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The point where the anterior branch of axillary nerve crosses the line junction the acromion to the deltoid tuberosity lies below the acromion (6.19±0.49) cm, and it corresponds to the junction of upper 2/5 and lower 3/5 of the length of the deltoid muscle.

腋神经前支于肩峰外侧端与三角肌止点连线相交点位于肩峰下(6.19±0.49)cm,相当于肩峰与三角肌止点连线间三角肌长度的上2/5与下3/5交点。

The distances between the confluence of anterior cerebral vein with deep middle cerebral vein and the lateral border of chiasm opticum, the crotch of ICA and MCA were (14.36±1.67) mm,(8.13±0.98) mm and (7.65±0.21) mm, respectively.

大脑前静脉与大脑中深静脉汇合处距视交叉外侧缘(14.36±1.67)mm,距颈内动脉分叉处(8.13±0.98)mm,距大脑中动脉的最近距离为(7.65±0.21)mm。

Methods: 1/2 anterior tibia muscle shifting were used to take the place of long peroneal muscle and short peroneal muscle of paralysis. 13 of 22 cases are congenital talipes equinovalgas, 9 are monstrosity of crossfoot of poliomyelitis.

将胫前肌半腱(外侧1/2)外移代替瘫痪的腓骨长、短肌,配合足部软组织松解或关节融合术,治疗马蹄内翻足畸形。

2The anterior cutereous branches of the obturator artery penetrate deepfascia of thigh and epimysium of the adductor muscles closing against the lower rami of pubisor at its outer margin.Pudendal-thigh skin flap pedicled on it may be elevated to repairrectovaginal fistula or small skin defects of perineum.As its piercing point is much higher andthe location of pedicle is more fixed because of restriction of pubic rami,it is not suited toreconstruct new vagina.Moreover,it is not appropriate naming the obturator aretry(or themedial femoral circumflex artery)the pudendal-thigh artery.

闭孔动脉前皮支紧邻耻骨下支或于其外侧缘,穿大腿深筋膜和内收肌肌膜浅出,以之为蒂可以形成皮下蒂阴股沟岛状皮瓣,用于阴道直肠瘘或会阴部较小皮肤缺损的修复,但由于闭孔动静脉前皮支浅出点位置较高,并且由于耻骨下支的阻挡和限制,致使血管蒂的位置较为固定,以之为蒂形成的阴股沟皮瓣不适宜用于阴道再造;另外,将闭孔动脉命名为阴股沟动脉,也有欠妥帖。

The overreach of the hindquarter usually necessitates one hind foot passing outside and the other hind foot passing inside the track of the forefeet, and such action is not faulty unless the locomotion is crabwise with the dog's body sideways out of the normal straight line.

过度伸展的后肢,会造成一个后足爪落在前足爪足迹外侧,而另一后足爪落在前足爪足迹内侧,这样的动作不属于缺陷,除非他偏离了正确的行走直线,向一侧斜行。

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。

Results The segmental bronchial ramifications of the left upper lobe were classified into three types mainly: common stem of apical and posterior segmental bronchi (64%, 130/200), trifurcation (23%,45/200), common stem of apical and anterior segmental bronchi (10%, 21/200), and they could be identified in two typical slices of transverse thin-section CT.

左肺上叶3种主要分支类型可以通过薄层CT横断面图像2个典型层面辨认;左肺下叶依据基底干支气管分支的不同分为2种主要类型,Ⅰ型163例(75%):基底干支气管两分支,即内前底段支气管、外后底段支气管;Ⅱ型39例(18%):基底干支气管3分支,即内前底段、外侧底段、后底段支气管。

Endoscopic Ways at nose under the guidance of biological tissue using laser thermal effect, 61 cases of allergic rhinitis patients with nasal ethmoidal nerve distribution area [1] (before the upper lateral wall of the nasal cavity, middle turbinate, inferior turbinate anterior , anterior nasal septum) punctate mucosal tissue coagulation, vaporization treatment, the results of a success rate of 90.16 percent, followed up for 6 months 1 3 years.

在鼻内镜直视引导下,利用激光对生物组织的热效应,对61例过敏性鼻炎患者进行鼻腔筛前神经分布区[1](鼻腔外侧壁前上部、中鼻甲、下鼻甲前部、鼻中隔前部)粘膜组织斑点状凝固、汽化治疗,结果成功率达90.16%,随访6个月一3年,效果良好。

Method]from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法]2003年1月~2006年5月,根据ilizarov张力应力法则,应用秦泗河改良的外固定矫形器,遵循ilizarov穿针固定的基本原则,共手术治疗马蹄内翻足32例,男15例,女17例;年龄10~25岁,平均17岁。病因:腓总神经损伤2例,腰椎管内肿瘤1例,硬脊膜膨出5例,小儿麻痹后遗症11例,先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例,用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄,确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术,25例同期实施了有限的截骨术和跗骨间关节融合术,9例合并踝关节内外翻肌力明显失衡者,同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序,7 d开始旋转相应的螺纹牵拉杆,对器械进行三维空间的缓慢调整,先矫正前足内收和后足内翻,后矫正足下垂畸形,直至达到矫形要求的标准。在矫形的过程中定期进行x线检测,以防止发生踝关节前后移位,治疗期间允许患足负重行走。术后平均牵伸42 d,拆外固定器后患足再上石膏固定适当时间。

Methods: The motion of parasternal papillary muscle anterior wall, inferior wall, posterior wall, and lateral wall were detected by 2DE at short axis view of left ventricle before PTCA, 3 d and 1-3 months after PTCA in 33 cases of patients with coronary heart disease, who received PTCA+stent at selected time. Peak systolic velocity of subendocardial, subepicardial and middle layer myocardium, transmural velocity difference of the same segments and Outer lateral mitral valve annulus were also detected at apical 4 chamber view by pulsed wave tissue Doppler imaging.

对33例择期行PTCA+支架术的冠心病患者用HP5500型超声诊断仪,于PTCA术前及术后3d、1-3个月对胸骨旁左心室乳头肌短轴切面的前间壁、下壁、后壁、侧壁行二维超声心动图(2DE)检测各节段的室壁运动情况,用脉冲组织多普勒成像检测上述各节段的内、外膜下及中层心肌的收缩期峰值速度,内外膜下心肌的收缩速度差及心尖四腔观二尖瓣外侧环的收缩期峰值速度。

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