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简介：Objective:Toinvestigatetheprevalenceofmycoplasmainfectionsandthesensitivitytoantibioticsamongpatientswithnongonococcalurethritisorcervicitis(NGU)inChongqing.Methods:387NGUcaseswithmycoplasma-positiveresultsuponculturewereanalysedretrospectively.RESULTS:Themajorityofpatientswithmycoplasmainfectionswereinthe20-40yearoldagegroup.Nosignificantdifferencewasfoundbetweenmalesandfemales.UreaplasmaurealyticumisthemainpathogenoftheseNGUcasesandnoclearrelationshipbetweenitsconcentrationandpathogenicabilitywasnoted.Drugsensitivitywastestedagainstnineantibiotics;thesensitivityratestojosamycin,minocyclineanddoxycyclinewere94.06%,88.89%and86.82%respectively,whiletheresistanceratestolincomycin,ofloxacin,azithromycinandroxthromycinwere74.94%,42.12%,41.60%and40.31%inturn.Conclusions:Josamycin,minocyclineanddoxycyclinecouldbeusedasthefirstchoicetotreatNGUwithmycoplasmainfectionsinChongqing.ItisimportanttoselectantibioticsforNGUtreatmentwithmycoplasmainfectionsbasedontheresultsofdrugsensitivitytests.

简介：Case1TANGXX,female,ateacher,aged51,visitedourclinicinNovemberof2003.Chiefcomplaints:Shecomplainedofhavinggotheadache,nausea,blurredvision,stiffnessofneck,painattheleftshoulder,andnumbnessofthemiddle,thirdandthelittlefingersfor5yearswhichaggravatedinrecentdaysatthattreatmenttime.

简介：目的：探讨推拿结合中药和梅花磁针敷贴治疗颈椎病的特点及临床分型治疗效果。方法：对302例颈椎病患者年龄段患病情况、分型、治疗效果进行评定。结果：302例患者中治愈153例，显效131例，好转14例，无效4例，总有效率98．7％。结论：推拿结合中药和梅花磁针敷贴治疗各型颈椎病均可取得较好的疗效。

简介：Objective:Toobservethetherapeuticeffectofcombinedcervicaltractionandelectroacupuncture(EA)onCervicalSpondylopathyofNerveRootType(CSNRT).Methods:145patientsdiagnosedasCSNRTwererandomizedinto3groups:combinedtreatmentgroup,EAgroup,andcervicaltraction(CT)group.Thecombinedgroupwastreatedwithtractionfollowed2),etc..PatientsoftwocontrolgroupswereonlytreatedbyeitherCTorEA.Results:Themarkedly-effectiverateandtotaleffectiveratewere76.0%and94.0%respectivelyinthecombinedtreatmentgroup,62.5%and81.25%respectivelyinCTgroup,and63.82%and82.97%respectivelyinEAgroup.Thetherapeuticeffectofthecombinedtreatmentgroupwassignificantlysuperiortothatoftwocontrolgroups(P<0.05).At6-monthfollow-up,theabovetwomarkedly-effectiveandtotaleffectiveratesinthecombinedtreatmentgroupremained74.0%and92.0%,stillsignificantlyhigherthanthatintwocontrolgroups.Conclusion:CombiningcervicletractionwithEAtreatmentcaneffectivelyeliminateorrelievethesymptomsandsignsinpatientswithnerveroottypecervicalspondylopathy.

简介：AbstractUterus didelphys occurs in ~0.4% of females and is found in ~11%-20% of all uterus defects. It is a risk factor for cervical insufficiency, consequently contributing to late miscarriage or preterm birth. Thus far, only two prior cases of uterus didelphys accompanied by cervical insufficiency treated through laparoscopic cervical cerclage have been reported; however, livebirth only occurred in one hemiuterus. Herein, we report a case of uterus didelphys in a patient diagnosed with cervical insufficiency. Following the placement of a modified laparoscopic cervical cerclage, the patient had two successful livebirths through both hemiuteruses, respectively, with longer gestation age (ie, >36 weeks). The aim of this case report was to provide useful information for clinical practitioners to make better decisions on the management of cervical insufficiency in patients with uterus didelphys, and identify obstetric complications that clinicians should pay attention to during pregnancy.

简介：采用滚、按、一指禅、拔伸、斜扳、拿五经、扫散法等手法，治疗颈椎间盘突出症患者25例，结果治愈10例，显效14例，好转1例。

简介：Traction,acupunctureandoxygeninhalationtherapieswere-usedtotreat40casesofcervicalvertigo.AcupointsFengchi(GB20),Tianzhu(BL10),Baihui(GV20),Yintang(Ex-HN3),Houxi(SI3),andZhongzhu(TE3),andtheeffectiveratewas97.5%.

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简介：InsupportingXinjiangUygurAutonomousRegionfromAugustof2008toJanuaryof2009,theauthorstreated56casesofcervicalspondylosisbyembeddingmethod.Now,thereportisgivenasfollows.

简介：AbstractBackgrounds:Cervical posterior decompression surgery is used to relieve ventral compression indirectly by incorporating a backward shift of the spinal cord, and this indirect decompression is bound to be limited. This study aimed to determine the decompression limit of posterior surgery and the effect of the decompression range.Methods:We retrospectively reviewed the data of 129 patients who underwent cervical open-door laminoplasty through 2008 to 2012 and were grouped as follows: C4-C7 (n = 11), C3-C6 (n = 61), C3-C7 (n = 32), and C2-C7 (n = 25). According to the relative location of spinal levels within a decompression range, the type of decompression at a given level was categorized as external decompression (ED; achieved at the levels located immediately external to the decompression range margin), internal decompression (ID; achieved at the levels located immediately internal to the decompression range margin), and central decompression (CD; achieved at the levels located in the center, far from the decompression range margin). The vertebral-cord distance (VCD) was used to evaluate the decompression limit. The C2-C7 angle and VCD on post-operative magnetic resonance images were analyzed and compared between groups. The relationship between VCD and decompression type was analyzed. Moreover, the relationship between the magnitude of the ventral compressive factor and the probability of post-operative residual compression at each level for different decompression ranges was studied.Results:There was no significant kyphosis in cervical curvature (>-5°), and there was no significant difference among the groups (F = 2.091, P = 0.105). The VCD of a specific level depended on the decompression type of the level and followed this pattern: ED < ID < CD (P < 0.05). The decompression type of a level was sometimes affected by the decompression range. For a given magnitude of the ventral compressive factor, the probability of residual compression was lower for the group with the larger VCD at this level.Conclusions:Our study suggests that the decompression range affected the decompression limit by changing the decompression type of a particular level. For a given cervical spinal level, the decompression limit significantly varied with decompression type as follows: ED < ID < CD. CD provided maximal decompression limit for a given level. A reasonable range of decompression could be determined based on the relationship between the magnitude of the ventral compressive factor and the decompression limits achieved by different decompression ranges.

简介：客观：为了探索颈的方面关节的神经分布的模式并且从方面关节决定小径到背面的根中心(DRG)以便澄清，膜弥漫的颈疼痛，头疼，和肩膀疼痛使用。方法：42男Sprague-Dawleyrats，称250-300g，随机被划分成三个组：组A(n=18)，组B(n=18)，和组C(n=6)。在有intraperitonealpentobarbital钠(45mg/kg身体重量)的麻醉下面，背面的纵的切口在颈的脊骨上被做在一台显微镜下面暴露所有老鼠的左颈的方面关节囊的一条中线。在组A的老鼠在组B和组C经历了交感神经切除术，而是老鼠没经历交感神经切除术。然后，0.6μl5%bisbenzimide(Bb)被注入C_(1-2)，C_(3-4)和方面在组A和组B分别地6只老鼠连接的C_(5-6)。洞立即与矿物质蜡被封上阻止Bb和扁带的漏，皮被闭上。但是在组C，0.9%正常盐被注入相应的联合的囊。然后在有intraperitonealpentobarbital钠(45mg/kg身体重量)的深重新麻醉下面，在所有老鼠的C_1-C_8左DRG和在组B的同情的中心被获得，标记的神经原的数字是坚定的。结果:用Bb标记的神经原在组B在在组A和组B，和同情的中心的C_1-C_8DRG是在场的。在C_(1-2)和C_(3-4)亚群，标记的神经原从C_1toC_8DRG是在场的，当在C_(5-6)亚群他们从C_3到C_8时。没有交感神经切除术，在交感神经切除术以后的Bb(+)神经原的数字不在从那的注射水平是显著地不同的。但是在其它铺平，在交感神经切除术以后的Bb(+)神经原的数字是显著地不到那没有交感神经切除术。结论：颈的方面关节的神经分布从感觉、同情的神经系统被导出，并且DRG在中央神经系统外面通过神经纤维与同情的中心被联系。

简介：目的：观察推拿结合针刺治疗颈性偏头痛的疗效并作对比。方法：将门诊接治的80例颈性偏头痛患者分为3组，分别采用推拿、针刺和推拿结合针刺的方法治疗。结果：3组患者均取得较好疗效，推拿结合针剌组的治愈率显著优于其它2组。结论：推拿结合针刺治疗颈性偏头痛值得临床推广。

简介：ＴＨＥＣＥＲＶＩＸＭＵＬＴＩ－ＶＩＲＵＳＥＳＩＮＦＥＣＴＩＯＮＡＮＤＴＨＥＤＥＶＥＬＯＰＭＥＮＴＯＦＣＥＲＶＩＣＡＬＣＡＲＣＩＮＯＭＡＳＺｈａｎｇＷｅｉ张伟；ＪｉｎＳｎｕｎｑｉａｎ金顺钱；ＬｉｕＢｏｑｉ刘伯齐；ＬｉａｎｓＸｉａｏ梁肖；ＭｉｎｇＬｉｈｕ...

简介：目的：观察推拿治疗颈椎间盘突出症的临床疗效。方法：87例患者根据就诊顺序随机分为治疗组和对照组。治疗纽39例，采用推拿手法治疗；对照纽48例，采用颈椎牵引结合中频脉冲治疗。两组均每星期治疗3次，治疗10次为一个疗程。结果：治疗组治愈22例，显效13例，好转4例，显效率89．7％，总有效率100．0％；对照纽治愈23例，显效17例，有效7例，无效1例。显效率83．3％，总有效率97．9％。两组显效率及总有效率比较，差异均无统计学意义。治疗组平均治疗17．8次，对照组平均治疗26．6次。结论：推拿治疗颈椎间盘突出症疗效与牵引结合中频脉冲治疗相当，但推拿治疗具有见效快，疗程短的优势。

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简介：Cervicalspondylosisisoneofthecommonlyseendiseasesinclinic.Itischaracterizedbyhighmorbidity,sluggishdevelopment,longercourseandhigherrecurrencerate.Inordertoimprovethetherapeuticeffectandlowertherecurrencerate,theauthortreated116casesofradiculartypecervicalspondylosisbypuncturingYuji(LU10)from1997to1999.Hereisthereport.

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简介：目的：观察推拿结合牵引治疗青少年颈椎反弓的，临床疗效。方法：对40例青少年颈椎反弓患者进行推拿结合牵引的治疗。隔天治疗1次，10天为1个疗程，治疗2个疗程后评价疗效。结果：治疗前后颈椎曲度有显著改变，治疗后颈椎反弓纠正15例，明显改善20例，好转5例。结论：推拿结合牵引是治疗青少年颈椎生理曲度异常的有效方法。