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距骨外侧突骨折（FLPT）在所有骨折类型中占比较低，容易漏诊或误诊。FLPT损伤机制多样，足部背屈、 内翻、外翻、外旋、轴向撞击等都可导致。FLPT 常用的分型方法包括 Hawkins 分型、McCrory-Bladin 分型、Boack 分 型、Tinner-Sommer分型以及最新的张英泽分型。临床上对FLPT的诊断首选X线检查，但由于足部副骨和骨赘较为 常见，在X线片上与其他骨折鉴别困难，因此常常需要进一步通过CT检查进行判断。FLPT的主要治疗方式包括石 膏外固定、闭合或切开复位内固定、骨块切除和关节融合等。大部分患者FLPT经治疗后预后良好，并且随着关节镜 技术日益成熟，患者预后优良率明显提升。 [ABSTRACT FROM AUTHOR]

Objective To analyze the risk factors of persistent infection of high-risk human papillomavirus after radical hysterectomy for early cervical cancer. Methods A total of 159 early-stage cervical cancer patients who underwent radical hysterectomy or laparoscopic radical hysterectomy at the Kunming Maternal and Child Health Hospital between January 2021 and November 2023 were selected. Based on the postoperative 1a follow-up visit for HR-HPV persistent infection status, they were divided into two groups: HR-HPV positive group （n = 41） and HR-HPV negative group （ n = 118） . The general data, vaginal microbiota status，surgical approach, postoperative pathology results， etc.， of the two groups of patients were analyzed to study the risk factors associated with postoperative HR-HPV persistence in early-stage cervical cancer patients. Results Univariate and multivariate regression analysis showed that the HR-HPV persistent positive group and HR-HPV negative group, the risk factors of HR-HPV persistent positivity in patients with early cervical cancer after operation were menopause, late stage of operation, vaginal microecological disorder/sub-disorder （P < 0.05），but laparoscopic minimal invasive surgery was not. OR of vaginal microecological abnormality was 12.574，OR of menopause was 3.510. Conclusion Menopausal and vaginal microecological disorders are important risk factors for HR-HPV clearance in patients with radical hysterectomy for early cervical cancer. [ABSTRACT FROM AUTHOR]

Objective To compare the efficacy of three different methods in the prevention of adhesion after the HEOS system for different degrees of intrauterine adhesions. Methods 284 patients with mild, moderate and severe intrauterine adhesions, who were treated with the HEOS system, were divided into three groups, the intrauterine device with sodium hyaluronate gel was placed in Group A, Foley water capsule tube with sodium hyaluronate gel was placed in Group B, and sodium hyaluronate gel was placed in Group C only. The recovery of uterine adhesion, improvement of menstruation, endometrial thickness, and adverse reactions were compared among the three groups. Results The mild intrauterine adhesions group showed statistical differences among the three groups(P<0.05). Group A had a higher menstrual improvement rate than Group C(P<0.017), and there was no significant difference in other therapeutic indicators (P>0.017). However, the adverse reaction rate in Group A was also higher than that in Group C( P<0.017). In the moderate intrauterine group, there was a significant difference in the improvement rate of intrauterine adhesions between Group B and the other two groups (P<0.017). Group A and B were higher than Group C in terms of menstrual status, endometrial thickness, and adverse reactions(P<0.017). In severe intrauterine adhesions, Group A had higher efficacy indicators than other groups( P<0.017). Conclusions The curative effect index and adverse reaction rate were analyzed, after operation. For the light, moderate, and severe intrauterine adhesions, sodium hyaluronate gel, Foley water capsule tube with sodium hyaluronate gel, and intrauterine device with sodium hyaluronate gel were the best choice for adhesion. Individual and hierarchical management can achieve good clinical effects, which is worth popularizing. [ABSTRACT FROM AUTHOR]