目的探讨带膜镍钛记忆合金网状支架在治疗晚期上胃肠道癌上胃肠道狭窄中的价值。方法本组33例,在日立TU-41 500 mA X线电视监视下,用交换导丝、Cobra导管引入超硬导丝,将支架置入病变段。结果33例共置入支架40枚,成功率100%。患者吞咽...目的探讨带膜镍钛记忆合金网状支架在治疗晚期上胃肠道癌上胃肠道狭窄中的价值。方法本组33例,在日立TU-41 500 mA X线电视监视下,用交换导丝、Cobra导管引入超硬导丝,将支架置入病变段。结果33例共置入支架40枚,成功率100%。患者吞咽困难及上胃肠道梗阻症状明显改善和解除,未出现上胃肠道穿孔、大出血或死亡等严重并发症。结论带膜镍钛记忆合金支架治疗晚期上胃肠道癌上胃肠道狭窄安全有效。展开更多
Objective: To explore a new strategy to treat humeral shaft nonunion efficiently. Methods: In the light of mechanical characteristics of Nickel Titanium memory and the anatomic morphology of humeral shaft, we designed...Objective: To explore a new strategy to treat humeral shaft nonunion efficiently. Methods: In the light of mechanical characteristics of Nickel Titanium memory and the anatomic morphology of humeral shaft, we designed the swan like shape memory alloy connector (SMC). SMC was clinically applied in treating 55 cases of humeral shaft nonunion. Success rate of nonunion repair, reinterventions, complications, range of motion, and patient satisfaction were evaluated. Results: Fifty five humeral shaft nonunion patients were treated with autogenous bone grafting and SMC internal fixation. The average follow up period was 32 months. In 50 patients with complete follow up data, 49 were recovered from nonunion by lamellar bone healing. The excellent and good rate was 98%; one patient suffering from re fracture in a fall refused further treatment. Neither infection nor re fracture after SMC extraction or joint dysfunction was found in the whole group. Conclusion: SMC facilitates safe internal fixation and bone grafting; its memory biomechanic properties promote osteosynthesis, resulting in accelerated and high quality healing of humeral shaft nonunion. SMC internal fixation with bone grafting is creative, efficient and promising in treating humeral shaft nonunion.展开更多
文摘目的探讨带膜镍钛记忆合金网状支架在治疗晚期上胃肠道癌上胃肠道狭窄中的价值。方法本组33例,在日立TU-41 500 mA X线电视监视下,用交换导丝、Cobra导管引入超硬导丝,将支架置入病变段。结果33例共置入支架40枚,成功率100%。患者吞咽困难及上胃肠道梗阻症状明显改善和解除,未出现上胃肠道穿孔、大出血或死亡等严重并发症。结论带膜镍钛记忆合金支架治疗晚期上胃肠道癌上胃肠道狭窄安全有效。
基金SupportedbyShanghaiYouthScienceandTechnologyRisingStarPlan (No .0 3QD1 4 0 6 9)
文摘Objective: To explore a new strategy to treat humeral shaft nonunion efficiently. Methods: In the light of mechanical characteristics of Nickel Titanium memory and the anatomic morphology of humeral shaft, we designed the swan like shape memory alloy connector (SMC). SMC was clinically applied in treating 55 cases of humeral shaft nonunion. Success rate of nonunion repair, reinterventions, complications, range of motion, and patient satisfaction were evaluated. Results: Fifty five humeral shaft nonunion patients were treated with autogenous bone grafting and SMC internal fixation. The average follow up period was 32 months. In 50 patients with complete follow up data, 49 were recovered from nonunion by lamellar bone healing. The excellent and good rate was 98%; one patient suffering from re fracture in a fall refused further treatment. Neither infection nor re fracture after SMC extraction or joint dysfunction was found in the whole group. Conclusion: SMC facilitates safe internal fixation and bone grafting; its memory biomechanic properties promote osteosynthesis, resulting in accelerated and high quality healing of humeral shaft nonunion. SMC internal fixation with bone grafting is creative, efficient and promising in treating humeral shaft nonunion.