Objective To introduce the rehabilitation methods after reconstruction of anterior cruciate ligament(ACL) with quadru-pled-stranded semitendinosus tendon and suture plate.Methods 51cases of ACL ruptures were reconstructed with quadrupled-stranded semi-tendinosus tendon and suture plate,The patients were instructed postoperationally for rehabilitation for more than I year.Results The range of motion of the injured knee were regained in all cases 3 months after operation,The quadriceps/hamstrings peak torque ratio reached approximately 80% of the uninjured leg 1 year after apeation.KT-1000 examination showed that the anterior laxity of the offected knee was greater than the healthy knee in 11.76% and in 10.41% of the patients respectively ,6and 12 months afteroperation,but the patients differences were less than 4 mm,In the other patients ,the anterior laxity of the affected knee was equal or less than the healthy knee 1 year after opation,95.83% patients regain normal gatis,and the total knee score were(97.8±1.2)according to Lysholm score scale,Conclusion This rehabilitation procedure was practical and effective for functional restoration of the injured knee as well as the injured leg in patients undergoing ACL reconstruction.
Objective To investigate the methods to maintain leg-equalization for patients undergoing primary total hip joint replacement .Methods 40 patients,45 hipswith various diseases were treated by total hip joint replacement from Jan 2000 to Sep 2001,Before operation,the perpendicular length from center of femoral head to the summit of great tuberosity and the tip of less tuberosity to the line of bilateral ischial tuberosity were measured;the length from anterior superior iliac spine to medial malleolus were measured at same time.Leg-length was decided and corrected according to these lines ,Results Before operation,shortening of limbs were presented in 39 hips,I to 4cm,average 2,4 cm.After operation,discrepancy of both legs was 0-0.8cm,Apparent limps were not observed in all patients,Conclusion This measurement is a useful method to maintain and recover leg-length in total hip joint replacement.
Objective To discuss the clinical effect of treatment with anterior decompression,bone graft and cervical locking plate fixation for cervical degeneration disease.Method 23 patients with cervical spondylotic myelopathy and cervical ossification of the posterior longitudinal ligament have undergone the treatment of anterior cervical spine locking plate fusion,Neurological signs and symptoms were evaluated before and after surgery,and mean follow-up time was 11,3 months.Result In all cases,radiography demonstrated a solid bony fusion,Additional general complications include a large wound hematoma in one and hoarseness in one ,All patients‘ neurological function were improved.Conclusion The clinical effect of treatment with anterior decompression,bone graft and cervical locking plate fixation for cervical degeneration disease is satisfactory.
Objective To investigate therapeutic effect of duragesic in the treatment of cancerous pain in patients with advanced tumors,Method Before entering the study,all patients suffered from moderate to sever cancerous pain,All patients were given 5 doses of duragesic within 15 days,Evaluation was performed every 12 hous,We assessed pain intensity and pain relief by using numoral rating scale(NRS).Quality of life was also evaluated.Result Eventual dose was 2.5 mg in 10cases,5 mg in 49 cases.,7.5 mg in 5 cases,10 mg in 3cases,and 12.5 mg in 1 cases,15mg in 1 case complete relief was observed in 13 cases,partial relief observed in 45 cases, effective rate was 84.06%,The therapeutic effect of duragesic was similar to that of MS contin,Therapeutic dffect occurred 48-72house later and became most significant 2-4 days later,and maintain at constant level,Conclusion By the special pattern for delivery via transdermal system,duragesic produces lasting and stable analgesic effect,In addition,it is characterized by simple operation,convenient application,insignificant adverse .Hence,duragesic can replace oral strong opiod drugs.
Objective To explore the effect of extracorporeal shock ware lithotripsy(ESWL) for the postoperative residual bilestone of choledocholithiasis,Method Inject contrast medium of biligrafin via T-tube,After accurate apposition with X-ray,take lithotripsy with extracorporeal shock ware .In some cases T-tube washing and transcutaneous choledochoscope were used to take out bilestones.Results The lithotripsies were successful in all the 48 patients and the lithotriptic rate was 100%,The removing rate of bilestones was over 90% with washing method,Choledochoscope was used in 6 cases,and 48 patients were completely healed In them 24 suffered from slight expanding pain in right upper abdomen or nausea and no any complications and sequelae in others.Conclusion ESWL is and effect method to heal patients with the postoperative residual bilestones of choledocholithiasis.
目的：对我国部分城市近年来慢性癌痛药物治疗的现状和效果作一系统评价。检索策略：使用以下主题词分别检索了MEDLINE、EMBASE、中国生物医学文献数据库（Chinese Biomedical Literature database,CBM)、CBMdisc、CMCC系统。检索资料库的参考文献目录至2001年11月。资料纳入标准；关于我国医师、医－患双方及社区慢性癌痛药物治疗有关的大型问卷调查、相关综述。资料收集和分析：由于收集的资料以问卷调查结果为主，本文仅以叙述形式进行总结。评价方法：对选择纳入资料的质量由2名医师分别进行评价，质量评价主要考察资料的真实性，调查设计是否严密，实施过程是否严格，统计学处理是否合理。主要结果：共检出相关的调查论文、综述19篇，其中4篇为国外相关情况的报道，3篇仅为资料介绍。有关上海地区的调查综述3篇，北京地区的调查2篇，全国性的调查7篇。3篇为英文，其余为中文。评价者总结：慢性癌痛是可以控制的；在癌痛的药物治疗中遵守WHO的三阶梯止痛原则、合理应用麻醉性镇痛剂可以确切提高止痛疗效。尚需要前瞻性对照研究对癌痛药方法进行进一步研究。
Objective :To discuss a new method and its mechanism for the treatment of spastic cerebral palsy.Methods:6 case were treated.The injurious nerve trunk was kept abreast of neithbor donor nerve at suitable segement,the epineurium and fascicu of two neighboring area were incised to appear nerve fibers,then side-to-side anastomosed each other through the epineurium and fascicu.Result All cases were followed-up for 4-15 months.The spastic limb and deformity of all cases have obvious relieve,5 cases had no spasm without extra stimulation and have the main function recovered,Conclusion Side-to-side neruorrhaphy is a new method to treat spastic cerebral palsy ,After operation,the spatstic muscle could obtain normal never control,thereby,the cervical orientation area was changed.
Objective To investigate diagnosis and treatment characters of cervical spondylotic myelopathy combined with thoracic spinal stenosis,and to analysis effective pathway of spinal function recovery,Methods We took respective analysis on diagnosis,treatment and recovery results of 12 cases,whose symptoms,signs and MR were explicit,Results Follow-ups times were from 9 months to 5 years and 8 months,Nerve function of 8 cases recovered completely or nearly completely;that of 2 cases improved apparently and that of 2 case improved slightly.Conclusion Detailed disease history collection,particular body examination and MR reading are very important to early diagnosis of cervical spondylotic myelopathy combined with thoracic spinal stenosis.Early operation combined with cervical and thoracic spinal canal decompression at same time or at different stages is the single effective method to patients‘ function recovery.
Objective To investigate whether there is morphological change at intervertebral dise after traction therapy to lumbar disc protrusion.Methods We observed 58 lumbar disc protrusion cases diagnosed by CT and treated with traction therapy with CT again,and compared morphological change of intervertebral disc on CT image before and after treatment,Result Effective rate of traction therapy to lumbar disc protrusion was 84.48%,there was no apparent difference in degree of lumbar disc protrusion,anterior-posterior diameter of vertebral canal and lateral crypt width between before and after treatment,Conclusion Traction can relieve effectively clinical symptoms of lumbar disc protrusion,but can‘t make great change in shape of protruded intervertebral tisc.
Obuective To discuss the effects of comprehensive rehabilitation therapy on scapulohumeral periarthritis,Method Alll the patients were randomly divided into two groups.Patients in group A were treated by ujtrashort-ware,medium frequency electric therapy and medical gymnast-tics,Patients in group Bwere theated by joint mobililzation combined with treatments in group A.Meanwhile,the functional rating scale was used to measured scale of shoulder joint during pre and post treatment,Results In group A ,6 were cured,11 were significant effect and 18 were improved,The effective rate was 81.40%.In group B,14 were cured,18 were significant effect and 8 were improved ,The effective rate was 93.02%.The score of group B after treatment was increased significantly compared with group A(P<0.01).Conclusions The effects of the joint mobilization and combined with physiotherapy and medical gymnastics were significant on scapulohumeral periarthritis.
Object:Combining the reconstruction of anterior crucial ligament(ACL)with functional rehabilitation,we recover the injured knee as possible as can.Methods 38 patients received ACL reconstruction with allogenci Achilles tendon under arthroscopy,We reconstructed the injured ACL and the injured medial crucial ligament(MCL)by utilization of length of achiles tendon,Then we carried out different rehabilitations in ccordance with special needs of the patients,Results The follow-up was performed for more than 7 month in 34 cases.Lysholm method was used to evaluate patients‘ function before and after operation,Results showed average score was 53.8 preoperatively,and 84.2 postoperatively,the good rate was 84.4%.In the objective examination,anterior drawer test(ADT),31 cases were positive preoperatively,1was positive post-operativelylachman test;34 were positive preoperatively,1 was positive postoperatively;4 were weak positive postoperatively,There were 3 cases with pain of knee joints and 4 cases with limitation of knee joints(5-20 degree)postopratively,Conclusion Combination of reconsgrucition of ACL with allogenic Achilles tendon and the functional rehabilitation can gain remarkable curatieeffect.
Object:To investigate the surgical treatment of congential children megalodactylia.method Retrospective analysis of 14 cases of children megalodacthylia were done.Several surgeries were summarized including epiphyseal arrest and resection,patial amputation,Result 14 fingers and 6 toes of 9 cases were operated by using epiphyseal arrest and resection and soft tissue excision,6 fingers and 10 toes of 5cases were carried out by using parital amputation and soft tissue excision.The results of 10 digits developed secondary cauaslgia after 2 years,Conclusion Epiphyseal arrest would be a favorable choice for the congenital children megalodactylia.
Objective To study the general design and practice instages of the treatment of severe cerebral palsy with the combination of selective anterior and posterior rhizotomy with orthomorphy stage II of the lower extremities.Method To evaluate the disability of the cases,calculate the expectant value and design rehabilitation program in stages before selective anterior and posterior rhizotomy orthomorphy,force line recovering,extremities banlancing,joints stabilization and muscle force rebuilding,Result After treatment in stages the 15 children of cerebral palsy could walk without support.Conclusion It‘s most important to practive the combination of the aperations in order in rehabilitation of children‘s severe cerebral palsy.
Objective To investigate cause and prevention of dysuria after hyperplasia of operation.Methods To analyze 66 cases of dysuria after hyperplasia of prostate operation retrospectively.Result The most common reasons to dysuia are orderly stenosis of bladder neck;inflammatory edema of bladder neck;urethral stricture;rehyperplasia of remained prostate tissue;neruogenic bladder;prominence of ureteral crest;clot obstruction;Conclusion Prevention of dysuria after hyperplasia of prostate operation consists in preoperative satisfied diagnosis and correct treatment in operation and after operation.
Objective To investigate wheat maxibastion of Guanyuan point on immune function and antitumor effect in mice with tumor.Method Group experiment and statistical analysis were conducted,Results were analyzed comparatively.Result Wheat maxibastion of Guanyuan poing could reduce ATEP(associated rumor erythrocyte rate )and direct tumor erythrocyte rate(DTER)and raise excitotumorous erythrocyte rate (ETER)(P<0.05,P<0.01)and stimulate the reduced activity of NK cell and IL-2 signif8icantly(P<0.01)in mice with tumor.Conclusion Wheat maxibation of Guanyuan of Guanyuan point can increase the adhesion ability to tumor cells of RBC,and increase the activity of NK cell and IL-2.
Objective To evaluate the effectiveness of transdermal fentanyl (Durogesic)in the treatment of cancer pain.Methods 30 cases of patients with moderate to servere cancer pain were treated using Durogesic,and 30 patients were treated using sustained-release hydrochloride morphine tablets as control group.Durogesic began from the dosage of 25μg/h to individual doses,and hydrochloride morphine began from 30 mg to individual doses.The duration of treating time was 3 weeks,Results The response rate of pain relief was 80.0% in Durogesic group and 83.3% in hydrochloride morphine group,respectively;Quality of life scores were(27.27±3.53)before treatment and (32.67±2.88)after treatment(P<0.05)in Durogesic group;The main side effect were dizziness,nausea and somnolence.Conclusion Durogesic is effective in the treatment of cancer pain,it can improve the quality of life scores and the side effect is mild to tolerate.