学龄儿童双侧先天性髋关节脱位的手术治疗及术后功能锻炼

Wehaveapplieddifferentoperationmethodsandcombinedoperationtotreatcongenitaldislocationofhip．Theresultsoffol－low－upof２２casesarereportedasfollowing．１Subjectandmethod１．１SubjectInthegroup，therewere２２patientswith４４hipsincluding６malesand１６females，５casesaged７～８yearsold，１３aged８～９，２aged９～１０，１aged１０～１１and１aged１１～１２（averageagewas８yearsand６months）．１．２Methods（１）Theoperationmethodsofdoublehipsweresamein１２casesincluding２acetabuloplasty，１Salter…     

Clinical value of X-ray and DSA examination for malignant tumors underwent inactivating replant surgery

Wecarriedoutlimbssalvageoperationin８casesofmalignantbonetumorsusingpartialtumors－incisionandalcoholinactivationsurgery．Theeffectsweresatisfying．Inthisstudy，weretrospec－tivelyanalyzedfindingsofX－rayandDSAexaminationandin－vestigatedtheirclinicalvalues．１Subjectsandmethods８subjectswereincludedinthisstudy（５men，３women）agedfrom９yearsoldto７１yearsold．Allpatientssufferedfrommalig－nantbonetumorsincluding６casesofosteosarcoma，１Ewing＇ssarcomaand１chondrosarcoma．５tumorswerelocate…     

Early rehabilitaiton training on ki netic dysfunction after craniocerebral trauma

INTRODUCTIONToexploretheeffectsofearlyrehabilitationtrainingonkineticdys－functionaftercraniocerebraltrauma，effectsofrehabilitationtrainingonpatientswithhemiplegiaareobservedinthisarticle．MATERIALSANDMETHODSMaterials２３patientswithhemiplegiaenteredthisstudyincluding１５malesand８femalesaged１５－６５（mean：４５）yearsold．Diseasecourseswere７－１２（mean：９）days．Amongthecaseswere７casesofepiduralhematoma，６casesofchronicsubduralhematoma，７casesofacutecerebralcontusionand…     

椎弓根螺钉系统矫治脊柱侧凸围手术期的康复指导

BACKGROUND：Ifscoliosisisn＇tbetreatedactively，itwillleadtoseriousappearancedeformity，decreasingofheartandlungfunction，cardiacconductingobstructionandeveninjuryofkidneyfunction．OBJECTIVE：Tosumuptheeffectsofperioperativerehabili－tationinstructionintreatmentofscoliosisbyvertebralpediclescrewsystem．UNIT：FourthDepartmentofSurgery，５９thHospitalofPLASUBJECTS：１２patientswereinvestigatedincluding３malesand９femalesaged５－２３（mean：１５）yearsold．８caseswereid－iopathicsco…     

骨水泥型人工髋关节置换治疗老年股骨颈骨折术后近期行走功能随访

１Materialsandmethod１．１MaterialsIn１８casesofthisgroup，１０malesand８femalesagedfrom６０～９３yearsoldandmeanageof７５．２yearsold．Lefthip：６cases；Righthip：１２cases．Importedprothesis：７cases；Nativeprothesis：１１cases．Completehipreplacement：１２casesinwhichimportedandnativeprothesiswereusedin６casesrespectively．Di－polarartificialthighbonereplacement：６casesincluding１caseofimportedprothesisand５casesofnativeprothesis．Following－upduration：３～２３months，mean：１５．７mont…     

Hypoxemia features of sleep of pulmo nary heart disease and practical value of oxygen therapy and positive pressure ventilation with no trauma

１Subjectsandmethod１２patientsofpurepulmonaryheartdisease，１０males，２fe－males，agedform５４～７０yearsold（meanage：６０yearsold）．Amongthesepatients，therewere９caseswithlong－termsmokinghistory，７caseswithchronicbronchitisandpulmonaryemphysema，１casewithremotepulmonarytuberculosis，１casewithchronicbronchiectasis，２caseswithpulmonaryinterstitialfibrosis，１casewithchronicorga－nizedpneumonia．Weighingindex（２１～２４）kg／m２．Sleephypoxencicfollowinternationalsleepmedicaldiagnosis…     

臀肌挛缩症所致骨盆倾斜

Twenty－ninecasesofpelvictiltofgluteuscontracture（PGTC）wereoperatedduring１９９０～１９９８．Twenty－twowereretrospec－tivelyreviewedin２～８years，andagoodresultwasobtained．１Subjectandmethod１．１SubjectFourhundredfifty－onechildrenwithgluteuscon－tractureweretreatedbetween１９９０and１９９８attheRuijinhospi－tal．Allcaseswereinvolvedbilaterally．Twenty－nineofthemwerePTGC：１９inboysand１０ingirls，withanaverageof１２yearsold（rang，８to１６years）．Thereasonofcomingtoourhospitalist…     

黛力新及心理疏导疗法对神经症的治疗研究

AccordingtoCCMD－２－RandSCL－９０犤１犦，wediagnosedandclassifiedneurosisdefinitelyduringMay１９９８～November２０００．Deanxitcombinedwithdredgingpsychotherapywereusedtocontrolnuerosis犤２犦，andfavorableeffectswereobserved犤３犦．１Subjectandmethod１．１Subject１３４outpatientswerechosenaccordingtodiagnosticcriteriaofCCMD－２－R．PatientswereevaluatedusingSCL－９０．Thesepatientsincluded５８menand７６womenaged１９～６７yearsold，meanage：（４５．５±７．４３）．Diseaseofcourseranged…     

带蒂筋膜管的耳大神经移植治疗面神经缺失性损伤

Inthepresentstudy，greatauricularnervecoatedbypediculatedfascialtubenearfacialnervetrunkwasusedtotreatdefectivedamageoffacialnerve．Andthefunctionalrecoveryoffacialnervewasmoreapparentthangraftinggreatauricularnervealone．Thestudyisre－portedasfollowing．１Subjectandmethod１．１Subject（１）Threecasesofotogenicfacialparalysis．Case１，male，８yearsold．Hasnecrotizingexternalotitisintherightearandfacialparalysisfor１２months．Case２，female，３６yearsold．Haspa－pillomaofexternalauditorycanal…     

Effect of rehabilitation training after implantation and reduction peg-claw-rod system on recovery of nerve function

BACKGROUND：Implantationandreductionpeg－claw－rodsystemhasresolvedthereductionproblemsafterfractureofverte－brae，butsomerehabilitationmeasuresarenecessarytopostoperativecomplicationsandsequela．OBJECTIVE：Toobservetheeffectsofrehabilitationtrainingafterimplantationandreductionpeg－claw－rodsystemonrecoveryofnervefunction．UNIT：SecondDepartmentofSurgery，People＇sHospitalofMileCountySUBJECTS：９patientswereallmalesaged２１－５８yearsold．Affectedsegmentsincluded２casesofT１２…     

肝脏局灶性结节增生多层螺旋CT表现及鉴别诊断

目的探讨肝脏局灶性结节增生(focal nodular hyperplasia,FNH)的多层螺旋CT表现及鉴别诊断,提高对本病的认识。方法收集我院经手术及病理证实的FNH病例14例,均行多层螺旋CT三期增强扫描,分析其CT影像表现特点。结果平扫病灶大多数为低密度(12/14),少数为等密度(2/14);增强扫描动脉期14例均有明显强化,其中10例可见中心低密度瘢痕,10例可见粗大动脉影与病灶相连;门脉期及延迟期扫描强化均有衰减,10例呈稍高或等密度,4例呈稍低密度,10例有中心瘢痕病例中6例有延迟强化,4例未见强化。结论 FNH具有一定的CT表现特征,CT检查具有重要的诊断及鉴别诊断价值。     

遗传性多发性骨软骨瘤恶变的影像学表现

目的　探讨遗传性多发性骨软骨瘤恶变的影像学表现。方法　回顾分析 5例经临床、X线平片及CT检查 ,且手术病理证实为遗传性多发性骨软骨瘤恶变的影像学表现。结果　恶变发生在骨盆 2例 ,股骨 2例 ,骨盆及股骨 1例。主要X线表现为软骨帽不规则增厚、破坏或消失 ,钙化成堆 ,密度不均 ;基底部及骨干骨皮质溶骨性破坏 ,骨膜出现放射状骨针及Codman三角 ;软组织明显肿胀。CT表现为软骨帽钙化增多 ,骨质破坏 ;基底部及骨干骨皮质虫蚀样破坏 ;瘤内广泛的不规则钙化或环状钙化及骨化影 ,密度不均 ;放射状骨针及骨膜三角 ;软组织明显肿胀。结论　遗传性多发性骨软骨瘤恶变的影像学表现具有特征性。常规X线及CT检查是诊断本病的可靠方法 ,可早期发现恶变征象     

腹膜腔包虫病的CT诊断及分型

目的：探讨腹膜腔包虫病的ＣＴ表现为分型。材料与方法：经手术病理证实的２８例腹膜腔包虫病,２６例合并肝包虫病,１６例有肝包虫病手术史,２例有外伤史。２８例均行ＣＴ常规平扫,６例行增强扫描。结果：单纯型１４例,内囊分离型２例,多子囊型７例,实变钙化型５例。结论：腹膜腔包虫病多合并肝包虫病,与肝包虫病手术史关系密切。ＣＴ表现与肝包虫病相似,分型可参照肝包虫病分型。     

320排CT在肝脏灌注检查中注射速率及对比剂浓度的研究

目的比较肝脏灌注检查中两种不同对比剂浓度和两种不同注射速率对肝动脉CT显影效果的影响,并分析护理影响因素。方法104例患者,分别用欧乃派克350和优维显370,再随机分两小组不同流率：4ml／s和6ml／s的注射速率进行320俳cT肝脏灌注检查,检测肝动脉CT峰值和血管重建图像质量;总结护理影响因素。结果欧乃派克350与优维显370的肝动脉CT峰值差异具有统计学意义（P〈0．01）;4ml/s注射速率肝动脉CT峰值低于6ml/s的注射速率肝动脉CT峰值,两者之间差异具有统计学意义（P〈0．01）。结论320排CT肝脏灌注检查中不同对比剂浓度和注射速率对肝动脉显影及图像质量的对比中,高浓度及商注射速率在肝动脉灌注中CT值及图像质量达到3级以上,良好的护理措施能解除影响图像质量的因素,也大大提高了图像质量和检查成功率。     

Wilson病的脑CT表现与临床(附45例分析)

本文分析了45例wilson病患者脑部CT表现,认为双侧豆状核区及丘脑区对称性低密度灶对Wilson病具有特征性意义,与年龄不相符的脑萎缩改变亦很多见。1例Wilson病颅脑CT改变被尸解证实,铜的异常沉积是其病理基础。丘脑区病变与患者精神症状关系密切,豆状核区的改变则与椎体外系症状关系紧密。CT对本病的作用除证实临床诊断和确定病变部位及范围外,还可以在临床未疑及本病时及本病症状前期提示本病可能。     

电子束CT与CT在诊断肝脏疾病的比较研究

目的 :分析普通CT和电子束CT在肝脏疾病辅助性诊断中的意义。方法 :收集 35例有临床症状和生化改变的各种肝脏疾病的患者 ,分别行普通CT和电子束CT(EBCT)扫描 ,帮助确诊并分析其结果。结果 :EBCT对上述35例肝脏疾病的确诊率为 10 0 % ,优于CT(77.1% )。结论 :EBCT不仅在心血管疾病应用方面有独特的优势 ,在肝脏疾病应用方面也优于普通CT。     

Assessment of the Hallmarks of Wilson Disease in CT Scan Imaging

IntroductionOwing to nonspecific clinical symptoms, Wilson disease (WD) diagnosis is often missed or delayed; hence, many patients reach end-stage liver disease. When cirrhosis takes place, it is difficult to distinguish between WD and other causes of cirrhosis by imaging alone. This study outlines abdominal computed tomography (CT) imaging findings that occur more frequently in patients with WD cirrhosis.Material and MethodsFifty-seven patients with WD who had referred for liver transplantation took part in this study and underwent dynamic liver CT examination before transplantation. Qualitative and quantitative parameters including liver density, contour irregularity, dysmorphia, hypertrophy of caudate lobe, presence of focal parenchymal lesion, thickness of perihepatic fat layer, periportal thickness, lymphadenopathy, and other associated findings were recorded and evaluated.ResultsAmong these patients, 85.9% had contour irregularity, 28% had hepatic dysmorphia, and periportal thickening and cholelithiasis were found in 25.5% and 12.3% of patients, respectively. Splenomegaly, lymphadenopathy, and portosystemic shunting were observed in all patients. Also, hyperdense nodules (>20 mm) and honeycomb pattern were detected in 65.2% and 15.2% of patients, respectively, in the arterial phase. In the portal phase, these findings were detected only in 13% and 4.3% of patients. Hypertrophy of caudate lobe was seen only in 12.2% of patients.ConclusionWD-associated cirrhosis has many CT imaging findings, although most of them are nonspecific. Some findings, such as hyperdense nodules and honeycomb pattern in non–contrast-enhanced CT scan and arterial phase of triphasic CT scan with lack of hypertrophy of caudate lobes, are hallmarks of WD.     

脂肪肝患者64层螺旋CT灌注成像的研究

目的采用64层螺旋CT灌注技术测定脂肪肝患者的血流灌注参数的变化,分析其血流动力学的改变。方法 64层螺旋CT肝血流灌注成像15例,其中脂肪肝患者13例,健康志愿者2例,观察分析肝脏血流灌注各参数。结果脂肪肝患者的血流灌注参数与正常组组间相比,肝动脉灌注值（Art.Perf）、肝门静脉灌注值（Port.Perf）、总灌注值（Tortal.Perf）下降程度明显;随着脂肪肝组组内病变严重度增加,Art.Perf与Tortal.Perf参数值亦有明显下降;肝动脉灌注指数（HPI）值各组无明显相关性。结论肝脏CT灌注成像可反映脂肪肝的血流改变,并且对脂肪肝患者的血供情况加以评估,为临床提供更多的诊断依据。     

原发性蛛网膜下腔出血临床、CT与MRA分析

目的　通过分析原发性蛛网膜下腔出血 (SAH)患者临床与影像学结果 ,探讨CT及 (或 )MRA在诊断SAH的临床意义。方法　对 12 8例SAH患者进行CT检查 ,其中 4 5例同时进行了MRA检查。结果　 12 8例SAH中治愈 2 3例 ,好转 85例 ,无变化 2例 ,死亡 18例。CT显示其中 6 0例属局限性SAH ,5 6例属广泛性SAH ,另 12例CT未见明显异常者经腰穿证实为SAH。同时有 76例合并其他CT表现 ,其中脑积水2 3例 ,脑内血肿 19例 ,脑室积血 18例 ,脑梗死 16例。MRA显示 :颅内动脉瘤 5例 ,高血压动脉硬化 12例 ,脑血管痉挛 4例 ,颅内动静脉畸形 1例 ,烟雾病 1例 ,原因不明 2 2例。结论　CT和MRA可作为SAH诊断、判断预后及病因的首选检查手段。     

Caroli病的CT诊断(附7例分析)

目的　探讨Caroli病的CT表现及诊断价值。方法　回顾性分析 7例Caroli病的临床和CT资料。结果　Caroli病Ⅰ型 1例 ,CT表现为肝右叶近肝门区肝内胆管呈囊状扩张 ,伴肝内胆管多发结石 ,无肝硬化、脾肿大和门脉高压。Caroli病Ⅱ型 6例 ,CT均表现为肝内多发低密度影 ,增强扫描后无强化 ,可以清晰显示扩张的肝内胆管 ,呈囊状或柱状扩张 ,并沿胆管走行分布 ;均合并有肝硬化、脾肿大及门静脉侧支循环开放 ,合并胆管结石 5例、肝脓肿 1例、腹水 1例。结论　CT对Caroli病的诊断及明确病变范围有重要价值。