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| 1 | 髋臼四边体骨折临床诊疗指南(2023)显示文摘随着社会人口老龄化加剧,髋臼四边体(简称“四边体”)骨折的发病率逐年升高。目前,四边体骨折的诊断率和治疗率低,已成为困扰创伤骨科医师的世界性难题,给患者、家庭和社会造成了沉重的负担,因此四边体骨折的规范化诊断与治疗对临床工作和健康中国战略具有重要意义。目前,国内外尚缺乏针对四边体骨折的系统性临床诊疗指南。经中华医学会骨科学分会、中国医师协会骨科分会骨盆髋臼学组、中国医疗保健国际交流促进会骨科分会骨盆髋臼损伤学部、湖北省中医药学会骨伤专业委员会骨盆髋臼学组批准,按照《世界卫生组织指南制订手册》的指导,确立本指南制订流程;采用德尔菲法,由临床专家共同讨论确定指南的相关临床问题,由专家组系统检索相关临床问题证据,应用牛津循证医学中心证据分级系统对相关证据进行分级,并做出相应等级推荐;最终经过专家组反复讨论,遴选出骨科医师最为关注的9个临床问题,形成9条循证医学推荐意见,供广大骨科医师在临床工作中参考应用,旨在提高四边体骨折诊疗的科学性和先进性,为患者提供安全、高效的医疗服务。 | 中华医学会骨科学分会 中国医师协会骨科分会骨盆髋臼学组 中国医疗保健国际交流促进会骨科分会骨盆髋臼损伤学部 湖北省中医药学会骨伤专业委员会骨盆髋臼学组 张英泽 侯志勇 郭晓东 陈开放 薛沛然 鄢冬 陈嗣月 | 2023 | 中华骨与关节外科杂志2023，16，6： | 3 |
| 2 | Extradural contralateral S1 nerve root transfer for spastic lower limb paralysis显示文摘The current study aims to ascertain the anatomical feasibility of transferring the contralateral S1 ventral root(VR)to the ipsilateral L5 VR for treating unilateral spastic lower limb paralysis.Six formalin-fixed(three males and three females)cadavers were used.The VR of the contralateral S1 was transferred to the VR of the ipsilateral L5.The sural nerve was selected as a bridge between the donor and recipient nerve.The number of axons,the cross-sectional areas and the pertinent distances between the donor and recipient nerves were measured.The extradural S1 VR and L5 VR could be separated based on anatomical markers of the dorsal root ganglion.The gross distance between the S1 nerve root and L5 nerve root was 31.31(±3.23)mm in the six cadavers,while that on the diffusion tensor imaging was 47.51(±3.23)mm in 60 patients without spinal diseases,and both distances were seperately greater than that between the outlet of S1 from the spinal cord and the ganglion.The numbers of axons in the S1 VRs and L5 VRs were 13414.20(±2890.30)and 10613.20(±2135.58),respectively.The cross-sectional areas of the S1 VR and L5 VR were 1.68(±0.26)mm2 and 1.08(±0.26)mm2,respectively.In conclusion,transfer of the contralateral S1 VR to the ipsilateral L5 VR may be an anatomically feasible treatment option for unilateral spastic lower limb paralysis. | Jiang Cao Jie Chang Chaoqin Wu Sheng Zhang Binyu Wang Kaixiang Yang Xiaojian Cao Tao Sui | 2023 | The Journal of Biomedical Research2023，37，5： | 0 |
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