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经皮固定

经皮固定的相关文献在1992年到2022年内共计94篇,主要集中在外科学、中国医学、基础医学 等领域,其中期刊论文65篇、会议论文3篇、专利文献422068篇;相关期刊53种,包括健康必读(中旬刊)、中国社区医师(医学专业)、光明中医等; 相关会议3种,包括第四届上海国际关节镜与运动医学学术论坛、2006中华骨科西部论坛、2005年全国骨与关节损伤治疗新进展学术交流会等;经皮固定的相关文献由309位作者贡献,包括孙建中、尹华伟、尹雷等。

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论文:65 占比:0.02%

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论文:3 占比:0.00%

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论文:422068 占比:99.98%

总计:422136篇

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经皮固定

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  • 孙建中
  • 尹华伟
  • 尹雷
  • 张雄
  • 徐文东
  • 徐静
  • 沈云东
  • 蒋苏
  • 邹榆平
  • 陈聿同
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 周捍东
    • 摘要: 目的探讨有限切开经皮克氏针固定治疗难复性儿童肱骨近端SalterⅡ型骨骺骨折的效果。方法回顾性分析平煤神马医疗集团总医院骨科三区2012-09—2017-08采用有限切开经皮克氏针固定治疗的36例难复性儿童肱骨近端SalterⅡ型骨骺骨折的临床资料。男27例,女9例;年龄8~15岁。按骨折移位程度Neer-Horwitz分型:Ⅲ型22例,Ⅳ型14例。外展型骨折21例,内收型骨折15例。记录术中情况、术后临床指标,以及随访6~24个月期间的并发症和治疗优良率。结果本组手术时间(45.63±5.94)min,术中出血量(43.60±11.08)mL,住院时间(8.96±1.69)d,骨折愈合时间(7.67±0.75)周。术后6~8周拔除克氏针。随访时间6~24个月,未发生骨折畸形愈合及骺板早闭、患肢发育畸形等。术后6个月时依据Constant-Murley评分评价疗效:优29例、良5例,优良率为94.44%。结论有限切开经皮克氏针固定手术治疗难复性儿童肱骨近端SalterⅡ型骨骺骨折,具有安全、固定牢固、操作简单、术后恢复快等优点,临床效果满意。
    • 陈路; 吴添龙; 何丁文; 程细高
    • 摘要: 目的 评价内镜下椎间融合联合经皮椎弓根内固定术治疗退行性腰椎滑脱合并腰椎管狭窄的临床治疗效果.方法 回顾性分析2016年6月至2019年6月我科收治的退行性腰椎滑脱合并腰椎管狭窄病人78例,均采用内镜下椎间融合联合经皮椎弓根钉内固定术进行治疗,收集手术时间、术中出血量、住院时间等围手术期相关数据,比较手术前后的Oswestry功能障碍指数(Oswestry disability index,ODI)、疼痛视觉模拟量表(visual analogue scale,VAS)评分、椎体滑移距离和硬膜囊横断面积.结果 本组手术时间为(118.2±17.3)min,术中出血量为(47.4±13.8)ml,住院时间为(5.2±2.4)d.随访时间为(15.3±3.6)个月.VAS评分由术前的(6.8±1.4)分降低至术后12个月随访的(1.4±1.1)分,ODI由术前的60.3%±11.5%降低至术后12个月随访的19.6%±6.7%,椎体滑移距离由术前的(4.7±1.6)mm降低至术后12个月随访的(0.7±0.2)mm,硬膜囊横断面积由术前的(75.9±18.2)mm2增加至术后12个月随访的(159.9±18.4)mm2,术后1周、3个月、12个月的VAS评分、ODI、椎体滑移距离、硬膜囊横断面积与术前数值比较,差异均有统计学意义(P均<0.05).根据Bridwell椎间融合标准,术后12个月达到Ⅰ级融合病人71例(91.0%),Ⅱ级融合7例(9.0%).结论 内镜下椎间融合联合经皮椎弓根内固定术治疗退行性腰椎滑脱合并腰椎管狭窄可以取得满意的治疗效果,远期效果仍需进一步证实.
    • ZHANG Quan; ZHANG Bingwen; ZHANG Ye; MA Tianwen
    • 摘要: 目的 :判定跨越嵴髂前上棘和耻骨联合的钢板皮下固定骨盆前环骨折的可行性和安全性.方法 :选取尸体,按手术方法皮下植入钢板,桥接固定于髂前上棘和耻骨联合上,然后按经典髂腹股沟入路显露钢板和手术区域内的各主要结构,观察、测量各主要结构与内固定物间的关系.结果 :外观上手术侧与未手术侧对称、无明显差异;X光透视显示钢板固定恰当;各主要结构与内固定物间有足够的安全边际.结论 :经皮跨髂耻钢板皮下固定骨盆前环骨折,手术区域内的各主要结构与内固定物间均有足够的安全边际,无被压迫或损伤的风险.
    • 尹良东; 王俊; 陈步俊
    • 摘要: 目的探讨经皮克氏针固定治疗SandersⅡ型、Ⅲ型跟骨骨折疗效。方法回顾性分析该院2011年6月至2016年5月分别采用经皮克氏针固定及切开复位钢板内固定治疗共46例跟骨SandersⅡ型、Ⅲ型骨折患者资料,其中经皮克氏针固定组总计23例患者,采用经皮克氏针固定+有限切开植骨的7例;直接采用经皮克氏针固定16例,男13例,女10例,年龄20~62岁,平均年龄48.2岁;切开复位钢板内固定组总计23例,男15例,女8例,年龄21~65岁,平均年龄51.4岁。术后3、6、12个月门诊随访并摄X片,通过AOFAS踝-后足评分、Bhler角、Gissane角的测定来评定术后功能恢复情况及疼痛缓解情况;比较两组患者在手术时间、住院时间、住院费用上的差异评定其具体应用价值。结果两组患者在术后3、6、12个月AOFAS评分、Bhler角、Gissane角比较差异无统计学意义(P>0.05);两组患者在住院时间、住院费用、手术时间比较差异有统计学意义(P<0.05);经皮固定组出现1例足底感觉异常,无伤口愈合、感染、腓肠神经损伤等其他并发症;切开复位钢板固定组出现2例腓肠神经损伤、3例伤口愈合不佳、1例感染出现跟骨骨髓炎行再次行手术治疗。结论对于累及关节面的SandersⅡ型、Ⅲ型跟骨骨折的治疗,采用较小的创伤经皮微创复位克氏针固定可获得较为可靠地疗效,同时术后并发症更少,住院时间短及住院费用低,具有明显优势。
    • 刘建恒; 张巍; 张晓勇; 张里程; 陈华; 郭义柱; 张群; 张立海; 唐佩福
    • 摘要: Objective To investigate the feasibility and clinical effect of percutaneous pedicle screw fixation in the treatment of ankylosing spondylitis (AS) with thoracolumbar fractures.Methods A retrospective case-series study was performed on 12 AS patients with thoracolumbar fractures admitted from January 2013 to January 2016.There were 9 males and 3 females,aged (42.7 ± 13.0) years (range,24-63 years).All patients received percutaneous minimally invasive pedicle screw fixation.The operation duration,intraoperative blood loss,length of incision,ambulation time,and time to basic life were recorded.Visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated before and after operation.Postoperative complications and bone fracture union were observed during the followup period.Results All patients were followed up for average 22 months (range,14-36 months).All patients underwent successful surgery,with operation duration and intraoperative blood loss of (178.0 ± 60.2) min and (116.7 ± 44.2) ml respectively.No serious complications such as blood vessel or nerve injury occurred during the operation.The incision length was 1.2-1.5 cm.All the patients were able to do exercise with the help of brace 2-3 days after the operation and returned to basic life after (23.4 ± 7.3)days postoperatively.At 1,3,6 and 12 months after operation,VAS and ODI differed significantly from the preoperative detections (P < 0.05).During the follow-up,bone fracture union was observed in all patients,with no nail breakage or nail loosening occurred after operation.Conclusion For AS combined with thoracolumbar fractures,minimally invasive fixation can attain satisfactory curative effect,with advantages of minor lesion,little bleeding,fast recovery and sound bone union.%目的 探讨微创经皮椎弓根螺钉内固定技术治疗强直性脊柱炎(AS)合并胸腰椎骨折的临床疗效. 方法 采用回顾性病例系列研究分析2013年1月-2016年1月收治的12例AS合并胸腰椎骨折患者临床资料,其中男9例,女3例;年龄24 ~63岁[(42.7±13.0)岁].均采用后路微创经皮椎弓根螺钉内固定.记录手术时间、术中出血量、切口长度、下地时间、恢复生活时间等指标.术前、术后采用腰背痛视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评价功能恢复情况.观察骨折愈合及并发症情况. 结果 患者均获随访14 ~ 36个月,平均22个月.患者均顺利完成手术.手术时间和术中出血量分别为(178.0±60.2)min和(116.7±44.2)ml.手术切口为1.2~1.5 cm.术中均未发生血管、神经损伤等严重并发症.术后2~3d疼痛明显缓解,均在支具保护下实现下地活动.恢复生活时间为术后(23.4±7.3)d.术后1,3,6,12个月,VAS和ODI均较术前明显改善(P<0.05).所有患者骨折获得临床骨性愈合.随访期间未发生螺钉松动或内固定失效. 结论 微创经皮椎弓根螺钉内固定治疗AS合并胸腰椎骨折,手术创伤小、出血少,术后下地时间早,骨折愈合好.
    • 张载清; 刘正标; 王仁伟; 张弘; 王辰宇; 邵倩; 孟祥奇
    • 摘要: 目的探讨撬拨复位经皮骨针固定第5跖骨基底部骨折的临床疗效。方法选取医院骨科2016年1月至2018年10月收治的第5跖骨基底部Ⅰ区骨折患者10例,均为闭合性骨折,X线证实骨折线均位于第5跖骨基底Ⅰ区。采用撬拨复位经皮骨针固定治疗。结果均获随访6~15个月,平均8个月;参照Maryland足功能评分系统评分,结果9例评分超90分,1例超80分。结论采用撬拨复位经皮骨针固定治疗第5跖骨基底部Ⅰ区骨折,骨折基本解剖复位和愈合,效果满意。
    • 吴晓天; 刘佐庆; 何小健; 付文芹
    • 摘要: 目的 探讨钉棒系统经皮改良固定法治疗Tile B型骨盆骨折的可行性及临床疗效.方法 自2014年6月至2015年10月治疗17例Tile B型骨盆骨折(B1型10例,B2型5例,B3型2例),男9例,女8例;年龄23~65岁,平均42岁.应用钉棒系统经两侧髂前下棘及任意一侧耻骨结节置钉后皮下套入长连接棒固定.对于单纯耻骨联合分离,则在两侧耻骨结节置钉后皮下套入短连接棒固定.结果 手术时间25~45 min,平均32 min,术中出血量10~35 mL,平均18 mL.随访时间8~15个月,平均10.5个月.术后骨折均I期愈合,愈合时间9~14周,平均12.5周.无切口感染、内固定失败及异位骨化.4例出现单侧股外侧皮神经损伤,1例出现单侧股神经麻痹,最终均恢复正常.Matta复位标准结果为优8例,良6例,可3例.末次随访时Majeed功能评分为(82.70±8.05)分,其中优7例,良8例,可2例.结论 应用钉棒系统改良经髂前下棘和耻骨结节置钉固定创伤小、复位牢靠、并发症少,是治疗Tile B型骨盆骨折的一种有前景的手术方式.
    • 胡旭栋; 马维虎; 蒋伟宇; 阮超越; 陈云琳
    • 摘要: 目的:分析极外侧椎间融合(extreme lateral interbody fusion,XLIF)联合经皮椎弓根螺钉固定术治疗腰椎退变性疾病的早期疗效及安全性.方法:2013年1月至2014年6月采用极外侧椎间融合术联合经皮椎弓根螺钉固定术治疗腰椎退变性疾病13例,其中腰椎不稳症8例,轻中度腰椎滑脱症5例;男5例,女8例;年龄56~73岁,平均62.1岁;均为单节段融合.记录手术时间、术中出血量和围手术期并发症;术前及末次随访时采用疼痛视觉模拟评分(visual analogue scale,VAS)和功能障碍指数(Oswestry Disability Index,ODI)进行疗效评价;通过腰椎X线片及CT扫描评价椎间融合情况及手术前后椎间孔面积变化.结果:13例患者平均手术时间(62.8±5.2)min,平均失血量(82.5±22.6)ml.术后1例大腿内侧麻木,1例屈髋肌力下降,均在2周内恢复正常.所有患者获得随访,时间12~19个月,平均15.6个月.末次随访时腰痛VAS评分由术前的(7.31±0.75)分降低至(2.31±0.75)分(P<0.05),ODI由术前的(42.58±1.55)%降低至(12.55±0.84)%(P<0.05);影像学证实末次随访时8例患者完全融合,5例患者部分融合;椎间孔面积由术前的(94.86±2.44)mm2提高至术后的(150.70±7.02)mm2(P<0.05).结论:极外侧椎体间融合联合经皮椎弓根螺钉固定术治疗腰椎退变性疾病早期疗效好,是理想的治疗方法.%Objective:To evaluate the early efficacy and safety of extreme lateral interbody fusion (XLIF) combined with percutaneous pedicle screw fixation for lumbar degenerative disease. Methods:From January 2013 to June 2014,13 patients with degenerative lumbar disease were treated with XLIF combined with percutaneous pedicle screw fixation ,including 8 cases of lumbar instability,5 cases of mild to moderate lumbar spondylolisthesis;there were 5 males and 8 females,aged from 56 to 73 years with an average of 62.1 years. All patients were single segment fusion. Operation time ,perioperative bleeding and pe-rioperative complications were recorded. Visual analogue scale (VAS) and Oswestry Disability Index (ODI) were used to e-valuate the clinical efficacy. Interbody fusion rate was observed and the intervertebral foramen area changes were compared preoperation and postoperation by X rays and CT scanning. Results:The mean operation time and perioperative bleeding in the patients respectively was(62.8±5.2) min and(82.5±22.6) ml. One case occurred in the numbness of femoribus internus and 1 case occurred in the muscle weakness of hip flexion after operation ,both of them recovered within 2 weeks. All the patients were followed up from 12 to 19 months with an average of 15.6 months. VAS was decreased from preoperative 7.31 ±0.75 to 2.31±0.75 at final follow up(P<0.05);ODI was decreased from preoperative (42.58±1.55)%to (12.55±0.84)%at final follow up (P<0.05). At final follow up,CT scanning confirmed 8 cases completely fused and 5 cases partly fused;the intervertebral foramen area was increased from preoperative (94.86±2.44)mm2 to (150.70±7.02)mm2(P<0.05). Conclusion:Extreme lateral interbody fusion combined with percutaneous pedicle screw fixation is an ideal method and can obtain early good clinical ef-fects in treating lumbar degenerative disease.
    • 黎意丰
    • 摘要: 目的:探讨经皮双头加压螺钉固定结合中药熏洗治疗腕舟状骨骨折的临床疗效.方法:回顾性分析我院2012年10月-2013年10月收治的76例腕舟状骨骨折患者的临床资料,其中46例患者经皮双头加压螺钉固定结合中药熏洗治疗为观察组,30例患者采用石膏固定治疗为对照组,比较两组患者的临床疗效.结果:观察组治疗优良率为93.5%,明显高于对照组的70.0%,组间比较差异具有统计学意义(P<0.01).结论:经皮双头加压螺钉固定结合中药熏洗治疗腕舟状骨骨折,操作简便、骨折愈合率高,有较高的推广应用价值.
    • 王林飞; 李松林; 伍骥; 黄蓉蓉; 郑超; 吴迪; 张金康
    • 摘要: Objective To evaluate the clinical outcomes of scaphoid fracture fixation with double-thread screw via volar percutaneous approach. Methods We retrospectively evaluated 17 wrists of 17 patients(16 males,1 female;mean age 25 years,range 17 ~ 44)who underwent volar percutaneous fixation with double-thread screw for acute scaphoid fractures between 2010 and 2014. The left side was involved in 8 cases and the right in 9. Fractures were assessed by X-ray and CT scan and separated into B1(2 cases)and B2(15 cases)according to Herbert. Types of trauma were sports injury(7,41% ),accidental falls(6,35% )and road accident(4 cases,24% ). All patients were operated within 3 ~ 12 days of injury with an average of 6 days. All patients were assessed according to Mayo wrist score postoperatively. X-ray check-ups were made 4,6 and 12weeks after surgery. Fractures were considered as consolidated when X-ray check-ups showed the significant presence of trabeculation crossing the fracture,without pain. Results Mean operative time were 27(range:20 ~ 35)minutes. There was no tendon or vascular nerve damage in any of the patients during surgery. 16 patients'follow-up duration was 13. 5(range:6 ~ 20)months. All the patients healed with an average bone union time of 8. 5(range,8 ~ 13)weeks postoperatively. Results using the Mayo wrist score showed a mean score of 95. 31(range 75 ~ 100). In particular,12 fractures(75% )got excellent results(score 90~ 100),three(18. 75% )good(80 ~ 89)and one(6. 25% )fare(65 ~ 79). The small volar incision of all patients were healed by the first intention. No cases of infection,necrosis or hypertrophic scarring were found during follow-up. Conclusion Percutaneous fixation with double-thread screw via volar approach is a valuable treatment method for scaphoid fractures with the advantages of mini-invasion strong compress at fracture site,high bone union rate and the wrist function recoverd well.%目的:探讨经皮腕掌侧入路双头加压螺钉内固定治疗舟骨骨折的临床疗效。方法回顾性分析2010年至2014年间经皮腕掌侧入路双头加压螺钉内固定治疗舟骨骨折17例,男16例,女1例;年龄17~44岁,平均25岁;左侧8例,右侧9例。术前均行 X 线及 CT 检查,骨折按 Herbert 分型,B1型2例,B2型15例。受伤类型:体育运动中损伤7例(41%),坠落伤6例(35%),交通事故伤4例(24%);受伤至手术时间3~12 d,平均6 d。依据 Mayo 腕关节功能评分标准对术后患者进行评价。术后4周、6周及12周复查 X 线片,疼痛消失且 X 线示骨折断端有明显骨小梁形成视为骨愈合。结果手术时间20~35 min,平均27 min;术中无肌腱及神经血管损伤。16例患者获随访,随访时间6~20个月,平均13.5个月;骨折愈合时间8~13周,平均8.5周。术后 Mayo 评分75~100分,平均95.31分,其中12例优(90~100分),3例良(80~89分),1例可(65~79分)。所有患者腕掌侧小切口Ⅰ期愈合,随访期内无感染、骨坏死或瘢痕形成病例。结论经皮腕掌侧入路双头加压螺钉内固定治疗舟骨骨折是一种有效的手术方法,切口微创、断端加压固定、骨愈合率高,腕关节功能恢复良好。
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