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The injured knees were stable after operation. Conclusion: The mechanisms of anterolateral structure injuries, anterolateral rotatory instabilities and Sègond fractures are similar, which display identical tissue damage and result in similar symptoms and signs.

膝关节前外侧结构损伤、前外侧旋转不稳定及Sègond骨折的受伤机制相似,可表现为相同的组织损伤,引起相似的症状、体征。

Objective To investigate the application of anterolateral thigh fasciocutaneous flap on abdominal chronic ulcer,and provide evidence for its clinical use. Methods From Oct 2005 to Dec 2008,5patients with abdominal ulcer caused by different reasons were repaired with anterolateral thigh fasciocutaneous flap, the flap pedicled with rami descenden of lateral circumflex femoral artery was designed according to the size of abdominal defect,the vessel pedicle was dissociated adequately, the flap was transferred to the abdominal wound under appropriate tension through tunnel, the donor site was sutured directly or repaired with skin-grafting. Results The anterolateral thigh fasciocutaneous flap survived well in all 5 patients,there were no other complication such as skin necrosis.

目的:探讨股前外侧皮瓣在下腹部慢性溃疡中的作用,为其临床应用提供依据;方法:2005年10月~2008年12月间,对5例不同原因引起的下腹部慢性溃疡患者进行修复,术前根据腹部组织缺损的大小设计以旋股外侧动脉降支为血管蒂的岛状股前外侧皮瓣,充分游离血管蒂部,在合适张力下经过皮下或开放隧道将皮瓣带蒂转移至下腹部创面,供区直接缝合或植皮修复。

Macroscopically, each facet joint is composed of a posteromedially facing concave superior articularprocess from the inferior vertebral body, and as maller anterolaterally facing inferior articular processfrom the superior spinal level.

大体观,每个小关节由下位椎体朝向后内侧凹陷的上关节突以及上位椎体朝向前外侧的的下关节突组成。

Macroscopically, each facet joint is composed of a posteromedially facing concave superior articularprocess from the inferior vertebral body, and as maller anterolaterally facing inferior articular processfrom the superior spinal level.

大体观,每个小关节由下位椎体朝向后内侧凹陷的上关节突以及上位椎体朝向前外侧的的下关节突组成。L-z关节的形状及朝向决定了其作用为阻止脊柱过度运动。

The anterior border of all flaps exceeded crista anterior fibulae, and that of 2 flaps reached to the crista anterior tibiae. The width of flap on anterial compartment of the cnemis ranged from 2.5cm to 7.0cm, averagely 4.0 cm.

行前界扩大的改良腓肠肌外侧头肌皮瓣21例,修复的创面位于小腿上1/3段9例,中1/3段前内侧7例,中1/3段前外侧5例。21例皮瓣前缘均超过腓骨前缘,其中2例达胫骨前嵴,位于小腿前骨筋膜室表面的皮瓣部分宽度为2.5~7.0 cm,平均4.0 cm。

There have been several supports for the lateral incision of whirbone in the TKA of valgus deformity, which is not accepted universally. And some scholars raise the scheme of articular capsule Z-shape discission or the shifting of fat pad before capsule.

膝外翻全膝关节置换术中髌骨外侧切口得到一部分人的支持,但是还不被普遍接受,有人提出可以通过做关节囊Z形切开或将关节囊前外侧的脂肪垫外移来解决这个问题。

Neuraxon of type B neurosecretory terminals contain a lot of small clarity vesicles. Adenohypophysis is mainly composed of adrenocorticotrophic cells, prolactin cells, growth hormone cells, thyrotrophs cells, gonadotrophic hormone cells, melanophore-stimulating hormone cells, periodic acid-Schiff-positive cells and one non-secretory cell type-stellate cells. The ultra-structural characteristics of pituitary in Sinperca chuatsi during procreating season are discussed.

腺垂体由前外侧部、中外侧部和中间部构成,分布催乳激素分泌细胞、促肾上腺激素分泌细胞、生长激素分泌细胞、促甲状腺素分泌细胞、促性腺激素分泌细胞、促黑色素激素分泌细胞、PAS-高碘酸-雪夫反应细胞和一种非分泌细胞类型本文并讨论了繁殖季节排卵前后期级脑垂体的超微结构特点。

Injuries to the anterior talofibular andtibiofibular ligaments and an accessory fascicle of the anteriortalofibular ligament have been implicated as causes of anterolateralimpingement syndrome. Repetitive synovial inflammation secondaryto chronic lateral ankle instability produces a soft-tissue"mass" consisting of hypertrophic synovial tissue and fibrosiswithin the lateral gutter.

前距腓韧带、胫腓韧带和前距腓韧带的副束的损伤被认为对前外侧碰撞综合症相关,继发于慢性外侧踝不稳定的反复滑膜炎在外侧沟形成软组织&肿块&,主要是肥大的滑膜组织和纤维化。

Results The anterior bundle of ulnar collateral ligament originates from the inferior aspect of the medial epicondyle and inserts immediately adjacent to the joint surface on the ulna near the sublimis tubercle. The posterior bundle originates from the medial epicondyle slightly posterior to its most inferior portion and inserts broadly on the olecranon process. The lateral collateral ligament arises from the inferior aspect of the lateral epicondyle. Two types of conjoined lateral collateral and annular ligamentous insertions on the ulna were observed. Type Ⅰ(61.2%) was bilobate and type Ⅱ(38.8%) was a single broad conjoined type with insertion on the ulna. The anterior band of anterior bundle was more tighten than the posterior band as the elbow flexed less than 60°. When the elbow flexed over 60°, the two parts of anterior bundle were equally tightened. The posterior bundle was tightened as the elbow was flexed more than 90°. The lateral collateral ligament was tightened gradually as the elbow moved in flexion.

结果(1)尺侧副韧带前束起于肱骨内上髁的前下方,止于尺骨冠突内侧的小结节;后束起于肱骨内上髁的内下方,止于尺骨鹰嘴内侧的骨面;(2)桡侧副韧带起于肱骨外上髁的外下方,其纤维部分止于环状韧带,部分止于尺骨冠突的外下方;桡侧副韧带和桡骨环状韧带在尺骨上的止点有两种类型:Ⅰ型占61.2%,桡侧副韧带的部分纤维汇于环状韧带的尺骨止点,另一部分纤维单独止于稍远的尺骨上;Ⅱ型占38.8%,桡侧副韧带和环状韧带形成一宽的纤维止于尺骨上;(3)在肘关节屈曲60°以前,尺侧副韧带前束的外侧部紧张而内侧部较松弛,肘关节屈曲超过60°后,前束内外侧处于同程度的紧张状态;尺侧副韧带的后束在肘关节屈曲超过90°后才被拉紧;(4)桡侧副韧带在肘关节不同屈曲状态时其紧张度逐渐增加,当肘关节屈曲超过90°时,桡侧副韧带被明显拉长。

All afferent and efferent vessels were measured and recorded. Results Anterior scrotal artery coming from superficial external pudendal arteries is divided into medial and lateral branches at lateral penile base and spread out on lateral and anterior surface of scrotum. Diameter of internal branches are(0.54±0.34)mm and (0.69±0.09)mm. Lateral scrotal artery(100%present rate, 0.62±0.19mm in diameter)originating from obturator artery distributes to lateral side of scrotum.Posterior scrotal artery is separated into lateral branches and septal scrotal artery at posterior scrotal ploe. The former(0.8±0.1mm in diameter)spreads to lateral and posterior region of scrotum.

结果阴囊前动脉来自阴部外浅动脉,于阴茎根部侧方分成内、外侧支,分布于阴囊前外侧皮肤,内侧支口径为(0.54±0.34)mm和(0.69±0.09)mm;来自闭孔动脉前皮支的阴囊外侧动脉[出现率为85%,外径(0.62±0.19)mm]分布于阴囊外侧中1/3区皮肤;阴囊后动脉于阴囊后极处,分成阴囊后动脉外侧支与阴囊中隔动脉,前者[外径(0.8±0.1)mm]分布于阴囊后外侧区皮肤,后者[外径(0.9±0.2)mm]分布于阴囊中隔及阴囊中缝侧方皮肤。

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