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[Objective]To explore the technique of arthroscopy plus radiotherapy in the treatment of pigmented villonodular synovitis of the knee and to evaluate its clinical value[Method]A total of 14 cases of pigmented villonodular synovitis of the knee were treated from January 2000 to July 2003Intraarticular excision under arthroscope with a combined application of routine intrusments and Bipolar radiofrequency was performed on all these 14 cases,and postoperative radiotherapy for diffused pigmented villonodular synovitis of the knee,13 patients were followed up for 10~45 months,and were evaluated for range of motion,pain,swelling effusion[Result]Thirteen cases according to the International Knee Documentation Committeecriteria,subjective knee score was (587+64) and (865 ±57) respectively before surgery and at the last followup[Conclusion]In case of pigmented villonodular synovitis of the knee joint,arthroscopical synovectomy can make good surgical results,and postoperative radiotherapy is an effective treatment for diffused pigmented vilionoclular synovitis of the knee

作者:王晓旭,廖瑛,黄华扬,席雅文,李朝旭,韩志关节镜;放射治疗;膝关节;滑膜炎;色素绒毛结节性摘要:[目的]探讨采用关节镜结合放射治疗膝关节色素沉着绒毛结节性滑膜炎的方法及其临床应用价值。[方法]2000年1月~2003年7月,共收治14例膝关节色素沉着绒毛结节性滑膜炎患者,采用关节镜下常规器械加双极射频进行关节内病变切除,术后弥漫性色素沉着绒毛结节性滑膜炎辅以放疗,13例通过10~45个月的随访,了解患膝活动度、疼痛、肿胀情况。[结果]13例随访患者,术前国际膝关节评分委员会膝关节功能主观评分为(587±64)分,最后随访时,IKDC膝关节功能主观评分为(865±57)分。[结论]通过关节镜能完成膝关节色素沉着绒毛结节性滑膜炎滑膜较彻底切除,对弥漫性膝关节色素沉着绒毛结节性滑膜炎辅以术后放疗是一种有效方法。

And the then governor of Texas presented himself as a centrist—a new kind of "compassionate conservative", a "uniter rather than a divider", an advocate of a "humble" and restrained foreign policy.

布鲁尼,在2002年曾写道:"我所知的布什是个时而顽皮时而木讷,长不大的兄弟会男孩,不拘小节的"小丑",周中他是健生狂,而周末又是个音乐迷"之后这位前德州州长将自己展示为一位中间派,"富有同情心的保守党人"的一种新类别,一位"团结者而非分裂者",一位"谦逊"克制外交政策的支持者。

The move lower could prove to be grind though as the 61.8% Fibonacci retracement of the 1995-1998 bull wave at 105.50 should at a minimum inspire some weak hand short covering.

下行的这一目标应该可以达到(这里,作者可能把GRAND 误写成 GRIND,尽管,后市自95年(大约78.0附近)到98年(147.77)上涨波的61.8%回吐位105.50前,会导致部分做空部位离场。

The Active Side of Infinity by Carlos Castaneda Completed shortly before anthropologist-shaman Castaneda's death in April 1998, this book serves as the fulfillment of a task his teacher, the Yaqui Indian sorcerer Don Juan Matus, gave him many years ago, when Castaneda was instructed to collect the significant events of his life.

主动方无穷卡罗斯涅达在短期内完成前,考古学家-巫师涅达逝世于1998年4这本书作为一桩任务,他的老师,yaqui印度妖人唐璜Matus.1999年,给他多年前,当涅达奉命收集重大事件的人生。

Frank Bruni, who covered his election campaign for the New York Times, wrote in 2002 that "the Bush I knew was part scamp and part bumbler, a timeless fraternity boy and heedless cutup, a weekday gym rat and weekend napster." And the then governor of Texas presented himself as a centrist—a new kind of "compassionate conservative", a "uniter rather than a divider", an advocate of a "humble" and restrained foreign policy.

在纽约时报为他撰写竞选特稿的弗兰克·布鲁尼,在2002年曾写道:&我所知的布什是个时而顽皮时而木讷,长不大的兄弟会男孩,不拘小节的&小丑&,周中他是健生狂,而周末又是个音乐迷&之后这位前德州州长将自己展示为一位中间派,&富有同情心的保守党人&的一种新类别,一位&团结者而非分裂者&,一位&谦逊&克制外交政策的支持者。

Momentum took over and by summer Avril was moving into Chantal and her husband Raine Maida's Malibu house to record."I was only off my tour for a couple of weeks, and I was ready to record," Avril recalls.

不过说是这么说,艾薇儿2002年的感情方面却交了白卷,她说在2001年的圣诞节前夕,和前男友正式分手,至今还在等下一位有缘人呢。

Then in Iribang VDC we came to Chapka, an open field on the bank of the Ghorthikhola river that serves the local population as a gathering place for seasonal markets and festivals, where in 1994, even before the people's war had begun, there was an attempt by the police on the life of comrade Pasang.

在伊瑞邦我们来到了恰卡,那里是霍金霍拉河沿岸的一片开阔的晒谷场,当地人用它来开展集市贸易庆祝节日,1994年,也就是人民战争发动前的几年,那里的警察曾经悬赏帕桑同志的人头。

The code is divided in to four books,namely, person, property,obligation and general provisions, which is one attempt to deal with the institutions of Common Law by the method of organizing the legal materials of Continental Law system,andit has some special characteristics both in the macrosco pical structure and in the concrete in stitutions.

一个半世纪前,在普通法背景下的美国纽约州,菲尔德提出法典编纂计划并于1862年制定了《纽约民法典草案》,该计划遭到了以卡特为代表的学者强烈反对,双方就是否要进行民法典编纂展开大战,并最终于1888年以该草案被纽约州议会否定而终结。该法典草案分为人、财产、债和一般规定四编,是用大陆法系的组织法律材料的方法整合普通法制度的一次尝试,在法典的宏观结构和具体制度上都具有一些特色。

Based on a careful study of the data involving the anaphoric relation between "zìjǐ" and its antecedent in modern Chinese,this paper reformulates the Chinese version of Binding Principle A put forward in You(2001)within the 1994 version of Head-Driven Phrase Structure Grammar.The paper also describes and explains the concerned phenomena within the 1999 version of HPSG through an extension of the notion of outranking.

笔者在对现代汉语中&自己&一词及其先行词照应现象进行分析的基础上,对尤爱莉(2001)1994年提出的中心语短语驱动结构语法框架中建立的&自己&约束原则进行了修正,并根据1999年提出的HPSG的最新框架对相关问题进行了重新审视,通过对&句法语义结构在前&这个概念加以扩展,提出了新的&自己&约束原则。

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p<0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p>0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效,探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月~2004年12月间eswl治疗输尿管结石的临床资料687例,男455例(66.2%),女232例(33.8%),平均年龄46.6岁(15~83岁)。有双侧输尿管结石6例,单侧多发性输尿管结石12例(4颗1例,3颗2例,2颗9例),共计输尿管结石709颗(含透光结石13颗)。应用上海爱申公司生产的desunit6030型碎石机,c臂x线球管做结石定位。上段输尿管结石(肾盂输尿管交界处至骶髂关节上缘)取仰卧位,下段输尿管结石(骶髂关节上缘下至输尿管口)取俯卧位。为减少eswl引起的肾损伤和疼痛,应用较低的能量,震波发生器电压从9.8~13.2kv,震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超,以后每隔7日重复检查。假如结石未碎或有残留结石最长径>3mm以上,再次eswl,两次治疗的间隔时间为两周。结石的大小用x线片上的表面积(mm2表示。结果 709颗输尿管结石总的治愈率为97.3%(690颗),再治疗率34.1%(242颗)。其中一次治疗467颗,平均结石大小37.27mm2,治愈464颗(65.4%),3颗改治疗;两次治疗138颗,平均结石大小62.48mm2,治愈131颗(18.5%),7颗改治疗;第1和第2次治疗治愈率(1个月治愈率)为83.8%。3次治疗52颗,平均结石大小79.60mm2,治愈50颗(7.1%),2颗改治疗;4次治疗19颗,平均结石大小101.63mm2,治愈17颗(2.4%),2颗改治疗;5次及5次以上治疗33颗,平均结石大小119.33mm2,治愈28颗(3.9%),5颗改治疗。总计19颗(2.7%)结石改变治疗方式。上段输尿管结石335颗,治愈321颗(95.8%),再治疗129颗(38.5%)。下段输尿管结石374颗,治愈369颗(98.7%),再治疗113颗(30.2%)。经χ2检验,上、下段输尿管结石的再治疗率差异有显著性(χ2=5.40,p<0.05),治愈率差异无显著性(χ2=0.15,p>0.05)。不良反应:血压升高13例(1.9%),震波区域疼痛26例(3.8%),震波进入处皮肤点状淤血33例(4.8%),肉眼血尿128例(18.6%),均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗,结石的大小是再治疗率高的主要因素。结石的位置有影响,上段输尿管结石可随呼吸移动,有效震波次数减少,再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

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Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气,收缩臀部肌肉;拱起身体,尽量抬起头来,右腿伸直朝向天花板(膝微屈,以避免肌肉紧张)。

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然而,要让一个真正的引用,你需要提供详细的个人和财务信息。