介入

Key Words:coronary artery disease; interventional therapy ; overtreatment

责任编辑：yizhe |文章关键词：冠心病；介入治疗；过度医疗

Objective:To provide morphological data of thymic percutaneous paracentesis for intervention treatment of myasthenia gravis.

目的：为经皮穿刺胸腺介入治疗重症肌无力提供应用解剖基础。

Later, under the untypical parasternal four-chamber view which can thoroughly display the ostium of coronary sinus, the catheter was promoted further to the ostium of coronary venous sinus. Then the echocardiography technician adjusted the transducer of TTE in order to thoroughly confirm the position of the catheter tip. After confirming the position of catheter tip in the coronary venous sinus, the operator inserted the catheter into the coronary venous sinus for 3～4 mm farther. It was noted that if resistance was encountered by operator, the operation must be stopped, which was the same as x-ray fluroscopy as image guiding. TTE guiding His bundle elactric cahteter、high right atrium electric cahteter and right ventricular electric catheter in site: It is difficult using TTE singly since there are too many crossroads in inferior venous.

本研究结果显示，(1)单独应用TTE作为影像学引导进行冠状窦电极导管置放的成功率为93.8％～96.7％，并且应用TTE作为影像学引导放置专用冠状窦电极导管和普通电极导管的成功率和放置时间在统计学上无显著差异；(2)TTE作为影像学引导，除过度肥胖患者外，可完全替代X线引导进行冠状窦电极导管置放，包括鞘管和扩张管的放置、指引导丝在静脉而非动脉内的证实均可由TTE完成引导，且较X线C型臂有一定优越性；(3)TTE结合普通X线胃肠透视机作为影像学导引，可顺利完成心内电生理检查时导管的安全到位，而不需昂贵的X线C型臂，可将心内电生理检查扩大到广大的基层医院；(4)TTE较X线更易和更早期发现介入治疗的并发症如急性心包填塞等，对并发症的防治甚至挽救病人的生命至为重要；(5)动物实验研究表明，TEE可引导射频导管消融术时大头电极导管成功到位。

When you play that way, you either miss everything or you do all the thing right, like it happened to Jannero Pargo, who has that role, to get in, confuse things and turn around the game.

当你用那种方式打球的时候，也许会投失所有或者命中所有。正如发生在Pargo身上的一切，他正是扮演了那种角色，介入到比赛中，搅乱比赛节奏，甚至翻盘。

Noehren, who presented his group's positive results with gait retraining for runners with patellofemoral pain.

因为髌骨疼痛族群中的差异，研究者们也对於根据病患症状量身订作的介入感到兴趣。

Because of the variability within the patellofemoral pain population, researchers are also interested in more targeted interventions based on an individual patient's set of symptoms.

因为髌骨疼痛族群中的差异，研究者们也对於根据病患症状量身订作的介入感到兴趣。

Perclose devise is safe and effective for the aged undergoing coronary intervention.

老年病人冠状动脉介入术后应用外周血管缝合器是安全有效的。

Methods Four hundred and seventy patients were divided into Perclose group（164 patients）, Angio-Seal group（143 patients） and manual compression group（163 patients）.

根 据术后止血方式，470例接受冠脉造影或介入治疗患者分为Perclose组（164例）、Angio-Seal组（143例）和手工压迫组（163 例）。

Objective To explore the safety, efficacy and clinical application of arterial closure device Perclose and Angio-Seal after coronary angiography and/or percutaneous coronary intervention, and compare their effect with conventional manual com- pression.

目的 评价Perclose和Angio-Seal血管闭合器在冠脉介入诊疗术后止血的安全性、有效性和临床应用价值。

Methods 1020 patients (672 male, 348 female, mean age 57.8±2.4 yr) undergoing CAG or PCI were randomized into either the Angioseal group (CAG 380, PCI 120) or the Perclose group (CAG 392, PCI 128). The procedural success rate and occurance of local complications were compared between the two groups. Results Both kinds of devices had a high success rate (Angioseal 94% vs Perclose 96%) and there was no statistical difference between them.

l020例行冠脉造影及介入治疗的患者（男672例，女348例，年龄57.8±2.4岁）经髂动脉造影证实无血管闭合器使用禁忌，术后随机分为Angioseal组（CAG 380例，PCI 120例）和Perclose组（CAG 392例，PCI 128例），比较两组患者使用血管闭合器的成功率及局部并发症的发生率。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。