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内镜下松解治疗腕管综合征的临床研究 被引量:6
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作者 倪建龙 时志斌 +3 位作者 张晨 樊立宏 党晓谦 王坤正 《中国内镜杂志》 2019年第9期7-11,共5页
目的探讨内镜下松解和改良开放手术松解治疗腕管综合征(CTS)的临床疗效。方法选取2014年6月-2017年6月收治的CTS患者52例,随机分为两组,采用内镜下松解26例,改良开放手术松解26例。对两组患者术中、术后情况进行观察比较。结果所有患者... 目的探讨内镜下松解和改良开放手术松解治疗腕管综合征(CTS)的临床疗效。方法选取2014年6月-2017年6月收治的CTS患者52例,随机分为两组,采用内镜下松解26例,改良开放手术松解26例。对两组患者术中、术后情况进行观察比较。结果所有患者获得随访,平均随访(12.70±2.50)个月。内镜组在手术时间、平均住院日、拆线时间、恢复工作时间和切口视觉模拟评分(VAS)上与改良开放组比较[(15.12±6.34)vs(13.35±5.12)min,(3.45±0.78)vs(3.61±1.41)d,(6.25±1.21)vs(7.12±1.25)d,(21.40±3.10)vs(23.20±2.20)d,(2.20±0.80)vs(2.30±0.60)分],差异均无统计学意义(t=1.83、0.87、1.45、1.95和0.45,均P>0.05),两组Kelly功能评价优良率比较,差异无统计学意义(93.55%vs90.63%,χ^2=0.00,P>0.05)。结论内镜下松解治疗CTS能取得良好的临床疗效,虽然内镜手术技术要求较高、学习曲线较长,但具有手术创伤小、术后恢复快和并发症少等优点,值得临床推广。 展开更多
关键词 腕管综合征 正中神经 内镜 Chow法 腕横韧带 改良开放手术
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The association between the two more common genetic causes of spermatogenic failure:a 7-year retrospective study
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作者 Hong-Ge Li li-hong fan +4 位作者 Bei Liu Ye-Qing Qian Min Chen Yi-Xi Sun Min-Yue Dong 《Asian Journal of Andrology》 SCIE CAS CSCD 2020年第6期642-648,共7页
Chromosomal abnormalities and Y chromosome microdeletions are considered to be the two more common genetic causes of spermatogenic failure.However,the relati on ship between chromosomal aberrations and Y chromosome mi... Chromosomal abnormalities and Y chromosome microdeletions are considered to be the two more common genetic causes of spermatogenic failure.However,the relati on ship between chromosomal aberrations and Y chromosome microdeletio ns is still un clear.This study was to investigate the incidenee and characteristics of chromosomal aberrations and Y chromosome microdeletions in infertile men,and to explore whether there was a correlation between the two genetic defects of spermatogenic failure.A 7-year retrospective study was conducted on 5465 infertile men with nonobstructive azoospermia or oligozoospermia.Karyotype analysis of peripheral blood lymphocytes was performed by standard G-banding techniques.Y chromosome microdeletions were screened by multiplex PCR amplification with six specific sequence-tagged site(STS)markers.Among the 5465 infertile men analyzed,371(6.8%)had Y chromosome microdeletions and the prevalence of microdeletions in azoospermia was 10.5%(259/2474)and in severe oligozoospermia was 6.3%(107/1705).A total of 4003(73.2%)infertile men underwent karyotyping;370(9.2%)had chromosomal abnormalities and 222(5.5%)had chromosomal polymorphisms.Karyotype analysis was performed on 272(73.3%)patients with Y chromosome microdeletions and 77(28.3%)had chromosomal aberrations,all of which involved sex chromosomes but not autosomes.There was a sign ifica nt d iff ere nee in the frequency of chromosomal abno rmalities betwee n men with and without Y chromosome microdeletions(P<0.05). 展开更多
关键词 azoospermia factor chromosomal aberrations infertile men nonobstructive azoospermia and oligozoospermia spermatogenic failure Y chromosome microdeletions
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