介入放射学CT引导下经皮微波消融治疗肾细胞癌:评估评分系统的效能(DOI:10.19300/j.2024.e1101)。Computed tomography-guided percutaneous microwave ablation for renal cell carcinoma:evaluating the performance of nephrometry s...介入放射学CT引导下经皮微波消融治疗肾细胞癌:评估评分系统的效能(DOI:10.19300/j.2024.e1101)。Computed tomography-guided percutaneous microwave ablation for renal cell carcinoma:evaluating the performance of nephrometry scores(DOI:10.1007/s00330-023-09774-y)E.Efthymiou,G.Velonakis,G.Charalampopoulos,A.Mazioti,E.Brountzos,N.Kelekis,et al.摘要目的旨在评估RENAL和改良RENAL(mRENAL)评分在预测接受微波消融(MWA)治疗的T1期肾细胞癌(RCC)病人预后中的作用。方法回顾性纳入经活检证实为T1a(84%)或T1b(16%)期的孤立性RCC病人76例,所有病人均行CT引导下MWA。通过计算RENAL和mRENAL评分来评估肿瘤的复杂性。结果大多数病变为外凸性(82.9%),距集合系统>7 mm(53.9%),位于背侧(73.6%),位于极线以下(61.8%)。展开更多
目的分析膝前后联合入路手术治疗复杂过伸型胫骨平台骨折的安全性与有效性。方法2015年2月~2020年2月我院创伤骨科收治的复杂过伸型胫骨平台骨折病人92例,联合组48例,接受膝前后联合入路手术治疗,正中组44例,接受传统膝前正中入路手术...目的分析膝前后联合入路手术治疗复杂过伸型胫骨平台骨折的安全性与有效性。方法2015年2月~2020年2月我院创伤骨科收治的复杂过伸型胫骨平台骨折病人92例,联合组48例,接受膝前后联合入路手术治疗,正中组44例,接受传统膝前正中入路手术治疗。比较两组病人围手术期情况、随访期指标及影像学指标。结果联合组病人术中出血量、射线曝光时间、术后引流量及住院时间等围手术期指标均低于正中组,差异有统计学意义(P<0.05)。末次随访时,联合组病人的不良反应发生率低于正中组,差异有统计学意义(6.82%vs.13.16%,P<0.05)。术后3个月及末次随访时,联合组和正中组膝关节美国特种外科医院(hospital for special surgery,HSS)评分分别为(64.57±0.47)分和(56.39±0.46)分,Rasmussen评分分别为(16.42±0.46)分和(12.39±0.41)分,两组比较差异有统计学意义(P<0.05);末次随访时,联合组和正中组病人内翻角分别为(84.16±4.89)°和(89.14±6.78)°,股胫角分别为(176.64±4.21)°和(167.65±3.83)°,后倾角分别为(11.54±0.79)°和(9.65±0.83)°,两组比较差异有统计学意义(P<0.05)。结论联合入路手术治疗复杂过伸型胫骨平台骨折在恢复膝关节功能、缓解疼痛症状、促进骨折愈合、尽可能避免手术创伤对康复的影响等方面具有满意的疗效。展开更多
Objective: To assess the value of spinal radiographs in determining the signi ficance of reductions in bone mass or density in chronically ill children. Study design: A pediatric scoring method for assessment of osteo...Objective: To assess the value of spinal radiographs in determining the signi ficance of reductions in bone mass or density in chronically ill children. Study design: A pediatric scoring method for assessment of osteoporotic vertebral cha nges, developed on the basis of radiographs of 70 healthy controls and establish ed adult scoring methods, was subsequently used to assess 32 pediatric patients with suspected secondary osteoporosis. Radiographic findings were correlated wit h bone mineral density (BMD), clinical data, and biochemistry. Results: Thirty- two patients (median age 14.1 years) were included. Assessment of spinal radiog raphs with the developed scoring method found pre viously undiagnosed spinal compression deformities in 11 patients (34% ) of whom 9 were asymptomatic and 8 had lumbar spine (size- corrected) BMD measureme nts within ± 2.0 SD of the age- and sex- specific norms. Fracture history and cumulative glucocorticoid (GC)- dose did not differ between those with and wit hout compression deformities. Conclusions: Vertebral compression fractures can b e documented in a significant number of chronically ill children and are poorly predicted by single BMD measurements and clinical history. Assessment of vertebr al morphology is recommended as an additional tool in the diagnostic workup of p ediatric osteoporosis.展开更多
文摘目的分析膝前后联合入路手术治疗复杂过伸型胫骨平台骨折的安全性与有效性。方法2015年2月~2020年2月我院创伤骨科收治的复杂过伸型胫骨平台骨折病人92例,联合组48例,接受膝前后联合入路手术治疗,正中组44例,接受传统膝前正中入路手术治疗。比较两组病人围手术期情况、随访期指标及影像学指标。结果联合组病人术中出血量、射线曝光时间、术后引流量及住院时间等围手术期指标均低于正中组,差异有统计学意义(P<0.05)。末次随访时,联合组病人的不良反应发生率低于正中组,差异有统计学意义(6.82%vs.13.16%,P<0.05)。术后3个月及末次随访时,联合组和正中组膝关节美国特种外科医院(hospital for special surgery,HSS)评分分别为(64.57±0.47)分和(56.39±0.46)分,Rasmussen评分分别为(16.42±0.46)分和(12.39±0.41)分,两组比较差异有统计学意义(P<0.05);末次随访时,联合组和正中组病人内翻角分别为(84.16±4.89)°和(89.14±6.78)°,股胫角分别为(176.64±4.21)°和(167.65±3.83)°,后倾角分别为(11.54±0.79)°和(9.65±0.83)°,两组比较差异有统计学意义(P<0.05)。结论联合入路手术治疗复杂过伸型胫骨平台骨折在恢复膝关节功能、缓解疼痛症状、促进骨折愈合、尽可能避免手术创伤对康复的影响等方面具有满意的疗效。
文摘Objective: To assess the value of spinal radiographs in determining the signi ficance of reductions in bone mass or density in chronically ill children. Study design: A pediatric scoring method for assessment of osteoporotic vertebral cha nges, developed on the basis of radiographs of 70 healthy controls and establish ed adult scoring methods, was subsequently used to assess 32 pediatric patients with suspected secondary osteoporosis. Radiographic findings were correlated wit h bone mineral density (BMD), clinical data, and biochemistry. Results: Thirty- two patients (median age 14.1 years) were included. Assessment of spinal radiog raphs with the developed scoring method found pre viously undiagnosed spinal compression deformities in 11 patients (34% ) of whom 9 were asymptomatic and 8 had lumbar spine (size- corrected) BMD measureme nts within ± 2.0 SD of the age- and sex- specific norms. Fracture history and cumulative glucocorticoid (GC)- dose did not differ between those with and wit hout compression deformities. Conclusions: Vertebral compression fractures can b e documented in a significant number of chronically ill children and are poorly predicted by single BMD measurements and clinical history. Assessment of vertebr al morphology is recommended as an additional tool in the diagnostic workup of p ediatric osteoporosis.
