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创伤后头痛:神经康复观点(Ⅱ)
POST-TRAUAMTIC HEADACHE VARIANTS Musculoskeletal Headache Musculoskeletal headache is classically characterized as a cap-like discomfort, but varies with the offending musculature.The sternocleidomastoid is notorious for referring pain retro or periorbitally.The pain may be constant or intermittent,relieved by application of heat,cold,massage and many over the counter medications including NSAIDs.There may be autonomic components to specific muscles.TMJ or craniomandibular syndrome may be considered a variant of musculoskeletal or tension headache and is almost always seen in conjunction with direct trauma to the craniomandibular complex when traumatic in origin.This type of headache is also frequently overlooked as a primary or contributory cause for PTHA.In TMJ,clicking,popping or malocclusion of the jaw may be noticed.Other etiologies of TMJD must be assessed for that may have little or nothing to do with the traumatic injury in question,whether in relation to stress or tension,dental malocclusion,and/or prior psychosexual abuse.
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保留并牵张胫骨残端的前交叉韧带双束重建
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It is necessary to investigate the longitudinal tensile mechanical characteristics of the middle cere-bral artery and the fetal umbilical vein prior to applying fetal umbilical vein transplantation for repair of injured middle cerebral artery. Fifteen fresh fetal umbilical vein specimens and 15 normal human fresh cadaver middle cerebral artery specimens were col ected for longitudinal tensile testing at the speed of 0.5 mm/min and at normal human temperature. The results showed that under 16.0 kPa physiological stress, the strain value of fetal umbilical vein specimens was larger, while the maximal stress and elastic modulus values were less than those of middle cerebral artery specimens. Our findings indicate that fetal umbilical vein has good elastic properties and the stress-strain curve of the fetal umbilical vein is similar to that of the middle cerebral artery. Fetal umbilical vein transplan-tation can, therefore, potential y repair the injured middle cerebral artery.
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黛力新联合鲁南贝特治疗紧张型头痛65例
紧张型头痛(tension headache,TTH)是临床常见的头痛类型,目前认为其主要与颅周肌肉疾病、焦虑抑郁、精神紧张等情绪反应以及头颅、颈部姿势不良有关,尚无有效的治疗方法.
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晶体囊张力环在晶状体半脱位白内障超声乳化术的临床应用
伴有先天性和外伤性晶状体半脱位的白内障严重影响患者视力,近几年来随着超声乳化技术的日益发展,白内障手术日趋完善,但此类患者处理起来仍然是一个难题.我院应用晶体囊张力环(capsular tension ring,CTR)对11例晶状体半脱位患者行超乳化人工晶体植入术,疗效满意,现报道如下.
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肌皮瓣联合外1/3皮瓣法下睑袋成形术
目的 在肌皮瓣法手术操作基础上,于下睑外1/3区域联合应用皮瓣法,进一步提高睑袋整复效果.手术方法对37例行下睑袋成形术者,采用下睑缘切口,并将切口外侧延长线藏于外眦皱褶线内,先行肌皮瓣法操作,同时行外眦固定术,于下睑外侧1/3运用皮瓣法.结果 术后恢复快,下睑皮肤平展,外眦部皮肤去除充分,张力适度.术后6个月至1年观察,无睑退缩、下睑外翻,外侧切口瘢痕隐蔽,随访效果满意.结论 运用肌皮瓣法联合外1/3皮瓣法下睑袋成形术效果良好,外眦角自然,术后效果满意,达到下睑年轻化矫治的目的.
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西酞普兰与阿普唑仑治疗经前期紧张综合征的疗效比较
随着医学模式的转变,国内外对经前期紧张综合征(premenstrual tension syndrome,PMS)的研究已较为深入.对于伴有轻中度身心症状的PMS患者,国内外均着重于心理治疗,但部分症状较重的患者,常需配合药物治疗.
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幼犬食管再生的研究
本组实验是取发育成长中的幼犬进行食管再生研究,目的为小儿食管重建探索一条新的途径.现将实验结果报道如下:
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改良Livaditis食管肌层切开术治疗先天性食管闭锁
先天性食管闭锁手术时能否完成一期食管吻合,食管两端的距离是一重要条件.因此,为减少食管吻合张力,设法延长食管以缩小两端之问的距离是多年来临床研究的内容之一.我们在Livaditis食管肌层环形切开的基础上加以改进,自1982年4月共用此方法治疗先天性食管闭锁9例,本文将介绍我们的方法和体会.
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越南女教师肌紧张性发声障碍对完成音调靶点基频的影响
肌紧张性发声障碍(muscle tension dysphonia,MTD)是一种表现为声音质量差、尤其存在音调障碍的嗓音疾病,主要特征为发声时喉部肌肉紧张度增加.音调的变化主要由喉部肌肉控制,因此喉肌紧张度增加可干扰正常的音调调节,导致音调异常,如音调中断、音调改变、音域范围缩小等.在不同的语言中音调发挥不同的作用,在非声调语言中音调主要表现语调的作用,而声调语言中单词或音节音调的变化提示词汇的含义变化.在声调语言中,任何嗓音疾病如影响基频靶点的完成和音调变化的能力均可阻碍音调的产生.MTD可见于各种语言患者,为阐明在声调语言中MTD患者是否存在基频靶点完成和音调改变的障碍,本研究对42例诊断为MTD的越南小学女教师的声音样本进行观察,以30例同一地区嗓音正常小学女教师作为对照.