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The fifth metatarsophalangeal joint is best exposed by a straight or cured dorsal or dorsolateral incision.

第五跖趾关节最好应用背侧或背外侧直切口或弧形切口予以显露。

Dissect the fascia from the dorsum down to the bursa oer the medial aspect of the metatarsal head. Then make a cured incision through the bursa and capsule of the joint Fig. 1-24,; begin the incision oer the dorsomedial aspect of the joint, continue it proximally dorsal to the metatarsal head and then plantarward and distalward around the joint, and end it distally on the medioplantar aspect of the metatarsophalangeal joint.

然后弧形切开滑囊及跖趾关节囊图1-24,,切口起自关节背内侧,自跖骨头背侧向近端延长,然后转向跖侧,再转向远瑞,环绕关节而行,最后在远端终止于跖趾关节的跖内侧面,此切口形成一椭圆形网球拍状组织瓣,连接于近节趾骨的基底部

There were 1733 suitable cases in 15 papers, 1546 were followed-up, the ratio of female to male was 1.7, the mean age was 43.3, course of disease main in 1~5 years, the most size of gallstone was 3 cm×3.5 cm or 3.6 cm, for postoperative complications, only a few patients feeled little turgor, hidden ache in right upper quadrant, and anep-ithymia,6 cases with fluidify of incisional wound, 2 cases with infection of incisional wound,4 cases with seroperi-toneum concurrent infection, only 1 case occur bile leakage, and there were 20 cases with gallstone recur.

结果 共收集符合要求的文献15篇,病例数1733例,随访1546例。男:女=1:1.7;年龄平均43.3岁;病程多数在1~5年之内;结石大小,最大3cm×3.5cm和3.6cm。术后并发症方面,仅少数患者有轻微右上腹胀满不适、隐痛和食欲欠佳,出现切口积液8例,切口感染2例,4例腹腔积液合并感染,胆漏1例。

Surgical maneuvers such as freeing the skin from the cartilages, transfixion incisions, cephalic trim, intercartilaginous incisions, and division of the lower lateral cartilages may disrupt the supporting system and change the positions of these cartilages.

一些手术操作,如:软骨表面的皮肤剥离,贯穿切口,软骨头部切除,软骨内切口,和分离下外侧软骨等。可能会破坏支持系统和改变软骨的位置。

Surgical maneuvers such as freeing the skin from the cartilages, transfixion incisions, cephalic trim, intercartilaginous incisions, and division of the lower lateral cartilages may disrupt the supporting system and change the positions of these cartilages.

一些手术操作如将从软骨上剥离皮肤,贯穿切口,软骨头部切除,软骨内切口,和分离下外侧软骨等可能会破坏支持系统和改变软骨位置。

Methods In all the 7 cases we employed traditional osteotomies, bone resection and bone graft fixation through coronary and nasofrontal incisions to reduce their interorbital distance.

所有7例患者均采用传统颅内外联合径路手术,通过双侧头皮冠状切口和鼻正中部眉间矢状切口行眶周截骨,眶内移和骨块固定,缩小内眶距。

objective:to explore the possibility and indication of surgical treatment of anastomotic recurrence following resection of cardiac carcinoma.method:reoperation was performed in 16 patients with anastomotic recurrence from 1992 to 2004.secondary resection was in 9(56.3%) and jejunostomy in 3.result:in 9 patients,pneumonia occurred in 3 and hydrothorax in 1 after secondary resection.

目的:探讨贲门癌术后吻合口复法癌再手术的可能和适应症。方法:回顾1992年至2004年我科尝试性行该手术16例,再次手术采用左胸切口和胸腹联合切口,手术切除9例(56.3%);术中经胃造瘘术4例;行空肠造瘘术3例。结果:术后并发肺部感染3例;胸腔积液1例。

Aim and Objectives: The traditional surgical method of lipomatosis removal through an incision can lead to the need for countless incisions and significant post-operative disfigurement.

目的及目标:传统的手术方式,一个切口移除一个脂肪瘤,会造成数不清的手术切口及留下术后不好看的外观。

Other steps were similar to traditional loop ostomy.modification Ⅱ:Epigastic vertical incision was chosen,a piece of about 2×5cm of skin strip with pedicle was pulled through transverse mesocolon to function as the supporting stick of traditional loop ostomy,other operation steps ere similar to traditional loop ostomy.

二、选择上腹部垂直切口,于皮肤切口处切一条约2×5cm大小带蒂皮条穿过横结肠系膜并缝合固定以替代支撑棒,余手术操作基本同传统袢式造瘘术。

Make a curved incision 5 cm long on the medial aspect of the joint (Fig. 1-24, A). Begin it just proximal to the interphalangeal joint, curve it over the dorsum of the metatarsophalangeal joint medial to the extensor hallucis longus tendon, and end it on the medial aspect of the first metatarsal 2.5 cm proximal to the joint.

于关节内侧做一5cm弧形切口(图1-24,A),切口起自趾间关节近端,弧形延伸至拇趾跖趾关节的背侧,拇长伸肌腱内侧,终止于跖趾关节近侧2.5 cm处的第一跖骨内侧面。

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