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同种异体骨笼在颈椎前路融合的应用观察 被引量:3
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作者 曾明 赵新建 +3 位作者 廖绪强 林玉英 谭健韶 关宏业 《中国脊柱脊髓杂志》 CAS CSCD 2003年第5期283-286,共4页
目的:探讨应用同种异体骨笼行颈椎前路融合的效果.方法:对287例颈椎疾患采用颈椎前路减压、同种异体骨笼植入椎体间融合术,随访观察神经功能恢复、植骨融合情况、椎间隙高度和颈椎生理曲度变化及内置物并发症等.结果:全组手术历时平均50... 目的:探讨应用同种异体骨笼行颈椎前路融合的效果.方法:对287例颈椎疾患采用颈椎前路减压、同种异体骨笼植入椎体间融合术,随访观察神经功能恢复、植骨融合情况、椎间隙高度和颈椎生理曲度变化及内置物并发症等.结果:全组手术历时平均50min,术中出血量平均11Oml.228例获平均14个月随访.骨融合时间为3~5个月,平均4个月;单节段骨融合率为98.3%,双节段为94.4%,三节段为86.9%,平均93.3%.椎体间高度术后即时略有增高,术后3~5个月内有丢失,之后稳定.颈椎生理曲度恢复并维持,仅1例向后成角畸形;3例出现骨笼崩裂.无植骨排斥反应.结论:用同种异体骨笼行颈椎体间融合的融合率达90%以上;可缩短手术时间,减少并发症,能替代自体髂骨移植. 展开更多
关键词 颈椎 椎体间融合 同种异体骨笼 手术治疗 ATFC 异体螺纹融合器
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支点弯曲位X线片预测脊柱侧凸三维矫形效果的价值 被引量:13
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作者 俞杨 邱勇 +4 位作者 李世怀 朱丽华 王斌 吕锦瑜 朱泽章 《中国脊柱脊髓杂志》 CAS CSCD 2003年第5期272-275,共4页
目的:评价支点弯曲位X线片在预测特发性脊柱侧凸患者脊柱矫形融合术效果的价值。方法:对37例特发性脊柱侧凸患者的43个结构性弯曲行术前站立位﹑仰卧侧屈位和支点弯曲位X线摄片,并与术后一周的站立位X线片比较。测量所有Cobb角并进行统... 目的:评价支点弯曲位X线片在预测特发性脊柱侧凸患者脊柱矫形融合术效果的价值。方法:对37例特发性脊柱侧凸患者的43个结构性弯曲行术前站立位﹑仰卧侧屈位和支点弯曲位X线摄片,并与术后一周的站立位X线片比较。测量所有Cobb角并进行统计学评价。结果:胸弯组和腰弯组仰卧侧屈位平均Cobb角分别为43°和22°,支点弯曲位平均Cobb角分别为38°和19°,术后Cobb角分别为37°和19°。前路手术组和后路手术组仰卧侧屈位平均Cobb角分别为47°和13°,支点弯曲位平均Cobb角分别为42°和9°,术后Cobb角分别为41°和9°。严重侧弯组和中度侧弯组仰卧侧屈位平均Cobb角分别为52°和22°,支点弯曲位平均Cobb角分别为49°和19°,术后Cobb角分别为45°和20°。僵硬侧弯组和柔软侧弯组仰卧侧屈位平均Cobb角分别为51°和22°,支点弯曲位平均Cobb角分别为48°和17°,术后Cobb角分别为43°和19°。结论:支点弯曲位X线片比传统摄片能更好地评估特发性脊柱侧凸患者在脊柱矫形融合术中所获得的矫正效果,但对严重或较僵硬的侧凸矫形效果预测较差。 展开更多
关键词 脊柱侧凸 脊柱融合 影像学 柔韧性 支点弯曲位 X线片 三维矫形
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内窥镜下颈椎间盘切除及椎体间植骨融合术 被引量:20
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作者 刘忠军 党耕町 +3 位作者 马庆军 刘晓光 于泽生 姜亮 《中国脊柱脊髓杂志》 CAS CSCD 2004年第2期90-92,共3页
目的:探讨内窥镜下颈椎间盘切除及椎体间植骨融合术治疗颈椎疾患的疗效.方法:经内窥镜颈椎间盘切除及植骨术治疗颈椎疾病25例,包括脊髓型颈椎病17例,神经根型颈椎病3例,交感型颈椎病2例及外伤性颈椎间盘突出症3例.结果:本组患者颈部手... 目的:探讨内窥镜下颈椎间盘切除及椎体间植骨融合术治疗颈椎疾患的疗效.方法:经内窥镜颈椎间盘切除及植骨术治疗颈椎疾病25例,包括脊髓型颈椎病17例,神经根型颈椎病3例,交感型颈椎病2例及外伤性颈椎间盘突出症3例.结果:本组患者颈部手术出血平均80ml,18例获10~46个月(平均27个月)随访,植骨全部融合,脊髓和神经根压迫症状改善满意,除1例出现术后植骨块移位外,未见其它合并症.结论:经内窥镜下颈椎间盘切除及植骨融合术是一种创伤小、安全、可靠的手术技术,适合于颈椎间盘突出症及部分颈椎病的治疗. 展开更多
关键词 内窥镜 颈椎间盘切除 椎体间植骨融合术 微创
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Polymorphisms and functions of the aldose reductase gene 5' regulatory region in Chinese patients with type 2 diabetes mellitus
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作者 李清解 谢平 +3 位作者 黄建军 谷亚鹏 曾卫民 宋惠萍 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第2期209-213,共5页
OBJECTIVE: To screen the 5' regulatory region of the aldose reductase (AR) gene for genetic variabilities causing changes in protein expression and affecting the promoter function. METHODS: The screenings were car... OBJECTIVE: To screen the 5' regulatory region of the aldose reductase (AR) gene for genetic variabilities causing changes in protein expression and affecting the promoter function. METHODS: The screenings were carried out by polymerase chain reaction-single strand conformation polymorphism (PCR-SSCP). All SSCP variants were submitted for DNA sequencing and inserted into the plasmid chloromycetin acetyl transferase (CAT) enhancer vector. The constructs were used to transfect Hela cells, and CAT assays were performed to assess promoter activity. Gel mobility shift and footprinting assays were also performed to determine the interaction between the DNA and nuclear proteins. RESULTS: Two polymorphisms, C (-106) T and C (-12) G, were identified in the regulatory region in 123 Chinese control subjects and 145 patients with type 2 diabetes mellitus. The frequencies of genotypes WT/WT, WT/C (-12) G and WT/C (-106) T were not significantly different between the subjects and patients. In the patients with and without retinopathy, frequencies of WT/C (-106) T were 31.5% and 17.5% (P 0.05) respectively. The total frequency of WT/C (-12) G and WT/C (-106) T in patients with retinopathy was 41.8%, significantly higher than that (20.0%) in patients without retinopathy (P 展开更多
关键词 5' Flanking Region Adult Aldehyde Reductase Binding sites china Chloramphenicol O-Acetyltransferase DNA DNA Footprinting Diabetes Mellitus Type 2 Electrophoretic Mobility shift Assay Female Hela Cells Humans Male Middle Aged Mutation Polymerase Chain Reaction Polymorphism Genetic Polymorphism single-stranded Conformational Recombinant fusion Proteins Regulatory sequences Nucleic Acid Research support Non-U.s. Gov't sequence Analysis DNA Transcription Genetic
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