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Diplopia and disturbance of ocular movement are related to the incarceration of the extraocular muscles and the displacement of orbital wall, and the management is simple relatively. However, the treatment of enophthalmos is difficult because the orbital reconstruction is made to be complicated by the complex morphous of orbital wall and the limited operative area. This study introduced the use of CAD/CAM technique in orbital reconstruction, and the result is more satisfactory than traditional methods.

眶壁重建是其矫治的首要条件,然而,眶壁形态复杂,并有视神经由眶尖通过,加之术野受限,使精确的解剖复位很难完成,本文应用CAD/CAM技术,术前成型钛网并行眶壁重建,通过CT分析和眼科检查,证实该技术在眶壁重建的精确性上均较传统方法有明显提高,其中,眶内壁的修复程度和眶底修复形态的对称性,以及眶容积缩小程度反映了其形态修复的精确性,而置入深度则体现了在缺损修复范围设计中的优越性。

Key words: enophthalmos; repositioning; visual function

眼球内陷;复位;视功能

Methods Seven patients with fractures of the jaw had procedures performed to recover the occlusal relationship by using an edgewise - appliance as a dental arch epithesis.

方法利用方丝弓矫治器作为牙弓夹板对颌骨外伤患者进行术中颌关系复位、术后颁关系调整,观察其疗效。

The treatment of severe and complicated fracture of distal femur with unilateral exter- nal fixation and open reduction with limited internal fixation is safe and reliable.

单侧外固定器结合有限切开复位固定治疗复杂性股骨髁部骨折是安全、可靠、患肢功能恢复满意的治疗方法。

The end of the spring is compressed against an interior surface of the ratchet head to frictionally retain the shank spindle and pawl of the ratchet during the resetting stroke of the ratchet yoke.

弹簧的端头压在棘轮头的内表面上,以便在棘轮轭的复位冲程中依靠摩擦力卡住棘轮的芯轴体和爪。

The head is slowly turned 90° toward the side where nystagmus is induced less intensely. Then the head is rotated 180° rapidly toward the opposite side. This article reports three cases of the ageotropic form of HC-BPPV that were cured by rapid head rotation. The three cases demonstrated that rapid head rotation was an effective maneuver to treat cupulolithiasis on the utricle side. It is recommended that rapid head rotation can be used for therapeutic diagnosis: If nystagmus subsides immediately after this maneuver, the diagnosis is cupulolithias is on utricle side. If nystagmus changes into the geotropic form, the diagnosis is cupulolithiasis on canal side or canalolithiasis in the anterior arm of horizontal semicircular canal. A repositioning maneuver for geotropic form can then be applied to treat these patients.

逆地眼振型水平半规管良性阵发位置性眩晕的3种耳石可能位置如下:水平半规管前臂的管耳石、管侧的顶帽沉石(canal side cupulo-lithias1s)与囊侧的顶帽沉石,本文报告3例以快速转头治疗逆地眼振型水平半规管良性阵发位置性眩晕成功的病例,显示快速转头法对囊侧的顶帽沉石具迅速有效的治疗效果,对於逆地眼振型水平半规管良性阵发位置性眩晕的治疗,作者建议先以快速转头作治疗性诊断,若病人马上复原,诊断为囊侧的顶帽沉石;若眼振转为向地型,则诊断为水平半规管前臂的管耳石或管侧的顶帽沉石,进一步再以向地型的耳石复位法治疗病人。

Simple reduction of bladder herniation with herniorrhaphy was accomplished through an inguinal incision.

膀胱疝气的直接复位及疝气修补手术可以经由腹股沟刀口完成。

When eye filled with silicone oil,the change of refractive power tends to be highly hyperopic,the amplitude of accommodation decreased,and the regular IOL power calculation formula is no longer available.

视网膜脱离复位术并硅油填充后眼球屈光发生了高度远视趋向变化,调节幅度明显下降,常规人工晶状体的有效度数计算在硅油填充后将不再适用。

The changes in chronic hypotony were observed and the effects during or after secondary operation.

结果注气术后眼压得到改善12眼,13眼角膜水肿混浊经气体充填后恢复透明11眼,Ⅱ期术中在气体作用下视网膜在复位状态共12眼。

Methods On the basis of the three-dimensional computed tomography, 75 cases of complex acetabular fractures were diagnosed and classified according to Letournel classification. They were treated through the anterior, posterior, combined anterior-posterior and the improved iliofemoral approaches. All the fractures were fixed with screws and AO reconstruction plates.

75例Letournel分型复杂髋臼骨折,术前经骨盆CT三维重建明确诊断分型后,分别采用前、后入路,前后联合入路及笔者改良的髂股入路显露并复位,AO重建钢板内固定。

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