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关节镜下钢丝与空心螺钉固定治疗胫骨髁间棘骨折的临床疗效 被引量:2
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作者 朱培丽 张荣方 +2 位作者 乔源鑫 彭磊 宋子民 《中国内镜杂志》 2023年第3期37-42,共6页
目的探讨关节镜下钢丝固定及空心金属螺钉治疗胫骨髁间棘骨折的疗效。方法回顾性分析2014年10月-2020年3月南阳市骨科医院运动医学科收治的70例髁间棘骨折患者的临床资料。其中,驾驶两轮电动车摔倒受伤45例,平地行走滑倒或绊倒7例,高处... 目的探讨关节镜下钢丝固定及空心金属螺钉治疗胫骨髁间棘骨折的疗效。方法回顾性分析2014年10月-2020年3月南阳市骨科医院运动医学科收治的70例髁间棘骨折患者的临床资料。其中,驾驶两轮电动车摔倒受伤45例,平地行走滑倒或绊倒7例,高处坠落伤7例,运动损伤3例,交通事故4例,其他4例。根据不同手术方式将患者分为钢丝固定组(n=49)及空心螺钉固定组(n=21)。钢丝固定组采用关节镜下钢丝固定治疗胫骨髁间棘骨折,空心螺钉固定组采用空心加压螺钉固定治疗胫骨髁间棘骨折。钢丝固定组中,男24例,女25例;年龄10~58岁,平均(30.76±13.53)岁;左膝29例,右膝20例。空心螺钉固定组中,男11例,女10例;年龄16~51岁,平均(31.90±11.02)岁;左膝13例,右膝8例。结果所有患者术后随访1年,均骨性愈合,无感染、移位、钢丝断裂、骨骺畸形愈合和关节粘连发生。钢丝固定组术前Lysholm评分为(51.61±2.83)分,术后6个月为(96.78±1.85)分;空心螺钉固定组术前Lysholm评分为(51.52±3.04)分,术后6个月为(96.52±1.91)分,两组患者术前和术后6个月Lysholm评分比较,差异均无统计学意义(P>0.05)。钢丝固定组手术时间为(76.76±11.57)min,明显短于空心螺钉固定组的(98.62±14.37)min,差异有统计学意义(P<0.05)。钢丝固定组住院天数为(10.94±0.94)d,空心螺钉固定组为(10.62±1.07)d,差异无统计学意义(P>0.05)。钢丝固定组住院费用为(8964.18±271.04)元,明显少于空心螺钉固定组的(11276.95±522.64)元,差异有统计学意义(P<0.05)。结论髁间棘骨折为常见的膝关节内骨折,均应早期行关节镜下复位内固定,使用钢丝或空心加压螺钉内固定均可。钢丝固定技术手术时间短,住院费用低,且内植物取出方便,应为优先选择。 展开更多
关键词 髁间棘 前交叉韧带下止点 撕脱骨折 空心螺钉固定 关节镜
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Schisandrae Fructus oil-induced elevation in serum triglyceride and lipoprotein concentrations associated with physiologic hepatomegaly in mice
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作者 Si-Yuan Pan Xue-Lan Song +11 位作者 Zhao-Heng Lin Qing Yu Yi Zhang Hai-Chuan Tai Gan Luo Xiao-Yan Wang pei-li zhu Nan Sun zhu-Sheng Chu Zhi-Ling Yu Yi Zhang Kam-Ming Ko 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2022年第2期59-68,共10页
Objective:To investigate hypertriglyceridemia and hepatomegaly caused by Schisandrae Sphenantherae Fructus(FSS)and Schisandra chinensis Fructus(FSC)oils in mice.Methods:Mice were orally administered a single dose of S... Objective:To investigate hypertriglyceridemia and hepatomegaly caused by Schisandrae Sphenantherae Fructus(FSS)and Schisandra chinensis Fructus(FSC)oils in mice.Methods:Mice were orally administered a single dose of SchisandraeFructusoils.Serumandhepatictriglyceride(TG),triglyceridetransferprotein(TTP),apolipoproteinB48(Apo B48),very-low-densitylipoprotein(VLDL),hepatocytegrowth factor(HGF),alanine aminotransfease(ALT)and liver index were measured at 6-120 h post-dosing.Results:FSS and FSC oil caused time and dose-dependent increases in serum and hepatic TG levels,with maximum increases in the liver(by 297%and 340%)at 12 h post-dosing and serum(244%and 439%)at 24-h post-dosing,respectively.Schisandrae Fructus oil treatments also elevated the levels of serum TTP by 51%and63%,Apo B48 by 152%and 425%,and VLDL by 67%and 38%in mice,respectively.FSS and FSC oil treatments also increased liver mass by 53%and 55%and HGF by 106%and 174%,but lowered serum ALT activity by 38%and 22%,respectively.Fenofibrate pre/co-treatment attenuated the FSS and FSC oil-induced elevation in serum TG levels by 41%and 49%at 48 h post-dosing,respectively,but increased hepatic TG contents(by 38%and 33%,respectively)at 12 h post-dosing.Conclusions:Our findings provide evidence to support the establishment of a novel mouse model of hypertriglyceridemia by oral administration of FSS oil(mainly increasing endogenous TG)and FSC oil(mainly elevating exogenous TG). 展开更多
关键词 Schisandrae Fructus oils TRIGLYCERIDE Alanine aminotransferase HEPATOMEGALY Mouse model HYPERTRIGLYCERIDEMIA
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