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1
参考中文标题:
治疗自体骨髓细胞坏死。
作者单位:
Rheumatology and Physical Medicine Department, Erasme Hospital, Université Libre de Bruxelles, 808 Route de Lennik, 1070, Bruxelles, Belgium. valerie.gangji@erasme.ulb.ac.be
PMID及链接:
19760411 http://www.syyxw.com/Archive/Detail/19760411
中文提供:
2
参考中文标题:
分子病理学的好处在肌肉骨骼疾病的诊断:两部分第二部分审查:骨肿瘤和代谢性疾病。
作者单位:
Department of Histopathology, Royal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, HA7 4LP, UK. a.flanagan@ucl.ac.uk
PMID及链接:
19669759 http://www.syyxw.com/Archive/Detail/19669759
摘 要:
The second part of this review, on the benefits of molecular pathology in the diagnosis disease, focuses on the genetics of bone tumors and metabolic disease. Unlike soft tissue tumors, the number of currently exploitable molecular abnormalities for diagnosing bone neoplasms is small, although the same gene rearrangements are found in primitive neuroectodermal tumor/Ewing sarcoma in both skeletal and extraskeletal sites. Compared with soft tissue tumors, genetic abnormalities, which are valuable to diagnosticians in skeletal disease, are often germline and post-zygotic aberrations rather than somatic translocations. In addition, the review highlights the range of disease entities classified as "osteoclast-rich lesions," some of which harbor germline mutations. It also addresses the importance of phosphate metabolism in skeletal disorders including phosphaturic mesenchymal tumor, vitamin D-resistant rickets, and tumoral calcinosis.
参考中文摘要:
这项检讨的第二部分在诊断疾病的分子病理学的利益,侧重于骨肿瘤和代谢性疾病的基因。与软组织肿瘤,这是目前可利用分子异常诊断骨肿瘤人数不多,但同样的基因重排在原始神经外胚层肿瘤发现/尤因两个骨骼和骨外网站肉瘤。相对于软组织肿瘤,遗传异常珍贵在骨骼疾病诊断者,往往是种系,后合子像差,而不是体易位。此外,审查突出了以“破骨细胞丰富的病变,”其中一些港口种系突变的疾病实体划分范围。它还涉及了包括phosphaturic间质肿瘤,维生素D性佝偻病骨骼钙磷代谢紊乱的重要性,以及肿瘤钙质。
中文提供:
3
参考中文标题:
肌肉骨骼超音波正常步行。
作者单位:
Radiology Department, Chelsea & Westminster Hospital, 369 Fulham Road, London, SW10 9NH, UK. gonzaloansede@gmail.com
PMID及链接:
19407997 http://www.syyxw.com/Archive/Detail/19407997
摘 要:
Traumatic, degenerative and rheumatological injuries of the foot are common and can be managed by an ever increasing number of treatments and surgical interventions. High-frequency sonography is inexpensive, portable and is unique in allowing true dynamic assessment of the ligamentous, muscular and tendinous structures. The ultrasound technique demonstrates a steep learning curve and requires detailed knowledge of the foot anatomy. Ultrasound assessment plays an important role in the diagnosis and management of injuries of these structures by guiding rehabilitation and surgical intervention without delay. However, intimate knowledge of the ultrasound appearances of the foot anatomy and normal variants is paramount to correctly identify pathological conditions. We describe the normal sonographic appearances of the foot musculoskeletal structures with MR correlation including joints and their ligaments, dorsal and plantar surfaces of the foot, and the arches of the foot and their supporting structures.
参考中文摘要:
外伤性,退行性和rheumatological伤的脚是共同的,可有效控制了越来越多的治疗和外科干预。高频超声是廉价的,便携和的独特之处在于让真正的动态评估的韧带,肌肉和腱的结构。超声波技术表明了陡峭的学习曲线,需要详细了解足部解剖。超声评估中发挥着重要作用的诊断和管理这些结构损伤的康复指导和外科干预,不要拖延。然而,熟悉超声表现的脚解剖及正常变异是至高无上的,以正确地确定病理条件。我们描述了正常的超声表现的脚肌肉骨骼结构与磁共振相关包括关节和韧带,背和足底表面英尺,和拱脚及其支持结构。
中文提供:
4
参考中文标题:
Pilomatricomas :是的超声诊断价值。
作者单位:
Department of Diagnostic Radiology, College of Medicine, Inje University Pusan Paik Hospital, Busan, Korea, 614-735.
PMID及链接:
19296101 http://www.syyxw.com/Archive/Detail/19296101
摘 要:
OBJECTIVE: The purpose of this study was to analyze statistically significant diagnostic factors for pilomatricoma on the basis of ultrasonographic features. METHODS: Sonographic images were retrospectively reviewed from 44 pilomatricomas, and from 43 control subjects with other subcutaneous tumors. Two radiologists determined the tumoral shape, margin, echotexture, echogenicity, posterior shadowing, posterior enhancement, hypoechoic rim, internal calcification, and vascularity. RESULTS: The reliable diagnostic factors for pilomatricoma were hypoechogenicity (P < 0.001), heterogenicity (P < 0.05), internal calcification (P < 0.001), hypoechoic rim (P < 0.001), and posterior shadowing (P < 0.001). Scattered dots were the most common patterns of internal calcification. A combination of hypoechogenicity, heterogenicity, internal calcification of scattered-dot pattern, and a hypoechoic rim was a statistically significant difference between the two groups (P < 0.001; odds ratio, 21). CONCLUSIONS: The features of heterogeneous echotexture, internal echogenic foci in scattered-dot pattern, and a hypoechoic rim or posterior shadowing itself could be discriminative ultrasonographic criteria for differentiating pilomatricomas from other subcutaneous tumors.
参考中文摘要:
目的:本研究分析统计意义的因素,毛母质瘤的诊断的基础上,声像图特征。方法:超声图像进行回顾从44 pilomatricomas ,和来自43个对照组与其他皮下肿瘤。确定了两个放射肿瘤形状,边缘, echotexture ,回声,后跟踪,后提高,低回声环,内部钙化,和血管。结果:可靠的诊断因素的毛母质瘤是hypoechogenicity ( P “ 0.001 ) ,异质性( P ” 0.05 ) ,内部钙化( P “ 0.001 ) ,低回声环( P ” 0.001 ) ,后阴影( P “ 0.001 ) 。散乱点是最常见的模式,内部钙化。结合hypoechogenicity ,异质性,内部钙化的分布点的模式,和一个低环是一个统计学显着性差异两组( P “ 0.001 ;比值比, 21 ) 。结论:功能异构echotexture ,内部回声灶分散点模式,和一个低环或后跟踪本身可以判别标准的超声鉴别pilomatricomas其他皮下肿瘤。
中文提供:
5
参考中文标题:
评价数量和孤立性骨囊肿重塑采用传统的放射检查。
作者单位:
Department of Paediatric Orthopaedics, Karol Marcinkowski University of Medical Sciences, Poznan, Poland. glowackimaciej@o2.pl
PMID及链接:
19440706 http://www.syyxw.com/Archive/Detail/19440706
摘 要:
OBJECTIVE: To evaluate cyst remodeling, including complete healing and recurrence, and its relation to the cyst volume in two groups of patients, using curettage and bone grafting or methylprednisolone injection. MATERIALS AND METHODS: A retrospective analysis was carried out on data from 132 patients with solitary bone cyst, where 79 (59.9%) had undergone curettage and bone grafting and 53 (40.1%) had been administered methylprednisolone injection, with a mean time to follow up of 12 years. The cyst volume was evaluated from conventional radiographs and the method originally reported by G?bel et al. to evaluate the volume of Ewing's sarcoma. The results were analyzed using the criteria of Neer et al. and Capanna et al. RESULTS: The mean cyst volume was 36.8 cm(3). Recurrence was noted in 16 (20.2%) patients treated with curettage and in nine (17.0%) treated with methylprednisolone. Cyst volume in patients treated with curettage and bone grafting ranged from 8.3 cm(3) to 100.0 cm(3) and with methylprednisolone from 14.0 cm(3) to 50.6 cm(3) . In neither group was the cyst volume related to recurrence. Volumes from 1.3 cm(3) to 81.9 cm(3) were stated for patients treated with curettage and bone grafting, when complete healing was observed; they were significantly lower than for those of the total group of patients who underwent curettage and bone grafting. CONCLUSIONS: 1. An association between solitary cyst volume and recurrence in patients treated with either bone curettage and grafting or methylprednisolone was not found. 2. The frequency of complete healing in patients treated with bone curettage and grafting decreased with an increase in the cyst volume.
参考中文摘要:
目的:评价囊肿重塑,包括完全愈合及复发,及其与囊肿体积两组患者,使用刮除植骨或甲泼尼龙注射。材料与方法:回顾性分析的数据进行了132例从孤立性骨囊肿,其中79 ( 59.9 % )经历了刮除植骨和53 ( 40.1 % )已管理甲泼尼龙注射,平均时间为后续成立12年。囊肿量进行了评价,并从传统的X光片的方法最初公布由G ?贝尔等人。评价数量的尤文氏肉瘤。结果分析用的标准,工程师等。和Capanna等。结果:囊肿体积为36.8厘米( 3 ) 。复发中指出的16个( 20.2 % )患者术和9 ( 17.0 % )甲泼尼龙治疗。囊肿体积治疗的患者,刮除并植骨不等八点三厘米( 3 )百点○厘米( 3 )和甲基强的松龙从十四点〇厘米( 3 )至50.6厘米( 3 ) 。在既不组囊肿体积复发。量从1.3厘米( 3 )至81.9厘米( 3 )指出的患者刮除植骨,完全愈合后,观察,他们均明显低于那些总组患者谁进行刮植骨。结论: 1 。联系孤立囊肿数量和复发治疗的患者,要么骨移植或刮甲泼尼龙没有被发现。 2 。频率完全愈合治疗的患者,骨移植术,并减少与增加囊肿体积。
中文提供:
6
参考中文标题:
分析模式的胫骨痂延长软骨发育不全和一种新的评估方法的再生利用像素值。
作者单位:
Rare Diseases Institute, Department of Orthopedic Surgery, Korea University Guro Hospital, 80 Guro-Dong, Guro-Gu, Seoul, 152-703, Korea.
PMID及链接:
19418051 http://www.syyxw.com/Archive/Detail/19418051
摘 要:
OBJECTIVE: To relate morphology of new bone formation to outcome after tibial lengthening performed in patients with achondroplasia. MATERIAL AND METHODS: A retrospective analysis of 60 tibial segments in 30 achondroplasia patients was performed. There were 22 female patients and eight male patients, with a mean age of 9.8 years. New bone formation was classified by shape, homogeneity and density. Pixel values in relation to original bone were measured using a picture-archiving communication system (PACS). Clinical outcome was described by the external fixator and maturation indices. RESULTS: Mean lengthening was 9.2 cm (range 3-12.7 cm). The mean external fixator index was 23.4 (range 15.1-50). The mean maturation index was 12.3 days/cm (range 6-40 days/cm). Homogeneous pathways were associated with the best clinical results (fixator index 20.4, maturation index 10.8), followed by heterogeneous pathway (external fixator index 26.5, maturation index 16.8) and radiolucent pathway (fixator index 31.2, maturation index 21.4). Both cylindrical (external fixator index 25.2, maturation index 14.5) and concave (external fixator index 26.6, maturation index 16.3) callus shapes were favourable. Mineralization of new bone became equal to that of normal bone within 16 weeks (mean) for homogeneous pathway, 12 weeks for heterogeneous pathway and 32 weeks for lucent pathway. CONCLUSION: The type of new bone formation seen on radiographs is related to clinical outcome, with homogeneous pathways being the most favourable ones.
参考中文摘要:
目的:与形态的新骨形成成果完成后,胫骨延长患者的软骨发育不全。材料与方法:回顾性分析60胫骨部分30软骨发育不全患者进行。有22个和8名女性患者的男性病人,平均年龄为9.8岁。新骨形成是按形状,均匀性和密度。像素值与原始骨测量使用图片存档通讯系统( PACS系统) 。临床结果所描述外固定架和成熟指数。结果:平均延长9.2厘米(范围3-12.7厘米) 。外固定支架的平均指数为23.4 (范围15.1-50 ) 。成熟指数平均为12.3天/厘米(范围6-40天/厘米) 。均质途径都与最好的临床效果(固定架指数4月20日,成熟指数10.8 ) ,其次是异构通路(外固定架指数26.5 ,成熟指数16.8 )和radiolucent途径(固定架指数31.2 ,成熟指数4月21日) 。这两个圆柱(外固定架指数25.2 ,成熟指数14.5 )和凹(外固定架指数26.6 ,成熟指数3月16日)有利于愈伤组织的形态。新骨矿化成为相当于正常骨内的16周(平均)为均质通路, 12个星期的异构通路和32周的朗讯途径。结论:该类型的新骨形成片上看到有关的临床结果,均匀途径是最有利的。
中文提供:
7
参考中文标题:
第二十二度倾斜摄影的评价外侧肱骨髁骨折的儿童。
作者单位:
Department of Orthopedic Surgery, National Hospital Organization, Higashi-Hiroshima Medical Center, 531 Jike, Saijoucho, Higashi Hiroshima, Hiroshima, 739-0041, Japan. imada_hideaki@hiro-hosp.jp
PMID及链接:
19434409 http://www.syyxw.com/Archive/Detail/19434409
摘 要:
OBJECTIVE: To investigate the efficacy of '20 degrees -tilt anteroposterior (A-P) radiography' in the assessment of lateral condylar fractures of the distal humerus. MATERIALS AND METHODS: Eighteen children with lateral humeral condylar fractures were studied. Every child underwent conventional A-P and lateral radiography, and six children underwent multi-detector computed tomography (MDCT). For the investigation of 20 degrees -tilt radiography, ten children with lateral humeral condylar fractures had conventional and 20 degrees -tilt A-P and lateral radiography both preoperatively and postoperatively. Fragment dislocation was measured at the lateral and medial margins of the fracture on both the conventional A-P and 20 degrees -tilt A-P radiographs. RESULTS: The lateral condylar fragment was triangular and was most prominent posteriorly. The fracture line was typically tilted approximately 20 degrees to a reference line perpendicular to the long axis of the humerus in the lateral view. The extent of dislocation at the lateral and medial margins of the fracture site by 20 degrees -tilt A-P radiography (9.3 +/- 3.6 mm and 5.6 +/- 2.5 mm) was significantly wider than that measured by the conventional method (6.8 +/- 4.1 mm and 2.0 +/- 1.5 mm ), which may influence treatment. CONCLUSION: Twenty-degree-tilt A-P radiography may more precisely demonstrate fragment dislocation than standard radiographs and may influence patient treatment.
参考中文摘要:
目的:探讨疗效'20度倾斜前后(记者)摄影'在评估髁骨折肱骨远端。材料与方法: 18侧儿童肱骨髁骨折进行了研究。每个儿童进行常规AP和横向照相,和6名儿童进行了多探测器计算机断层扫描(多排螺旋CT ) 。调查的20度倾斜摄影, 10名儿童外侧肱骨髁骨折了常规和20度倾斜美联社和横向照相术前和术后均。片段脱位是衡量外侧和内侧边缘骨折常规AP和20度倾斜美联社片。结果:髁片段三角,是最突出的向后。骨折线通常是倾斜约20度的参考线垂直于长轴肱骨在侧面。脱位的程度,在横向和内侧边缘骨折网站的20度倾斜美联社摄影( 9.3 + / - 3.6毫米和5.6 + / - 2.5毫米)明显高于广泛的常规测量方法( 6.8 + / - 4.1毫米和2.0 + / - 1.5毫米) ,这可能会影响治疗。结论: 24度倾斜美联社摄影可以更精确地显示片段脱位超过标准线,并可能影响患者治疗。
中文提供:
8
参考中文标题:
数字化X光测定为手术前的髋关节假体手术模板放大系数。
作者单位:
Service de Chirurgie Orthopédique et Traumatologique, H?pital Gabriel Montpied, CHU de Clermont Ferrand, BP 69, 63003, Clermont Ferrand Cedex 01, France. s_descamps@chu-clermontferrand.fr
PMID及链接:
19756590 http://www.syyxw.com/Archive/Detail/19756590
摘 要:
OBJECTIVE: With digital radiography development, information technology (IT) companies have developed specific software for templating procedures, requiring individual magnification assessments for each patient. The aim of this study was to determine the mean magnification factor of digital radiographs and to evaluate the possibility of using the mean magnification factor or clinical information in templating. MATERIALS AND METHODS: We retrospectively evaluated 100 primary total hip arthroplasty digital radiographs using the femoral head prosthesis as a calliper to determinate the mean magnification factor. Working on the assumption that altitude of the hip during radiograph is decisive in modification of magnification factors, we also looked for a correlation between weight, body mass index (BMI), altitude and magnification factor. RESULTS: The magnification factor was 126% (121-130%). A relationship was found between magnification factor (Mf) and weight (Mf = 7.10(-4)x weight (kg) + 1.21), but not BMI. In 98% of cases, if the weight-correlated formula is used, the sizing is correct or the error is +/- 1 mm. With the mean method the sizing is correct or within 1 mm in only 78.2% of cases. CONCLUSION: Levels of accuracy for the mean magnification factor and the weight-correlated formula are not as high as individual assessments using a calliper; however, they could be used in everyday practice where individual magnification factors have not been calculated.
参考中文摘要:
目的:随着数字化X线摄影的发展,信息技术(IT)公司已经制定了具体的软件模板程序,要求对每个病人个别倍率评估。这项研究的目的是确定的数字X光片平均放大系数和评估使用模板的平均放大系数和临床信息的可能性。材料与方法:我们回顾性分析100小学全髋关节置换的数字X光片作为一个卡钳股骨头假体,以确定平均放大系数。在假设的髋关节在X光片是高空作业的放大修改决定性因素,我们也为体重之间的相关性研究,身体质量指数(BMI),海拔高度和放大的因素。结果:放大系数为126%(121-130%)。阿之间的关系被发现放大因子(MF)和重量(中频= 7.10(-4)×体重(公斤)+ 1.21),但不是身体质量指数。 98%的情况下,如果体重相关计算公式为,大小调整是正确的或错误是+ / - 1毫米。随着平均法,浆纱的是正确的或仅在1毫米之内78.2%的病例。结论:准确度水平的平均放大系数和体重相关的公式,不如用卡钳个别评估高,但他们可以在日常实践中,个别放大因素并没有被计算使用。
中文提供:
9
参考中文标题:
半月板的眼泪流离失所片段:共同模式的磁共振成像。
作者单位:
University of Oxford Medical School, Oxford, UK.
PMID及链接:
19588137 http://www.syyxw.com/Archive/Detail/19588137
摘 要:
OBJECTIVE: To identify the commonly occurring patterns of small displaced tears of the menisci of the knee on magnetic resonance imaging (MRI). MATERIALS AND METHODS: A retrospective review of knee MRI scans over 16 months at two hospitals provided 70 studies with 73 displaced meniscal fragments for analysis. Fragment position was recorded. RESULTS: Two common positions were identified for medial fragments. For the medial meniscus, 93% of fragments were positioned medially or posterolaterally. The medially displaced fragments were positioned in either the superior or inferior recesses. Lateral meniscal fragments were more evenly dispersed. CONCLUSION: The pattern of small displaced tears of the medial meniscus is highly predictable. Awareness of the typical locations of these fragments should aid the reporter in identifying these lesions on MRI.
参考中文摘要:
目的:确定常见模式小流离失所眼泪的膝关节半月板的磁共振成像( MRI ) 。材料与方法:回顾性膝关节核磁共振扫描超过16个月,两所医院的研究提供了70个半月板有73流离失所碎片进行分析。片段立场记录在案。结果: 2的共同立场,确定了内侧的碎片。为内侧半月板, 93 %的片段,定位内侧或posterolaterally 。流离失所的内侧片段定位于要么优劣凹槽。外侧半月板碎片更均匀地分散。结论:该模式的小流离失所眼泪的内侧半月板的高度可预测性。认识到这些典型的地点应援助片段记者在确定这些病变的MRI 。
中文提供:
10
参考中文标题:
三维成像/ CT对腰椎融合成像。
作者单位:
Department of Bone and Joint Surgery, Ehime University, Shitsukawa, Toon-shi, Ehime, 791-0295, Japan.
PMID及链接:
20119707 http://www.syyxw.com/Archive/Detail/20119707
摘 要:
OBJECTIVE: The objective was to demonstrate the feasibility of MRI/CT fusion in demonstrating lumbar nerve root compromise. MATERIALS AND METHODS: We combined 3-dimensional (3-D) computed tomography (CT) imaging of bone with 3-D magnetic resonance imaging (MRI) of neural architecture (cauda equina and nerve roots) for two patients using VirtualPlace software. RESULTS: Although the pathological condition of nerve roots could not be assessed using MRI, myelography or CT myelography, 3-D MRI/CT fusion imaging enabled unambiguous, 3-D confirmation of the pathological state and courses of nerve roots, both inside and outside the foraminal arch, as well as thickening of the ligamentum flavum and the locations, forms and numbers of dorsal root ganglia. Positional relationships between intervertebral discs or bony spurs and nerve roots could also be depicted. CONCLUSION: Use of 3-D MRI/CT fusion imaging for the lumbar vertebral region successfully revealed the relationship between bone construction (bones, intervertebral joints, and intervertebral disks) and neural architecture (cauda equina and nerve roots) on a single film, three-dimensionally and in color. Such images may be useful in elucidating complex neurological conditions such as degenerative lumbar scoliosis(DLS), as well as in diagnosis and the planning of minimally invasive surgery.
参考中文摘要:
目的:目的是证明在证明腰神经根损害的MRI可行性/ CT融合。材料与方法:我们结合三维与3(3 - D型)计算机断层扫描(CT)的骨显像三维磁共振成像(MRI)神经架构(马尾神经根和两个软件的使用VirtualPlace患者)。结果:虽然神经根病变的条件无法评估使用核磁共振,脊髓造影或CT造影,三维成像/ CT融合成像功能明确的,三维的病理状态和神经根的课程,内外确认在椎间孔拱,以及增厚的黄韧带和地点,形式和背根神经节数。椎间盘之间的位置关系,或骨神经根骨刺,还可以描述。结论:使用三维成像/ CT检查为腰椎地区融合成像成功揭示了骨头建设的关系(骨,椎间关节,椎间盘)和神经结构(马尾和神经根在一个电影,3)二维和彩色。此类图片可能是有用的阐明,如退行性(DLS)公司腰椎侧弯复杂的神经系统疾病,以及在诊断和微创手术的规划。
中文提供:
11
参考中文标题:
血肿颈椎黄韧带。报告1例及文献复习。
作者单位:
Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan.
PMID及链接:
19876627 http://www.syyxw.com/Archive/Detail/19876627
摘 要:
Hematoma of the cervical ligamentum flavum is very rare, and its pathogenesis is unknown. We describe a case of ligamentum flavum hematoma in the cervical spine causing severe myelopathy. Postoperative histological examination suggested it was the result of the rupture of a hemangioma or of an arteriovenous malformation in the ligamentum flavum. After removal of the lesion, the patient's condition immediately improved. Review of all three reported cases, including this one, showed that complete resection of the mass resulted in immediate relief of symptoms of incomplete paraplegia. The findings of magnetic resonance imaging (MRI) of the hematoma may vary with time, and they may show no characteristic intensity. However, MRI of this case revealed that the tissues surrounding the mass were enhanced with gadolinium diethylene triamine penta-acetic acid, and an area of homogeneous iso-intensity was clearly surrounded by a low-intensity area (flavum) on T2-weighed short-tau inversion recovery images. These findings could be characteristic of the ligamentum flavum hematoma and might help in the differentiation from a cervical epidural hematoma.
参考中文摘要:
颈黄韧带血肿是非常罕见,其发病机制尚不清楚。我们描述了一个颈椎黄韧带血肿案件造成严重脊髓型颈椎病。术后病理检查表明它是一个在血管瘤或动静脉畸形的黄韧带断裂的结果。病灶切除后,病人的病情立即改善。所有这三个报告的案件,包括本一审查,结果显示,群众完全切除的不完全性截瘫症状立即缓解的结果。磁共振成像的血肿(核磁共振)结果可能会随时间,他们可能会显示没有特点的力度。不过,这种情况下磁共振成像显示,该组织与周围群众的钆二乙烯三胺五乙酸增强,以及对同质异强度明显周围地区低烈度区(杆菌)在T2 -权衡短期头反转恢复图像。这些发现可能是黄韧带血肿的特点,并可能在分化帮助从颈椎硬膜外血肿。
中文提供:
12
参考中文标题:
进寰枢椎半脱位的白塞氏病。
作者单位:
Department of Neurosurgery, Chonbuk National University Hospital, 634-18, Geuman-dong, Deokjin-gu, Jeonju City, Jeonbuk, 561-712, Republic of Korea. narodniki@hanmail.net
PMID及链接:
19908040 http://www.syyxw.com/Archive/Detail/19908040
摘 要:
Behcet's disease is a chronic inflammatory condition involving several organs, such as the skin, mucous membranes, eyes, joints, intestines, lungs and central nervous system. It rarely affects the spinal column. We describe a case of progressive atlanto-axial subluxation in a 44-year-old woman with Behcet's disease. The patient started complaining of posterior neck pain 10 years after the diagnosis of her Behcet's disease. Initial radiographs showed no abnormal finding, but follow-up radiographs 6 month later demonstrated atlanto-axial subluxation. To the best of our knowledge, this is the second reported case in the worldwide literature of an atlanto-axial instability in a patient with Behcet's disease.
参考中文摘要:
白塞氏病是一种慢性发炎的情况涉及多个器官,如皮肤,粘膜,眼睛,关节,肠胃,肺和中枢神经系统。它很少影响到脊柱。我们描述了与白塞氏病的44岁女子的进步寰枢椎半脱位的情况。病人开始抱怨的后颈部疼痛10年后,她的白塞氏病的诊断。初步X光片显示无异常发现,但后续6个月后X光片显示寰枢椎半脱位。据我们所知,这是第二次报告中与白塞氏病病人中的一寰枢椎不稳的情况世界各地的文献。
中文提供:
13
参考中文标题:
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作者单位:
Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan. norinori@clin.med.tokushima-u.ac.jp
PMID及链接:
19960342 http://www.syyxw.com/Archive/Detail/19960342
摘 要:
An ossified arachnoid membrane combined with cystic formation is rarely reported as a cause of spinal cord compression. We report the case of a 60-year-old man who presented with diffuse ossification of the arachnoid membrane (arachnoid ossification) and multiple cystic changes (arachnoid cyst) at the thoracic and lumbar spine. The lesions were surgically removed and progressive deterioration was prevented, although no marked improvement of neurological symptoms was attained.
参考中文摘要:
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中文提供:
14
参考中文标题:
磁共振后天梅毒的早期骨性表现影像学特征。
作者单位:
Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, Toronto, ON, Canada. ali.naraghi@uhn.on.ca
PMID及链接:
19795120 http://www.syyxw.com/Archive/Detail/19795120
摘 要:
We report the case of a 64-year-old man who initially presented with a maculopapular rash followed several weeks later by bilateral shin pain and infiltrative cutaneous lesions over the lower legs. The plain radiographs were not contributory, and the patient was referred for a whole-body bone scan, which demonstrated multifocal osseous lesions, including such lesions in the lower legs, skull and facial bones. Magnetic resonance imaging (MRI) demonstrated numerous small tibial and fibular nodular lesions involving the medullary cavity and the cortex. A diagnosis of acquired syphilis was made, based on skin biopsy. Results of serological testing were consistent with recent infection. The patient was treated with intramuscular injection of penicillin, and follow-up MRI demonstrated gradual resolution of the osseous lesions. Bone involvement is a relatively rare manifestation of early acquired syphilis. Although the plain radiographic features of the bony changes in acquired syphilis are well documented, there have been no reports of the magnetic resonance imaging findings in the appendicular skeleton.
参考中文摘要:
我们报告一位64岁的男子谁最初与一斑丘疹提出的个案此后双边胫疼痛,皮肤病灶浸润了几个星期的小腿。在X线平片不供款,以及病人的全身骨骼扫描提到,这表明多发性骨性病变,包括小腿,头骨和面部骨骼等病变。磁共振成像(MRI)表现出无数小胫腓骨涉及骨髓腔和皮质结节性病灶。后天梅毒的诊断为,根据皮肤切片。血清学检测结果是一致的近期感染。病人于治疗肌肉注射青霉素,并采取后续行动的MRI表现在骨性病变的逐步解决。骨的参与是一个相对早期后天梅毒罕见的表现。虽然在后天梅毒的骨骼X线变化特点是平原有案可稽的,有没有在阑尾骨架的磁共振成像结果的报告。
中文提供:
15
参考中文标题:
腓总神经神经炎骨化。
作者单位:
PMID及链接:
20037796 http://www.syyxw.com/Archive/Detail/20037796
中文提供: