合并者

Fibular joint combined with malleolar fracture.Methods Forty?two cases were treated by operation.Results The patients were followed up for 8 to 36 months.All patients acquired bone healing.The follow?

治疗合并下胫腓联合分离的踝关节骨折52 例，采用钢板固定腓骨，螺丝钉固定内踝，下胫腓仍不稳定者应用单个皮质骨螺丝钉固定。

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。

The fundings in-operation were:complicated spinal canal stenosis was in9cases,luted ligament pachynsis in45cases,some tissue bulged into vertebral canal and had fragmentation in9cases,in one case calcifieation appeared.The follow-up period was six months to one year,all patients operated on were lived a normal life.

结果 58例均以手术治疗，术中结果与造影CT扫描相符，术中发现合并椎管狭窄9例，黄韧带肥厚者45例，11例椎间盘组织突出椎管内呈碎裂状，1例伴钙化现象，全部病例在术后半年至1年后随访，均能恢复正常生活。

The patients with a syndrome of marginal gingivalis amount 25.37% and syndrome of parodontitis being 52.2%, with a high infective rate(83.33%) in patient with parodontitis and abscess simultaneously.

其中合并牙周炎与牙龈炎的感染率分别是52.27％和25.37％。牙周炎伴有脓血性分泌物及脓肿者感染率最高，可达83.33％。

Hp infection maybe one of important causes in perioral dermatitis.Eradication therapy in Hp-positive patients may be better for treatment and recovery.

Hp感染可能是口周皮炎发病的重要因素之一，对合并Hp阳性者同时给予抗Hp治疗能提高其疗效。

Results:There were 30 patients with systemic sclerosis (42.2%),10 with Sjogren′s syndrome(14.1%),6 with systemic lupus erythematosus (8.5%),5 with rheumatoid arthritis and localized sclerosis (7.0%) respectively,4 with only Raynaud′s phenomenon without any definite diagnosis (5.6%),2 with CREST syndrome,overlap syndrome,cirrhosis of unknown causes and buerger′s disease (2.8%) respectively,and 1 with primary billiary cirrhosis,sclerous cholangitis,and chloasma-vitiligo (1.4%) respectively.

结果：ACA可在多种疾病中出现，其中系统性硬化症30例(42.2%)，干燥综合征10例(14.1%)，系统性红斑狼疮6例(8.5%)，类风湿关节炎5例(7%)，局限型硬皮病5例(7%)，仅有雷诺现象但诊断不清者4例(5.6%)，CREST综合征、重叠综合征、不明原因肝硬化、闭塞性脉管炎各2例(2.8%)，原发性胆汁性肝硬化、硬化性胆管炎、黄褐斑合并白癜风各1例(1.4%)。

Up to 3,652,200 person-times were examined, and a total of 157,200 patients had been found. Among these patients, total 6014 cases had been diagnosed as advanced schistosomiasis, accounting for 3.82%. In the treatment of schistosomiasis, many remedy, such as the sodium antimony subgallate, Xuefang-846, combination of Furapromidum and Dipterex bolt, Preziquantel, etc, had been adopted.

对于早、中期血吸虫病人，先后采用锑273、血防-846、呋喃丙胺合并敌百虫肛栓和吡喹酮等药物进行了治疗；采取中西医结合、对症治疗和病原学治疗相结合、对符合切脾指征者脾切除等方法对晚期血吸虫病人进行治疗。1950-1983年间，累计治疗近40万人次，累计脾切除5673例，晚血病人切脾率达94.06%。

Double-switch operation is the first choice in correction of DORV with atrioventricular discordance, especially in patients with right ventricular disfunction or tricuspidal regurgitation. If the heart can not be corrected because of combined complicated malformations, the strategy of one ventricular repair can be chosen.

房室连接不一致DORV根治手术应首选double- switch手术，尤其对形态学右心室功能不全和三尖瓣关闭不全者，如果合并多种复杂畸形解剖无法矫治，可选择单个心室的修补方案。

topical chinese drug granules after laser operation is a safe and effective method for pregnancy with vulval condyloma acuminatum.

妊娠合并外阴尖锐湿疣者，用co2激光配合中药颗粒剂外洗，使用安全，治疗效果好，操作方便，可以继续保留胎儿，对正常分娩无影响。

Objective We perform a new novel technique for anesthetizing the prostate,which should be used for patients at risk undergoing transurethral prostate surgery with general,spinal or epidurl anesthesia,include those with serve heart or lung diseases.

目的 对高危的经尿道前列腺手术病人，包括合并严重的心、肺疾患及不适于全麻、硬膜腔麻醉和脊膜腔麻醉者，探索一种新颖、独特的局部阻滞麻醉以完成手术。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。