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The Roux-Y hepaticocholangiojejunostomy were performed in 22 cases,hepaticocholangioduodenostomy with jejunum interposition in 2 and side to side choledochoduodenostomy in 1 case.

有22例施行肝胆肠空肠Roux-Y吻合术,2例施行肝胆管十二指肠间置空肠吻合术,仅1例施行胆总管十二指肠吻合术。

Methods Seventy-two knees in patients with chondromalacia patellae or osteoarthrosis of the patellofemoraljoint were measured using Insall - Salvati and Merchat methods on radiographs of the lateral and axial views in 0of flexion.

方法收集临床诊断为髌骨软骨软化或髌股关节骨性关节病的成年患者例,共计7膝关节。摄屈膝 0位片和髌骨轴位片,进行Insall-Salvati和Merchat测量,并与对照组进行比较。

Objective:To identify chronologic changes in the histomorphometry and structure of the chronically denervated posterior cricoarytenoid muscle.

目的:动态地观察单喉返神经切断后,健环杓后肌酶组织化学和结构的改变。

If a patient does not extend the tongue far enough for the circumvallate papillae to be seen, the examiner uses a gauze pad to grasp the tip of the tongue and extend it to the desired position.

对唇部作扪诊,同时令患者张口,用舌板检查颊粘膜和口腔前庭;然后巡检硬软腭,悬雍垂和口咽部。请患者尽快地伸出舌,暴露舌背,并且尽快地向每移动舌,这样就可看到舌的后表面。

The clinoid segment of ICA was surrounded by two fibrous rings:a distal ring formed by the superficial dural layer and a proximal ring formed by the deep dural layer.

颈内动脉穿出海绵窦上壁时,浅、深两层硬膜分别形成远硬膜环和近硬膜环。

The distal dural ring is a thick membrane that fuses with the adventitia of the ICA and its thickness is(0.52±0.07)mm,The proximal dural ring loosely surrounds the entire length of clinoid segment of ICA and admits a variable number of veins from the cavernous plexus that accompany this segment.

硬膜环厚而坚韧,厚度为(0.52±0.07)mm,近硬膜环薄而松弛,厚度为(0.22±0.06)mm,在二者之间有海绵窦的静脉丛突入。

Comclusion: transpetrous presigmoid retrolabrinth approach was rational approach for surgery on petroclivus and -4- CPA; it抯 important for accomplish the surgery to study and master the anatomy and variance of this approach; there was relative anatomical relationship among those structure on posterior of petrous bone; AAMP was the extracranial mark of inflexion of TS and SS; LAM and PSC were obvious bone marks for operation; we can confirm the abraded range of petrous bone lean upon LAM and/or GSS beside abrading step by step as literature, and it抯 unnecessary and unrational to emphasize to show PSC if the surgical space was enough; preceding sigmoid sinus and high jugular bulb often appeared at right and would bring disadvantage effect; interspace ,between CN V and CNVII or CNVII and CNJXI, were available to reach clivus and manage the mass on the range.

经SS前迷路后入路是处理岩斜坡区、桥小脑角区病变理想的手术入路;研究和熟悉手术入路中的解剖结构及部分变异对指导手术十分必要;岩骨内测面的骨性结构之间有着相对稳定的空间关系;顶乳缝前角是SS和TS转接处在颅外的标志;IAM和PSC等结构可以作为手术中的重要骨性标志;以PSC确定岩骨的磨除范围是较安全和可靠的,但亦可以结合影像检查,以内耳道和乙状窦前缘为基点判定切除范围,如果操作空间足够,过分强调磨出半规管是不适当的;右GSS的宽度和深度较对大,SS前置和颈静脉球高位较对多见,这些都对右入路有不利的影响,但仍可以进行手术操作;三叉神经和面神经间隙及面l 神经和舌咽神经间隙方便到达斜坡并处理病变。l

Afterwards of pelvic cavity abscess is sent at abdominal 2, palace antrum operation 1, celiac lens operation afterwards of 7 years old of little patients sends exemple of a;1 at acute appendicitis, abscess is formed all round appendix. 24 patients all have issue abdominal durative secret anguish or bilge painful, among them 18 have clonic aggravate, companion has frequent micturition, make water urgent, make water is painful wait for bladder to stimulate vagina of semiotic;10 exemple to shed secretion of yellow pus appearance, 5 have the vagina irregular bleed. 19 appear calorific of temperature 38~42 ℃, next 20 abdominal tenderness, bounce painful, flesh is nervous, the person that accessories division has touch a tender spot 22, among them side of 15 Yu Shuang, 7 touch at odd side bag piece.

盆腔脓肿继发于开腹手术2例,宫腔手术1例,腹腔镜手术1例;1例7岁患儿继发于急性阑尾炎,阑尾四周脓肿形成。24例患者均有下腹部持续性隐痛或胀痛,其中18例有阵发性加剧,伴有尿频、尿急、尿痛等膀胱刺激症状;10例阴道流黄脓样分泌物,5例有阴道不规则流血。19例出现发热(体温38~42℃),20例下腹部压痛、反跳痛、肌紧张,附件区有触痛者22例,其中15例于双、7例于单触及包块。

"Either the Atlantic or the Pacific subspecies of Clupea harengus (once considered two separate species), slab-sided, northern fishes that are small-headed and streamlined, with silvery iridescent sides and a deep-blue, metallic-hued back."

鲱形目鲱科体形扁的北方鱼类,既指大西洋鲱,也指太平洋鲱(C.harengus pallasii),两者曾被认为是两个种,现则仅作为两个亚种。鲱鱼头小、体呈流线形,体闪亮银色,背部深蓝金属色。

"Either the Atlantic or the Pacific subspecies of Clupea harengus (once considered two separate species), slab-sided, northern fish es that are small-headed and streamlined, with silvery iridescent sides and a deep-blue, metallic-hued back."

鲱形目鲱科体形扁的北方鱼类,既指大西洋鲱,也指太平洋鲱(C.harengus pallasii),两者曾被认为是两个种,现则仅作为两个亚种。鲱鱼头小、体呈流线形,体闪亮银色,背部深蓝金属色。

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