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Result: All the patients were treated percutaneous reduction and obtained good resuld except one patient who needs another small incision to help reduction and bone graft. The preoperative X ray film showed that the B hler angle was 12.6°, Gissane angle was 75°. The postoperative X ray film demonstrated that B hler angle was 38.5°, Gissane angle was 114.5°.

结果: 14手术顺利,达到或接近解剖复位,1由于中间骨折块未能达到复位要求,辅助小切口复位骨折块。14B hler角由术前12.6°增加到38.5°,Gissane角由术前的75°增加到术后的114.5°,手术前、后差异有统计学意义(P.01)。

Methods: The nose, nasal septum, sphenopalatine artery, anterior region of the aperture of sphenoidal sinus, sphenopalatine artery and adjacent structures of hypophysial fossa were dissected, observed, measured and photographed in different operational angle under the operation microscope by use 15 adult cadaveric heads and 20 adult cranial bones.

用15例(30)成人头颅标本及20(40)成人骨性标本,模拟手术角度,在手术显微镜下对鼻、鼻中隔、蝶窦开口前区、蝶腭动脉及垂体窝周围的结构等进行直接解剖、观察和测量,同时行显微摄像。

The descending one is the continuing of dorsal branch, it crosses the ulnar edge of the fifth metecarpal bone and anastomizes with the digital artery of little finger or hypothenar branch of deep palmar (accounted for 70%).

降支为腕背支的延续,经第5掌骨尺缘直达掌骨头颈处与小指动脉尺支或掌深弓小鱼际支相吻合占70%;降支至豌豆骨附近变为纤细,由小指动脉尺支或掌深弓小鱼际支上行与之吻合占30%;吻合外径(0.5±0.1) mm。

This kind of patch was sutured with the bladder dissected vertically to augment the bladder capacity and increase the compliance(2) The patients of overactive neurogenic urine incontinence with pelvic floor ptosis was undergone pelvic floor strengthening by using the iliopsoas at the same time.

对尿道压力低的真性压力性尿失禁患者同时行锥状肌膀肤颈悬吊术:分离出双锥状肌后,将双锥状肌从膀胧颈后方交叉固定于双耻骨结节。④患者术后进行如下康复训练:扩尿道治疗,一天一次,每次保留十分钟。

Results: The thickness of intertransverse ligament was about 0.60~1.39mm.

结果:横突间韧带厚度0.60~1.39mm;L(下标 3-5)节段动脉前支及伴行静脉90%以上位于相邻横突间韧带腹上1/2处,横突间韧带背中1/3处有一恒定节段动脉分支;腰神经前支与矢状面夹角18.90°~39.20°,下位横突的副突处距前方走行腰神经前支距离为5.63~8.05mm,椎弓峡部缘至腰神经前支的距离为1.73~3.64mm。

Intravertebral clefts were observed in none of 11 cases on sitting and flexion positions, in 4 of 11 (36%) on extension, and 11of 11 (100%) on supine and prone positions.

在直立位及过屈位X射线平片上,11例患者均未出现椎体真空征,过伸位上出现4例(36%),俯卧位及仰卧位均出现椎体真空征(100%)。

The results were expressed in mean±1SD. Pearson X~2 test and One-way ANOVA test were used. The data analyzed using the SPSS (version 11.5). Results: The sensitivity, specificity, positive and negative value of US for the LPEH model on the children cadaver were 88%, 84%, 79%, 91%, respectively. With regard to the thickness of femora head cartilage, the thickness of the anterior layer or posterior layer, there were no significant differences among three groups. However, the anterior layer was thicker than the posterior layer in three groups. The fluid in hip joint was detected in all of 21 symptomatic hips, which was clear commonly (90%) in early procedure. The amount of fluid in anterior recess showed a positive correlation with age (p .05). No fluid was detected in the asymptomatic and normal hips (2mm). The mean maximum width of inferomedial recess was significantly larger than that of anterior recess (12.50±4.04mm vs.4.35±0.8mm, p 0.05) in the symptomatic hip joints. The echogenic entrapped labral plicaes were demonstrated in the inferomedial recess in all of 21 children with LPEH, whose length and width ranged from 5.3mm-25.0mm (mean,15.6±5.6mm) and from 4.0mm-17.0mm (mean,8.9±7.8mm).

结果1,尸体LPEH髋关节模型的超声诊断敏感性、特异性分别为88%、84%,阳性预测值、阴性预测值分别为79%、91%。2,21例患儿的LPEH患髋(21)、健髋(21),以及21例正常儿童健髋(42)的超声检查显示:髋关节周围软组织及股骨头无形态结构差别;股骨头软骨厚度无统计学差异(3.5±0.5mm vs.3.6±0.4mm vs.3.6±0.5mm,p>0.05);关节囊前层及后层厚度无统计学差异(前层厚度2.79±0.74 mm vs.2.56±0.40mm vs.2.56±0.72mm;后层厚度2.70±0.82mm vs.2.48±0.54mm vs.2.44±0.58mm,p>0.05),但LPEH患髋关节囊前、后层均较后二组有增厚趋势。3,LPEH患髋均存在关节腔内积液,且早期较为清晰;积液以髋关节内下间隙明显,内下间隙较前间隙明显增宽(12.50±4.04mm vs.4.35±0.8mm,p<0.05),其内见嵌顿滑膜唇皱襞呈稍强回声的占位性团块,长约15.6±5.6mm,宽约8.9±7.8mm,90.5%(19/21)嵌顿皱襞内未见血流信号。4,所有LPEH患髋治疗后超声复诊均显示正常。

MSCTA showed stenosis and obstruction of internal carotid artery, anterior cerebral artery and middle cerebral artery, including thirteen cases with bilateral and 6 cases with single lateral. There appeared abnormal vessels looked like smog on cerebral bottom. More than one branches of collateral artery could be seen in most of them. Sacculated aneurysm of lenticulostriate artery was shown in one patient. Five patients who were performed both MSCTA and DSA displayed similar above-mentioned vascular lesions.

MSCTA均清晰显示不同程度颈内动脉虹吸段、大脑前动脉及大脑中动脉起始段狭窄、闭塞,双病变者13例(68.4%),单病变者6例(31.6%);脑底部见纤细迂曲的&烟雾&状异常血管网;大多可显示1支以上支动脉;1例显示右豆纹动脉囊状动脉瘤。5例同时行MSCTA与DSA者,均很好显示了上述血管病变。

Using the high performance MRI scan is the reliable method of studying the cerebrum internal tissue's asymmetry;The cerebrum internal tissue(two sides of caudate nucleus、lentiform nucleus and lateral ventricle) are roughly symmetric,they don't exit obviously difference.

结论利用高性能的MRI仪器扫描测量可以作为研究大脑相关结构的可信赖的方法;大脑内部结构(双尾状核、豆状核及脑室)是基本对称的,不存在明显的别差。

In this case, a 34 year-old female presented with a dorsal wrist mass. Axial T1 image reveals a smoothly marginated mass deep to the ECRL and ECRB tendons

在本例中,一个34岁的女性出现背的腕部肿块,轴外T1显示一个边缘光整的肿块,深入至桡腕长伸肌腱和桡腕短伸肌腱

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