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Methed:The light microscops,transmission and scanning electronic microscops were performed on cartilage of adjacent joint facet cephalad to multi segments and short segmental spinal internal fixation in 10 goats at 6 months postoperatively.
设计山羊长节段及短节段脊柱内固定的动物模型,对固定6 个月后近头侧两个邻近关节突关节进行光镜、扫描电镜及透射电镜的观察。
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Results The wire direction was 14~37° lateral and 18~39° cephalad for C(subscript 3~7) lateral mass when the K-wires drilled starting at the point 1 mm medial to the center of the lateral mass and exited at the juncture between the transverse process and the facet. The tips of K-wires did not injure the nerve roots and vertebral arteries. The depth of these wires in the lateral mass ranged from 9.4 to 14.8 mm.
结果 以C(下标 3~7)侧块背面中心内侧1mm处为入针点,克氏针向头侧成角18~39°、向外侧成角为14~37°,针尖可自横突与侧块相交处后方穿出,该处与神经根和椎动脉均隔以横突后结节。C(下标 3~7)侧块内进针深度为9.4~14.8mm。
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METHODS: From June 2007 to March 2009, 8 patients with terrible triad of the elbow were treated. The fracture of the radial head was classified according to the system of Mason, with typeⅠ in 1 patients, type Ⅱ in 6 and type Ⅲ in 1; fracture of the coronoid process was classified according to the system of Regan and Morrey, with type Ⅰin 2 patients, type Ⅱ in 5, and type Ⅲ in 1. The hollow lag screws and Herbert screws were used to fixe coronoid process and radial head fractures, and repair Annular ligament. Lateral collateral ligament was repaired in 1 case. All injured extremities were treated with a posterior plaster splint with the elbow joint held in 90° of flexion and the forearm in neutral rotation for 2-3 weeks followed by elbow rehabilitation training.
于2007-06/2009-03共收治肘关节恐怖三联征患者8例,其中尺骨冠突骨折按 Regan-Morrey法分类:Ⅰ型2例,Ⅱ型5例,Ⅲ型1例;桡骨头骨折按Mason法分类:Ⅰ型1例,Ⅱ型6例,Ⅲ型1例。8例患者均采取了内固定治疗,采用中空拉力螺钉或Herbert螺钉固定冠突和桡骨头骨折,修补环状韧带,1例缝合修复肘外侧副韧带,术后屈肘90°旋前中立位,以塑形良好的高分子管型石膏固定两三周后开始屈伸和旋转康复训练。
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The principles of the operative technique are to (1) restore coronoid stability throughfracture fixation (type-II or III fractures7) or through anterior capsular repair (a type-I fracture),(2) restore radial head stability through fracture fixation or replacement with a metal prosthesis,(3) restore lateral stability through repair of the lateral collateral ligament complex and associated so-called secondary constraints such as the common extensor origin and/or the posterolateral capsule,(4) repair the medial collateral ligament in patients with residual posterior instability, and (5) apply a hinged external fixator when conventional repair does not establish sufficient joint stability to allow early motion.
外科手术的原则是:①通过骨折固定(2型骨折或3型骨折)或者经前方关节囊修复(1型骨折)恢复冠状突的稳定。②通过骨折固定或假体置换恢复桡骨头的稳定性③通过修复侧副韧带以及相关的所谓的次要限制如伸肌群起点和后外侧关节囊。④残余的后侧不稳,修复内侧副韧带⑤当传统的修复方法不能建立有效的关节稳定以便允许早期活动时,可以应用外固定器。
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The screw entry point was located at the tip of transverse process. The average inclination angle should be 10°-20° headward and 30°-40° toward neutral line respectively. The screw was inserted and entered into the vertebral body along the external cortex of pedicle. The integrity of cortical bone around screws, the distance to segmental blood vessels and the penetration of cortex were observed after operation to evaluate the accuracy and safety of screw placement. Among 160 thoracic pedicle screws that were implanted in 34 cases, 148 screws (92.5%) were accurately inserted inside the costotransverse unit, and 12 screws (7.5%) were misplaced according to the image of X-ray and CT thin-slice scan.
应用椎弓根外内固定技术2004/2007年在中山大学附属第三医院骨科治疗34例患者,固定前采用CT加密扫描测量进钉点、进钉点至椎体前缘的深度、进钉角度和直径,固定中椎弓根钉入点为横突尖,进钉方向为平均向头侧倾斜10°~ 20°、与中线成角30°~40°,顺椎弓根外侧皮质进入椎体,固定后CT加密扫描观察螺钉周围的皮质骨是否完整、是否靠近节段血管、是否穿透皮质骨,评价置入钉的准确性和安全性。34例患者共置入160枚胸椎椎弓根螺钉,固定后CT加密扫描和X射线片观察到148枚(92.5%)螺钉置入准确,12枚(7.5%)螺钉发生错置。
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From 2004 to 2007, 34 cases were treated with extrapedicular screw fixation in Department of Orthopaedics, Third Affiliated Hospital of Sun Yat-sen University. The screw entry point, angle, depth and diameter were measured and defined on the thoracic vertebrae pedicle by CT thin-slice scan in standard prone for all cases before operation. The screw entry point was located at the tip of transverse process. The average inclination angle should be 10°-20° headward and 30°-40° toward neutral line respectively. The screw was inserted and entered into the vertebral body along the external cortex of pedicle. The integrity of cortical bone around screws, the distance to segmental blood vessels and the penetration of cortex were observed after operation to evaluate the accuracy and safety of screw placement.
应用椎弓根外内固定技术2004/2007年在中山大学附属第三医院骨科治疗34例患者,固定前采用CT加密扫描测量进钉点、进钉点至椎体前缘的深度、进钉角度和直径,固定中椎弓根钉入点为横突尖,进钉方向为平均向头侧倾斜10°~20°、与中线成角30°~40°,顺椎弓根外侧皮质进入椎体,固定后CT加密扫描观察螺钉周围的皮质骨是否完整、是否靠近节段血管、是否穿透皮质骨,评价置入钉的准确性和安全性。34例患者共置入160枚胸椎椎弓根螺钉,固定后CT加密扫描和X射线片观察到148枚(92.5%)螺钉置入准确,12枚(7.5%)螺钉发生错置。
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The conventional cephalometric analysis chosen SNA, SNB, ANB, NA-PA etc to reflect the protrusion or retrusion of maxillary and Mandible, but they can't reflect this extent quantitatively. The Delaire cephalometric analysis can analyze the protrusion or retrusion of maxillary and Mandible quantitatively through Me-F1,Me-Met,Np-F1 etc. This method combine with conventional methods can evaluate accurately, quantitatively and directly.
传统头影测量分析选用SNA、SNB、ANB、NA-PA等角度来反映上下颌的前突或后缩,并不能定量的反映上下颌前突或后缩的程度;而Delaire头影测量分析中Me-F1,Me-Met,Np-F1可定量分析上下颌前突或后缩程度,结合传统的角度测量将利于直观、定量的评价,也利于准确的诊断设计。
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Results After induced for 8 h, the protoscoleces shrank in dexamethasone group and dexamethasone+ATP group, the rosellum was invaginated. Compared with the control, the calcareous corpuscles in the protoscolex significantly reduced and blurred in the two groups. The morphological changes in protoscolex of dexamethasone+ATP group was more obvious than that of dexamethasone group.
结果 药物诱导8 h后观察,与对照组相比,地塞米松组和地塞米松+ATP组的原头节均出现团缩、顶突内凹和体积缩小,钙颗粒明显减少且模糊不清,未见原头节活动,其中地塞米松+ATP组原头节的形态改变更明显,故选择该组作为实验组,与空白对照组进行后续试验。
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All the indexes were tested in 2 -. 4 .. 6 weeks of operative intervals respectively. Results:(1) The general observation in the experimental group ,such as spirit, hair, body weight and activity ,was superior to that in the control group.(2) The recovery rate of sciatic nerve functional index (SF1) was statistically significantly higher in the experimental group than in the control group .(3) electrophysciological indexes: m the experimental group ,the tardy rate of induced motorius action potential ,recovery rates of the amplitude of compound muscle action potential and twitch tension and tetanic tension of triceps surae muscle ,were significantly higher than in the control group.(4) Compared with the control group ,the triceps surae muscle wet weight was significantly greater in the experimental group.(5) histomorphological indexes: the count of myelinated nerve fibers ,diameter of regenerated axon, thickness of nerve myelin sheath and area of capillary were much more in the experimental group than in the control group.(6) observation of ultrastructure with the transmission election microscope: more abundant organell a and maturer myelin sheath lay in the injured peripheral nerve of the experimental group, while not lay in the control group.
分别在木后第2、4、6周时进行各项指标的检测,结果发现:(1)实验组SD大鼠在整个实验过程中,其精神、毛发、体重,运动灵活性等一般情况优于对照组;(2)实验组的坐骨神经功能指数恢复率显著优于对照组,P<0.01;(3)神经电生理指标:实验组运动神经诱发电位潜伏期的延迟率显著优于对照组,P<0.05;复合肌肉动作电位振幅的恢复率显著高于对照组,两组比较第2周时P<0.01,第4、6周时,P<0.05;小腿三头肌单收缩力和强直收缩力的恢复率实验组显著高于对照组,P<0.01;(4)小腿三头肌湿重的恢复率,第2、4周时实验组高于对照组,差异非常显著,P<0.01;第6周时,差异仍显著,P<0.05;(5)组织形态学指标:有髓种经轴突计数、再生轴突直径的恢复率,毛细血管面积,实验组均显著大于对照组,P<0.01、P<0.05、P<0.001;实验组髓鞘厚度的恢复率也显著高于对照组,第2周时P<0.01,第4、6周时,P<0.05;(6)透射电镜超微结构观察:实验组再生轴突中细胞器丰富,髓鞘结构成熟,神经再生情况优于对照纽。
- 更多网络解释与后突头相关的网络解释 [注:此内容来源于网络,仅供参考]
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Capitulum humeri:小头
肱骨髁可细分为中间与尺骨滑车切迹连接的肱骨滑车和侧边的肱骨小头(Capitulum humeri),后者与桡骨头(Caput radii)相连接. 在肘关节伸张时,尺骨的前突(Processus anconeus)会进入鹰嘴窝(Fossa olecrani),鹰嘴窝是肱骨后一窝形凹陷.
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Caput radii:头
肱骨髁可细分为中间与尺骨滑车切迹连接的肱骨滑车和侧边的肱骨小头(Capitulum humeri),后者与桡骨头(Caput radii)相连接. 在肘关节伸张时,尺骨的前突(Processus anconeus)会进入鹰嘴窝(Fossa olecrani),鹰嘴窝是肱骨后一窝形凹陷.
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splenius cervicis:颈夹肌
竖脊肌两侧同时收缩可使脊柱后伸,是维夹肌起自项韧带下部和上位胸椎棘突,肌纤维斜向外上方,分为二部:头夹肌(splenius capitis)在胸锁乳突肌上端的深面,止于乳突下部和上项线的外侧部;颈夹肌(splenius cervicis)在头夹肌的外侧和下方,
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sternum:胸骨
(二) 胸骨(sternum)是1块扁骨,浅居胸前壁正中皮下,自上而下可分为胸骨柄、胸骨体和剑突三部分. (三)肋(ribs)由肋骨和肋软件组成,共12对. 肋骨为细长的弓形扁骨, 分为体和前、后两端. 后端膨大,称肋头,有关节面与相应胸椎的肋凹相关节.
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whipping:冲荡
在冲击波阶段,冲击波波头具有突跃形式,幅值迅速达到最大,突越后紧接着近似于按指数规律衰减[2],衰减后持续时间不超过数毫秒;在气泡脉动阶段,爆炸产物在水中形成膨胀收缩气泡的脉动压力对舰船产生的作用称之为冲荡(whipping)或振荡效应.
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cymbocephalic:后突头
cymbidium /兰花/ | cymbocephalic /后突头/ | cyme /聚伞花序/
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epicranial stem:头盖缝干
无头盖缝干(epicranial stem),两侧臂接近. 头侧各有6个单眼. 触角有较长的感觉圈. 附须附突(palpal appendae)退化. 无侧唇舌. 足极短宽. 中、后胸和腹部第1-8节背板每侧各有2至4个瘤突,第9腹节背板发育正常,有2个中瘤突和1对短锥状尾须.