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新型高效负压引流敷料在骨科腔隙创面治疗中的应用 被引量:4
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作者 阿吉木.克热木 哈尼克孜.莫名 +3 位作者 梁志林 艾克白尔.吐逊 帕孜拉.艾拉 阿布力克木.阿布都热西提 《广东医学》 CAS 2019年第9期1296-1300,共5页
目的探讨新型高效负压引流敷料在骨科腔隙创面治疗中的应用,为腔隙创面的临床治疗提供参考。方法选择术后腔隙创面损伤患者作为研究对象,随机分为对照组和观察组两组,每组33例。其中对照组患者给予传统的"烟卷引流"法进行体... 目的探讨新型高效负压引流敷料在骨科腔隙创面治疗中的应用,为腔隙创面的临床治疗提供参考。方法选择术后腔隙创面损伤患者作为研究对象,随机分为对照组和观察组两组,每组33例。其中对照组患者给予传统的"烟卷引流"法进行体外引流治疗,观察组患者给予新型高效负压引流敷料进行治疗。比较两组患者术后的总引流量、持续引流时间、创口感染、住院时间以及治疗费用情况,分析两组患者治疗前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、疼痛评分(VAS)以及炎症因子水平变化。观察两组患者的治疗效果差异。结果观察组患者在术后总引流量、持续引流时间、创口感染率、住院时间、治疗费用方面均明显优于对照组(P <0. 05)。与治疗前相比,治疗后两组患者血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C反应蛋白(CRP)水平以及SAS、SDS、VAS评分均明显降低,且观察组上述指标降低更为显著,差异有统计学意义(P <0. 05)。观察组患者的治疗有效率为93. 94%,明显高于对照组的69. 70%,差异有统计学意义(P <0. 05)。结论新型高效负压引流敷料治疗骨科术后腔隙创面可以有效降低住院时间和治疗费用,减少创口感染,具有较好的临床治疗效果,值得临床推广使用。 展开更多
关键词 高效负压引流 聚乙烯醇 骨科手术 腔隙创面
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Application of custom anatomy-based nerve conduits on rabbit sciatic nerve defects: in vitro and in vivo evaluations 被引量:1
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作者 Yamuhanmode·Alike Maimaiaili·Yushan +6 位作者 ajimu·keremu Alimujiang·Abulaiti Zhen-Hui Liu Wei Fu Li-Wei Yan Aihemaitijiang·Yusufu Qing-Tang Zhu 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第12期2173-2182,共10页
The intermingling of regenerated nerve fibers inside nerve grafts is the main reason for mismatched nerve fibers. This is one of the key factors affecting limb function recovery after nerve injury. Previous research h... The intermingling of regenerated nerve fibers inside nerve grafts is the main reason for mismatched nerve fibers. This is one of the key factors affecting limb function recovery after nerve injury. Previous research has shown that the accuracy of axon regeneration can be improved by a bionic structural implant. To this aim, iodine and freeze-drying high-resolution micro-computed tomography was performed to visualize the 3D topography of the New Zealand rabbit sciatic nerve (25 mm). A series of 1-, 2-, 3-, and 4-custom anatomy-based nerve conduits (CANCs) were fabricated based on the anatomical structure of the nerve fascicle. The match index, luminal surface, and mechanical properties of CANCs were evaluated before implanting in a 10-mm gap of the sciatic nerve. Recovery was evaluated by histomorphometric analyses, electrophysiological study, gastrocnemius muscle weight recovery ratio, and behavioral assessments at 12 and 24 weeks postoperatively. The accuracy of nerve regeneration was determined by changes in fluorescence-labeled profile number during simultaneous retrograde tracing. Our results showed that the optimal preprocessing condition for high-resolution micro-computed tomography visualization was treatment of the sciatic nerve with 40% Lugol’s solution for 3 days followed by lyophilization for 2 days. In vitro experiments demonstrated that the match index was highest in the 3-CANC group, followed by the 2-, 1-, and 4-CANC groups. The luminal surface was lowest in the 1-CANC group. Mechanical properties (transverse compressive and bending properties) were higher in the 3- and 4-CANC groups than in the 1-CANC group. In vivo experiments demonstrated that the recovery (morphology of regenerated fibers, compound muscle action potential, gastrocnemius muscle weight recovery ratio, pain-related autotomy behaviors, and range of motion) in the 3-CANC group was superior to the other CANC groups, and achieved the same therapeutic effect as the autograft. The simultaneous retrograde tracing results showed that the percentages of double-labeled profiles of the 2-, 3-, and 4-CANC groups were comparatively lower than that of the 1-CANC group, which indicates that regenerated nerve fascicles were less intermingled in the 2-, 3-, and 4-CANC groups. These findings demonstrate that the visualization of the rabbit sciatic nerve can be achieved by iodine and freeze-drying high-resolution micro-computed tomography, and that this method can be used to design CANCs with different channels that are based on the anatomical structure of the nerve. Compared with the 1-CANC, 3-CANC had a higher match index and luminal surface, and improved the accuracy of nerve regeneration by limiting the intermingling of the regenerated fascicles. All procedures were approved by the Animal Care and Use Committee, Xinjiang Medical University, China on April 4, 2017 (ethics approval No. IACUC20170315-02). 展开更多
关键词 NERVE REGENERATION NERVE conduits mismatch iodine and FREEZE-DRYING high-resolution micro-computed tomography bio-mimic CUSTOM RABBIT SCIATIC NERVE in vitro in vivo neural REGENERATION
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三维化数字技术在新疆不同民族患者全膝关节置换中的应用分析
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作者 阿吉木.克热木 帕孜拉.艾拉 +2 位作者 梁志林 艾克白尔.吐逊 阿不都赛米.艾买提 《中华骨与关节外科杂志》 2018年第5期347-350,共4页
背景:全膝关节置换术在考虑到每个患者胫骨近端解剖学特点和几何形态差异的同时,还应该关注不同民族的差异。目的:分析三维化数字技术在不同民族患者全膝关节置换术中的应用。方法:2016年3月至2017年5月行全膝关节置换术治疗的汉族和维... 背景:全膝关节置换术在考虑到每个患者胫骨近端解剖学特点和几何形态差异的同时,还应该关注不同民族的差异。目的:分析三维化数字技术在不同民族患者全膝关节置换术中的应用。方法:2016年3月至2017年5月行全膝关节置换术治疗的汉族和维吾尔族患者各32例,每个民族患者又按随机数字法分为三维化数字技术辅助组(辅助组)和无三维化数字技术辅助组(无辅助组),每组各16例。观察比较各组患者的手术时间、术中出血量、术后膝关节HSS评分以及术后患者的下肢轴向力线的情况。结果:汉族患者中辅助组的术中出血量、总出血量和手术时间均有一定改善,低于未辅助组(P<0.05);维吾尔族患者中辅助组的上述指标有明显改善,低于未辅助组(P<0.05)。汉族未辅助组的术中出血量、总出血量和手术时间均明显低于维吾尔族未辅助组(P<0.05)。汉族患者中辅助组的A、B、C角均有一定改善,优于未辅助组(P<0.05);维吾尔族患者中辅助组的上述指标有明显改善,显著优于未辅助组(P<0.05)。汉族未辅助组的A、B、C角改善明显优于维吾尔族未辅助组(P<0.05)。汉族和维吾尔族患者中辅助组和未辅助组术后的膝关节功能评分均较术前有明显提高(P<0.05),汉族和维吾尔族患者中辅助组的术后膝关节功能评分均优于未辅助组(P<0.05),维吾尔族非辅助组的术后膝关节功能评分明显优于汉族非辅助组(P<0.05)。结论:三维化数字技术为维吾尔族患者进行全膝关节置换术治疗提供了一定的解剖学依据,可以有效提高手术的精准程度,改善临床疗效。 展开更多
关键词 三维化数字技术 全膝关节置换术 维吾尔族
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Effects of silent information regulator of transcription 2 on inflammatory response and bone destruction in cartilage tissue of osteoarthritis
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作者 Aikebaier·tuerxu Pazila·aila +1 位作者 Maimaitirexiati·mijiti ajimu·keremu 《Journal of Hainan Medical University》 2018年第14期30-33,共4页
Objective:To study the effects of silent information regulator of transcription 2 (SIRT2) on inflammatory response and bone destruction in cartilage tissue of osteoarthritis.Methods: A total of 200 patients who underw... Objective:To study the effects of silent information regulator of transcription 2 (SIRT2) on inflammatory response and bone destruction in cartilage tissue of osteoarthritis.Methods: A total of 200 patients who underwent knee replacement due to knee osteoarthritis in Kashgar Prefecture First People's Hospital between September 2014 and September 2017 were selected as the osteoarthritis (OA) group of the research, and 80 patients who underwent knee replacement or meniscus operation due to trauma in Kashgar Prefecture First People's Hospital during the same period were selected as the control group. Articular cartilage tissue was collected after surgery to measure the expression of SIRT2 and bone destruction-related apoptosis molecules as well as the levels of inflammatory response molecules and bone destruction-related collagen metabolism molecules.Results: SIRT2 and Bcl-2 mRNA expression as well as SOX9 and Col-II levels in articular cartilage tissue of OA group were significantly lower than those of control group whereas TNF-α, bFGF, NO, IP-10, CCL2, PAR-2,β-catenin, OPN and MMP13 levels as well as Fas, GRP78, ATF6 and Caspase-3 mRNA expression were significantly higher than those of control group;SIRT2 mRNA expression in articular cartilage tissue of OA group was positively correlated with Bcl-2 mRNA expression as well as SOX9 and Col-II levels, and negatively correlated with TNF-α, bFGF, NO, IP-10, CCL2, PAR-2,β-catenin, OPN and MMP13 levels as well as Fas, GRP78, ATF6 and Caspase-3 mRNA expression.Conclusion: The lowly expressed SIRT2 in cartilage of osteoarthritis can aggravate inflammatory response and bone destruction. 展开更多
关键词 OSTEOARTHRITIS SILENT information REGULATOR of TRANSCRIPTION 2 INFLAMMATORY response Bone DESTRUCTION
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两种内固定方式固定青壮年不稳定型股骨颈骨折生物力学特性的有限元分析 被引量:17
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作者 艾克白尔·吐逊 阿吉木·克热木 +1 位作者 谢增如 张文 《中华创伤骨科杂志》 CAS CSCD 北大核心 2020年第9期793-798,共6页
目的应用有限元方法比较3枚空心螺钉与3枚空心螺钉加前内侧支撑钢板固定垂直不稳定型(PauwelsⅢ型)股骨颈骨折的力学稳定性。方法选取1名男性志愿者,34岁,身高为173 cm,体重为75 kg。应用螺旋CT对髋关节至胫骨中段行薄层连续扫描,在股... 目的应用有限元方法比较3枚空心螺钉与3枚空心螺钉加前内侧支撑钢板固定垂直不稳定型(PauwelsⅢ型)股骨颈骨折的力学稳定性。方法选取1名男性志愿者,34岁,身高为173 cm,体重为75 kg。应用螺旋CT对髋关节至胫骨中段行薄层连续扫描,在股骨CT数据基础上,通过数字医学软件建立股骨三维模型。对股骨颈进行必要的切割,模拟PauwelsⅢ型股骨颈骨折,分别行3枚空心螺钉倒"品"字形固定(单独空心钉组),3枚空心螺钉倒"品"字形+前内侧钢板固定(空心钉联合钢板组)。对两组模型施加同样的约束和3种载荷(缓步行走、扭转、单腿站立),比较两组模型在同种载荷作用下的应力及形变分布。结果两组模型在各种载荷作用下的最大形变量都发生在股骨头,缓步行走时空心钉联合钢板组模型位移为1.97 mm,低于单独空心钉组模型的2.26 mm;扭转和单腿站立时两组模型形变近似。各种载荷作用下,模型的最大应力都发生在最下面一枚空心螺钉的中段、骨折线处。单独空心钉组模型缓步行走、扭转、单腿站立时的应力峰值分别为318.09、92.11、147.21 MPa,高于空心钉联合钢板组模型(229.86、86.94、124.48 MPa)。结论空心螺钉加前内侧支撑钢板固定可有效分担空心螺钉上的应力,对骨折端的力学稳定性优于单独3枚空心螺钉固定,能有效预防股骨颈缩短,是青壮年不稳定型股骨颈骨折值得推荐的内固定方式。 展开更多
关键词 股骨颈骨折 骨折固定术 骨钉 骨板 有限元分析
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