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Halo牵引技术在重度脊柱畸形中的应用进展
重度脊柱畸形的治疗一直是脊柱外科面临的挑战,由于该类患者多合并心肺功能障碍,严重畸形又导致脊柱僵硬,使得手术矫形难度大、手术时间长和失血量大,患者围手术期各种并发症发生率明显增加[1]。由于术前牵引不但可以增加脊柱、胸廓和脊柱前方结构的柔韧性,还可以改善患者心肺和消化功能、了解牵引状态下脊髓耐受能力及神经并发症的发生情况,因此越来越多的学者采用牵引技术辅助治疗重度脊柱畸形[2-3]。现就目前临床上应用多的Halo牵引技术综述如下。
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牵引并电脑中频治疗颈性眩晕的疗效分析
Objective We investigate the mechanism of comprehensive management in the treatment of cervical vertigo through treating 15 patients with cervical vertigo by cervical traction plus computer middle frequency machine.Method Sedentary jaw occiput traction band was used.Traction was regulated individually.Traction angle was determined according to patients' force line. Multifunctional computer machine K88 32 I was used after traction.Result 10 cases were cured completely,4 were improved,1 showed no any improvement.Conclusion cervical traction can increase space between cervical spine and uncinate cervical joint,relieve congestion and edema,improved compressed vertebral artery and distorted artery.Based on traction,computer middle frequency reinforces therapeutic effects of traction and produces cooperated effects.
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Analysis on clinical effects of progressive supracondylar traction with screw fixation for unstable slipped capital femoral epiphysis