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Objective To investigate the clinical characteristics, diagnosis of cervicothoracic spine, spinal cord trauma and effect of anterior decompression, bone graft, Orion plate fixation on treatment of cervicothoracic junction trauma.

目的探讨颈胸段脊柱脊髓损伤的临床特点、诊断及颈胸段前路减压、植骨、Orion钢板内固定术的治疗作用。

Flash visual evoked potential has been used as monitoring method during surgery of sellar tumors in an effort to protect chiasmal injury from surgical manipula- tion, to know whether the optic ways have been decompressed immediately after tumor removed, and to know immediately the positivity of better visual outcome.

选用闪光视觉诱发电位对10例鞍区肿瘤手术的全过程进行监护,旨在防止可能造成视路损伤的手术操作及术中了解视路减压情况。

The reflection of decompression was observed during the carotid sinus chirapsia before cervical plexus block, while not during the carotid sinus chirapsia or stimulating vagus after cervical plexus block.

颈丛神经阻滞麻醉前按摩颈动脉窦可引起明显的减压反射,而阻滞后按摩颈动脉窦或刺激迷走神经均未引起明显的血压及心率变化。

Results: Among 80 cases of ACST, 76 cases were successfully implemented LC, gallbladder puncture and decompression choledocholithotomy T-tube drainage were performed in 11 cases, choledocholithotomy T-tube drainage in 15 cases, common bile duct gall bladder fistula Toishi T-tube drainage in 14 cases, gallbladder removal choledocholithotomy T-tube drainage in 36 cases, operative time 15-120 min, bleeding 10-80 ml; 4 cases transitted laparotomy, 1 case of gallbladder and surrounding tissue adhesion serious, ampulla signs disappear, and the hepatoduodenal ligament ill-defined, 2 cases of gallbladder contraction deep within the liver, gallbladder triangle scar adhesions, and 1 case of duct stone impaction and severe adhesions; postoperative hospital stay was 8-11 d, all were well recovered; pathological diagnosis, acute cholecystitis in 41 cases (51.2%), acute suppurative cholecystitis in 24 cases (30.0%), acute gangrenous cholecystitis in 15 cases (18.8%).

结果:重症急性胆囊炎80例,76例成功实施LC,其中,胆囊穿刺减压胆总管切开取石T管引流11例,胆总管切开取石T管引流15例,胆囊造瘘胆总管切开取石T管引流14例,胆囊切除胆总管切开取石T管引流36例,手术时间15~120 min,术中出血10~85 ml;4例中转开腹,其中,1例胆囊与周围组织粘连严重,壶腹部标志消失,与肝十二指肠韧带界限不清,2例胆囊萎缩深陷肝脏内,胆囊三角区瘢痕粘连,1例胆囊管结石嵌顿且严重粘连,术后住院时间8~11 d,术后恢复均良好,治愈出院;80例术后病理诊断,急性单纯性胆囊炎41例(51.2%),急性化脓性胆囊炎24例(30.0%),急性坏疽性胆囊炎15例(18.8%)。

Results (1)Of 104 patients with trigeminal neuralgia,75 patients had neurovascular compression or contact of the cisternal portion of the trigeminal nerve at MR imaging and 69 patients were verified by operation;14 patients had C-P angle tumors,13 cases were diagnosed by MRI and the remaining one was verified by the operation and pathology;5 patients had vascular lesions at MR imaging which were verified by microvascular decompression.

结果 (1)104例三叉神经痛患者中MRI诊断为血管压迫或接触的为75例,术中证实有血管压迫或接触的为69例;桥小脑角肿瘤共14例,MRI确诊13例,另1例由手术确诊;血管性病变的为5例,均由微血管减压术或手术病理证实;(2)三叉神经痛病因中血管压迫或接触、肿瘤性病变及血管性病变所占比例分别为66.3%(69/104)、13.5%(14/104)和4.8%(5/104);(3)根据手术结果,MRI对三叉神经痛患者诊断的敏感性为89.4%,特异性为96.6%。

Conclusin: MRTA as a new imaging technique can demonstrate the relationship between the cisternal portion of facial nerve and surrounding vascular structures, and provides reliable imaging evidence for pathogenetic diagnosis and preoperative examination for MVD

MRTA成像作为一项新的影像学检查技术,能较好地显示面神经脑池段与周围血管之间的关系,从而为面肌痉挛的病因诊断及临床上面神经微血管减压术术前评估提供可靠的影像学依据。

The watermelons, the citrullus lamtus or the stems and leaves thereof are taken as raw materials, and the extracting process comprises the following steps: firstly, the raw materials are washed clean and broken to separate the watermelon peel from the watermelon pulp for respectively extracting juice; the two juices are mixed, and micro-filtration and ultra-filtration are carried out to remove insoluble substances and macromolecular substances; and then reverse osmosis and nano-filtration are carried out to obtain the filtrate; the pH value of the filtrate is regulated and then a macroporous strong acid cation exchange resin column is added; and then ammonia water is taken as an eluant for isocratic elution; the eluent obtained is decompressed, distilled, deaminized, discolored, condensed and crystallized to obtain a white crystalline product of the natural L-citrulline extracted from the watermelons.

本发明方法以西瓜、打瓜或者其茎叶为原料,其过程为:首先将原料清洗干净,破碎后将西瓜皮西瓜瓤分开,分别进行榨汁;所得汁液合并,经过微滤和超滤除去不容物和大分子物质;然后再经反渗透和纳滤过滤;透过液调节pH值后通入大孔型强酸性阳离子交换树脂柱;然后以氨水做洗脱剂进行等度洗脱;将洗脱液减压蒸馏脱氨,脱色,浓缩结晶,得到西瓜提取天然L-瓜氨酸白色结晶产品。

Collecting a total of 102 cases(107eyes) of pations with traumatic optic neuropathy that underwent edoscopic optic nerve decompression surgery during December 1999 - April 2008 line,retrospective analysis of CT performance for the optic canal and paranasal sinuses,and Comparison of them with surgical results.102 cases of patients performed routine and coronal axial sinus CT scans,the optic canal zone wi th thin target scan,line of nasal tip and the anterior clinoid process connection as baseline for axis scan,and the vertical line of "bed nasal line" as baseline for coronal scan.

方法收集1999年12月-2008年4月间在青医附院耳鼻喉科行鼻内镜下视神经减压手术的外伤性视神经病患者的病例,共102例(107眼),回顾分析其鼻窦及视神经管CT表现,并查看手术记录描述,将CT结果与术中所见情况进行对比分析。102例患者术前常规行轴位及冠状位鼻窦CT扫描,视神经管区行薄层靶扫描,以骨性鼻尖与前床突的连线为轴位扫描基线,以&床鼻线&的垂直线为冠状位扫描基线。

The anterior clinoid process and roof and lateral crista of optic canal were drilled off intradurally to display proximal angle of the aneurysm in the cases of paraclinoid aneurysms.

术中采用逆向抽吸法使动脉瘤塌陷,如动脉瘤内含机化血栓,则在临时阻断后切开瘤体,用CUSA和取瘤镊去除瘤内血栓,再将动脉瘤夹闭并达到视神经减压的目的。

The indirect decompression mechanism of the pedicle screw open the fracture vertebral and intervertebral discs ,strain posterior longitudinal ligament and intervertebral discs annulus tibrosus ,and push the bone pieces in the vertebral canal ahead to reduct, this process is Ligamentotaxis ,It is function depends on the completement of posterior longitudinal ligament and intervertebral discs annulus tibrosus.

椎弓根螺钉间接减压机制是通过椎弓根螺钉撑开损伤部椎体与椎间盘,紧张后纵韧带与椎间盘纤维环,将凸入椎管的骨块推向前方而复位,称为韧带整复。

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然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

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