剥脱

Methods Fractures of tibial plateau in 42 cases were treated with open reduction.In addition,the stripped and lifted parts of articular cartilage were reposited and fixed with silk thread or thin wire,and the cartilage-uncovered articular surface due to defect of cartilage was covered with the bone morphogenetic protein-fibrin sealant or repaired with the pediculated periosteum flap,respectively.

对42例胫骨平台骨折除重视骨折复位外，对部分剥脱、掀起的关节软骨予以复位并采用丝线或细钢丝抽出缝合修复，对缺如软骨裸露关节面，根据其大小、深浅分别用骨形成蛋白-纤维蛋白粘合剂复合片或附以带蒂骨膜瓣翻转修复。

In the third type, subperiosteal hemorrhage causes periosteal stripping and cortical destruction.

第三种类型是骨膜下出血，可以引起骨膜剥脱和骨皮质破坏。

The scattered superficial varicose veins in calf in both groups were managed by phlebectomy.

两组病例小腿散在的曲张浅静脉均采用点式剥脱处理。

While carotid endarterectomy is performed in the emergency setting of an acute ischemic stroke that occurs postcarotid endarterectomy, emergency carotid endarterectomy is not generally done because there are concerns for complications of brain edema and hemorrhagic transformation due to reopening of the vessel and reperfusion of the stroke area.

很少有 &有效性的手术治疗急性缺血性中风的信息&虽然颈动脉内膜切除术是在急性缺血性中风发生 postcarotid 剥脱的紧急情况制定的，但紧急颈动脉内膜切除术一般不这样做，因为人们担心由于血管再通和缺血区域再灌注而致脑水肿和出血的并发症。

While the tissue spaces surrounding a few blood vessels wasAl and Fg positive,no Al or Fg positive cells were observed.In antemortem injurygroup,diffuse subarachnoid hemorrhage,cerebral edema,swelling or pyknotic neu-rons could be observed.The axons showed irregular swelling and disconnection at1～3h,marked swelling and disconnection at 6h,and retraction ball at 15h whichwas more remarkable at 24h after injury.The space between myelin sheaths andaxons was increased at 3～6h after injury.Tortuous and wavelike myelin sheathswhich adhered on axons incompletely,or even peeled off could be found from 15hto 24h after injury.Perinuclear lysis of Nissl bodies began at 24h after injury.Thenumber of GFAP positive cells in cerebrum and brain-stem increased significantlyfollowed by decrease,and then increased again,but the time courses of the changesin different areas of brain were not same.Al and Fg positive neural cells,mainlysurrounded blood vessels,with diffuse or peripherally distributed positive matter incytoplasm could be observed at 0.5h after injury.The number of Al or Fg positivecells and the intensity of immunoreaction increased with the time of injury.The areaof SYN positivity in medulla oblongata and pons decreased notably 3～6h afterinjury,then return to normal levels and continued to 24h after injury.

生前损伤组，可见广泛蛛网膜下腔出血，脑组织水肿，神经细胞肿胀，晚期神经元固缩；伤后1～3h见部分神经轴突不规则增粗、断裂，伤后6h断端膨大，伤后15h可见收缩球，至伤后24h更为明显；伤后3～6h可见部分神经髓鞘与轴突之间的间隙增宽，伤后15h髓鞘明显曲折，不完全附着在轴突两侧，甚至剥脱，持续到伤后24h；核周尼氏体减少在伤后24h才开始出现；同一部位的GFAP阳性细胞数目随损伤时间发生改变，先增多（最早在伤后0.5h），达到高峰后减少，其后又有增多趋势，但不同部位的GFAP阳性细胞数目增减的时间过程不尽相同，同时，大脑中的GFAP阳性细胞数目也有改变；伤后0.5h，可在脑干组织中见到Al和Fg阳性神经细胞，主要位于血管周围，阳性物在胞浆中呈弥散性分布，但部分细胞的阳性物仅分布于靠近胞膜的胞浆中而呈环状，随损伤时间延长，阳性细胞数目增多，反应强度增加；伤后3～6h，延髓及桥脑中的SYN阳性物面积减少，其后恢复到正常水平，并持续到伤后24h。

Control group: The varicosities of greater saphenous vein were treated by traditional operation.

对照组采用传统大隐静脉高位结扎加静脉剥脱手术方法。

1.Preliminary studys on the carotid artery parameters Detected by Intracavitary Convex Array ProbePurpose and SignificanceFinal results of The North American Symptomatic Carotid Endarterectomy Trial and the MRC European Carotid Surgery Trial displayed that carotid artery must be observed intimately when stegnosis degree is higher than 50%and it must have an operation or interventional therapy in time when stegnosis degree is higher than 70%.

1、腔内凸阵超声探头检测颈动脉参数的初步研究目的和意义北美有症状颈动脉内膜剥脱试验(The North American Symptomatic CarotidEndarterectomy Trial NASCET)和欧洲颈动脉手术试验(European Carotid SurgeryTrial，ECST)研究结果显示，当颈动脉狭窄程度超过50%时要密切观察病情变化，当狭窄程度超过70%时要及时手术或介入治疗，治疗后可大幅降低脑梗死的发生率。

Department of General Surgery,Shandong Qianfoshan Hospital(Jinan 250014,China)Objective:To discuss the Surgical management of venous leg ulcer. Methods: 110 cases were undergone different operation and subfascial communicating vein ligation around the base of the ulcer.

对110例下肢静脉曲张合并下肢溃疡患者，予以大隐静脉高位结扎及剥脱术或加作股静脉瓣膜带戒术或静脉外肌袢成形术，小腿溃疡周围深筋膜下交通支结扎，沿皮下组织与深筋膜间隙分离溃疡底部，创面换药。

Limited invaginated vein stripping,EVLT and RFO were treated for saphneous vein reflux while surgical cut,transfixation,electric coagulation and sclerotherapy were suitable for vein cluster or tributaries.

（1）激光、射频、内翻剥脱是针对大隐静脉有返流的治疗方法；(2)手术切除、皮下连续逢扎、电凝、硬化剂注射对静脉团的处理有很好的效果；(3)切断结扎返流的交通支十分重要。

Presence of pseudoexfoliation syndrome, nuclear hardness, pupil size, phaco time, effective phaco time, systemic diseases, perioperative complications capsulorhexis rupture, zonular dialysis, posterior capsule rupture .

假性囊膜剥脱综合症，核硬度，瞳孔大小，超声时间，实际超声时间，系统性疾病，术中并发症(囊膜撕裂，悬韧带断裂，后囊破裂伴玻璃体丢失)，IOL植入位置和术后并发症作为膜形成的危险因素分析。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。