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Collecting a total of 102 cases(107eyes) of pations with traumatic optic neuropathy that underwent edoscopic optic nerve decompression surgery during December 1999 - April 2008 line,retrospective analysis of CT performance for the optic canal and paranasal sinuses,and Comparison of them with surgical results.102 cases of patients performed routine and coronal axial sinus CT scans,the optic canal zone wi th thin target scan,line of nasal tip and the anterior clinoid process connection as baseline for axis scan,and the vertical line of "bed nasal line" as baseline for coronal scan.

方法收集1999年12月-2008年4月间在青医附院耳鼻喉科行鼻内镜下视神经减压手术的外伤性视神经病患者的病例,共102例(107眼),回顾分析其鼻窦及视神经管CT表现,并查看手术记录描述,将CT结果与术中所见情况进行对比分析。102例患者术前常规行轴位及冠状位鼻窦CT扫描,视神经管区行薄层靶扫描,以骨性鼻尖与前床突的连线为轴位扫描基线,以&床鼻线&的垂直线为冠状位扫描基线。

RESULTS: VIP-immunoreactive nerve fibers were expressed from apical foramina to the central pulp as bunchy line,and became fan-shaped at the cervical line,more branches in the coronal pulp.Some branches surrounded blood vessels,some branches terminated in the pulp matrix,the others passed Raschkow nerve plexus and run forward the odontoblastic layer and the predentine,but not went into dentine.

结果:VIP阳性神经纤维自根尖孔呈束状进入牙髓,至颈部扇形分开,在冠髓大量分支,部分围绕在血管周围,部分终止于牙髓基质,部分参与形成成牙本质细胞层下Raschkow神经丛,然后发出分支伸入成牙本质细胞层和前期牙本质,但不进入成熟牙本质。

The slices were treated by immunohistochemistry reaction and the image analysis. RESULTS: VIP-immunoreactive nerve fibers were expressed from apical foramina to the central pulp as bunchy line,and became fan-shaped at the cervical line,more branches in the coronal pulp.Some branches surrounded blood vessels,some branches terminated in the pulp matrix,the others passed Raschkow nerve plexus and run forward the odontoblastic layer and the predentine,but not went into dentine.

结果:VIP阳性神经纤维自根尖孔呈束状进入牙髓,至颈部扇形分开,在冠髓大量分支,部分围绕在血管周围,部分终止于牙髓基质,部分参与形成成牙本质细胞层下Raschkow神经丛,然后发出分支伸入成牙本质细胞层和前期牙本质,但不进入成熟牙本质。

Because this don't the even precision incises to, want the characteristics to various porcelain hat, function to have to be clear to control in the meantime, and do a characteristic tooth body prepares, at promise enough porcelain layer under the thickness circumstance assurance Be the smallest quantity to whet in addition to tooth body organization.

这是因为未均匀精确切割所致,同时要对各种瓷冠的特点、性能要有清晰掌握,并做出个性化的牙体预备,在保证足够的瓷层厚度情况下保证最小量的磨除牙体组织。

Separate under the SMAS to 2.0 cm above the supraorbital edge and 1.5 cm above zygomatic arch, where the periosteum and superficial layer of deep temporal fascia were incised to expose fracture;②Separate under the SMAS to the supraorbital edge and zygomatic arch, and then as in method Ⅰ, incise at 2.0 cm above the supraorbital edge and 1.5 cm above zygomatic arch to expose fracture.③ As in method 2, separate under the SMAS to the supraorbital edge and zygomatic arch, and then incise the periosteum directly to expose fracture.

对27例面中部骨折行头皮冠状切口患者分别采用,方法Ⅰ:沿SMAS下分离至眶上缘上2cm处和颧弓上1.5cm处,先在此切开骨膜和颧深筋膜浅层,分离暴露骨折;方法Ⅱ:沿SMAS下分离至眶上缘和颧弓处,然后再在眶上缘上2cm和颧弓上1.5cm切开直至暴露骨折;方法Ⅲ:同方法Ⅱ分离至眶上缘及颧弓处并直接切开骨膜,暴露骨折。

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