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前切口

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Now my courtyard in January 2006, the cataract of gimmick small cut that undertook in January 2008 excises combination artificial crystalline lens appears to low eyesight patient has case study and be adopted after embedded operation nurse accordingly, obtain favorable result, report as follows now. 1 clinical data 1.1 average data in January 2006, the operation treated a patient in January 2008 562 (594), male 304, female 290; age 6 years old of ~89 year old, senile sex cataract 482 (504), traumatic sex cataract 26 (26), complication cataract 50 (60), congenital cataract 4 (4), light of the eyesight before art feels - 0.3, there is the person that force of backsight of art of apparent diagnostic effect restores 26 times before art, among them diabetic retinal pathological changes 10, pathological changes of senile sex yellow spot 8, glaucoma optic nerve is damaged 7 times, corneal blaze 1. Standard of 1.2 low eyesight diagnoses watch of eyesight of standard of standard application international to undertake checking according to our country low eyesight, optimal and correctional eyesight is in 3 months after art 0.05 above, but in 0.3 it is low eyesight standard below. 1.3 results 594 art hind are inchoate...

现将我院2006年1月—2008年1月进行的手法小切口白内障摘除联合人工晶状体植入手术后出现低视力病人进行原因分析并采取相应护理,取得良好效果,现报告如下。1临床资料1.1一般资料2006年1月—2008年1月手术治疗病人562例(594眼),男304眼,女290眼;年龄6岁~89岁,老年性白内障482例(504眼),外伤性白内障26例(26眼),并发症白内障50例(60眼),先天性白内障4例(4眼),术前视力光感-0.3,术前有明显诊断影响术后视力恢复者26眼,其中糖尿病视网膜病变10眼,老年性黄斑病变8眼,青光眼视神经损害7眼,角膜白斑1眼。1.2低视力标准根据我国低视力诊断标准应用国际标准视力表进行检查,术后3个月最佳矫正视力在0.05以上,但在0.3以下为低视力标准。1.3结果594眼术后早期。。。

Usually the anterolateral approach is not as satisfactory as the anteromedial one, primarily because it is more difficult to displace the patella medially than laterally.

通常,膝关节的前外侧入路不如前内侧人路效果满意,主要是由于髌骨更难向内侧脱位、另外,此法需要更长的皮肤切口,而且髌韧带经常要做骨膜下或皮质下部分游离。

Objective to summarize the experience of rescuing the penetrating cardiac wound of 5 cases with finger plugging Method opening the pericardium via right prothorax or left prothorax or the posterior lateral incision, searching for and plugging and repairing the crevasse at once,at the same time,suppling blood volume.

目的 报告近10年来对采用手指堵压法抢救5例心脏穿透性损伤的体会。方法经右前胸、左前胸和后外侧切口进胸切开心包。首先探查心脏破口,立即以手指堵压,限制继续出血,同时快速输液输血补充血容量。

Afterwards, releases were carried on by the sequences: suprapatellar bursa; medial and lateral channel; medial and lateral patellar retinaculum; patella/femoral joint; condyloid socket; medial and lateral chamber; adhesion between femoral and quadriceps.

方法]釆用膝前内、前外及骸骨内上、外上4个5~10mm切口,先松解、扩张髌上囊创造出进入关节镜的空间,依照髌上囊→内、外侧沟→髌骨内、外侧支持带→髌股关节→髁间窝→膝关节内侧室→外侧室→股骨与股四头肌之间的粘连顺序进行松解。

Begin the incision oer the anterolateral aspect of the leg medial to the fibula and 5 cm proximal to the ankle joint. Carry it distally oer the joint, the anterolateral aspect of the body of the talus, and the calcaneocuboid joint and end it at the base of the fourth metatarsal Fig.

切口起自腓骨内侧、踝关节近端5cm处的小腿前外侧面,向远端延长跨过踝关节、距骨体前外侧以及跟骰关节,终于第四跖骨基底部(图1-28A)。

METHODS: Through vestibular and columellar approach, the major alar cartilage and nasalis were repositioned to the normal anatomical positions, the deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle to the anterior nasal spine.

鼻唇畸形二期修复时做鼻翼缘前庭合并鼻小柱切口,矫正大翼软骨、鼻肌、鼻小柱及鼻中隔的异常解剖位置,离断鼻中隔的异常附着,部分患者去除多余的鼻中隔组织,并将鼻中隔软骨末端可靠固定在正确的位置,与软组织逢合固定,或与前鼻棘等骨性组织缝合固定,同时矫正偏斜的鼻小柱等软组织,通过鼻部软、硬组织的矫正,恢复鼻的正常形态。

Result: All the patients were treated percutaneous reduction and obtained good resuld except one patient who needs another small incision to help reduction and bone graft. The preoperative X ray film showed that the B hler angle was 12.6°, Gissane angle was 75°. The postoperative X ray film demonstrated that B hler angle was 38.5°, Gissane angle was 114.5°.

结果: 14侧手术顺利,达到或接近解剖复位,1侧由于中间骨折块未能达到复位要求,辅助小切口复位骨折块。14侧B hler角由术前12.6°增加到38.5°,Gissane角由术前的75°增加到术后的114.5°,手术前、后差异有统计学意义(P.01)。

He TEP approach generally employs a preperitoneal dissection balloon that is introduced via a subumbilical incision. The balloon is inflated, creating the preperitoneal space for the hernia repair.

EP手术步骤是:首先经脐下切口将气囊伸入腹膜前组织,充气扩张气囊,在腹膜前营造局部空间进行疝修补。

Partial pubiotomy combined with incision of vestibule of vagina. One2stage tubed ure2 throplasty was performed using free graft of buccal mucosa in 3 girls.

采用部分耻骨劈开联合阴道前庭切口,截取相应大小的口腔颊黏膜作管状成形Ⅰ期修复女童前尿道缺损3 例。

Treatment of spinal tuberculosis1methods between february 1998 and august 2000 , 12 patients with spinal tuberculosis were operated with anterior vertebrectomy , bone grafting and plating1 evaluation including bone fusionrate , correction of deformity and status of spinal lesion was carried out1results in an average of ten months ,spinal tuberculosis was completely cured and solid bone fusion had taken place in all 12 patients1 the time for bone fusion averaged 518 months and the average angle of correction of kyphosis was 16°1conclusions anterior plating following vertebrectomy and bone grafting offers a complete removal of lesion and decompression of the spinal canal as well as reconstruction of spinal stability1 early rehabilitation and an increased curative rate can be expected through this procedure1

目的 探讨经脊柱前路结核病灶清除的同时植骨内固定的可行性和必要性,以及对脊柱结核的治疗效果。方法1998 年2月~2000 年8 月采用脊柱前路病椎切除加植骨,并采用orion或z-plate 钢板进行椎体固定。共治疗12 例脊柱结核,观察植骨融合及矫正畸形情况和结核病灶愈合情况。结果经平均10 个月的随访,12 例患者脊柱结核均治愈,植骨与受骨区全部骨性融合,融合时间平均为518 个月,后凸矫正角度平均16°。全组病例切口均一期愈合。无手术并发症。结论本方法可经脊柱前路作较彻底的病灶清除,并较好地进行脊柱矫形和椎管减压,完成脊柱稳定性重建,有利于患者早期离床活动和脊柱结核治愈率的提高。

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