动脉下的

Method］reversed sural neurofasciocutaneous flap with muscle was applied for repairing the soft tissue defect simultaneous open fracture of tibia lower section 6 cases,the soft tissue defect simultaneous chronic osteomyelitis of tibia lower section 5 case,the soft tissue defect of sole of foot simultaneous calcaneus epicarp 3 case, the soft tissue defect of sole of foot simultaneous calcaneus osteomyelitis or dead space 2 case. the scope of the flap was 18 c m×13 cm～11 c m×7 c m and that of the gastrocnemius flap was 4 cm×3 cm～9 c m×6 cm,the thickness was 1～3 cm,the skin flap was bigger than the muscle flap.

方法］自2004年6月以来，应用带肌肉的腓动脉穿支蒂腓肠神经营养血管皮瓣修复小腿下段及足踝部软组织缺损16例，其中胫骨下段开放性骨折伴软组织缺损6例，胫骨下段软组织缺损伴慢性骨髓炎5例，足后跟足底软组织缺损伴跟骨表层组织缺损3例，跟骨骨髓炎伴窦道2例，皮瓣面积30 cm×10 cm～6 cm× 4.5cm，切取的腓肠肌瓣面积4 cm×3 cm～9 cm×6 cm，肌肉厚度1～3 cm，皮瓣面积比肌瓣的面积要大。

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。

The anesthetic mixture consisted of 10ml of ropivacaine 1% and lidocaine hydrocarbonate 2% with epinephrine 1:200,000. The spread of the solution around the subclavian artery could be visualized using our imaging probe.

所有的神经阻断均在超音波探头的影像下操作，使用的局部麻醉剂为10ml之1% ropivacaine与2% lidocaine混合溶液；在超音波的影像下可观察到溶液分布於锁骨下动脉周围。

Results Cerebellopontine angale region the lower neurovascular complex included glossopharyngeal nerve, vagus nerves, accessory nerve and hypoglossal nerves, and interrelated to posteroinferior cerebellar artery, bulbus medulla, cerebellar peduncle, bulbus fissurae cerebelli and cerebello-napex.

结果 桥小脑角区下血管神经复合体主要包括舌咽神经、迷走神经、副神经及舌下神经和相关的小脑后下动脉及延髓、小脑下脚、延髓小脑沟及小脑枕下部等。

The expression of AT2R gene can be regulated efficiently in vivo by local delivery of MSC with dual-stable expression of AT2R gene, thus reduces the formation of intimal hyperplasia.④AT2R gene can influence the expression of ECM and significantly promote the cellular apoptosis in the injury rat carotid artery.⑤These data demonstrate the clinical potential of AT2R regulatable expression to prevent restenosis after PCI.

研究结论：(1)与VSMC直接接触可以诱导MSC向血管成分细胞分化；(2)构建的Dox-on可调控的MSC细胞株诱导活性可靠，使外源AT2R基因的表达处于有效的主动控制下；(3)局部导入MSC不影响球囊损伤后大鼠颈动脉新生内膜增生；(4)由MSC介导的AT2R可调控表达受到Dox的良好调控，可有效抑制球囊损伤后大鼠颈动脉新生内膜增生；(5)AT2R影响血管损伤后修复时ECM成分的表达，并促进细胞凋亡的发生，可能是AT2R介导抑制新生内膜形成的机制。

In which LDL traverses the subendothelial space of lesion-prone arterial sites.

，在这个基础下，低密度脂蛋白则可穿越易产生病灶的动脉内皮下间隙。

For the later 14 cases,five complications occurred,including acute reject reaction(1 case),hepatic artery thrombosis(1 case),bile leakage(1 case),left subphrenic abscess(1 case),and pulmonary infection(1 case).The patient with pulmonary infection died of MODS.14 patients underwent direct anastomosis of right hepatic vein and IVC.Among them,5 cases underwent the reconstructions of right inferior hepatic vein,and 5 received the reconstruction of the tributaries of the middle hepatic vein by interpositing a vein graft to provide sufficient venous outflow.

后14例受者中发生并发症5例：急性排斥反应，肝动脉栓塞，胆漏，左膈下脓肿及肺部感染各1例；1例再移植术后肺部感染死于MODS.14例中除肝右静脉与下腔静脉直接吻合外，其中5例加行右肝下静脉重建，另5例采用自体大隐静脉搭桥行肝中静脉分支与IVC重建，保证了右肝的流出道通畅。

For the later 14 cases, five compli- cations occurred, including acute reject reaction （1 case）, hepatic artery thrombosis （1 case）, bile leakage （1 case）,left subphrenic abscess （1 case）, and pulmonary infection （1 case）. The patient with pulmonary infection died of MODS. 14 patients underwent direct anastomosis of right hepatic vein and IVC. Among them, 5 cases underwent the reconstructions of right inferior hepatic vein, and 5 received the reconstruction of the tributaries of the middle hepatic vein by interpositing a vein graft to provide sufficient venous outflow.

后14例受者中发生并发症5例：急性排斥反应，肝动脉栓塞，胆漏，左膈下脓肿及肺部感染各1例；1例再移植术后肺部感染死于MODS.14例中除肝右静脉与下腔静脉直接吻合外，其中5例加行右肝下静脉重建，另5例采用自体大隐静脉搭桥行肝中静脉分支与IVC重建，保证了右肝的流出道通畅。

To explore the microdissection of the cerebellopontine angle as well as to study the advantage and disadvantage of the retrosigmoid approach and the retrosigmoid suprameatal approach, the relationship among the facial nerves, inter-medium nerves, anterior inferior cerebellar artery and petrosal vein were studied, and two approaches particularly also were explored from fifteen dry skulls and ten wet skulls, along the approach of RSA and RSSMA.

本研究旨在了解桥小脑角的显微解剖；探讨枕下乙状窦后入路及乙状窦后-内耳道上入路的优缺点。本实验采用15例(30侧)干标本和10例(20侧)湿标本，按照枕下乙状窦后入路和乙状窦后-内耳道上入路的所涉及的解剖区域，解剖观测面神经、中间神经、小脑前下动脉及岩静脉等诸多结构，并对神经外科手术乙状窦后入路及乙状窦后。

To systematicallyinvestigate this landmark, we conducted a study in four phases:1 Two blindfolded examiners determined the distance betweenthe tuberosity's medial border and the clavicle's lateral endin 100 dried clavicles and then 2 performed subclavian veincannulation in 20 fresh human cadavers using the tuberosityand the suprasternal notch as landmarks. 3 Three-dimensionalreconstructions of the subclavian artery and vein and surroundingstructures were derived from computed tomography datasets of10 patients. The length of the path of a virtual subclavianvein cannulation with the deltoid tuberosity landmark was measuredbilaterally. 4 In a prospective, randomized trial, subclavianvein cannulation was performed in 60 patients with a standardapproach or with the deltoid tuberosity as landmark.

为系统地研究这个解剖标志，作者将本研究分为四个阶段：1 双盲检查100个干燥的锁骨测量其三角肌粗隆内侧缘至锁骨侧面末端的距离；2 在20具新鲜的尸体上以三角肌粗隆和胸骨上切迹为标志进行锁骨下静脉穿刺；3 利用 CT 所获取的数据资料对10个病人的锁骨下动脉和静脉以及周围结构进行三维重建，测量两侧以三角肌粗隆为标志的虚拟锁骨下静脉置管路径的长度；4 选择60例病人以标准路径或三角肌粗隆为标志进行锁骨下静脉穿刺的前瞻性随机试验研究。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。