Cardiovascular diseases have become the major disease in the world, which threatens tens of millions of people’s lives [1]. Therefore, it is necessary to early detect and timely intervene the cardiovascular diseases ...Cardiovascular diseases have become the major disease in the world, which threatens tens of millions of people’s lives [1]. Therefore, it is necessary to early detect and timely intervene the cardiovascular diseases by capturing the blood pressure to assess the cardiovascular state, thus shitting quality of life. The conventional method of evaluating heart and cardiac state can only depend on the professional device performed by the medical workers in the hospital [2]. Therefore, a smart testing system with operability and high accuracy is urgently needed to meet the fast growth in personalized demand.展开更多
目的 探讨指骨侧方放置微型钛板治疗中节、近节指骨骨折的技术要点和临床疗效.方法 2011年12月至2015年4月,采用手指侧方入路切开复位微型钛板内固定治疗闭合性指骨骨折患者56例（64指）,男48例,女8例;年龄17～65岁,平均36.3岁.中节指...目的 探讨指骨侧方放置微型钛板治疗中节、近节指骨骨折的技术要点和临床疗效.方法 2011年12月至2015年4月,采用手指侧方入路切开复位微型钛板内固定治疗闭合性指骨骨折患者56例（64指）,男48例,女8例;年龄17～65岁,平均36.3岁.中节指骨骨折25指,近节指骨骨折39指.中节指骨髁部骨折12指,中节指骨骨干7指,中节指骨基底6指,近节指骨髁部10指,近节指骨骨干22指,近节指骨基底7指;横行骨折13指,短斜行骨折9指,长斜行骨折11指,螺旋形骨折6指,粉碎性骨折25指.术中均采用手指侧方入路,其中近节指骨骨折需切除该侧侧腱束和斜行纤维以充分暴露骨折端,骨折复位后微型钛板放置于指骨侧方固定.采用臂肩手功能障碍评估表（the disabilities of the arm,shoulder and hand,DASH）、患侧和健侧手指各关节活动范围（range of motion,ROM）及手指总的主动活动度（total active motion,TAM）评价术后功能,同时拍摄患指正、侧位X线片观察骨折愈合情况.结果 56例患者均获得随访,随访时间9～47个月,平均（14±6）个月;指骨骨折完全愈合,愈合时间7～14周,平均（8.8±2.4）周.末次随访时,DASH评分1.7～7.5分,平均（4.8±2.2）分.术后患指活动功能优者（患侧手指TAM大于健侧手指TAM的90％）为51.5％（33/64指）,良（患侧手指TAM为健侧手指的75％～90％）为46.9％（30/64指）,可（患侧手指TAM为健侧50％～75％）为1.6％（1/64指）,优良率为98.4％.握拳时手指无交叉畸形和偏斜畸形.结论 中节、近节指骨不稳定骨折采用手指侧方入路切开复位微型钛板内固定术,对伸肌腱装置干扰小,术中骨折端暴露充分,术后骨折愈合及手指活动度好,是治疗中节、近节指骨骨折有效的手术方法.展开更多
基金supported by the National Natural Science Foundation of China (52303114, 52373093)China Postdoctoral Science Foundation (2023M733199)。
文摘Cardiovascular diseases have become the major disease in the world, which threatens tens of millions of people’s lives [1]. Therefore, it is necessary to early detect and timely intervene the cardiovascular diseases by capturing the blood pressure to assess the cardiovascular state, thus shitting quality of life. The conventional method of evaluating heart and cardiac state can only depend on the professional device performed by the medical workers in the hospital [2]. Therefore, a smart testing system with operability and high accuracy is urgently needed to meet the fast growth in personalized demand.
文摘目的 探讨指骨侧方放置微型钛板治疗中节、近节指骨骨折的技术要点和临床疗效.方法 2011年12月至2015年4月,采用手指侧方入路切开复位微型钛板内固定治疗闭合性指骨骨折患者56例（64指）,男48例,女8例;年龄17～65岁,平均36.3岁.中节指骨骨折25指,近节指骨骨折39指.中节指骨髁部骨折12指,中节指骨骨干7指,中节指骨基底6指,近节指骨髁部10指,近节指骨骨干22指,近节指骨基底7指;横行骨折13指,短斜行骨折9指,长斜行骨折11指,螺旋形骨折6指,粉碎性骨折25指.术中均采用手指侧方入路,其中近节指骨骨折需切除该侧侧腱束和斜行纤维以充分暴露骨折端,骨折复位后微型钛板放置于指骨侧方固定.采用臂肩手功能障碍评估表（the disabilities of the arm,shoulder and hand,DASH）、患侧和健侧手指各关节活动范围（range of motion,ROM）及手指总的主动活动度（total active motion,TAM）评价术后功能,同时拍摄患指正、侧位X线片观察骨折愈合情况.结果 56例患者均获得随访,随访时间9～47个月,平均（14±6）个月;指骨骨折完全愈合,愈合时间7～14周,平均（8.8±2.4）周.末次随访时,DASH评分1.7～7.5分,平均（4.8±2.2）分.术后患指活动功能优者（患侧手指TAM大于健侧手指TAM的90％）为51.5％（33/64指）,良（患侧手指TAM为健侧手指的75％～90％）为46.9％（30/64指）,可（患侧手指TAM为健侧50％～75％）为1.6％（1/64指）,优良率为98.4％.握拳时手指无交叉畸形和偏斜畸形.结论 中节、近节指骨不稳定骨折采用手指侧方入路切开复位微型钛板内固定术,对伸肌腱装置干扰小,术中骨折端暴露充分,术后骨折愈合及手指活动度好,是治疗中节、近节指骨骨折有效的手术方法.
