盆腔器官脱垂(pelvic organ prolapse,POP)是中老年女性常见疾病.针对轻中度盆腔器官脱垂尚未达到手术指征、POP手术治疗失败、POP患者拒绝手术治疗、POP手术治疗存在手术禁忌证等患者.笔者采用宫托治疗POP,取得了一定的疗效,现介绍...盆腔器官脱垂(pelvic organ prolapse,POP)是中老年女性常见疾病.针对轻中度盆腔器官脱垂尚未达到手术指征、POP手术治疗失败、POP患者拒绝手术治疗、POP手术治疗存在手术禁忌证等患者.笔者采用宫托治疗POP,取得了一定的疗效,现介绍如下:展开更多
Complications occur frequently after surgical treatment of scoliosis.In order to prevent from them effectively,101 cases with failure and postoperative complications were analysed.They included ...Complications occur frequently after surgical treatment of scoliosis.In order to prevent from them effectively,101 cases with failure and postoperative complications were analysed.They included rod fracture in 22 cases(15 Harrington rods,4 Zielke rods,and 3 Luque rods);recurrence of curve severity in 12 cases;broken or loossened luque wires in 15 cases;loss of thoracic kyphosis(flat back) in 6 cases;progressive kyphosis with or without paraplegia following incorrect posterior decompression in 5 cases;and increased unbalance of shoulders after instrumentation in 2 cases due to neglect of the tilting of the first thoracic vertebra.Infection occurred in 8 cases(incision infection 7 cases,deep wound infection in 1 case);and pneumothorax in 1 case.They were induced by biomechanical factors in 23 cases(22 8%),incorrect selections of indications in 29 cases(28 7%),operational mistakes in 37 cases(36 6%),internal fixation factors in 15 cases(14 9%).The authors hold that there are quite a lot of factors leading to occurrence of complications and the effective way for prevention from them is to understand the factors and main technical points related to internal fixation.展开更多
文摘Complications occur frequently after surgical treatment of scoliosis.In order to prevent from them effectively,101 cases with failure and postoperative complications were analysed.They included rod fracture in 22 cases(15 Harrington rods,4 Zielke rods,and 3 Luque rods);recurrence of curve severity in 12 cases;broken or loossened luque wires in 15 cases;loss of thoracic kyphosis(flat back) in 6 cases;progressive kyphosis with or without paraplegia following incorrect posterior decompression in 5 cases;and increased unbalance of shoulders after instrumentation in 2 cases due to neglect of the tilting of the first thoracic vertebra.Infection occurred in 8 cases(incision infection 7 cases,deep wound infection in 1 case);and pneumothorax in 1 case.They were induced by biomechanical factors in 23 cases(22 8%),incorrect selections of indications in 29 cases(28 7%),operational mistakes in 37 cases(36 6%),internal fixation factors in 15 cases(14 9%).The authors hold that there are quite a lot of factors leading to occurrence of complications and the effective way for prevention from them is to understand the factors and main technical points related to internal fixation.