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RESULTS:① No obvious sight defect was detected with the quantitative detection of automatic sight apparatus.② ECT cerebrospinal fluid imaging thought that proximal frontal sinus of right cerebral frontal lobe was the leakage, and the liquid glucose in nasal cavity was quantitatively confirmed to be cerebrospinal fluid.③ Cranial CT showed that cleft could be observed in bilateral frontal lobe and lateral ventricle, low-density gas shadow could be observed in cisterna ambiens, cortex of frontal bone was discontinuous, and bone matrix was trapped.④ ECG showed that right forehead and temple had irregular slow wave, and attack of θ wave. Brain topographic mapping showed that the δ power value of right forehead was increased.⑤ EPQ: The scores of extraversion-introversion, neuroticism, psychoticism and lie were 55, 55, 80 and 50 respectively;⑥ MMPI: The code showed a mode of 69/96, indicating that the brain organ tended to paranoid schizophrenia.

结果:①自动视野仪定量检测未发现明确视野缺损;②ECT脑脊液显像考虑右侧大脑额叶近额窦部为漏口;鼻腔液体糖定量证实是脑脊液;③头颅CT额叶及侧脑室双侧裂,环池见低密度气体影,额骨骨皮质不连续,骨质下陷;④脑电图右额、颞不规则慢波,有θ波发作;脑电地形图:右额δ功率值增高;⑤艾森克人格问卷:内外向分55、神经质分55,精神质分80,掩饰分50;⑥明尼苏达多相人格调查表:编码显示69/96模式,提示脑器质性偏执型精神分裂症;⑦症状自评量表:总分147、阳性项目分37,躯体化、强迫状态、人际关系敏感、焦虑、敌对和其他6项目平均分超过常模。

Results A 19-year old boy with acue on the face and the back of chest as well as pustulosis at both axil was examined.

结果本例患者为19岁男孩,既有面部及胸背部痤疮和双侧腋窝脓疱病皮肤改变,又有双侧锁骨内段骨炎、骨肥大、胸锁关节和胸骨柄体关节炎的影像学表现。

Methods Animal models were established by ovariectomy and exodontia on left partial Maxillary.

方法通过去除SD大鼠双侧卵巢,拔除单侧上颌磨牙,建立骨质疏松的剩余牙槽骨动物模型,并在此基础上通过免疫组化方法观察、分析切除卵巢及单独和联合运用生长激素、雌激素对去势大鼠剩余牙槽骨内胰岛素样生长因子分布和表达的影响。

These include fluid within the tendon sheath, fluid withinthe medial or lateral bursae, sinus tarsi syndrome, periostitisat the insertion of the flexor retinaculum on the tibia, hindfootvalgus, subtalar and talonavicular malalignment, and accessorynavicular bone.

这些包括腱鞘内、内外侧滑膜内水分滞留,跗骨窦综合症、屈肌支持带的胫骨侧附着处骨膜炎、后足外翻、距下关节和距舟关节排列不整及副舟骨。

Large cancellous and corticocancellous grafts may be obtained from the anterosuperior iliac crest and the posterior iliac crest. Small cancellous grafts may be obtained from the greater trochanter of the femur, femoral condyle, proximal tibial metaphysis, medial malleolus of the tibia, olecranon, and distal radius. At least 2 cm of subchondral bone must remain to aoid collapse of the articular surface.

大块的松质骨或皮质-松质骨复合植骨块,可取自髂前上棘或髂后棘,小块松质骨块可以取自股骨大粗隆、股骨髁、胫骨近侧干骺端、内踝、尺骨鹰嘴及桡骨远端,但至少要保留2cm的软骨下骨以防止关节面的塌陷。

Large cancellous and corticocancellous grafts may be obtained from the anterosuperior iliac crest and the posterior iliac crest. Small cancellous grafts may be obtained from the greater trochanter of the femur, femoral condyle, proximal tibial metaphysis, medial malleolus of the tibia, olecranon, and distal radius. At least 2 cm of subchondral bone must remain to avoid collapse of the articular surface.

大块的松质骨或皮质-松质骨复合植骨块,可取自髂前上棘或髂后棘,小块松质骨块可以取自股骨大粗隆、股骨髁、胫骨近侧干骺端、内踝、尺骨鹰嘴及桡骨远端,但至少要保留2cm的软骨下骨以防止关节面的塌陷。

Cases with bone graft fusion were Resected lateral part of lesion vertebral lamina and process;2 cases were treated with contralateral interanticular process and vertebral lamina bone graft fusion; 2 cases with intravertebral fusion were treated by laminectomy and arthrectomy of one side by posterior route and USS implantating; Others cases were routine internal fixation.

行植骨融合术2 例,切除患侧椎板外半和椎间相应关节突;行对侧椎板关节突间植骨融合2例,行后路半椎板和一侧小关节切除USS 植入,椎间融合2例,余采用常规手术内固定。

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;右侧GSS的宽度和深度较对侧大,SS前置和颈静脉球高位较对侧多见,这些都对右侧入路有不利的影响,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

Everyone was required to lake a full-length standing X-ray film of the lower extremity. The hip-knee-ankle angle, femorotibial angle and tibial plateau-tibial shaft angle were measured on their anteroposterior radiographs. while the posterior slope of tibial plateau was measured on their lateral radiographs based on three reference lines: anterior tibial cortex tangent line, tibial proximal anatomical ink acid posterior tibial cortex tangent line.

受试者拍摄下肢站立位全长X线片,并按要求测量髋-膝-踝角、胫股角和胫骨平台内翻角,再分别用胫骨中上段前侧骨皮质切线、胫骨中上段轴线和胫骨中上段后侧骨皮质切线作为参考线测量胫骨平台后倾角。

The edgewise technique was used to align and level the upper and lower arches gradually and upright the lower incisors. Then, modified LeFort Ⅰ osteotomy was operated with 4 cases pterygomaxillary disjunction and the other 2 cases not. The maxillas were not moved during the operation and sutured mucoperiosteum at the same place. After 3-5 days latency period, elastic distraction about 700g/side and increasing to 1400g/side gradually, was started with two cases which the maxillas were not cut off totally.

术后经过3—5天的延迟期即开始牵引,2例行不完全截开术者,采用弹性牵引,力量从700g/侧逐渐增加至1500g/侧;4例行完全骨截开术者,首先采用刚性牵引和口外牵引钩,每天缩短牵引钢丝1mm,2例直接达到矫治要求,其余2例达到浅覆盖后,截去口外牵引钩,换弹性牵引和口内牵引钩继续前牵上颌骨。

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