Objective: This study aimed to evaluate short-term clinical efficacy of percutaneous endoscopic posterior lumbar interbody fusion (Endo-LIF) in the treatment of obese patients with lumbar degenerative diseases (LDD).Methods: Patients who underwent single-level lumbar fusion surgery from July 2020 to July 2022 were retrospectively analyzed in this study. The main inclusion criterion was a body mass index (BMI) >= 30 kg/m2. A matched case-control design was conducted to compare the short-term outcomes between the Endo-LIF and transforaminal lumbar interbody fusion (TLIF) in obese patients. Cases were defined as those who underwent Endo-LIF, and controls were matched from those patients with open TLIF according to corresponding matched criteria. Surgeon satisfaction was evaluated by questionnaires at the end of each surgery, patient satisfaction and their willingness to undergo the same surgery again were collected.Results: Two groups of patients were successfully completed surgery. In comparison with the open TLIF group, the Endo-LIF group had significantly less blood loss, less time to postoperative ambulation, less postoperative complications and shorter hospitalization days, but longer operation time and x-ray exposure times. The satisfaction of surgeons and patients in Endo-LIF group significantly were superior to open TLIF group.Conclusion: Endo-LIF is a safe and effective surgery in the treatment of obese patients. Although this procedure needs longer operation time and x-ray exposure times, it still maybe a promising option for obese patients with LDD.

目的 观察自体富血小板血浆联合同种异体骨植骨在老年Pilon骨折切开复位内固定术中应用的效果.方法 回顾性分析自2012-01-2019-12采用切开复位内固定治疗的35例合并骨缺损老年Pilon骨折,骨折复位满意且关节面恢复平整后,取适量的同种异体骨进行填塞植骨,再将制备好的富血小板血浆注入骨缺损处,确认骨折复位满意后采用锁定钢板固定.结果 35例均获得随访,随访时间平均16.3(12～35)个月.骨折均愈合,愈合时间(3.57±1.21)个月.术后3例创面少许皮肤软组织坏死,换药后自行恢复.术后1周1例下肢浅静脉血栓形成,给予肝素抗凝治疗2周后血栓消失.术后6个月1例软组织感染,因骨折已愈合,取出内固定并彻底清创后感染治愈.5例出现内固定激惹,骨折愈合后取出内固定.末次随访时未发现骨块丢失、关节面塌陷、钢板螺钉断裂及松动,2例骨折畸形愈合(成角＜10°),3例出现早期创伤关节炎.末次随访时踝与后足功能AOFAS评分结果:优18例,良13例,可3例.结论 对于合并骨缺损老年Pilon骨折,采用同种异体骨充分植骨后可减少术后骨折复位丢失与关节面塌陷,联合富血小板血浆治疗能弥补同种异体骨成骨能力的不足,也避免了自体髂骨取骨带来的创伤.

目的:探讨关节镜下半月板部分切除术后早期康复护理的效果.方法:随机选取2020年1月-2021年12月本院82例关节镜下半月板部分切除术患者,采用随机数字表法分为对照组(41例,常规护理)与观察组(41例,早期康复护理),对两组护理效果进行比较.结果:膝关节恢复优良率方面,观察组(90.24％)比对照组(60.98％)高(P＜0.05).疼痛评分方面,护理前,两组未见明显差异(P＞0.05);护理后,观察组比对照组低(P＜0.05).引流管拔除时间、伤口愈合时间方面,观察组比对照组短(P＜0.05).并发

目的 对肛周脓肿切开引流术后的临床护理方法和护理效果进行分析总结.方法 选取本院2013年1月～2018年1月收治的60例肛周脓肿行切开引流术患者为研究对象,随机数字法将其分为两组,各30例患者.对照组采用常规护理,观察组采用综合护理干预,对比两组术后发热、抗生素使用及住院时间及护理满意度.结果 观察组术后发热、抗生素使用及住院时间均优于对照组;护理满意度比较观察组更优,差异有统计学意义(P<0.05).结论 肛周脓肿切开引流术后实施综合护理干预,护理效果确切,有利于提升患者生活质量,能够尽快康复出院,具有临床推广应用价值.

枕大神经痛在疼痛诊疗中是一种常见病、多发病,在中医学中又称为"头痛"、"项痛". 该病的发病年龄较广,多数在 20 岁以上, 女性的发病率比男性略高,其主要临床表现是枕大神经分布区疼痛和感觉异常,主要症状为枕部和颅后部麻木、 疼痛以及头颈活动受限.

Objective Acute necrotizing fasciitis(ANF) is a disease with acute onset,rapid progression and high mortality.Early debridement,treatment of primary disease,shock and multiple organ injury,massive application of effective antibiotics,nutritional support and negative pressure closed drainage vacuum suction treatment can achieve good clinical effects.This study explores the clinical diagnosis and treatment principles of ANF.Methods A total of 33 cases of ANF patients were retrospectively analyzed on their emergency incision and drainage,anti-infection,treatment of the primary disease,skin grafting,symptomatic and supportive therapy and late rehabilitation exercise.Results All 33 patients obtained good curative effects,the average hospital stay was 30.2 days(15-53 days).Conclusion Early diagnosis,prompt line incision and drainage,systemic comprehensive treatment and rehabilitation are the fundamental measures for ANF.