Objective To explore the clinical efficacy of treatment of type C distal femoral fractures with LISS plate fixation. Methods 22 patients with type C distal femoral fractures were treated with LISS plate fixation and bone graft for bone defect. Results 22 cases were followed up for 12 ~ 24 months. The knee joint function of the patients,according to Kolmert score standard,was excellent in 8 cases,good in 11 and fair in 3. Conclusions The type C distal femoral fracture can be treated with LISS plate. This method facilitates the fracture achieve anatomical reduction of articular surface,and provides effective stable fixation. Because of the high rate of fracture healing of this method,and it is consistent with the biomechanical principle,it is a good method in the treatment of type C fractures of distal femur.

目的:观察中西医结合治疗带状疱疹后遗神经痛的临床疗效。方法:将64例本病患者随机分为治疗组33例与对照组31例,治疗组采用中西医结合治疗,对照组采用西医常规治疗。结果:总有效率治疗组为93.9%,对照组为67.7%,两组比较,差异有统计学意义(P<0.05)。治疗组在改善疼痛及临床伴随症状等方面均优于对照组。结论:中西医结合治疗带状疱疹后遗神经痛具有较好的疗效。

Objective: To explore the impact on haemodynamics of hysterectomy patients by different anesthesia methodes.Methods: Thirty-six hysterectomy patients were divided into general anaesthesia group(Group A,18 patients) and general anaesthesia combined epidural anesthesia group(Group B,18 patients) randomly.The hemodynamic change was detected by Swan-Ganz catheter technique during the operation.Results: The HR,MAP,CVP,SVR and CI of Group A increase apparently,but the SV doesn't change apparently.The CVP of Group B increases apparently.Besides CVP,other indexes don't change apparently.Conclusion: The general anaesthesia combined epidural anesthesia chould reduce the intraoperative stress reponse and stabilize haemodynamics during the hysterectomy operation.

目的:比较硬膜外麻醉与腰硬联合麻醉用于老年患者骨科手术的效果.方法:选择ASAⅡ～Ⅲ级的老年骨科手术患者100例,随机分为2组:I组采用为腰-硬联合麻醉(CSEA,n=50),Ⅱ组采用硬膜外麻醉(EA,n=50).观察术中心率(HR)、平均动脉FF(MAP),氧饱和度(SP02)、呼吸频率(P)变化,麻醉阻滞效果,药物不良反应等.结果:在麻醉过程中I组的HR、MAP、SP02、P变化与Ⅱ组无明显差异(P>0.05),I组感觉阻滞起效时间、运动阻滞起效时间、最高感觉平面出现时间明显快于II组(P均<0.05).两组麻醉后药物不良反应无明显差异(P>0.05).结论:两种麻醉方法在患者生命体征变化和不良反应上无明显差异,但在麻醉阻滞效果上,腰-硬联合麻醉在老年患者骨科手术中明显优于硬膜外麻醉,值得采用.

Objective To study the surgical method of acetabular reconstruction of total hip replacement in the treatment of adult hip displasia.Methods 24 adult cases including 32 hips with osteoarthritis secondary to hip dysplasia undergone THR(total hip replacement) were adopted in the study.21 hips were reconstructed by autogenous femoral andiliac bone grafting.11 hips were reconstructed by acetabulum deepening.The patients were all followed up and evaluated with Harris score,radiographic examination,walking gait,limb length and Trendelenburg′s sign.Results All the patients were followed up for 6 months～5 years.The mean Harris score was improved from preoperative 48.2 to postoperative 86.4.All the bone grafts fused with the host bone successfully.The hip center was lowered for 55 mm(37～69 mm).Joint pain of 29 hips were eliminated.3 hips remained little pain.There was 1 case of persistent positive Trendelenburg′s sign.Conclusions Choosing suitable way of acetabular reconstruction can acquire good therapeutic effect in total hip replacement of adult hip displasia according to preoperative evaluation.