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内镜下骨剪切除法在鼻中隔矫正术中的应用研究 被引量:1
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作者 覃宏康 零兴勤 +5 位作者 彭兖莱 梁华 王启俊 唐亮 苏和超 农云芬 《微创医学》 2020年第4期462-464,共3页
目的探讨鼻内镜下新型枪式骨剪切除法在鼻中隔黏膜下矫正手术中应用的临床疗效。方法选取鼻中隔偏曲且行鼻中隔矫正术患者69例,随机分为治疗组(n=34)和对照组(n=35)。治疗组应用新型枪式骨剪切除法完成手术,对照组应用双关节咬骨钳咬除... 目的探讨鼻内镜下新型枪式骨剪切除法在鼻中隔黏膜下矫正手术中应用的临床疗效。方法选取鼻中隔偏曲且行鼻中隔矫正术患者69例,随机分为治疗组(n=34)和对照组(n=35)。治疗组应用新型枪式骨剪切除法完成手术,对照组应用双关节咬骨钳咬除法完成手术。记录两组患者手术相关指标,并比较两组的手术疗效。结果治疗组手术时间明显短于对照组(P<0.05);两组术中出血量、鼻塞VAS评分、鼻内镜评分比较,差异均无统计学意义(均P>0.05)。结论与双关节咬骨钳咬除法相比,鼻内镜下新型枪式骨剪切除法在鼻中隔矫正术中的手术时间更短,效率更高,损伤较小,达到微创目的。 展开更多
关键词 新型枪式骨剪 鼻中隔偏曲 矫正术
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自制枪式骨剪在鼻中隔矫正术的应用(附56例报告)
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作者 覃宏康 何中扬 +2 位作者 零兴勤 梁华 彭兖莱 《广西医学》 CAS 2015年第7期1005-1007,共3页
目的探讨自制枪式骨剪配合鼻内镜行鼻中隔黏膜下矫正术的可行性与疗效。方法鼻中隔偏曲患者56例,应用自制枪式骨剪配合鼻内镜行鼻中隔偏曲黏膜下矫正手术。结果 56例患者均一次顺利完成手术,因鼻中隔偏曲导致的鼻塞、鼻出血、头痛等临... 目的探讨自制枪式骨剪配合鼻内镜行鼻中隔黏膜下矫正术的可行性与疗效。方法鼻中隔偏曲患者56例,应用自制枪式骨剪配合鼻内镜行鼻中隔偏曲黏膜下矫正手术。结果 56例患者均一次顺利完成手术,因鼻中隔偏曲导致的鼻塞、鼻出血、头痛等临床症状均缓解或消失;手术后狭窄侧鼻腔通气VAS、鼻内镜评分均明显低于术前(P<0.05);术后平均随访3个月,均无术后大出血、鼻中隔血肿、脓肿形成、鼻中隔穿孔、鼻梁塌陷、鼻中隔黏膜搧动等并发症发生。结论应用自制新型枪式骨剪行鼻内镜鼻中隔黏膜下矫正手术,疗效满意,操作简单易行,安全性高。 展开更多
关键词 鼻中隔偏曲 枪式骨剪 矫正术 鼻内镜
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改良外侧开眶术
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作者 陈平 王都 《泸州医学院学报》 1997年第5期382-383,共2页
介绍一种外侧开眶术改良术式。用骨剪取代线锯或微型气动/电动锯剪断眶外侧壁;术后用 ZT 骨胶粘合骨片复位。结果:用本法行5例眼眶内肿瘤摘除术,手术时间45~100分钟;术后骨片对合生长良好。结论:本法缩短了手术时间:术后骨片复位良好... 介绍一种外侧开眶术改良术式。用骨剪取代线锯或微型气动/电动锯剪断眶外侧壁;术后用 ZT 骨胶粘合骨片复位。结果:用本法行5例眼眶内肿瘤摘除术,手术时间45~100分钟;术后骨片对合生长良好。结论:本法缩短了手术时间:术后骨片复位良好、稳固、利于愈合;手术操作简单易行.不需特殊器械;有推广使用价值。 展开更多
关键词 外侧开眶术 骨剪 ZT
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Fracture mechanics solution of confined water progressive intrusion height of mining fracture floor 被引量:2
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作者 Lu Haifeng Yao Duoxi +1 位作者 Shen Dan Cao Jiyang 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2015年第1期99-106,共8页
In order to obtain the value of confined water progressive intrusion height of mining fracture floor, the analysis equation was deduced based on the fracture extension theory of the fracture mechanics. Further- more, ... In order to obtain the value of confined water progressive intrusion height of mining fracture floor, the analysis equation was deduced based on the fracture extension theory of the fracture mechanics. Further- more, the influence of some parameters (e.g., advancing distance of working face, water pressure, initial fracture length and its angle) on confined water progressive intrusion height were analyzed. The results indicate that tension-shearing fracture of floor is extended more easily than compression-shearing frac- ture under the same conditions. When floor fracture dip angle is less than 90% tension-shearing extension occurs more easily on the left edge of the goaf. If fracture dip angle is larger than 90% it occurs more easily on the right edge of the goal. The longer the advancing distance of working face is, the greater initial frac- ture length goes; or the larger water pressure is, the greater possibility of tension-shearing extension occurs. The confined water progressive intrusion height reaches the maximum on the edge of the goaf. Field in situ test is consistent with the theoretical analysis result. 展开更多
关键词 Tension-shearing fractureCompression-shearing fractureConfined water progressive intrusionFloor water invasion
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Possible effect of fluid shear stress on osteoclastogenesis 被引量:1
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作者 Tong Xiaoyu Xia Yayi 《Journal of Medical Colleges of PLA(China)》 CAS 2010年第2期103-109,共7页
Bone remodeling is performed under the joint action of osteoblasts and osteoclasts. Since the effect of osteoclasts has been gradually recognized on bone and joint diseases, targeted researches toward osteoclasts have... Bone remodeling is performed under the joint action of osteoblasts and osteoclasts. Since the effect of osteoclasts has been gradually recognized on bone and joint diseases, targeted researches toward osteoclasts have become a hot research field. This article reviews the relevant medical literature concerning the possible effects of the fluid shear stress (FSS) on the osteoclastogenesis chiefly from the aspects of RANKL-RANK-OPG system, the macrophage colony-stimulating factor (M-CSF), and calcitonin receptor (CTR). On the basis of the changes of the expression of osteoclastic activities, it is suggested that FSS is a potent, important regulator of bone metabolism. 展开更多
关键词 Fluid shear stress (FSS) OSTEOCLASTOGENESIS RANKL M-CSF
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A computational analysis of the impact of mass transport and shear on three-dimensional stem cell cultures in perfused micro-bioreactors
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作者 Himanshu Kaul Yiannis Ventikos Zhanfeng Cui 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2016年第1期163-174,共12页
In this study, Computational Fluid Dynamics(CFD) is used to investigate and compare the impact of bioreactor parameters(such as its geometry, medium flow-rate, scaffold configuration) on the local transport phenomena ... In this study, Computational Fluid Dynamics(CFD) is used to investigate and compare the impact of bioreactor parameters(such as its geometry, medium flow-rate, scaffold configuration) on the local transport phenomena and, hence, their impact on human mesenchymal stem cell(hM SC) expansion. The geometric characteristics of the TissueFlex174;(Zyoxel Limited, Oxford, UK) microbioreactor were considered to set up a virtual bioreactor containing alginate(in both slab and bead configuration) scaffolds. The bioreactor and scaffolds were seeded with cells that were modelled as glucose consuming entities. The widely used glucose medium, Dulbecco's Modified Eagle Medium(DMEM), supplied at two inlet flow rates of 25 and 100 μl·h^(-1), was modelled as the fluid phase inside the bioreactors. The investigation, based on applying dimensional analysis to this problem, as well as on detailed three-dimensional transient CFD results, revealed that the default bioreactor design and boundary conditions led to internal and external glucose transport, as well as shear stresses, that are conducive to h MSC growth and expansion. Furthermore, results indicated that the ‘top-inout' design(as opposed to its symmetric counterpart) led to higher shear stress for the same media inlet rate(25 μl·h^(-1)), a feature that can be easily exploited to induce shear-dependent differentiation. These findings further confirm the suitability of CFD as a robust design tool. 展开更多
关键词 Alginate scaffolds Bioreactors Fluid mechanics Dimensionless quantities Mass transfer Modelling Perfusion
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Nonunion of coronal shear fracture of femoral condyle 被引量:11
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作者 Ajay Pal Singh Ish Kumar Dhammi +3 位作者 Raju Vaishya Anil Kumar Jain Arun Pal Singh Prashant Modi 《Chinese Journal of Traumatology》 CAS 2011年第3期143-146,共4页
Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of thr... Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of three years. Three patients were treated conservatively and three patients had fixation failures. Delay of presentation was 2 months to one year. Treatment protocol consisted of open reduction, excision of pseudoarthrosis, bone grafting and internal fixation along with knee arthrolysis. Union wasachieved in all patients at mean 16 weeks. The treatment of nonunion of Hoffa fractures requires careful preoperative planning and meticulous surgical technique. The literature regarding the controversies in fracture management and surgical technique are reviewed. 展开更多
关键词 Femoral fracture Fracture ftxation INTERNAL Retrospective studies
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Long term surgical treatment outcome of talar body fracture 被引量:2
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作者 Ramesh Kumar Sen Sujit Kumar Tripathy Shakthivel RR Manoharan Vibhu Krishnan Tajir Tamuk Vanyambadi Jagadeesh 《Chinese Journal of Traumatology》 CAS 2011年第5期282-287,共6页
Objective: Talar body fractures are rare and have poor treatment outcome. The purpose of this study is to report the long term surgical treatment outcome of closed talar dome fractures.Methods: Eight closed talar bo... Objective: Talar body fractures are rare and have poor treatment outcome. The purpose of this study is to report the long term surgical treatment outcome of closed talar dome fractures.Methods: Eight closed talar body fractures, treated by open reduction and internal fixation with small fragment cancellous screws and/or Herbert screws in our level Ⅰ trauma centre were retrospectively analyzed. Preoperative and postoperative radiographs of the foot (antero-posterior, lateral and oblique views) and ankle (antero-posterior, lateral and mortise views) were obtained. The patients were followed up both radiologically and functionally (foot function index, FFI) after 3 weeks, 6 weeks, 3 months, 6 months and then annually.Results: There were five crush fractures and three shear fractures (two sagittal shear and one coronal shear),with average follow-up of 5 years. No early complications were noticed in these patients. Late complications included osteoarthrosis of subtalar/ankle joints in six patients and osteonecrosis oftalar body in four patients. On functional assessment, mean FFI after 5 years was 104.63 points and worse outcome was noticed in crush injury and coronal shear fractures. Sagittal shear fractures had a good functional and radiological outcome.Conclusions: Late complications subsequent to surgically treated talar body fractures are inevitable, even though exact reduction and rigid fixation are achieved, thus patients are supposed to be counseled about the adverse outcome. Although crush and coronal shear fractures have poor outcome, sagittal injuries have good prognosis on long term evaluation. 展开更多
关键词 Fractures bone TALUS Fracture fixation internal
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