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Results the cerebellar tentorial notch, ambient cistern, dorsolateral midbrain, trochlear nerve and its concomitant superior cerebellar artery, segments p2 and p3 of the posterior cerebral artery, medial posterior choroidal artery, and quadrigeminal cistern were well exposed. operation via the posterior subtemporal keyhole approach could not injury the vein of labbe.

结果 经后部颞下锁孔入路可以充分暴露小脑幕切迹区、环池、中脑背外侧、滑车神经及伴行的小脑上动脉、大脑后动脉(p2、p3段)、脉络膜后内侧动脉、四叠体池。labbe静脉对后部颞下锁孔入路无影响。

Selective femoral circumflex artery and retinacular artery DSA is an important technique for assessment of femoral head blood circulation and investigation on its influent factors after femoral neck fracture.

结果 12例中髋关节囊内出血1例,骨内出血7例, 12例均出现持带动脉损伤和血供减少;患髋牵引时支持带动脉供血减少;髋关节维持伸直内旋位时所有支持带动脉无明确显影或仅显示其主干。

Results Intra-articular hemorrhage was observed in 1 patient and intra-osseous hemorrhage in 7 patients. The injury of retinacular arteries and reduction of blood supply were found in each case. In the presence of hip traction, blood flow of retinacular arteries reduced markedly. Few branches and little femoral head blood perfusion were observed in all of retinacular arteries, while hip joint was internally rotated with the sick leg straightened in the patients.

结果 12例中髋关节囊内出血1例,骨内出血7例, 12例均出现持带动脉损伤和血供减少;患髋牵引时支持带动脉供血减少;髋关节维持伸直内旋位时所有支持带动脉无明确显影或仅显示其主干。

The femoral circumflex arteriography of the normal leg was done in 8 patients, and three of them were simultaneously done in a postion of internal rotating of straight leg. Results Comparison with the arteriographic findings in absence of traction, all retinacular arteries but inferior arteries were depicted few branches and less femoral head perfusion in all 9 patients, especially in that of medial femoral circumflex arteriography, as hip joint was tractating in neutral position with the same speed and volume of injecting contrast medium and, the veins were demonstrated poorly or delayed.

结果同一血管部位,同等对比剂注射流率、总量造影,与中立位无牵引状态下造影所见比较,9例患髋中立位牵引时,除外下支持带动脉,所有未损伤的支持带动脉均有不同程度闭塞,相应股骨头颈部灌注不佳或几乎无灌注,静脉显影延迟或显示不清,4例牵引力由3kg增至5kg时,上述改变更为明显;5例患髋维持伸直内旋位时,所有支持带动脉尤其细小分支未见明确显示,股骨头灌注差或未见明确灌注,改变甚于牵引时;2例正常髋内旋位时造影改变类似。

Of the index finger back side island flap, the seaming finger nerve back lateral finger artery reversiveisland flap, the neighbour finger skin flap, the dorsal metacarpal artery reversive island flap and theposterior interosseous artery reversive forearm flap, groin skin flap,ilium skin flap and thoracic -umbilical flap were 197 cases.

杜昭,蔡文,黄德征(广西医科大学第六附属医院手外科,广西玉林537000)摘要:目的探讨手部创伤组织缺损显微外科修复方法及其效果。方法采用食指背侧岛状皮瓣、缝接指神经的背侧支指动脉逆行岛状皮瓣、邻指皮瓣、掌背动脉逆行岛状皮瓣和前臂骨间后动脉逆行皮瓣、髂腹股沟皮瓣、髂骨皮瓣及胸脐皮瓣转位修复手部创伤组织缺损197 例。

Results: The distances from the root of columella nasi to the inforior pole of sphenoidal sinus aperture and the sphenopalatine foramen were (60.40±3.21,58.10-72.76) mm and (62.14±1.93,59.50-73.40) mm, respectively.

结果:鼻小柱根部至蝶窦口下极及蝶腭孔的距离分别为(60.40±3.21,58.10~72.76)mm和(62.14±1.93,59.50~73.40)mm;蝶腭孔至蝶窦口下极的距离为(12.20±1.10,8.10~16.35)mm,在蝶腭孔处蝶腭动脉的外径为(1.99±0.13,1.50~2.80)mm;蝶窦口下极至鼻中隔后上动脉及鼻中隔后下动脉的距离分别为3.49±0.24,2.78~5.20)mm和(6.42±1.08,4.30~8.50mm。

Objective:To sum up the clinical experience of subclavian artery serious stegnosis or occlusion treated with the stent implantation from humerus artery.

目的:探讨经肱动脉路径行锁骨下动脉支架植入治疗重度锁骨下动脉狭窄和闭塞的疗效。

Methods:The clinical results in treating subclarian artery serious stegnosis or occlusion with stent implantation from humerus artery were analyzed in 10 cases.

分析2005年9月至2008年3月采取经肱动脉逆行植入支架治疗锁骨下动脉重度狭窄和闭塞10例。术前诊断包括彩色多普勒超声检查和动脉造影确诊。

Methods Eighty Class Ⅱ isogeneic F344 rats, weighing 250-350 g, were randomly divided into 2 groups(n=40). The control group adopted the Strome model. The allograft used for the experimental group preserved ascending pharyngeal artery, which formed a complex allograft together with tongue base, larynx and pharyngolarynx. End-to-end anastomosis was performed between both allograft common carotid arteries and anterior neck veins. The patency rate and survival rate of the allograft of the 2 groups were compared.

80只Ⅱ级近交系F344大白鼠,体质量250~350 g,随机分为2组,每组40只,共20对对照组采用Strome喉移植模型,实验组在切取供体喉时保留咽升动脉,将舌根、喉、喉咽作为复合移植体,供体大鼠双侧颈蓉动脉分别与受体大鼠颈总动脉、颈前静脉进行端端吻合重建移植喉血液循环,比较两组术后动静脉通畅率及移植喉存活率。

Color ultrasound examination are effective for the diagnosis of carotid bifurcation sterosis, and less effective for the diagnosis of the subclavicular and vertebral artery stenosis because of the poor sensitivity.

彩色多普勒超声检查可作为诊断颈动脉分叉部位血管狭窄的有效方法;而其对锁骨下动脉及椎动脉狭窄的敏感性较低,诊断价值不大。

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