Objective To provide improved manipulative program of body X-knife therapy is to re duce localization and repetition error,increase therapeutic precision and perform accurate quality control.Methods Measure and compar...Objective To provide improved manipulative program of body X-knife therapy is to re duce localization and repetition error,increase therapeutic precision and perform accurate quality control.Methods Measure and compare the actual error in 86therapeutic targets of52patients before body X-knife stereotactic radiotherapy at different positioning.Results The position error is reduced obviou sly in quality control group compared with control group.T here is prominent difference in two g roups about the error of irradiation field accuracy and axial superpo-sition(P value:0.000896and 0.02980).Conclusions The improved positioning method can reduce errors and increase repetiti on precision and veracity in therapy.展开更多
Objective:To compare the clinical effectiveness of gamma knife radiosugery combined with acupuncture therapy and microvascular decompression in the treatment of idiopathic trigeminal neuralgia.Methods:A total of 93 pa...Objective:To compare the clinical effectiveness of gamma knife radiosugery combined with acupuncture therapy and microvascular decompression in the treatment of idiopathic trigeminal neuralgia.Methods:A total of 93 patients with primary trigeminal neuralgia added to Nanchang University Hospital from November 2016 to October 2018 were selected,it was divided randomly into the control group(45 cases)and the study group(48 cases).The control group was treated with microvascular decompression and the study group used gamma knife radiosurgery combined with acupuncture therapy.The study compared the immediate pain relief rate,Visual Analogue Scale(VAS)scores,completion rate,recurrence rate,hospitalization days,total treatment duration,total treatment cost and total effective rate of treatment in 2 groups.Results:Comparison of the same group after treatment:the VAS score with 24 hours of treatment in the control group was(5.33±0.49),with a significant difference from the pre-treatment VAS score(8.62±0.13);The VAS score with 24 hours of treatment in the study group was(5.96±0.58),with a significant difference from the pre-treatment VAS score(8.54±0.25).After treatment,immediate effect,parent effect,acute and chronic complements of the control group was 25,5,2 and 7 cases,and the study group was 6,25,7 and 1,respectively.There were significant differences between the two groups;The comparison of hospitalization days,total treatment duration,total treatment cost was statistically significant(P<0.05);There were no significant difference in immediate pain rate,VAS score,total incidence of complications,recurrence rate,and total effectiveness of treatment between the two groups(P>0.05).Conclusion:Both microvascular decompression and gamma knife radiosurgery combined with acupuncture therapy can safe and effective treatment idiopathic trigeminal neuralgia patients,and for patients with good health,can tolerance all-hemp surgery,there are contraindicaindications to acupuncture therapy,microvascular decompression treatment can be chosen,while patients who are weak,cannot tolerante all-hemp surgery or resist surgery,economic difficulties,and can choose gamma knife radiosurgery combined with acupuncture therapy treatment.展开更多
In the present paper, 62 cases of vertebral artery type cervical spondylopathy were treated with needle knife therapy (acupotomy). After 2-6 sessions of treatment, 23 cases (37.1%) were cured, 19 (30.7%) showed mark...In the present paper, 62 cases of vertebral artery type cervical spondylopathy were treated with needle knife therapy (acupotomy). After 2-6 sessions of treatment, 23 cases (37.1%) were cured, 19 (30.7%) showed marked improvement, 15 (24.2%) had some improvement and 5 (8.1%) failed in the treatment. The total effective rate was 91.9%. It indicates that acupotomy therapy is a highly effective remedy for treating vertebral artery type cervical spndylopathy.展开更多
目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施...目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。展开更多
Benign esophageal strictures refractory to the conventional balloon or bougie dilatation may be subjected to various adjunctive modes of therapy, one of them being endoscopic incisional therapy(EIT). A proper delineat...Benign esophageal strictures refractory to the conventional balloon or bougie dilatation may be subjected to various adjunctive modes of therapy, one of them being endoscopic incisional therapy(EIT). A proper delineation of the stricture anatomy is a prerequisite. A host of electrocautery and mechanical devices may be used, the most common being the use of needle knife, either standard or insulated tip. The technique entails radial incision and cutting off of the stenotic rim. Adjunctive therapies, to prevent re-stenosis, such as balloon dilatation, oral or intralesional steroids or argon plasma coagulation can be used. The common strictures where EIT has been successfully used are Schatzki's rings(SR) and anastomotic strictures(AS). Short segment strictures(< 1 cm) have been found to have the best outcome. When compared with routine balloon dilatation, EIT has equivalent results in treatment na?ve cases but better long term outcome in refractory cases. Anecdotal reports of its use in other types of strictures have been noted. Post procedure complications of EIT are mild and comparable to dilatation therapy. As of the current evidence, incisional therapy can be used for management of refractory AS and SR with relatively short stenosis(< 1 cm) with good safety profile and acceptable long term patency.展开更多
文摘Objective To provide improved manipulative program of body X-knife therapy is to re duce localization and repetition error,increase therapeutic precision and perform accurate quality control.Methods Measure and compare the actual error in 86therapeutic targets of52patients before body X-knife stereotactic radiotherapy at different positioning.Results The position error is reduced obviou sly in quality control group compared with control group.T here is prominent difference in two g roups about the error of irradiation field accuracy and axial superpo-sition(P value:0.000896and 0.02980).Conclusions The improved positioning method can reduce errors and increase repetiti on precision and veracity in therapy.
基金Science and Technology Plan Project of Jiangxi Provincial Health and Health Commission(20200506).
文摘Objective:To compare the clinical effectiveness of gamma knife radiosugery combined with acupuncture therapy and microvascular decompression in the treatment of idiopathic trigeminal neuralgia.Methods:A total of 93 patients with primary trigeminal neuralgia added to Nanchang University Hospital from November 2016 to October 2018 were selected,it was divided randomly into the control group(45 cases)and the study group(48 cases).The control group was treated with microvascular decompression and the study group used gamma knife radiosurgery combined with acupuncture therapy.The study compared the immediate pain relief rate,Visual Analogue Scale(VAS)scores,completion rate,recurrence rate,hospitalization days,total treatment duration,total treatment cost and total effective rate of treatment in 2 groups.Results:Comparison of the same group after treatment:the VAS score with 24 hours of treatment in the control group was(5.33±0.49),with a significant difference from the pre-treatment VAS score(8.62±0.13);The VAS score with 24 hours of treatment in the study group was(5.96±0.58),with a significant difference from the pre-treatment VAS score(8.54±0.25).After treatment,immediate effect,parent effect,acute and chronic complements of the control group was 25,5,2 and 7 cases,and the study group was 6,25,7 and 1,respectively.There were significant differences between the two groups;The comparison of hospitalization days,total treatment duration,total treatment cost was statistically significant(P<0.05);There were no significant difference in immediate pain rate,VAS score,total incidence of complications,recurrence rate,and total effectiveness of treatment between the two groups(P>0.05).Conclusion:Both microvascular decompression and gamma knife radiosurgery combined with acupuncture therapy can safe and effective treatment idiopathic trigeminal neuralgia patients,and for patients with good health,can tolerance all-hemp surgery,there are contraindicaindications to acupuncture therapy,microvascular decompression treatment can be chosen,while patients who are weak,cannot tolerante all-hemp surgery or resist surgery,economic difficulties,and can choose gamma knife radiosurgery combined with acupuncture therapy treatment.
文摘In the present paper, 62 cases of vertebral artery type cervical spondylopathy were treated with needle knife therapy (acupotomy). After 2-6 sessions of treatment, 23 cases (37.1%) were cured, 19 (30.7%) showed marked improvement, 15 (24.2%) had some improvement and 5 (8.1%) failed in the treatment. The total effective rate was 91.9%. It indicates that acupotomy therapy is a highly effective remedy for treating vertebral artery type cervical spndylopathy.
文摘目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。
文摘Benign esophageal strictures refractory to the conventional balloon or bougie dilatation may be subjected to various adjunctive modes of therapy, one of them being endoscopic incisional therapy(EIT). A proper delineation of the stricture anatomy is a prerequisite. A host of electrocautery and mechanical devices may be used, the most common being the use of needle knife, either standard or insulated tip. The technique entails radial incision and cutting off of the stenotic rim. Adjunctive therapies, to prevent re-stenosis, such as balloon dilatation, oral or intralesional steroids or argon plasma coagulation can be used. The common strictures where EIT has been successfully used are Schatzki's rings(SR) and anastomotic strictures(AS). Short segment strictures(< 1 cm) have been found to have the best outcome. When compared with routine balloon dilatation, EIT has equivalent results in treatment na?ve cases but better long term outcome in refractory cases. Anecdotal reports of its use in other types of strictures have been noted. Post procedure complications of EIT are mild and comparable to dilatation therapy. As of the current evidence, incisional therapy can be used for management of refractory AS and SR with relatively short stenosis(< 1 cm) with good safety profile and acceptable long term patency.
