Purpose: Traumatic diaphragmatic hernia associated with the spine fracture were few *** thorougbly understanding this kind of injury would be benefit for the early diagnosis and treatment avoiding delayed or missed **...
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Purpose: Traumatic diaphragmatic hernia associated with the spine fracture were few *** thorougbly understanding this kind of injury would be benefit for the early diagnosis and treatment avoiding delayed or missed *** objective of this study was to explore the potential clinical characteristics and mechanism of TDH combined with the spine ***: Eighteen TDH patients, were included in this retrospective in our centre between July 1987 and September *** cases of penetrating injury of the diaphragm were *** etiological factors, injnry mechnism, diagnosis, and other factors were analyzed and ***: The mean age was 34.7 years with a female to male ratio of 1/*** was right-sided in 5.6% (n =1)and left-sided in 94.4% (n =17).The cause of the diaphragmatic cupture was crush injury 15 (83.3%), and free fall trauma in 3 (16.7%).Only five patients (27.8%) had late *** injuries were seen in 88.9% (n =16)of the *** and mortality were encountered in 72.2% (n =13) and 5.6% (n =1) patients, ***: Although the spine fracture accompanied with traumatic diaphragmatic hernia is very rare,diaphragmatic hernia must be suspected in any patient with spinal fracture, especially for thoracolumbar *** diagnosis of TDH is sometimes difficult and depends on a high index of *** diaphragmatic hernia was easily missed for months to years after the *** diaphragmatic ruptures occur in the left posterolateral aspect of the *** spinal fractures should be treated concurrently with diaphragmatic hernia.
BACKGROUND: The problems such as fast drug degradation, great drug loss and poor barrier effect exist when using liquid molecular biomaterial as barriers in preventing tendon ***, it has aroused increasing attention t...
BACKGROUND: The problems such as fast drug degradation, great drug loss and poor barrier effect exist when using liquid molecular biomaterial as barriers in preventing tendon ***, it has aroused increasing attention to seek for membrane biomaterials as ***, it found that tendon cells would proliferate and differentiate under controls of multiple endogenous growth factors that promote tendon endogenous ***, it is poorly understood which the specificity factor for tendon healing ***: To study effect of epidermal growth factor (EGF) combined with degradable collagen membrane on preventing tendon adhesion and improving tendon endogenous ***: Thirty ten-month old leghorn cocks were randomly divided into 3 groups, with 10 animals in each *** third toe of left foot of each animal was prepared for avulsion model, and sutured with improved Kessler *** broken ends were encapsulated with EGF combined with degradable collagen membrane (combination group), degradable membrane alone (collagen membrane group) or without treatment (blank control group).Four weeks later, the specimens were evaluated by gross observation, biomechanical test, light microscope and electron microscope RESULTS AND CONCLUSION:① In the combination group, there were a large amount of type Ⅰ collagen inside the sutured tendon, they were closely and lined up in *** amount of collagen-fibronectin was less and the adhesion obviously was less than the control *** tendon cells were *** adhesion in the collagen membrane group was slightly, there were a large amount of type Ⅲ collagen inside the sutured tendon, which loosely but well *** the blank control group, type Ⅰ and Ⅲ collagen arranged crisscrossed, with heavy *** results suggest that EGF can promote tendon endogenous healing and degradable collagen membrane can prevent tendon exogenous healing, thus, prevent the formation of adhesion
Object: In this report, the authors review complications related to the modified prespinal route in contralateral C7 transfer for repair the brachial plexus nerve root avulsion injury and suggest prevention ***: A ret...
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Object: In this report, the authors review complications related to the modified prespinal route in contralateral C7 transfer for repair the brachial plexus nerve root avulsion injury and suggest prevention ***: A retrospective, nonselected amalgamation of every modified contralateral C7 transfer through prespinal route case was *** study population comprised 425 patients admitted in our clinic center between Feb, 2002 and Aug, *** were managed according to a standardized protocol making by one senior *** surgical complications were reviewed by several aspects, one involved the tunnel making through the prespinal route, one related to dissection and transection of the contralateral C7 nerve root and the rest occurring in postoperative ***: The study population involved 379 males and 46 females, with the average age of 21 years (range from 3 months to 56 years).401 patients were diagnosed as traumatic brachial plexus injury, the leading cause of injury was traffic accident and 24 patients were diagnosis as obstetrical brachial plexus *** C7 nerve root was cut at the proximal side of division portion of middle trunk in 15 cases, and sectioned at the distal of anterior and posterior divisions in 410 *** overall incidence of complications was 5.41% (23/425).The complications associated with the making of prespinal tunnel occurred in 12 cases, including the severe bleeding for vertebral artery injury during the procedure in 2 cases (2/425, 0.47%), temporary recurrent laryngeal nerve palsy in 5 cases (5/425, 1.18%), the pain and numbness on donor upper extremity during swallowing in 4 cases (4/425, 0.94%)and other complication included the dyspnea caused by thrombosis of brain stem in 1 case (0.24%) happened in 42 hours postoperativly, and this patient died in 38 days after the *** complications related to the exploration and transection of contralateral C7 nerve root occurred in 11
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