简介:近年来医学影像学的飞跃发展,为研究中医、发展中医,揭示中医传统理论方面创造了有利条件。本文参考有关文献试图就祖国医学三焦与医学影像学正相关问题进行初步探讨。祖国医学三焦是位于胸腹腔内内脏器官的总称,其范围是从咽至阴,肌肤之内,脏腑之外。包括各个脏腑,又出入贯布于各脏腑间隙之间,沟通各个脏腑的物质输送与功能调节。三焦按其部位分为上中下三部分。《灵枢营卫生会》篇说:“上焦出于胃口并咽以下贯嗝而布胸中,”指以上焦的部位在胸部。又说:“下焦者,别回肠,注入膀胱而渗入焉”。表明下焦的部位在胃脘以下。中焦介于上下之间在胃胱。根据解剖生理功能,结合影像学观察,我们认为:以横膈做为上中两焦的划分界限。以后腹膜和下腹膜做为中下两焦的区划界限。胸腔相当
简介: [摘要 ] 目的 探究立体定向导航下经颞下及枕下 2种手术方式治疗脑干出血的临床疗效。 方法 选择 2017年 1月~ 2019年 12月我院进行手术治疗的 52例脑干出血患者,根据治疗方法分为甲组( n = 26),采用经颞下入路的手术方式进行治疗;乙组( n = 26),采用枕下入路的手术方式进行治疗。参照格拉斯哥的预后标准对两组患者的临床治疗效果以及预后情况进行分析与比较。 结果 甲组患者良好率为 19.23%( 5/26),重残率为 11.54%( 3/26),死亡率为 69.23%( 18/26);乙组患者良好率为 23.08%( 6/26),重残率为 15.38%( 4/26),死亡率为 61.54%( 16/26);两组比较,差异无统计学意义( P > 0.05)。 结论 两组患者的临床疗效相当,医院应根据患者的实际病情制订最佳手术方案。 [关键词 ] 立体定向导航;经颞下入路;枕下入路;脑干出血 [Abstract] Objective To explore the clinical effect of stereotactic navigation in the treatment of brainstem hemorrhage. Methods from January 2017 to December 2019, 52 patients with brainstem hemorrhage were divided into group A (n = 26) and group B (n = 26). According to Glasgow's prognosis standard, the clinical treatment effect and prognosis of the two groups were analyzed and compared. Results the good rate of group A was 19.23% (5 / 26), the severe disability rate was 11.54% (3 / 26), and the mortality rate was 69.23% (18 / 26); the good rate of group B was 23.08% (6 / 26), the severe disability rate was 15.38% (4 / 26), and the mortality rate was 61.54% (16 / 26); there was no significant difference between the two groups (P > 0.05). Conclusion the clinical effect of the two groups is equal. The hospital should make the best operation plan according to the actual condition of the patients.