察性前瞻性研究。该研究包括109例单眼或双眼新生血管性青光眼患者的136只眼睛。所有患者均行视力检查、裂隙灯生物显微镜检查、Goldmann压眼计测量眼压(IOP)、Posner 4镜间接眼角膜镜镜检及眼底扩张检查。虹膜新生血管(NVI)被认为是虹膜上的一簇新血管,主要位于瞳孔边缘,处于未扩张状态,存在任何外翻的葡萄膜,前房反应,假脱落物质,角化沉淀和其他葡萄膜炎的征象。计算角度内新生血管象限的个数。结果:平均年龄58.18±13岁,男性占80.73%,女性占19.26%。平均IOP为27.14±11.3 mm Hg,虹膜红肿期74例(54.4%),闭角期38例(27.9%),开角期24例(17.6%)。89人(65.4%)患有不同程度的糖尿病视网膜病变,16人(11.7%)患有葡萄膜炎,14人(10.2%)患有视网膜静脉闭塞。闭眼期平均为36.53±16.259 mm Hg,明显高于其他两期(P = 0.000)。结论:根据本研究结果,NVG最常见的病因是增殖性糖尿病视网膜病变,虹膜纤维化是最常见的表现阶段。
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引用次数: 0
Alveolar Bone and Epithelial Attachment Status following Two Different Closed-eruption Surgical Techniques for Impacted Maxillary Central Incisors: A Recent Study 上颌中切牙阻生两种不同的闭式爆发手术技术后牙槽骨和上皮附着状态的最新研究
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/4440f
E. Sfeir, Mona Gholmieh, Zouhair Skaf, A. Mourad
Aim: For the treatment of upper impacted central incisors (ICIs), two main surgical approaches are typically described: open and closed. The closed-eruption surgical method (CEST) is currently the most popular because it provides the best esthetic and periodontal benefits. The purpose of this study was to see how traction discontinuation affected maxillary central incisor sulcal depth and alveolar bone ridge levels when compared to contralateral incisors when CEST was used. Materials and Methods: CEST was used to treat 28 unilaterally impacted maxillary central incisors. At the time of crown emergence, thirteen teeth were subjected to a month of traction interruption, whereas 15 teeth were subjected to continuous traction. The ICIs and contralateral central incisors (CCIs) were subjected to periapical digital X-rays, anterosuperior cone beam computed tomography (CBCT) scanning, and periodontal probing one year following treatment. The CCI measurements were utilized as a reference, and the Student's t-test was employed to see if there was a statistically significant difference between continuous and interrupted tractions. Results: Only the following measurements showed a statistically significant difference between the two techniques: Mesial probing (p-value 0.039352), labial bone level (p-value 2.58E-08), and palatal bone level (p-value 2.56E-06). Limitations: To draw more robust conclusions, a larger sample size and longer term follow-up are required. Conclusion: On ICIs, a temporary discontinuation during tooth traction appears to improve treatment outcome. Technical modifications and the use of a temporary interruption during tooth traction can result in better treatment outcomes. Clinical significance: The CEST leads to the best periodontal status for ICIs. The discontinuation of traction at the emergence of the tooth allows the supracrestal fibers to insert into the cement in a proper way.
目的:对于上阻生中切牙(ICIs)的治疗,有两种主要的手术入路:开放和封闭。封闭出疹手术方法(CEST)是目前最流行的,因为它提供了最好的美学和牙周的好处。本研究的目的是观察当使用CEST时,与对侧切牙相比,牵引中断对上颌中切牙沟深度和牙槽骨脊水平的影响。材料与方法:应用CEST治疗单侧阻生上颌中切牙28例。在冠出牙时,13颗牙齿进行了一个月的牵引中断,而15颗牙齿进行了持续牵引。治疗一年后,对中切牙和对侧中切牙进行根尖周数字x线、前上锥束计算机断层扫描(CBCT)和牙周探诊。CCI测量值作为参考,并采用学生t检验来查看连续牵引和中断牵引之间是否存在统计学显著差异。结果:两种技术之间只有以下测量值有统计学差异:中端探探(p值为0.039352)、唇骨水平(p值为2.58E-08)和腭骨水平(p值为2.56E-06)。局限性:为了得出更有力的结论,需要更大的样本量和更长期的随访。结论:在使用ICIs时,牙牵引时暂时停药可改善治疗效果。技术改进和在牙齿牵引期间使用暂时中断可以获得更好的治疗结果。临床意义:CEST可使ICIs的牙周状态达到最佳。在出牙时停止牵引,可使骨上纤维以适当的方式插入骨水泥中。
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引用次数: 0
Determination of Technological Advancement in the Era of COVID-19 新冠肺炎时代技术进步的确定
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/13205d
N. Renu
Regional and local governments worldwide are working tirelessly towards effective ways of addressing the COVID-19 crisis. During this time, the government has had to ensure that they provide full usage of technological means to confront the pandemic and discourse a wide range of COVID-19 related problems. Herein, the objective of this paper is to discuss the application of technical means and the advancement of technology in different sectors as a consequence of the COVID-19 crisis. As will be discussed, how government and health organizations have introduced new policies intending to try to curb the spread of the coronavirus. These new policies, such as lockdowns and social distancing measures, have resulted in technological advancement and new means of interaction with government, businesses, and citizens. Such changes include increased online shopping, as well as robotic delivery systems, the introduction of digital as well as contactless payment systems, remote working, the role of technology in distance learning, Telehealth, 3D Printing, and online entertainment. These technological advancements have been embraced all the way during this pandemic by a few countries around the world, with its limitation in some underdeveloped and developing countries.
世界各地的地区和地方政府正在不懈努力,寻求有效应对COVID-19危机的方法。在此期间,政府必须确保充分利用技术手段来应对大流行,并讨论与COVID-19相关的广泛问题。在这里,本文的目的是讨论由于COVID-19危机,技术手段的应用和技术在不同部门的进步。正如将讨论的那样,政府和卫生组织如何推出旨在遏制冠状病毒传播的新政策。这些新政策,如封锁和社会距离措施,带来了技术进步和与政府、企业和公民互动的新手段。这些变化包括网上购物的增加,以及机器人配送系统,数字和非接触式支付系统的引入,远程工作,技术在远程学习中的作用,远程医疗,3D打印和在线娱乐。在这次大流行期间,世界上一些国家一直接受这些技术进步,但在一些不发达国家和发展中国家受到限制。
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引用次数: 2
A Retrospective Clinicopathological Study of Cervical Cancer 宫颈癌的回顾性临床病理研究
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/4495f
G. Nandini, Jessica C. Fernandes, P. Sindhu
Introduction: In developing countries, cervical cancer is still the most frequent gynaecological cancer among women. Objective: The goal of this study was to look at the clinical presentation and histological pattern of carcinoma cervix over a three-year period. Design: This was a retrospective analysis. Results:  The majority of the patients were between the ages of 40 and 50.The majority of the patients were in stage III of the disease. The most common histological pattern was squamous cell carcinoma. The treatment modality was radiotherapy with concurrent chemotherapy. Conclusion: The result clearly demonstrates the inadequacy of the screening programme for detecting preinvasive stages of cervix carcinoma. Early diagnosis of the preinvasive stage by screening and appropriate treatment should be instituted at the preinvasive stage.
简介:在发展中国家,子宫颈癌仍然是妇女中最常见的妇科癌症。目的:本研究的目的是观察三年来宫颈癌的临床表现和组织学模式。设计:这是一个回顾性分析。结果:患者年龄以40 ~ 50岁居多。大多数患者处于疾病的第三期。最常见的组织学类型为鳞状细胞癌。治疗方式为放疗加化疗。结论:结果清楚地表明筛查方案在检测宫颈癌浸润前分期方面的不足。早期诊断,通过筛查和适当的治疗,应制定在侵袭前阶段。
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引用次数: 0
ROS Flashes in Mitochondria Occur Concomitantly with Inner Mitochondrial Membrane Depolarization and Mitochondrial Calcium Sparks 线粒体内ROS闪光与线粒体内膜去极化和线粒体钙火花同时发生
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/1816c
A. Kuznetsov, J. Hagenbuchner, M. Ausserlechner
Objectives:  Study of complex ROS dynamics and ROS mito-flashes in various living cells using fluorescent confocal imaging. Simultaneous analysis of the mitochondrial and extra-mitochondrial ROS dynamics. Analysis of the mitochondrial membrane potential and depolarization. Simultaneous analysis of mitochondrial calcium and ROS kinetics.It is well documented that mitochondria can produce a major amount of reactive oxygen species (ROS) which are involved in many physiological and pathological processes. The complex interrelationships, however, between ROS, mitochondrial inner membrane potential ((DeltaPsi)m) and mitochondrial Ca2+ were not entirely investigated. In this work, we further underline biphasic ROS dynamics, demonstrating initial and continuing ROS expansion, followed by mitochondrial ROS flashes. Additionally, a huge heterogeneity in the rates of mitochondrial ROS production and ROS flashes start times has been shown. Comparing mitochondrial and extra mitochondrial fluorescence signals, we demonstrated that the mechanisms of ROS flashes may be a triggering of flashes by certain amounts of external ROS. These mechanisms involve mitochondrial permeability transition pore opening (collapse of mitochondrial membrane potential, (DeltaPsi)m) and mitochondrial calcium sparks. Furthermore, mitochondria to mitochondria interactions can be seen as a wave propagation of mitochondrial ROS flashes and (DeltaPsi)m collapses similar to the phenomenon of ROS-induced ROS release first demonstrated for cardiomyocytes. Our data show that mechanisms of mitochondrial ROS flashes activation and simultaneous depolarization can entail involvement of extra mitochondrial ROS produced either by individual mitochondrion or by adjacent mitochondria. This could represent common processes in ROS-ROS and mitochondria-mitochondria signaling, playing thus an important role in the cellular and mitochondrial physiology.
目的:利用荧光共聚焦成像技术研究不同活细胞中ROS的动态变化和有丝分裂现象。同时分析线粒体和线粒体外ROS动力学。线粒体膜电位及去极化分析。线粒体钙和ROS动力学的同步分析。线粒体可以产生大量的活性氧(ROS),参与许多生理和病理过程。然而,活性氧、线粒体内膜电位((DeltaPsi) m)和线粒体Ca2+之间的复杂相互关系并没有被完全研究。在这项工作中,我们进一步强调了双相ROS动力学,展示了初始和持续的ROS扩张,随后是线粒体ROS闪光。此外,线粒体ROS产生速率和ROS闪光开始时间存在巨大的异质性。比较线粒体和线粒体外的荧光信号,我们证明了ROS闪光的机制可能是由一定数量的外部ROS触发闪光。这些机制包括线粒体通透性、过渡开孔(线粒体膜电位崩溃,(DeltaPsi) m)和线粒体钙火花。此外,线粒体与线粒体之间的相互作用可被视为线粒体ROS闪烁和(DeltaPsi) m崩塌的波传播,类似于首次在心肌细胞中证实的ROS诱导的ROS释放现象。我们的数据表明,线粒体ROS闪光激活和同时去极化的机制可能涉及由单个线粒体或相邻线粒体产生的额外线粒体ROS。这可能代表了ROS-ROS和线粒体-线粒体信号传导的共同过程,因此在细胞和线粒体生理学中起着重要作用。
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引用次数: 1
A Comparative Study of Attenuation of Hypertensive Response with Esmolol and Labetalol in Low doses in Orotracheal Intubation 低剂量艾司洛尔与拉贝他洛尔对经气管插管降压作用的比较研究
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/3775f
S. Ambasta, S. Mahapatra
Introduction: Esmolol and Labetalol, at low doses, were evaluated for attenuation of sympathomimetic reaction to laryngoscopy and intubation in this prospective, randomised, double-blind, comparative clinical study. Materials and Methods: This study involved 50 ASA 1 patients of either sex who were undergoing elective surgery under general anaesthesia. Prior to induction, patients were randomly assigned to one of two groups: group E got intravenous Esmolol (0.5 mg/kg) or group L received intravenous Labetalol (0.25 mg/kg), and hemodynamic parameters were monitored as per the procedure to determine stress response to laryngoscopy and intubation. Results: The demographic profiles of both research groups were similar. For statistical calculations, Instat version 3.10 was utilised. The data from the study was evaluated using statistical approaches such as mean and standard deviation. During laryngoscopy and intubation, esmolol (0.5 mg/kg) and Labetalol (0.25 mg/kg) significantly reduced the increase in heart rate, systolic blood pressure, and RPP. However, the difference was not statistically significant among the values for DBP and MAP. Conclusion: In lower doses, intravenous Labetalol (0.25 mg/kg) is a better agent than intravenous Esmolol (0.5 mg/kg) in attenuating the sympathomimetic reaction to laryngoscopy and intubation, according to our clinical trial. The typical dose of esmolol used to obtund intubation response is 2-4 mg/kg, whereas labetalol has been tested in all doses ranging from 0.25, 0.5, 0.75, and 1 mg/kg [1].
在这项前瞻性、随机、双盲、比较临床研究中,评估了低剂量的艾司洛尔和拉贝他洛尔对喉镜检查和插管的拟交感神经反应的衰减。材料和方法:本研究包括50例ASA 1级患者,男女不限,在全身麻醉下进行择期手术。诱导前,将患者随机分为两组:E组静脉注射艾司洛尔(0.5 mg/kg), L组静脉注射拉贝他洛尔(0.25 mg/kg),并按程序监测血流动力学参数,以确定对喉镜检查和插管的应激反应。结果:两个研究组的人口统计资料相似。对于统计计算,使用了Instat 3.10版本。该研究的数据使用均值和标准差等统计方法进行评估。在喉镜检查和插管时,艾司洛尔(0.5 mg/kg)和拉贝他洛尔(0.25 mg/kg)显著降低了心率、收缩压和RPP的升高。然而,DBP和MAP值之间的差异无统计学意义。结论:根据我们的临床试验,在低剂量情况下,静脉注射拉贝他洛尔(0.25 mg/kg)比静脉注射艾司洛尔(0.5 mg/kg)更能减轻喉镜和插管的拟交感神经反应。用于抑制插管反应的艾司洛尔的典型剂量为2-4毫克/千克,而拉贝他洛尔已在0.25、0.5、0.75和1毫克/千克[1]的所有剂量范围内进行了测试。
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引用次数: 0
Application of an Innovative Technique for Fabrication of Silicone Auricular Prosthesis 一种新型硅胶耳假体制造技术的应用
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/4482f
Pramod K Chahar, Abir Sarkar, E. Gowda, P. Prakash
Aim: To make a silicone auricular prosthesis, that perfectly mimics the healthy contralateral ear for a unilateral auricular defect. Background: Any loss of facial structure, whether congenital or acquired, has a significant detrimental influence on an individual's life. Replicating the complicated anatomy of an auricle while imitating the contralateral ear is a difficult issue in prosthetic rehabilitation of a patient with unilateral auricular impairment. Case description: This case report discusses an innovative, accurate, and simple technique for fabricating the wax pattern of the auricular prosthesis without the use of any expensive or complicated equipment that is yet to be described in the literature. The only disadvantage seen in this technique is the loss of some anatomic details while merging the margins of wax slices with a hot spatula, which require finer adjustment by minor carving and finishing of the wax pattern. Conclusion: This case report describes a technique for replicating the anatomy of the auricle in ordinary clinical practice without the need of expensive equipment.
目的:为治疗单侧耳廓缺损,制备一种能完全模仿对侧健康耳廓的硅胶耳廓假体。背景:任何面部结构的丧失,无论是先天性的还是后天的,都会对个人的生活产生重大的不利影响。在单侧耳廓损伤患者的假肢康复中,在模仿对侧耳廓的同时复制复杂的耳廓解剖结构是一个困难的问题。病例描述:本病例报告讨论了一种创新的、准确的、简单的技术,用于制造耳廓假体的蜡模,而不使用任何昂贵或复杂的设备,这在文献中尚未描述。这种技术的唯一缺点是在用热抹刀合并蜡片边缘时失去了一些解剖细节,这需要通过轻微的雕刻和蜡图案的精加工进行更精细的调整。结论:本病例报告描述了一种在普通临床实践中无需昂贵设备即可复制耳廓解剖结构的技术。
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引用次数: 0
Clinical Outcomes of Short Same-segment Fixation in Thoracolumbar Junction Fractures 胸腰椎节段骨折短段内固定的临床疗效
Pub Date : 2021-08-30 DOI: 10.9734/bpi/nfmmr/v16/4447f
Shubham Jain, P. Mittal, Amit Kumar
Background: The number of vertebral levels involved in fixing a spine fracture is reduced with short same-segment posterior fixation (SSPF). Short same-segment posterior fixation with pedicle fixation at the fracture level provides biomechanical advantages for kyphosis correction maintenance, lowering failure rates, and increasing spinal motion and early rehabilitation [1-4]. Materials and Methods: Between 2014 and 2016, all patients with thoracolumbar junction fractures in our study were analysed using biomechanical criteria and clinical outcomes. The immediate postoperative radiographs were compared to follow-up radiographs to assess any loss of correction by measuring the kyphotic angle using Cobb's technique. Clinical result was also assessed using the Oswestry disability score at each follow-up. The reliability of the intraobserver and interobserver was investigated. Results: In our study, 35 patients with unstable thoracolumbar fractures were operated on with a posterior spinal fixation system and pedicle screw insertion at the level of the fractured vertebrae during 2014 to 2016. The average time between visits was 18 months. In all of the cases, the average preoperative kyphotic angle was 17.2°, which improved to 5.9° immediately postoperatively, resulting in a mean of 65 percent correction. The average postoperative Cobb's angle was 7.7° at final follow-up, retaining a 55 percent correction. Disability improved from 78% mean preoperatively to 47.27% mean postoperatively at final follow-up. Conclusion: When compared to traditional SSPF, short same-segment posterior fixation has a lower implantation failure rate and improved biomechanical stability; nevertheless, long-term kyphosis correction was not maintained to the same level, which was statistically insignificant. Despite the lack of kyphosis correction, long-term clinical pain and disability improved. This study indicated that SSPF decreases implantation failure rate and reoperation rate and offers greater biomechanical advantages.
背景:短同节段后路固定(SSPF)减少了固定脊柱骨折所涉及的椎体节段数量。骨折水平椎弓根短段后路固定具有生物力学优势,可维持后凸矫正,降低失败率,增加脊柱运动和早期康复[1-4]。材料与方法:采用生物力学标准和临床结果对2014 - 2016年本研究中所有胸腰椎节骨折患者进行分析。将术后即刻x线片与随访x线片进行比较,通过使用Cobb技术测量后凸角来评估是否有矫正损失。临床结果也在每次随访时使用Oswestry残疾评分进行评估。研究了观察者内部和观察者之间的信度。结果:本研究于2014年至2016年对35例不稳定胸腰椎骨折患者行后路脊柱固定系统及椎弓根螺钉置入术。两次访问的平均间隔时间为18个月。在所有病例中,术前平均后凸角度为17.2°,术后立即改善至5.9°,平均矫正率为65%。最终随访时,术后平均Cobb角为7.7°,矫正率为55%。残疾从术前平均78%改善到最终随访时的术后平均47.27%。结论:与传统SSPF相比,短段同段后路固定具有较低的植入失败率和较高的生物力学稳定性;然而,长期的后凸矫正并没有维持在相同的水平,这在统计学上是不显著的。尽管缺乏后凸矫正,但长期临床疼痛和残疾得到改善。本研究表明,SSPF降低了植入失败率和再手术率,具有更大的生物力学优势。
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引用次数: 0
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