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前臂不同平面离断再植与手的再植位置关系 被引量:3
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作者 杨晨晖 王克平 +3 位作者 夏亚一 刘建文 何余金 郭志恒 《宁夏医学杂志》 CAS 2016年第8期708-709,共2页
目的 探讨不同平面离断前臂再植时残存肌肉收缩度与手的再植位置及患肢术后功能好坏的关系。方法 对12例不同平面离断的前臂进行再植,清创后根据对残存肌肉判断与患者工种的评估,决定手的需要功能活动范围后,测量所需功能范围肌腱的滑... 目的 探讨不同平面离断前臂再植时残存肌肉收缩度与手的再植位置及患肢术后功能好坏的关系。方法 对12例不同平面离断的前臂进行再植,清创后根据对残存肌肉判断与患者工种的评估,决定手的需要功能活动范围后,测量所需功能范围肌腱的滑动长度,结合残存肌肉可能的收缩度,设计好手再植位置,调整屈伸肌腱张力,计划好截骨的平面行截骨内固定,术后积极进行康复功能锻炼。结果 12例再植肢体存活良好,术后均获得随访,随访中位时间为22.5个月(6~48个月)。按照中华医学会手外科学会上肢断肢再植功能评价标准综合评分:优6例,良4例,可1例,差1例,优良率为83.33%。结论 对有再植条件的患肢,在术中一定要评估术后功能需求范围,不同平面离断前臂再植时残存肌肉收缩度与手的再植位置对患肢术后功能起决定性作用。 展开更多
关键词 切断前臂肌肉收缩度 手臂再植位置 功能重建再植
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GUIDED TISSUE REGENERATION AROUND DENTAL IMPLANTS IN IMMEDIATE EXTRACTION SOCKETS:COMPARISON OF RESORBABLE ANDNONRESORBABLE MEMBRANES 被引量:5
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作者 毛驰 SatoJunichi +1 位作者 MatsuuraMasaroh SetoKanichi 《Chinese Medical Sciences Journal》 CAS CSCD 1997年第3期170-174,共5页
This study was per formed to compare the efficacy of guided tissue regeneration (GTR) around dentalimplants immediately placed into extraction sockets by resorbable of nonresorbable membranes. Mandibular. P2, P3, and ... This study was per formed to compare the efficacy of guided tissue regeneration (GTR) around dentalimplants immediately placed into extraction sockets by resorbable of nonresorbable membranes. Mandibular. P2, P3, and P4 of four aduIt beagle dogs were extracted bilaterally, and buccal standard defects were cre-ated and measured. Eighteen commercially pure titanium Steri-Oss implant fixtures were placed into thefresh extraction sockets. Four implants were untreated controls, four implants received polytetrafluoro-ethylene (e-PTFE, Gore-Tex) membranes, five implants received collagen membranes (ParaGuide), andfive implants received polyglactin 910 mesh (Vicryl). After l4 weeks, clinical measurements were takenand the dogs were sacrificed and all specimens retrieved for histologic and histomorphometric evaluation.The average gain in bone height was 2. 1mm for untreated control sites, 3. 3mm for Gore-Tex sites,3. 8mm for collagen sites, and 1. 3mm for polyglactin 910 sites. The greatest gain in bone height and volume was seen for two sites that received Gore-Tex membranes and remained covered for the entire evalua-tion interval. The results of this study indicate that Gore-Tex and collagen membrane preduced gdri re-sults for GTR around Implants immediately placed into extraction sockets. Since collagen membrane doesnot cause obvious infection and does not need the surgical reentry for membrane removal, it can be a validalternative to Gore-Tex membrane to improve bone regeneration around dental implants, while polyglactin910 mesh seems not suitable to be used as GTR membrane in immediate implantation for its hIgh infectionrate. 展开更多
关键词 guided tissue regeneration MEMBRANE dental implants
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