简介:目的报道改良Mason-Allen缝合技术修复Ⅰ和Ⅱ区指伸肌腱损伤的临床效果.方法采用改良的Mason-Allen缝合技术修复Ⅰ和Ⅱ区指伸肌腱150例230指.结果术后观察,伤指均未发生肌腱再断裂;大部分伤指屈伸运动功能恢复近乎完全,无需行肌腱松解术.少数伤指合并骨折,固定时间较长,因此,肌腱粘连较重,进行了肌腱松解术.结论改良Mason-Allen缝合技术修复Ⅰ和Ⅱ区指伸肌腱损伤效果满意,可应用于临床.
简介:摘要目的评估在关节镜下"三角布钉"结合改良Mason-Aallen技术在临床中治疗巨大"L"或"U"型肩袖损伤的疗效。方法回顾性分析2015年1月至2019年1月,西安交通大学附属红会医院收治的86例巨大"L"或"U"型肩袖损伤患者临床资料,其中男56例、女30例;年龄40 ~ 65岁,平均(52.5±2.5)岁。根据DeOrio和Cofield分型巨大肩袖损伤,且为"L"或"U"型。应用关节镜下"三角布钉"结合改良Mason-Allen技术治疗,记录肩关节活动度及并发症,手术前后采用Constant评分及视觉模拟评分(visual analogue scale,VAS)评价肩关节功能。结果术前症状持续时间1 ~ 23个月,平均(6.2±2.5)个月;86例患者均获24 ~ 72个月随访,平均(29.3±4.5)个月;均无感染等并发症;术后12个月随访时超声检查,75例肩袖完整,8例部分损伤,3例出现全层撕裂后再次行关节镜手术治疗;末次随访肩关节活动度:前屈(170.7±3.5)°,外展(155.8±3.8)°,外旋(39.4±3.4)°,内旋(40.5±3.3)°;Constant评分由术前(31.2±1.2)分提高至术后(82.5±3.2)分(P<0.05);VAS由术前(7.8±3.2)分减少至术后(1.3±0.5)分(P<0.05)。结论关节镜下"三角布钉"结合改良Mason-Allen技术治疗巨大肩袖损伤有效,便于操作,可以减轻疼痛,改善肩关节功能,对于治疗巨大"L"或"U"型肩袖损伤是一种新的选择方法,值得临床推广。
简介:published a highly regarded study of Poe's writings. In 1984,Poe began in March 1835 to contribute short fiction and book reviews to the Richmond-based Southern Literary Messenger. In a period of American literature not notable for them,Poe had published a second collection of verse
简介:published a highly regarded study of Poe's writings. In 1984,Poe had published a second collection of verse,and yet Edgar Allan Poe shows no sign whatsoever of loosening his extraordinary hold on our imaginations. In 1959
简介:Poe began in March 1835 to contribute short fiction and book reviews to the Richmond-based Southern Literary Messenger. In a period of American literature not notable for them,The year 1845 would bring both triumphs and the beginning of a final downward spiral in Poe's life. His poem "The Raven" appeared in the New York Evening Mirror in January,a new journal formed by George Graham through a merger of his magazine The Casket with the Gentleman's Magazine
简介:ThispaperpresentsanewfamilyofsolutionstothesingularlyperturbedAllen-Cahnequationα~2Δu+u(1-u~2)=0inasmoothboundeddomainΩR~3,withNeumannboundaryconditionandα>0asmallparameter.Thesesolutionshavethepropertythatasα→0,theirlevelsetscollapseontoaboundedportionofacompleteembeddedminimalsurfacewithfinitetotalcurvatureintersecting?Ωorthogonallyandthatisnon-degeneraterespectto?Ω.Theauthorsprovideexplicitexamplesofsurfacestowhichtheresultapplies.
简介:摘要:目的 探究会阴缝合中改良式连续缝合技术的应用效果。方法 选择2023年7月-2024年2月间,本院内产后需会阴缝合的患者500例作为研究对象。依照分娩日期单双号进行分组,分对照组(单号日期分娩,250例)、观察组(双号日期分娩,250例)。对照组应用传统间断缝合技术,观察组应用改良式连续缝合技术。比较两组产后会阴疼痛评分、会阴伤口愈合情况、会阴伤口线结反应、产后性生活质量。结果 观察组产后会阴疼痛评分低于对照组(P<0.05)。观察组会阴伤口愈合甲级率、会阴伤口线结0级率高于对照组(P<0.05)。观察组产后性生活优良率高于对照组(P<0.05)。结论 会阴缝合中,改良式连续缝合技术可有效减少会阴线结反应,减轻产后会阴疼痛感,促进会阴伤口愈合,还可提高产后性生活质量,值得推广。