TSCI have dyskinesia and sensory disturbance that can cause various life-threaten complications. The patients with traumatic spinal cord injury (TSCI), seriously affecting the quality of life of patients. Based on the epidemiology of TSCI and domestic and foreign literatures as well as expert investigations, this expert consensus reviews the definition, injury classification, rehabilitation assessment, rehabilitation strategies and rehabilitation measures of TSCI so as to provide early standardized rehabilitation treatment methods for TSCI.
目的:评价应用外固定支架治疗锁骨骨不连的临床疗效。方法:从2004年1月至2007年6月对我院收治的8例锁骨骨不连应用外固定进行治疗,男5例,女3例,年龄16~55岁,平均38.7岁。研究其骨折愈合情况,并采用constant评分评价肩关节功能恢复及并发症情况,进行疗效追踪观察。结果:所有病例获得随访,随访时间9~22个月,平均15个月,所有患者疼痛减轻,1例患者在抬高手臂时有轻度疼痛,采用Constant功能评分,从术前(43.8±13)分提高到(70.6±17.69)分;X线片提示,2.5~3.5个月(平均2.8个月)内均骨性愈合。其中,l例患者于术后5周时出现l根针道感染症状,经静脉输入抗生素及局部换药,感染症状在l周内消退,无复发。结论:应用外固定治疗锁骨骨不连,特别针对感染性的骨不连是一种有效的治疗方法。
目的:探索MED(Micro Endoscopic Discectomy)治疗腰椎间盘突出症的临床使用价值.方法:该组52例腰椎间盘突出症病人,均采用后路椎间盘镜下椎间盘摘除术,3~10个月观察临床效果.结果:52例椎间盘突出病人经MED椎间盘镜治疗后近期疗效满意.结论:本术式是现代微创技术和内窥镜结合治疗腰椎间盘突出症的方法,具有创伤小、脊柱稳定性破坏少、临床疗效佳等特点,具有广阔的应用前景.