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traction group
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  牵引组
    Result:Both time to union and economic cost of the external fixation group were shorter than that of the skeletal traction group and plate fixation group.
    结果: 牵引固定组住院时间长于外固定架组和内固定组(P<0. 001), 外固定架组愈合时间短于牵引组和内固定组(P<0. 05), 费用明显少于牵引组、内固定组(P<0. 01)。
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  traction group
The muscularis propria of the upper esophagus was thicker in the traction compared to the non-traction group, though not statistically significant (respectively, 0.79 (0.18) mm vs.
      
Seven of these patients were treated conservatively by skeletal traction (group A), while the remaining nine patients underwent internal fixation by Mennen plate in conjuction with bone graft (group B).
      
In the traction group the herniation index decreased from 276.6±129.6 to 212.5±84.3 with treatment (p>amp;lt;0.01).
      
Size of the herniated disc material in CT decreased significantly only in the traction group.
      
In the traction group, most of the clinical findings significantly improved with treatment.
      
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he present study was designed to explore the in-fluence of perinatal factors and sampling methods on fe-tal pituitary-thyroid axis. The results showed: (1)There was no hnear relation between cord serum thyroidstimulating hormone (TSH), triiodothyronine (T_3),thyroxine(T_4) and either birth weight or the duration oflabor (r= 0. 03~0. 12, P> 0. 05). The mean cordserum TSH , T_3 or T_4 levels in the fetus delivered withuterotonic agents were no significant difference fromthose in fetus without these drugs and also...

he present study was designed to explore the in-fluence of perinatal factors and sampling methods on fe-tal pituitary-thyroid axis. The results showed: (1)There was no hnear relation between cord serum thyroidstimulating hormone (TSH), triiodothyronine (T_3),thyroxine(T_4) and either birth weight or the duration oflabor (r= 0. 03~0. 12, P> 0. 05). The mean cordserum TSH , T_3 or T_4 levels in the fetus delivered withuterotonic agents were no significant difference fromthose in fetus without these drugs and also there was nosignificant difference in the mean cord serum TSH, T_3or T_4 levels according to the fetus sex (P> 0. 05 ). (2)The mean cord serum TSH level of fetus in vacuum ex-traction group was significantly higher than that of fetusin normal vaginal delivery or caesarean section group (P<0. 01). However, the mean TSH levels of neonateson day 3 ̄5 in heel blood spotted filter paper were nosignificant differences among the three groups (P >0. 05). (3) The mixed cord blcod TSH level relatedquite well to the TSH level obtained from heel blood onday 3 ̄ 5 , or cord venous serum samples (r= 0. 67 ̄ 0.84, P<0.01 ). Our results suggest that measuring cordblood TSH level might be a feasible alternative methodfor neonatal congenital hypothyroidism screening.

通过对不同分娩及采血方法下新生儿血甲状腺激素等的测定,了解这些因素对新生儿血促甲状腺激素(TSH)和甲状腺激素水平的影响。结果如下:(1)新生儿脐静脉血清TSH、三碘甲状腺氨酸(T_3)和甲状腺素(T_4)水平与出生体重及宫缩时间无显著性相关(r=0.03~0.12,P>0.05),新生儿脐静脉血清TSH、T_3和T_4水平不受性别及是否用宫缩剂的影响(P>0.05);(2)胎头吸引器助产分娩新生儿脐静脉血纸片TSH水平明显高于正常分娩及剖宫产组(P<0.01),三组新生儿足跟血纸片TSH水平的差异无显著性(P>0.05);(3)新生儿脐混合血纸片TSH水平与脐静脉血清、脐静脉血纸片及新生儿出生后3~5天足跟血纸片TSH水平呈显著正相关(r=0.67~0.84,P<0.01)。测定脐血纸片TSH水平不失为一种简便可靠的先天性甲状腺功能低减的筛查方法。

Objective:To compare and evaluate 3 kinds of treatments of pediatric closed femoral shaft fractures.Method: Seventy-nine patients were divided into 3 groups and treated using hip spica casting after skeletal traction, unilateral multi-functional fixation and plate fixation. The result were evaluated according to clinical function, time to union, complications, radiology examination and the economic cost.Result:Both time to union and economic cost of the external fixation group were shorter than that of the skeletal...

Objective:To compare and evaluate 3 kinds of treatments of pediatric closed femoral shaft fractures.Method: Seventy-nine patients were divided into 3 groups and treated using hip spica casting after skeletal traction, unilateral multi-functional fixation and plate fixation. The result were evaluated according to clinical function, time to union, complications, radiology examination and the economic cost.Result:Both time to union and economic cost of the external fixation group were shorter than that of the skeletal traction group and plate fixation group.Conclusion:The unilateral multi-functional external fixation is an ideal solution to pediatric closed femoral shaft fractures.

目的: 比较小儿闭合性股骨干骨折三种方法治疗的效果。方法: 回顾分析骨牵引加石膏外固定、单臂多功能外固定支架及加压钢板内固定治疗小儿闭合性股骨干骨折79例,从临床功能、愈合时间、并发症、X线片检查及经济方面对治疗结果进行综合评定比较。结果: 牵引固定组住院时间长于外固定架组和内固定组(P<0. 001), 外固定架组愈合时间短于牵引组和内固定组(P<0. 05), 费用明显少于牵引组、内固定组(P<0. 01)。结论: 单臂多功能外固定支架治疗小儿闭合性股骨干骨折效果理想, 综合评价优于骨牵引加石膏外固定和加压钢板内固定治疗。

 
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