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术前K线倾斜角预测后纵韧带骨化症单开门术后疗效的可行性分析
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作者 王春增 张建伟 +4 位作者 胡孟子 韩猛 张兆川 李杰 刘光旺 《实用骨科杂志》 2023年第11期961-965,共5页
目的 探讨术前K线倾斜角预测单开门椎管扩大成形术治疗后纵韧带骨化症患者临床疗效的可行性。方法 回顾性分析2019年2月至2022年1月行颈椎后路单开门椎管扩大成形术治疗的52例K线阳性后纵韧带骨化症(ossification of the posterior long... 目的 探讨术前K线倾斜角预测单开门椎管扩大成形术治疗后纵韧带骨化症患者临床疗效的可行性。方法 回顾性分析2019年2月至2022年1月行颈椎后路单开门椎管扩大成形术治疗的52例K线阳性后纵韧带骨化症(ossification of the posterior longitudinal ligament,OPLL)患者资料,其中男35例,女17例;年龄47~76岁,平均(61.46±7.26)岁。统计患者术前日本骨科协会(Japanese orthopedic association,JOA)评分、术后1年随访时JOA评分。颈椎中立侧位X线片测量术前矢状面参数:K线倾斜角、C_(2~7)Cobb角、C_(2~7)矢状面轴向距离(C_(2~7) sagittal vertical axis,C_(2~7) SVA)、头部重心(center gravity of head,CGH)~C_(7)矢状面轴向距离(CGH~C_(7) SVA)、T_(1)倾斜角。根据术后1年时JOA评分改善中位数分为改善优良组和改善较差组,采用单因素方差分析判断矢状位参数与疗效之间的关系,采用Pearson分析检验参数间的相关性。将有统计学差异的颈椎参数作为自变量,将JOA评分作为因变量,行Logistic回归分析影响术后JOA改善率的危险因素。结果 所有患者的术后临床症状均得到改善。OPLL患者术前JOA评分为(7.38±0.89)分,术前C_(2~7)Cobb角(14.45±8.81)°,C_(2~7)SVA(15.31±4.57)mm,CGH~C_(7) SVA(16.37±5.23)mm,T_(1)倾斜角(26.43±5.65)°、K线倾斜角(12.77±1.49)°。根据术后1年随访时JOA评分改善情况分组显示:术前K线倾斜角、C_(2~7)SVA、CGH~C_(7) SVA与术后疗效密切相关(P<0.001、P=0.013、P=0.022);术前K线倾斜角与C_(2~7)SVA、CGH~C_(7) SVA呈正相关(r=0.411、0.831,P=0.004、0.023)。上述相关性指标经Logistic回归分析显示:影响OPLL单开门术后疗效的危险因素为术前K线倾斜角和术前CGH~C_(7) SVA(OR=1.673、1.522,P=0.024、0.033)。结论 OPLL患者术后疗效与术前K线倾斜角度有关,术前K线倾斜角较大,患者术后疗效较差。K线倾斜角可作为一种新的临床指标用于颈椎后路单开门术前预测OPLL患者术后疗效。 展开更多
关键词 后纵韧带骨化症 K线倾斜角 单开门扩大成形术 颈椎矢状面参数
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Timing of the Early Paleozoic Yangtze and Cathysian Convergence: Constraint from U-Pb Geochronology of Hydrothermal Zircons from Mafic Mylonite within the Shoucheng-Piaoli Ductile Shear Zone, Northern Guangxi 被引量:8
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作者 QIN Ya FENG Zuohai +2 位作者 HU Rongguo LI Saisai wang chunzeng 《Acta Geologica Sinica(English Edition)》 CAS CSCD 2018年第5期2030-2031,共2页
Objective The northern Guangxi region is in the southwestern part of the Southern China continent,which is located at the junction of the southwest section of the Early Paleozoic Yangtze block and Cathaysian block.A s... Objective The northern Guangxi region is in the southwestern part of the Southern China continent,which is located at the junction of the southwest section of the Early Paleozoic Yangtze block and Cathaysian block.A series of NNE-trending ductile shear zones are developed in this region,and these ductile shear zones are mostly previously suggested boundary faults of the Early Paleozoic Yangtze block and Cathaysian block,such as the Shoucheng–Piaoli ductile shear zone in Northern Guangxi (Meng Yuanku et al., 2016; Zhang Xuefeng et al., 2015). 展开更多
关键词 Pb Th Northern Guangxi Timing of the Early Paleozoic Yangtze and Cathysian Convergence Constraint from U-Pb Geochronology of Hydrothermal Zircons from Mafic Mylonite within the Shoucheng-Piaoli Ductile Shear Zone
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The U-Pb Geochronology and Lu-Hf Isotope Compositions of Detrital Zircons from the Nanhua Group of the Longsheng Region,South China and their Implications for Pan-African Events 被引量:1
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作者 ZHANG Chenglong QIN Ya +5 位作者 YANG Yicheng FENG Zuohai LIU Xijun LI Saisai WAN Lei wang chunzeng 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2021年第3期740-749,共10页
It is unclear whether the South China blocks have an affinity with continental Gondwana due to a lack of direct Pan-African magmatic and metamorphic features.In this study,we conducted U-Pb geochronological and Lu-Hf ... It is unclear whether the South China blocks have an affinity with continental Gondwana due to a lack of direct Pan-African magmatic and metamorphic features.In this study,we conducted U-Pb geochronological and Lu-Hf isotopic analyses for detrital zircons from a sandstone of the Chang'an Formation of the Nanhua Group in the Longsheng region of northern Guangxi,with the aim of constraining the timing of sedimentation and information as to its source,as well as seeking evidence for Pan-African events in the South China blocks.The results show that the ages of detrital zircons peaked at 654.7±6.2 Ma,773.2±4.1 Ma and 821.9±6.5 Ma,with some at 920–870 Ma;the youngest age indicates the existence of the Pan-African thermal event.The ε_(Hf)(t)and T_(DM2) values demonstrate that the study area has experienced three stages of crustal growth at 3.0–2.4 Ga,2.1–1.5 Ga and 1.3–0.9 Ga.With intensively distributed Neoproterozoic mafic-ultramafic and granitic plutons emplaced at 830–810 Ma along the southwestern section of the Jiangnan Orogenic Belt and positiveεHf(t)values from a large group of zircon grains,it is proposed that the sediments of the Chang'an Formation(of Nanhua Group)were largely sourced from the southeastern margin of the Yangtze block.Comparison with the zircon age spectra of the Cathaysian block shows that about 79%of the Pan-African aged detrital zircon grains that have TDM2=1352–1031 Ma andεHf(t)=3.68–8.79,were sourced from the recycled Grenvillian crust of the Cathaysian block,suggesting that the Cathaysian block had a close connection with Gondwana. 展开更多
关键词 detrital zircon Lu-Hf isotope Pan-African event GUANGXI South China
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U-Pb Geochronology of Hydrothermal Zircons from the Nyainqentanglha Ductile Shear Zone: Constraints on Inception of Cenozoic East–West Extension in the Tibetan Plateau 被引量:1
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作者 HUANG Yonggao LI Yingxu +5 位作者 HAN Fei JIA Xiaochuan YANG Xuejun LI Guangming KANG Zhiqiang wang chunzeng 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2020年第4期1314-1316,共3页
Objective The giant Nyainqentanglha granitic batholith, located in the Lhasa Terrane, is the youngest granite pluton emplaced at 18.3–11.0 Ma during the Miocene epoch. A series of NE-striking sinistral normal ductile... Objective The giant Nyainqentanglha granitic batholith, located in the Lhasa Terrane, is the youngest granite pluton emplaced at 18.3–11.0 Ma during the Miocene epoch. A series of NE-striking sinistral normal ductile shear zones developed on its north and south sides. The ductile shear zones are considered to be the western boundary faults of the Yadong-Gulu rift system and have the potential to provide critical temporal constraints for the large-scale East–West extension event in the Tibetan Plateau. 展开更多
关键词 TIBETAN EAST CENOZOIC
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腰椎间盘真空现象的位置与分级对腰椎退行性病变患者椎体融合手术疗效的影响
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作者 刘磊 宋飞霏 +4 位作者 王春增 商杰 张越 马超 韩猛 《中华解剖与临床杂志》 2024年第5期303-310,共8页
目的探讨腰椎退行性病变患者腰椎间盘真空现象(IDVP)的位置与严重程度分级对腰椎椎体间融合术(TLIF)临床疗效的影响。方法回顾性队列研究。纳入2021年1—12月徐州市中心医院行TLIF治疗的腰椎退行性病变的患者64例,其中男24例、女40例,年... 目的探讨腰椎退行性病变患者腰椎间盘真空现象(IDVP)的位置与严重程度分级对腰椎椎体间融合术(TLIF)临床疗效的影响。方法回顾性队列研究。纳入2021年1—12月徐州市中心医院行TLIF治疗的腰椎退行性病变的患者64例,其中男24例、女40例,年龄50~76(60.7±8.8)岁。根据IDVP所在位置分组,IDVP在融合手术节段内者纳入融合IDVP组(34例),IDVP在融合手术邻近节段者纳入邻椎IDVP组(30例);每组再根据IDVP的Willhuber分级及IDVP严重程度的分类方法,分为轻度IDVP、重度IDVP 2个亚组。观察指标:(1)比较融合IDVP组和邻椎IDVP组患者的性别、年龄,以及IDVP的位置、分级等基线资料。(2)比较2组患者手术时间、术中出血量、术后住院时间,以及术后脑脊液漏、神经损伤、感染、内固定失败等并发症发生情况。(3)比较融合IDVP组与邻椎IDVP组及其组内轻、重度IDVP亚组术前和术后1、12个月时腰痛视觉模拟评分法(VAS)评分、日本骨科协会(JOA)评分、Oswestry功能障碍指数(ODI)的差异。结果(1)2组患者的性别、年龄及IDVP所在节段和分级等基线资料比较,差异均无统计学意义(P值均>0.05)。(2)64例患者均顺利完成手术,2组患者手术时间、术中出血量、术后住院时间比较,差异均无统计学意义(P值均>0.05)。患者术后均随访12个月,随访期内均无脑脊液漏、神经损伤、感染、内固定失败等并发症发生。(3)融合IDVP组与邻椎IDVP组2组间术前和术后1个月腰痛VAS评分、JOA评分、ODI比较,差异均无统计学意义(P值均>0.05);术后12个月融合IDVP组VAS评分、ODI分别为(2.6±1.0)分、19.3%±5.6%,均小于邻椎IDVP组的(5.1±1.1)分、27.6%±5.8%,JOA评分(20.6±4.2)分大于邻椎IDVP组的(16.5±4.1)分,差异均有统计学意义(t=9.58、5.84、0.69,P值均<0.001)。组内比较:融合IDVP组和邻椎IDVP组术后1、12个月腰痛VAS评分、ODI均低于术前,融合IDVP组JOA评分高于术前,差异均有统计学意义(P值均<0.05);而邻椎IDVP组手术前后不同时间JOA评分差异无统计学意义(P>0.05)。亚组间比较:在融合IDVP组中,除了术后12个月重度IDVP的JOA评分低于轻度IDVP、差异有统计学意义(P<0.05)外,术前和术后1、12个月腰痛VAS评分、ODI,以及术前和术后1个月JOA评分,轻度IDVP与重度IDVP间差异均无统计学意义(P值均>0.05)。邻椎IDVP组中,术前和术后1、12个月腰痛VAS评分、JOA评分、ODI,轻度IDVP与重度IDVP间差异均无统计学意义(P值均>0.05)。在融合IDVP组中,轻度IDVP、重度IDVP组内不同时间点比较:术后1、12个月腰痛VAS评分、ODI均低于术前,术后12个月腰痛VAS评分、ODI均低于术后1个月;轻度IDVP术后12个月JOA评分高于术前和术后1个月,重度IDVP术后1、12个月JOA评分均高于术前:差异均有统计学意义(P值均<0.05)。在邻椎IDVP组中,轻度IDVP、重度IDVP的组内不同时间点比较:术后1、12个月腰痛VAS评分、ODI均低于术前,差异均有统计学意义(P值均<0.05);而JOA评分差异均无统计学意义(P值均>0.05)。结论IDVP的位置与腰椎融合手术节段的关系影响TLIF手术后的临床疗效,而IDVP的严重程度对疗效无明显影响。 展开更多
关键词 椎间盘退行性变 椎间盘真空改变 腰椎融合术 临床疗效
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骨水泥预压封堵技术在骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术中应用的效果观察
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作者 胡孟子 张建伟 +2 位作者 韩猛 王春增 刘光旺 《中国骨与关节损伤杂志》 2024年第7期673-677,共5页
目的观察骨水泥预压封堵技术在老年骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术中应用的可行性和有效性。方法纳入自2022-06—2023-06采用经皮椎体后凸成形术治疗的36例(36个椎体)骨质疏松性胸腰椎压缩骨折(骨折椎体压缩塌陷高度达到... 目的观察骨水泥预压封堵技术在老年骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术中应用的可行性和有效性。方法纳入自2022-06—2023-06采用经皮椎体后凸成形术治疗的36例(36个椎体)骨质疏松性胸腰椎压缩骨折(骨折椎体压缩塌陷高度达到原来椎体高度的1/3),其中18例术中采用骨水泥预压封堵技术(观察组),18例术中采用常规技术(对照组)。比较两组术后第1天、术后3个月疼痛VAS评分、ODI指数、伤椎椎体前缘高度、伤椎Cobb角。结果36例均获得随访,随访时间4~6个月,平均4.6个月。观察组与对照组手术时间差异无统计学意义(P>0.05)。观察组术后发现1例骨水泥渗漏,对照组发现2例骨水泥渗漏,患者均无神经损伤症状。观察组与对照组术后第1天、术后3个月疼痛VAS评分、ODI指数差异无统计学意义(P>0.05)。观察组术后第1天、术后3个月伤椎椎体前缘高度大于对照组,观察组术后第1天、术后3个月伤椎Cobb角小于对照组,差异有统计学意义(P<0.05)。结论骨水泥预压封堵技术在骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术中应用安全、有效,在明显缓解患者胸腰背部疼痛的同时,能更有效地维持椎体复位后的高度,改善脊柱后凸畸形。 展开更多
关键词 胸腰椎骨折 骨质疏松性椎体压缩骨折 经皮椎体后凸成形术 骨水泥预压封堵
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The emplacement mechanisms and growth styles of the GuposhanHuashan batholith in western Nanling Range, South China 被引量:5
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作者 FENG ZuoHai wang chunzeng +4 位作者 LIANG JinCheng LI JunZhao HUANG YongGao LIAO JiaFei wang Rui 《Science China Earth Sciences》 SCIE EI CAS 2011年第1期45-60,共16页
The Guposhan-Huashan batholith was emplaced during transition from Tethysian tectonic regime to Pacific tectonic regime in the Middle-Late Jurassic. The regional EW-striking Yishan-Quannan basement deep fault zone, as... The Guposhan-Huashan batholith was emplaced during transition from Tethysian tectonic regime to Pacific tectonic regime in the Middle-Late Jurassic. The regional EW-striking Yishan-Quannan basement deep fault zone, associated with the Tethysian regime, is thought likely to control the formation of the batholith. The development of the batholith was, however, achieved when the Pacific tectonic extensional regime dominated. The batholith consists of seven individual intrusive units that were emplaced subsequently over a 15 m.y. span. Deformation structures and strain analysis of the intrusive units and their country rocks suggest the existence of active and passive emplacement mechanisms. For example, shape-preferred orientation of dioritic enclaves and megacrystic K-spars within earlier units and the development of rim synforms resulted from active mechanisms. It is estimated that active expansion and structural propagation each contributed approximately 27%, and stoping accounted for 46% of the space for the entire batholith. The active emplacement mechanisms produced earlier units at deeper levels of the crust and followed by passive emplacement mechanism at shallower crustal levels when the tectonic regime changed from compression to extension. Each intrusive unit shows a different growth mode. Niumiao and Yangmeishan intrusions show a polarized lateral growth mode, the main-phase Lisong and Wanggao intrusions show either a central growth mode or an eccentric growth mode, and the youngest Baishuidai and Huamei units have a polarized multi-point central growth mode. Both Guposhan and Huashan plutons show a concentric growth zoning pattern with the former built in an outward growth style and the latter an inward growth style. The well-preserved circular shape of both plutons is indicative of relatively stationary magma feeders, suggesting that any considerable horizontal displacement in the region was unlikely even if the area was in an intracontinental strike-slip tectonic setting during the last emplacement phases of the batholith. 展开更多
关键词 granite early Yanshanian emplacement mechanism growth style Guposhan-Huashan
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