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Crocodile blood supplementation protect svascular function in diabetic mice

Food Production, Processing and Nutrition 2021年第1期3卷 283-295页

作者： Chui Yiu Bamboo Chook Francis M.Chen gary Tse Fung Ping Leung wing Tak wong School of Life Sciences Faculty of ScienceThe Chinese University of Hong KongShatinNTHong Kong SAR State Key Laboratory of Agrobiotechnology The Chinese University of Hong KongHong KongChina

Cardiovascular disease is a major cause of mortality in diabetic patients due to the heightened oxidative stress and pro-inflammatory state in vascular *** approaches targeting cardiovascular health for diabetic patients are urgently *** blood,an emerging dietary supplement,was suggested to have anti-oxidative and anti-inflammatory effects in vitro,which have yet to be proven in animal *** study thereby aimed to evaluate whether crocodile blood can protect vascular function in diabetic mice against oxidation and *** db/db mice and their counterparts db/m+mice were treated daily with crocodile blood soluble fraction(CBSF)or vehicle via oral gavage for 4 weeks before their aortae were harvested for endothelium-dependent relaxation(EDR)quantification using wire myograph,which is a well-established functional study for vascular function *** culture experiments culturing mouse aortae from C57BL/6 J mice with or without IL-1βand CBSF were done to evaluate the direct effect of CBSF on endothelial *** oxygen species(ROS)levels in mouse aortae were assessed by dihydroethidium(DHE)staining with inflammatory markers in endothelial cells quantified by quantitative polymerase chain reaction(qPCR).CBSF significantly improved deteriorated EDR in db/db diabetic mice through both diet supplementation and direct culture,with suppression of ROS level in mouse *** also maintained EDR and reduced ROS levels in mouse aortae against the presence of pro-inflammatory IL-1β.Under the pro-inflammatory state induced by IL-1β,gene expressions of inflammatory cytokines were downregulated,while the protective transcripts UCP2 and SIRT6 were upregulated in endothelial *** study suggests a novel beneficial effect of crocodile blood on vascular function in diabetic mice and that supplementation of diet with crocodile blood may act as a complementary approach to protect against vascular diseases through anti

关键词： Crocodile blood Diabetes mellitus Vascular endothelial function Anti-oxidative Anti-inflammatory

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儿童新型冠状病毒感染诊断、治疗和预防专家共识(第五版)

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中华实用儿科临床杂志 2023年第1期38卷 20-30页

作者：蒋荣猛谢正德姜毅陆小霞金润铭郑跃杰尚云晓徐保平刘智胜卢根邓继岿刘光华王晓川王建设冯录召刘薇郑毅舒赛男陆敏罗万军刘苗崔玉霞叶乐平申阿东刘钢高立伟熊莉娟白燕林丽开魏庄薛凤霞王天有赵东赤赵正言邵剑波黄永坚何颜霞李兴旺杨永弘申昆玲首都医科大学附属北京地坛医院感染性疾病诊疗中心北京100015 国家儿童医学中心(北京) 首都医科大学附属北京儿童医院北京市儿科研究所中国医学科学院儿童危重感染诊治创新单元国家呼吸系统疾病临床医学研究中心儿科重大疾病研究教育部重点实验室儿童呼吸道感染性疾病研究北京市重点实验室北京100045 武汉大学人民医院儿科武汉430060 华中科技大学同济医学院附属武汉儿童医院呼吸科武汉430016 华中科技大学同济医学院附属协和医院儿科武汉430022 深圳市儿童医院呼吸科深圳518038 中国医科大学附属盛京医院小儿呼吸内科沈阳110004 国家儿童医学中心(北京) 国家呼吸系统疾病临床医学研究中心首都医科大学附属北京儿童医院呼吸科北京100045 华中科技大学同济医学院附属武汉儿童医院神经内科武汉430016 广州市妇女儿童医疗中心呼吸科广州510623 深圳市儿童医院感染科深圳518038 上海儿童医学中心福建医院福建省儿童医院儿科福州350005 国家儿童医学中心(上海) 复旦大学附属儿科医院临床免疫/过敏科上海201102 复旦大学附属儿科医院感染传染科上海201102 中国医学科学院北京协和医学院群医学及公共卫生学院北京100730 天津大学儿童医院天津市儿童医院天津300134 首都医科大学附属北京安定医院国家精神心理疾病临床医学研究中心精神疾病诊断与治疗北京市重点实验室北京100088 华中科技大学同济医学院附属同济医院儿科武汉430030 上海市儿童医院呼吸科上海200062 华中科技大学同济医学院附属武汉儿童医院感染管理办公室武汉430016 贵州省人民医院儿科贵阳550002 北京大学第一医院儿科北京100034 国家儿童医学中心(北京) 国家呼吸系统疾病临床医学研究中心首都医科大学附属北京儿童医院北京市儿科研究所北京100045 国家儿童医学中心(北京) 首都医科大学附属北京儿童医院感染科北京100045 华中科技大学同济医学院附属协和医院感染性疾病科武汉430022 武汉大学中南医院武汉大学医院管理研究所武汉430071 国家儿童医学中心(北京) 首都医科大学附属北京儿童医院儿童保健中心北京100045 国家儿童医学中心(北京) 首都医科大学附属北京儿童医院血液肿瘤中心北京100045 武汉大学中南医院儿科武汉430071 浙江大学医学院附属儿童医院发育行为科杭州310051 华中科技大学同济医学院附属武汉儿童医院放射影像中心武汉430016 香港中文大学威尔斯亲王医院儿科中国香港999077 深圳市儿童医院重症医学科深圳518038

2023年1月8日起,我国将2019新型冠状病毒病(COVID-19)列为法定乙类传染病管理范畴,并按照乙类管理。鉴于目前奥密克戎变异株为我国主要流行病毒株,为与时俱进地指导儿童新型冠状病毒(SARS-CoV-2)感染的救治工作,参考《新型冠状病毒感染... 详细信息

2023年1月8日起,我国将2019新型冠状病毒病(COVID-19)列为法定乙类传染病管理范畴,并按照乙类管理。鉴于目前奥密克戎变异株为我国主要流行病毒株,为与时俱进地指导儿童新型冠状病毒(SARS-CoV-2)感染的救治工作,参考《新型冠状病毒感染诊疗方案(试行第十版)》《儿童新型冠状病毒感染诊断、治疗和预防专家共识(第四版)》和儿科相关病毒感染诊疗策略,特制订《儿童新型冠状病毒感染诊断、治疗和预防专家共识(第五版)》,对相关病原学、流行病学、致病机制、临床表现、辅助检查、诊断、治疗等内容进行了相应更新,新增了COVID-19相关脑病、暴发性心肌炎等严重并发症的救治要点,供临床参考。

关键词：新型冠状病毒感染儿童奥密克戎变异株诊断治疗预防共识

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PROGRESS IN HONG KONG'S TROPICAL CYCLONE FORECASTING AND WARNING SERVICES IN RECENT DECADES

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Tropical Cyclone Research and Review 2018年第1期7卷 37-50页

作者： WAI-kin wong CHUN-wing CHOY Hong Kong Observatory

With modern infrastructures and effective warning systems,casualties,damages and losses due to tropicalcyclones(TCs)have been significantly reduced over the years in Hong ***,densely populated coastal cities like Hong Kong will need to continuously enhance its resilience to high winds,heavy rain and storm surges brought by TCs,especially with the growing concern of the challenges induced by climate change and sea level *** embracing the advance of remote sensing,communication and numerical modelling technology,the Hong Kong Observatory(HKO)continues to improve its TC monitoring and forecasting techniques as well as forecasting and warning services to meet the needs of the *** paper concisely reviews the major development and achievement of TC-related operation and services of HKO in recent decades,in aspects such as Numerical Weather Prediction(NWP)models,nowcasting techniques,warning communication and public *** thrusts on TC forecasting and warning services of HKO will also be discussed.

关键词： Hong Kong Observatory tropical cyclones forecasting and warning services

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Clinical factors affecting rejection rates in liver transplantation

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Hepatobiliary & Pancreatic Diseases International 2015年第4期14卷 367-373页

作者： kin Pan Au See-Ching Chan Kenneth Siu-Ho Chok William Wei Sharr wing-Chiu Dai Sui-Ling Sin Tiffany Cho-Lam wong Chung-Mau Lo Department of Surgery the University of Hong Kong Medical Center Queen Mary Hospital

With improvements in survival, liver trans- plant recipients now suffer more morbidity from long-term immunosuppression. Considerations were given to develop individualized immunosuppression based on their risk of re- jection. METHOD： We retrospectively analyzed the data of 788 liver transplants performed during the period from October 1991 to December 2011 to study the relationship between acute cel- lular rejection （ACR） and various clinical factors. RESULTS： Multivariate analysis showed that older age （P=0.04, OR=0.982）, chronic hepatitis B virus infection （P=0.005, OR= 0.574）, living donor liver transplantation （P=0.02, OR=0.648） and use of interleukin-2 receptor antagonist on induction （P〈0.001, OR=0.401） were associated with fewer ACRs. Patients with fulminant liver failure （P=.004, OR=4.05） were more likely to develop moderate to severe grade ACR. CONCLUSIONS： Liver transplant recipients with older age, chronic hepatitis B virus infection, living donor liver trans- plantation and use of interleukin-2 receptor antagonist on in- duction have fewer ACR. Patients transplanted for fulminant liver failure are at higher risk of moderate to severe grade ACR. These results provide theoretical framework for developing individualized immunosuppression.

关键词： liver transplantation acute rejection immunosuppression

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Spontaneous type 1 pattern, ventricular arrhythmias and sudden cardiac death in Brugada Syndrome： an updated systematic review and meta-analysis

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Journal of Geriatric Cardiology 2017年第10期14卷 639-643页

作者： Ahmed Bayoumy Meng-Qi GONG Ka Hou Christien Li Sunny Hei wong William KK Wu Guang-Ping LI George Bazoukis Konstantinos P Letsas wing Tak wong Yun-Long XIA Tong LIU gary Tse Department of Medicine and Therapeutics Faculty of Medicine Chinese University of Hong Kong Hong Kong China Li Ka Shing Institute of Health Sciences Faculty of Medicine Chinese University of Hong Kong Hong Kong China Faculty of Medicine University of Amsterdam The Netherlands Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease Department of Cardiology Tianjin Institute of Cardiology Second Hospitalof Tianjin Medical University Tianjin China Faculty of Medicine Newcastle University United Kingdom Department of Anaesthesia and Intensive Care Faculty of Medicine Chinese University of Hong Kong Hong Kong China Second Department of Cardiology Evangelismos General Hospital of Athens Athens Greece School of Life Sciences Chinese University of Hong Kong Hong Kong China Department of Cardiology First Affiliated Hospital of Dalian Medical University Dalian China

Brugada syndrome (BrS) is primary electrical disorder characterized by ST segment elevation with right bundle branch block morphology in patients with apparent structurally normal hearts. It predisposes affected individuals to ventricular tachycardia/fibrillation (VT/VF) and sudden cardiac death (SCD). A number of studies have identified risk factors that are associated with a more malignant course of disease. These include male gender, syncope, a spontaneous type 1 ECG pattern, family history of SCD,family history of Brugada syndrome, loss-of-function mutations in the SCN5a gene, inducible VT/VF during programmed electrical stimulation. Of these risk factors, many studies have demonstrated that the presence of a spontaneous type 1 pattern is associated with a significantly higher risk of VT/VF or SCD, but other studies have demonstrated a lack of significant predictive value.

关键词： Brugada 症候群冒险层化自发的类型 1 突然的心脏的死亡室的心律不齐

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Chronic ulcerative gastroduodenitis as a first gastrointestinal manifestation of Hermansky-Pudlak syndrome in a 10-year-old child

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World Journal of Gastroenterology 2008年第18期14卷 2939-2941页

作者： Anselm Chi-Wai Lee kin-Hung Poon wing-Hong Lo Lap-Gate wong Department of Pediatrics & Adolescent Medicine Tuen Mun Hospital New Territories Hong Kong 999077 China Department of Clinical Pathology Tuen Mun Hospital New Territories Hong Kong 999077 China

A 10-year-old Chinese boy who had a history of congenital thrombocytopathy presented with severe iron deficiency anemia secondary to chronic gastric inflammation and duodenal ulcerations. Subtle oculocutaneous albinism led to the finding of diminished dense bodies in the platelets under electron microscopy, hence the diagnosis of Hermansky-Pudlak syndrome (HPS). Biopsies from the stomach and duodenum revealed a lymphocytic infiltration in the submucosa, but H pylori infection was absent. The gastroduodenitis responded to the treatment with omeprazole while iron deficiency anemia was corrected by oral iron therapy. HPS is a rare cause of congenital bleeding disorder with multisystemic manifestations. Upper gastrointestinal involvement is rare and should be distinguished from a mere manifestation of the bleeding diathesis.

关键词：白化病十二指肠溃疡肠炎并发症

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A REVIEW OF THE STORM CHARACTERISTICS OF TYPHOON KALMAEGI (1415) AND RELATED FORECASTING CONSIDER ATIONS IN HONG KONG

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Tropical Cyclone Research and Review 2014年第4期3卷 243-255页

作者： Chun-wing Choy Yee-ting Junella Tam Dick-shum Lau Wai-kin wong Hong Kong Observatory Hong KongChina

Kalmaegi(1415)required the issuance of Gale or Storm Wind Signal No.8 in Hong Kong in 2014,even though it passed by at a distance of 370 km from Hong Kong during its closest *** surges triggered by Kalmaegi caused backflow of sea water in some low lying areas in both Hong Kong and *** paper reviews the use of observational data in monitoring the cyclone characteristics and studies the synoptic factors leading to its fast movement and extensive *** combined analysis of multi-platform satellite wind retrieval,in-situ surface observations and aircraft reconnaissance data over the northern part of the South China Sea is found to be useful in depicting the cyclone *** analysis suggests that the relatively large size of Kalmaegi may be attributed to monsoon shear pattern during its formation stage and the subsequent strengthening of southwesterlies over the northern part of the South China Sea.A strong subtropical ridge north of Kalmaegi not only provides strong steering and thus its high translational speed,but also leads to extensive gale force wind distribution over its northern *** performance of various numerical prediction models in forecasting the movement,intensity change and wind structure of Kalmaegi,as well as the storm surge triggered,is assessed and presented.

关键词： Kalmaegi Hong Kong tropical cyclone forecasting track wind structure

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Determinants for asthma control, quality of life and use of complementary and alternative medicine in asthmatic pediatric patients in four cities

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World Journal of Pediatrics 2018年第5期14卷 482-491页

作者： Kam Lun Hon Yan Min Bao Kate C.Chan kin Wai Chau Rong-Shan Chen Kun Tat gary Cheok Wa Keung Chiu Li Deng Chun-Hui He kin Mui Ieong Jeng Sum C.Kung Ping Lam Shu Yan David Lam Qun Ui Lee So Lun Lee Ting Fan Leung Theresa N.H.Leung Lei Shi Ka Ka Siu Wei-Ping Tan Maggie Haitian Wang Tak Wai wong Bao-Jing Wu Ada Y.F.Yip Yue-Jie Zheng Daniel K.Ng Department of Pediatrics The Chinese University of Hong Kong 6/F Prince of Wales HospitalRoom 84042ShatinN.THong Kong SARChina Department ofR espiratory Diseases Shenzhen Children’s HospitalShenzhen 518026China Hong Kong Society of P ediatric Respirology and Aller gy Hong K ong S ARChina Pediatric Respiratory andSleep Disorders Center Room 1315DArgyle Centre Phase 1688 Nathan RoadMongkokKowloonHong K ong S ARChina Department of R espiration Guangzhou Women and Children’s Medical CenterGuangzhou 510623China Department of P ediatrics Kiang Wu HospitalMacaoChina Department of P ediatrics and A dolescent Medicine United Christian Hospital130Hip Wo StreetKwun TongHong K ong S ARChina Department of P ediatrics Central Hospital Conde S.JanuarioMacaoChina Department of P ediatrics and A dolescent Medicine Caritas Medical Center111Wing Hong StreetSham Shui PoHong K ong S ARChina Department of P ediatrics and A dolescent Medicine Tuen Mun Hospital23 Tsing Chung Koon RoadTuen MunNewT erritoriesHongK ongS ARChina Department of P ediatrics and A dolescent Medicine Princess Margaret Hospital2-10 Princess Margaret Hospital RoadLai Chi KokKowloonHong K ong S ARChina Department of P ediatrics and A dolescent Medicine Queen Mary Hospital102Pokfulam RoadHong K ong S ARChina Department of P ediatrics and A dolescent Medicine The University of Hong KongHong K ong S ARChina Department of P ediatrics and A dolescent Medicine Pamela Youde Nethersole Eastern Hospital3Lok Man RoadChaiwanHong K ong S ARChina Department of P ediatrics The University of Hong Kong-Shenzhen Hospital1Haiyuan 1st RoadFutianShenzhenChina Department of P ediatrics and A dolescent Medicine Kwong Wah Hospital25 Waterloo RoadKLN Hong K ong S ARChina Department of P ediatrics Sun Yat-sen Memorial HospitalSun Yat-sen UniversityGuangzhou 510120China JC School of Public Health and Primary Care Faculty of MedicineThe Chinese University of Hong KongHong K ong S ARChina Department of P ediatrics and A dolescen

Background Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center study to survey asthma control and QoL in four cities in the Pearl River Delta. Methods The conjoint survey involved ten Hong Kong pediatric hospitals/units, two Shenzhen hospitals, two Macao hos-pitals, and two Guangzhou hospitals on asthma control (using Asthma Control Test) and QoL (Pediatric Allergic Disease Quality of Life Questionnaire, PADQLQ). Acceptability of a treatment is graded as very good/good/fair/poor. Results Good asthma control was only reported in 80% subjects in Hong Kong, but higher in sister cities (85–94%, P<0.001). Allergic rhinitis, 'incense burning', and 'smoker in family' were prevalent among the four cities. Logistic regres-sion showed better control of asthma was associated with better PADQLQ (B=?0.029, P < 0.001), better acceptability of bronchodilator (B=?1.488, P = 0.025), negatively with 'smoker in family' (B=?0.83, P = 0.015) and various PADQLQ domains. Conversely, worse PADQLQ was associated with allergic rhinitis severity (B=4.77, P <0.001), poor control of asthma (B=7.56, P <0.001), increased frequency of traditional Chinese medicine use (B=1.7, P < 0.05), increased fre-quency of bronchodilator usage (B=1.05, P < 0.05), 'smoker in family' (B=4.05, P < 0.05), and incense burning at home (B=3.9, P < 0.05). Conclusions There are some clinical and cultural differences among the four southern Chinese cities within the Guangdong province. This study identifies potentially modifiable environmental and treatment factors associated with poor asthma control and QoL for health-care interventions. Having a smoker in the family is independently associated with poor asthma control and QoL.

关键词： Asthma Complementary and alternative medicine Control Inhaled bronchodilator Inhaled corticosteroid Pediatric Allergic Disease Quality of Life Questionnaire Smoking Traditional Chinese medicine

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一种基于多物理量阈值定义的热带气旋生成预报方法及在ECMWF全球模式中的应用验证

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热带气象学报 2016年第6期32卷 908-917页

作者：冯文黄伟健谭绮婷蔡振荣南京信息工程大学大气科学学院江苏南京210044 海南省气象台海南海口570203 香港天文台

对于热带气旋的路径与强度预测，数值天气预报模式提供了相当有用的参考或指导预报。为进一步了解数值模式对掌握热带气旋生成的特性，基于近年国内外对热带气旋生成预报的研究结果，构造了一套热带气旋生成的多阈值组合判据系统，并利... 详细信息

对于热带气旋的路径与强度预测，数值天气预报模式提供了相当有用的参考或指导预报。为进一步了解数值模式对掌握热带气旋生成的特性，基于近年国内外对热带气旋生成预报的研究结果，构造了一套热带气旋生成的多阈值组合判据系统，并利用该判据和ECMWF模式资料对2013-2015年于西太平洋海域生成的热带气旋进行了预报试验。结果表明，对于热带气旋生成的判据，使用不同百分位的历史统计阈值会对预报效果造成显著影响。在特定区间对某个物理量阈值进行合理的调整可以有效改善预报效果。在西太平洋海区，850hPa相对涡度阈值的微幅调整对结果的影响最为敏感。最优阈值组合方案的预报命中率检验结果表明，在数值模式起报时间为低压生成时间的前12—72小时时效曲线上，24和48小时时效是拐点，24小时时效之前，命中率基本维持在0．7以上的高位，随预报时间的降幅很小；之后预报质量陡降，48小时时效后预报效果趋向稳定。此外，不同年份的预报效果存在明显差异。在西太平洋不同海域，ECMWF模式对热带气旋的生成预报质量差异明显。菲律宾以东的洋面在不同起报时间的预报能力明显高于南海海域。西太平洋海区存在两个明显的高错报率区域：一个位于南海中、北部至菲律宾群岛近海，一个位于西太平洋中部。在不同大洋之间，ECMWF模式的热带气旋生成预报性能也存在显著分别。起报时间在热带气旋生成前24小时内，西太平洋海区对热带气旋生成的预报要明显优于大西洋海区。

关键词：热带气旋生成预报判据检验

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骨肿瘤初次保肢手术后生物性重建失败的肿瘤假体翻修术(英文)

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中华关节外科杂志（电子版） 2007年第5期1卷 261-264页

作者：黄国全古明达张坚颖赵国庆谢龙峰香港威尔斯亲王医院矫形与创伤外科

目的评估骨肿瘤初次保肢手术后生物性重建失败的肿瘤假体翻修的疗效。方法2004至2006年,13例骨肉瘤和3例骨巨细胞瘤患者在香港威尔斯亲王医院接受手术治疗。15例患者应用同种异体骨重建,另1例患者应用带血管腓骨移植重建骨缺损。应用肿... 详细信息

目的评估骨肿瘤初次保肢手术后生物性重建失败的肿瘤假体翻修的疗效。方法2004至2006年,13例骨肉瘤和3例骨巨细胞瘤患者在香港威尔斯亲王医院接受手术治疗。15例患者应用同种异体骨重建,另1例患者应用带血管腓骨移植重建骨缺损。应用肿瘤型假体进行翻修手术的重建。翻修术后患者膝关节活动范围良好时,订制的可延长假体接受延长手术。结果患者平均年龄23.2岁(13～43岁),平均随诊26.4个月(6～47个月)。翻修手术的原因包括:7例患者出现同种异体骨骨折或软骨下骨塌陷,5例患者骨不愈合,3例患者异体骨感染,1例患者膝关节僵硬。翻修手术的假体包括10例患者应用订制型假体,其他患者应用组合式假体。翻修手术的部位包括9例股骨远端假体,6例胫骨近端假体和1例股骨中段假体。订制假体中6例是可延长假体,假体的延长方式中5例是微创延长、1例无创延长。翻修手术后,膝关节活动改善,平均从18.1°(0°～90°)至91.9°(50°～120°)。下肢缩短不等长畸形从平均5cm(2～11.5cm)纠正至平均1.5cm(0～4cm)。翻修术后患肢功能MSTS评分从34.6%改善到89.2%。翻修术后2例患者出现部分皮肤坏死,1例患者出现腓总神经麻痹,以后部分恢复,1例患者出现胫骨裂纹骨折;没有感染和植入物失败。结论保肢手术后生物学重建失败所引起下肢缩短和僵硬,应用人工假体翻修是可行的,早期效果令人鼓舞。膝关节僵硬患者可获得良好的关节活动度。严重的下肢缩短畸形通过可伸长假体逐渐获得纠正。

关键词：移植同种骨移植假体和植入物

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