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Six cadavers were prepared for necroscopy, operative procedure of ILIF were simulated on L3-S1, and all related important anatomic structure and their relationship were observed and record. ILIF with transpedicle screw fixation were also performed with cage insertion.3. Twelve fresh frozen bovine lumbar functional spinal units were prepared for biomechanical testing. According to the different treatment order, the specimens were devided into 7 groups, which included: 1intact specimens, 2specimens were treated by left unilateral facetectomy and had homolateral anatomical threaded cages inserted, 3 TLIF with homolateral pedicle screw fixation, 4 TLIF with bilateral pedicle screw fixation, 5 specimens had anatomical threaded cages inserted on the left by intertransverse process approach, 6 ILIF with homolateral pedicle screw fixation, 7 ILIF with bilateral pedicle screw fixation.

方法1、对20名正常志愿者L3-S1节段进行CT增强+三维重建检查,在三维重建图形上测量横突长度、上下横突间距、椎间孔外椎间隙高度及斜径,观查横突间区域血管走形特点并测量血管内径,然后进行统计分析及评价。2、采用福尔马林固定尸体标本六具,模拟ILIF手术对L3-S1节段进行操作,观察横突间区域重要结构的位置和毗邻关系,并模拟同椎弓根钉和单枚椎间融合器的置入过程,探讨该术式存在的问题并改进。3、采用小牛脊柱运动节段标本12具,依序进行不同处理后分为以下7组:⑴正常对照组CG⑵左小关节切除+椎间融合器植入组(TLIF⑶TLIF附加同椎弓根钉固定组;⑷TLIF附加双椎弓根钉固定组;⑸左横突间入路椎间融合器植入组ILIF⑹ILIF附加同椎弓根钉固定组;⑺ILIF附加双椎弓根钉固定组。

The other technique was so called "Constraint Induced Movement Technique" to apply a shoe lift or wedge under the stronger limb, providing a compelled shift of the body weight onto the paretic limb to increased ability of weight bearing. This technique helps patients achieving symmetry of stance and weight bearing and overcoming the learned disuse mechanism. Therefore, the purpose of this study was to investigate the effect of 5° lateral wedge on non-paretic limb improving symmetry of stance and weight bearing for stroke patients.

另外有一种技巧和方法为强迫诱发运动,在健使用鞋垫,强迫病患把身体的重心移到患去,藉此增加患脚承载的能力,研究有使用加高型或外楔型的鞋垫,目的都是要使中风的病患能有较对称的站姿及两脚有较对称的重量承载比例,如此一来可以强迫患使用更多,进而克服学习废用机制,上述研究多为急性期病患的探讨且多是观察当下的影响及效果,因此我们想利用外楔型鞋垫的帮助,藉由在健脚较长时间的穿著,看看对於慢性中风病患的站姿控制所造成的影响。

The patients were divided into four groups. Group A included 48 women with previous unilateral salpingectomy. Group B included 41 patients with previous bilateral salpingectomy. Group C included 50 patients with obstruction of fallopian tube while group D included 40 patients with hydrosalpinx (without surgical procedure before). The ovarian responses to superovulation and the outcomes of IVF-ET were evaluated.

选择2006年2月至2007年6月在本中心行常规IVF-ET治疗的179例不孕患者为研究对象,共分为A、B、C、D四组,A组为48例单输卵管切除患者,B组为41例双输卵管切除患者,对照C组为50例双输卵管阻塞患者,对照D组为40例单或双输卵管积水患者,比较4组患者在IVF-ET周期中卵巢对控制性超排卵的反应及其结局的差异。

The results show that the air crossing pressure pulse magnitude of the container generated in the tunnel is 3.46 times that generated in open air when container flat wagon at the speed of 160 km/h passed by EMU moving at the same speed. Both the lateral force and overturning moment of the container train during the crossing induced in open air and tunnel are approximately proportional to the square of running speed of the passing train. The pressure of crossing side and uncrossing side for the container flat wagon is almost equal since the one-dimensional characteristic of pressure distributing induced in the tunnel is not faintish. Consequently, the value of the lateral force and overturning moment of the container train generated in open air is greater than that generated in the tunnel, about 1.1 times.

研究结果表明:集装箱平车以160 km/h的速度与动车组等速交会时,在隧道内会车时车载集装箱中部压力变化幅值是在明线会车时的3.46倍;在明线和隧道内会车时,集装箱列车受到的向力和滚力矩均与交会列车运行速度近似成平方关系;因隧道内压力分布一维特性较强,集装箱平车交会与非交会压力相差并不大,因此,在明线会车时集装箱平车受到的向力和滚力矩均比隧道会车时的大,大约是其1.1倍。

The head is slowly turned 90° toward the side where nystagmus is induced less intensely. Then the head is rotated 180° rapidly toward the opposite side. This article reports three cases of the ageotropic form of HC-BPPV that were cured by rapid head rotation. The three cases demonstrated that rapid head rotation was an effective maneuver to treat cupulolithiasis on the utricle side. It is recommended that rapid head rotation can be used for therapeutic diagnosis: If nystagmus subsides immediately after this maneuver, the diagnosis is cupulolithias is on utricle side. If nystagmus changes into the geotropic form, the diagnosis is cupulolithiasis on canal side or canalolithiasis in the anterior arm of horizontal semicircular canal. A repositioning maneuver for geotropic form can then be applied to treat these patients.

逆地眼振型水平半规管良性阵发位置性眩晕的3种耳石可能位置如下:水平半规管前臂的管耳石、管的顶帽沉石(canal side cupulo-lithias1s)与囊的顶帽沉石,本文报告3例以快速转头治疗逆地眼振型水平半规管良性阵发位置性眩晕成功的病例,显示快速转头法对囊的顶帽沉石具迅速有效的治疗效果,对於逆地眼振型水平半规管良性阵发位置性眩晕的治疗,作者建议先以快速转头作治疗性诊断,若病人马上复原,诊断为囊的顶帽沉石;若眼振转为向地型,则诊断为水平半规管前臂的管耳石或管的顶帽沉石,进一步再以向地型的耳石复位法治疗病人。

Grouping lesional and homeochronous normal hip to pair, dynamic measuring AI and AI in each age groups of lesional and normal hip on before reduction、after reduction 3rd month、6th month、9th month、12th month, describing the characteristics of acetabular development in each age groups on every observation time-points, comparing the difference of lesional acetabular development with normal acetabular physiological development.

并以患髋关节与同期健髋关节进行配对分组,动态测量各年龄组患儿患、健髋关节在复位前、复位后第3、6、9和12个月时的髋臼指数和髋臼深度与宽度比值AI(D/W,描述各年龄组在各时间观察点上髋臼发育的特点,比较患髋臼发育与健髋臼生理发育的差异。

The experimental data demonstrated that there was a nasalward directional preference in oath OKN system under both close loop and open loop conditions, and the nasalward OKN gain evoked by stimulation of nasal retina was much higher than that at temporal retina. ms indicates that OKN nasalward preference is mairily derived from the nasal retina, i. e. the direct path1Vay of OKN dominates the indirect pathway in cat's OKN system. The gains of temporalward and nasalward OKN from temporal retina are much less than those of nasalward OKN from nasal retina. It is suggested that the indirect pathway of OKN in the cat only possesses a supplementary function, Which probably plays an important role in temporalward OKN eye-movments in relation to binocular vision.

实验结果显示:高速度刺激的闭环OKN反应及开环OKN反应均对鼻向运动刺激有明显的方向选择性;半视网膜刺激时,鼻半视网膜的鼻向OKN增益明显高于颞半视网膜的鼻向增益,说明猫的OKN眼动反应以跟踪鼻向运动为主,并且这种对鼻向运动刺激的选择性主要来源于鼻半视网膜,亦即来源于OKN直接通路;颞半视网膜的鼻、颞向眼动增益均明显低于鼻半视网膜的鼻向眼动增益,说明猫的OKN系统的间接通路在OKN眼动控制中起辅助作用,并可能主要对颞向OKN眼动起作用从而与双眼视觉功能相关。

PHA-L positive fibers were located in MVZ bilaterally in caudal part of obex, with one side predominant.

Ce向MVZ投射的纤维在闩尾为双分布,同较多,在闩吻则为同支配。

Results The diagnosis was clarified in all the 39 cases. Intra-abdominal testis was found in 38 sides (primary orchidopexy in 31 sides and two-staged Fowler-Stephens orchidopexy in 7 sides) and testis was absent in 6 sides. 1 side testicular atrophy was found during 0.5~1 year follow-up in two-staged Fowler-Stephens orchidopexy.

结果 39例均得到明确诊断。38腹腔内隐睾中31行一期睾丸固定术,7行分期Fowler-Stephesn睾丸固定;6为睾丸缺如。39例随访0.5~1.0年,1分期Fowler-Stephesn睾丸萎缩。

Increased expression of PENK mRNA was more marked in the ipsilateral dorsal horn of the spinal cord, especially in lamina Ⅲ-Ⅳ and the contralateral medulla, especially in the gigantocellular reticular nucleus, lateral paragigantocellar reticular nucleus and lateral reticular nucleus.

本实验用原位杂交技术对电针刺激后前脑啡肽mRNA在脊髓和延髓的表达进行了观察,发现给予大鼠单后肢电针刺激引起脊髓和延髓中PENK mRNA阳性神经元数显著增加,尤其是同脊髓背角各层PENK mRNA的表达,和对延髓网状结构如网状巨细胞核α部、网状巨细胞外旁核及外网状核中的PENK mRNA表达增加,这与脊髓上传的信号由同脊髓交叉到对脑干的走行方式是一致的。

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