ABSTRACT
Objective To summarize the clinical, electromyography and muscular pathological feature in adult spinalmuscular atrophy (SMA_4). Methods The clinical and electromyography and pathological materials from 48 patients withSMA_4. were studied in retrospect tively. Results SMA_4 onset was averaged 38.23 years old,The disease showed proximalweakness and atrophy. The electromyoguphy in the patients with SMA_4. presented as abnormal insertion potential,fibrilla-tion potential and fascicular potential, positive spike in some patients, remarkable increase of mean amplitude, mean timelimit and polyphasic action potential,and so on. Muscle biopsy showed: 1. small groups atrophy mainly;2. extensive fibertype grouping and more hypertrophic fiber. Conclusions SMA_4 could be diagnosed by the clinical manifestations andelectromyography and muscle biopsy.
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Objective To explore the clinical value of the interventional and comprehensive treatment of iliac-femoral venous thrombus(I-FVT).Methods 32 patients with I-FVT were underwent interventional therapy.First the filter was implanted into the inferior vena caval via opposite side of femoral vein,then the catheteres were implanted into the pathologic regions within the vena to process the emboluses,and balloon-directed extend when necessary.Results The procedure of treatment was successful in all patients.The iliac-femoral veins were patent,swollen and pain symptom of lower limb disappeared gradually after operation.The followed-up study the longest period for 30 months showed no severe complications and recurrence.Conclusion The interventional and comprehensive therapy is of ideal effect on treating I-FVT,occuring interventional and comprehensive treatment has ideally effect to cure the patients with I-FVT.
ABSTRACT
Objective To evaluate the value of transcatheter arterial embolization(TAE) in the treatment of intractable epistaxis.Methods TAE using gelform or polyvinyl alcohol(PVA) particles of forty-one patients with intractable epistaxis were undertaken by the femoral artery approach,through selective catheterization of involved maxillary artery or the bleeding arteries for the stopage of bleeding..Results Of the forty-one patient,39 cases were cured by once TAE and the other 2 with recurrent bleeding on the next day after the TAE,to whom a second interventional treatment fullfilled the requirement.Conclusions Transcatheter arterial embolization is a simple,safe and effective treatment for the intractable epistaxis.