目的探讨糖尿病合并跟骨结节撕脱性骨折患者实施切开复位空心螺钉结合锚钉固定术(open reduction and internal fixation,ORIF)的效果。方法回顾性研究2020年8月—2022年4月北京丰台医院收治的22例糖尿病合并跟骨结节撕脱性骨折的患者,...目的探讨糖尿病合并跟骨结节撕脱性骨折患者实施切开复位空心螺钉结合锚钉固定术(open reduction and internal fixation,ORIF)的效果。方法回顾性研究2020年8月—2022年4月北京丰台医院收治的22例糖尿病合并跟骨结节撕脱性骨折的患者,采用切开复位空心螺钉结合锚钉固定术治疗。围手术期及术后进行血糖的评估;术后随访使用足踝关节预后评分(foot and ankle outcome score,FAOS)、视觉模拟量表(visual analogue scale,VAS)、单脚跟抬高测试和X射线图像进行评估。结果所有骨折均在解剖位置愈合,没有出现术后固定失败、内固定松动移位以及皮肤感染、坏死等情况。术后随访6~8个月,所有患者都恢复了完全的足底屈曲范围和力量,没有步态异常或负重限制。FAOS评分:疼痛(80.85±6.20)分,症状(79.85±4.90)分,日常生活(72.35±8.00)分,运动和娱乐功能(68.25±11.93)分,足踝活动影响(77.47±6.70)分。VAS评分为(2.16±0.30)分。结论切开复位空心螺钉结合锚钉固定术是治疗糖尿病相关跟骨结节撕脱性骨折的有效手段,并显示出良好的功能和影像学结果。展开更多
近年来,为了使城轨交通能达到安全、高效、舒适的目的,全国各大城市已开始投入建设城轨全自动运行(Full Automatic Operation, FAO)线路,然而FAO系统在使用过程中仍会发生故障和事故,从而影响运营安全和效率。为了完善、提升FAO系统,需...近年来,为了使城轨交通能达到安全、高效、舒适的目的,全国各大城市已开始投入建设城轨全自动运行(Full Automatic Operation, FAO)线路,然而FAO系统在使用过程中仍会发生故障和事故,从而影响运营安全和效率。为了完善、提升FAO系统,需要基于已投入运营的FAO线路运营情况开展运营后评估,并进一步挖掘和探索引起故障和事故的根本原因,解决问题,优化关键技术,提升FAO系统质量。以此为目的,本文主要探讨了如何科学、合理地建立FAO关键技术运营后评估范围、对象、维度等运营后评估体系内容,以及如何应用运营后评估结果优化FAO系统,从而有助于FAO关键技术运营后评估的开展,进一步加速FAO技术在全国范围内的推广。In recent years, to make urban rail transportation safe, efficient and comfortable, major cities across the country have begun to invest in the construction of urban rail Full Automatic Operation (FAO) lines. However, there are still some faults and accidents leading by FAO systems during use, which may affect operational safety and efficiency. In order to perfect and improve the FAO system, it is necessary to conduct post-operation evaluation based on the data of FAO lines that have been operating, which can help to further excavate and explore the root causes of failures and accidents, solve problems, optimize key technologies, and improve the quality of the FAO system. For this purpose, this article mainly discusses how to establish post-operation evaluation system, including the post-operation evaluation scope, objects, and dimensions for FAO key technologies scientifically and reasonably, and how to optimize the FAO system through post-operation evaluation, so as to contribute to the development of the post-operation evaluation of FAO’s key technologies and further accelerate the implementation of FAO technology nationwide.展开更多
文摘近年来,为了使城轨交通能达到安全、高效、舒适的目的,全国各大城市已开始投入建设城轨全自动运行(Full Automatic Operation, FAO)线路,然而FAO系统在使用过程中仍会发生故障和事故,从而影响运营安全和效率。为了完善、提升FAO系统,需要基于已投入运营的FAO线路运营情况开展运营后评估,并进一步挖掘和探索引起故障和事故的根本原因,解决问题,优化关键技术,提升FAO系统质量。以此为目的,本文主要探讨了如何科学、合理地建立FAO关键技术运营后评估范围、对象、维度等运营后评估体系内容,以及如何应用运营后评估结果优化FAO系统,从而有助于FAO关键技术运营后评估的开展,进一步加速FAO技术在全国范围内的推广。In recent years, to make urban rail transportation safe, efficient and comfortable, major cities across the country have begun to invest in the construction of urban rail Full Automatic Operation (FAO) lines. However, there are still some faults and accidents leading by FAO systems during use, which may affect operational safety and efficiency. In order to perfect and improve the FAO system, it is necessary to conduct post-operation evaluation based on the data of FAO lines that have been operating, which can help to further excavate and explore the root causes of failures and accidents, solve problems, optimize key technologies, and improve the quality of the FAO system. For this purpose, this article mainly discusses how to establish post-operation evaluation system, including the post-operation evaluation scope, objects, and dimensions for FAO key technologies scientifically and reasonably, and how to optimize the FAO system through post-operation evaluation, so as to contribute to the development of the post-operation evaluation of FAO’s key technologies and further accelerate the implementation of FAO technology nationwide.
