多骨的

Currently, materials to repair bone defects are various. Ideal material for bone transplantation should have properties of osteogenesis, bone induction, bone conductibility and biocompatibility.

目前临床上可用于修复骨缺损的材料较多，但理想的骨移植材料应具有成骨性、骨诱导性、骨传导性及完全生物相容性。

At early stage after brain injury, there were a quantity of fibrous callus and cartilaginous callus formation in brain injury and fracture group and many neuropeptides immunoreactive nerve fibers in callus were found. Strong immunoreactivites of CGRP, SP, VIP, NPY, TOH occurred to osteogenitor cells and chondroblast, which proliferated in thickened endothecium.

脑损伤合并骨折组早期形成大量纤维骨痂和软骨骨痂，骨痂中神经肽免疫阳性神经纤维较多，明显增厚的骨膜内层骨祖细胞、幼稚的软骨细胞胞质内降钙素基因相关肽、P物质、血管活性肠肽、酪氨酸羟化酶、神经肽Y强阳性表达。

For wedge grafts the cuts are made at a right angle to the crest. Jones[1] et al. have found that full-thickness iliac grafts harvested with a power saw are stronger than those harvested with an osteotome, presumably because of less microfracturing of bone with the saw.

与髂嵴成直角可切取楔形骨块，Jones[1]等发现以动力锯切取的全厚髂骨块的强度要高于骨刀切取的骨块，可能是因为应用骨刀切取对髂骨块可造成更多的显微骨折。

For wedge grafts the cuts are made at a right angle to the crest. Jones[1] et al. hae found that full-thickness iliac grafts harested with a power saw are stronger than those harested with an osteotome, presumably because of less microfracturing of bone with the saw.

与髂嵴成直角可切取楔形骨块，Jones[1]等发现以动力锯切取的全厚髂骨块的强度要高于骨刀切取的骨块，可能是因为应用骨刀切取对髂骨块可造成更多的显微骨折。

Here we present a case of 21 year-old male who suffered from recurrent swelling in left side of mandible which had received surgery for ossifying fibroma in another hospital when he was 19 years old. Obvious facial asymmetry was noted but no sensory dysfunctions were detected. The lesion showed well-demarcated, multilocular radiolucency but radiopacity centrally. We applied segmental resection via extra-oral approach and reconstructed with anterior iliac crest bone graft. After removal of MMF in six week, the wound healed well and joint function was good without malocclusion. After follow-up of one year, no recurrences were noted.

本病例为－21岁之男性，在19岁时因为左下颚骨角区肿大在某医院接受外科手术处理，术后病理报告为骨化纤维瘤，因为复发的肿胀而来本院寻求治疗，临床检查并无疼痛及下唇区感觉异常的问题，放射线影像为周界清晰，多腔室放射透过性合并中央放射不透过性之不规则小块，手术方式为从口外颚下切线，做下颚骨片段式切除，并以肠骨脊海绵骨移植修补骨缺损加以颚间固定六周，术后伤口恢复及愈合良好，颚骨关系稳定无咬合异常的情况，无张口受限的问题。

Abstract］ objective to improve the diagnosis of non-ossifying fiboma by analysing its x-ray feature.methods plain x-ray films was performed in all patients.x-ray finding in 8 cases with pathologically-confirmed non-ossifying were analyzed.results the clinical symptom was mild,the lesions occurred usually at the metaphysis of the long bones,the affected bones included femur（n=4）,tibia（n=3）,humerus（n=1）.cortical type was seen in 5 cases,presenting as unilocular or multilacular transparent areas with in the cortex or tightly beneath the cortex,the lesion had a sclerotic margin.which was more obvious at the marrow side.medullary type was seen in 2 cases.the lesion was located at the center of the bone and grew centrally.the tumor was manifested as unilocular or multilocular.tramsparent area with sclerotic border and the bone cortex became thinner with slightly expanding on 11 sides.conclusion plain radiography is the elementally means to detect this disease.based on the typical x-ray signs of non-ossifying fibroma combined with clinical data,correct preoperative diagnosis can be made in most cases.

目的 探讨非骨化性纤维瘤的x线表现以提高诊断水平。方法所有病例均摄有x线平片，分析经病理证实的8例非骨化性纤维瘤。结果临床症状轻，好发于下肢长骨干骺端或骨干，股骨4例，胫骨3例，肱骨1例。皮质型5例，表现为皮质内或紧贴皮质下的单层或多层透亮区，病变向骨内发展进入髓腔，周围有致密硬化带环绕，以髓腔侧明显；髓质型2例，病灶在骨内中央发展，显示为单房或多房透亮区，边缘有硬化，骨皮质菲薄，轻微向周围膨隆。结论 x线为最基本的检查方法，典型病例x线平片结合临床症状即可明确诊断。

Microscope examination:in group A,at 2 weeks,a few inflamatory cells appeared in the holes with many osteoblasts and ostoid appeared around the drilled holes.At 8 weeks,marrow formed in the drilled holes in group B,at 2 weeks,there were a large amount of osteoblasts in the drilled holes and some ostoid formed around thc drilled holes.At 4 weeks,the drilled holes were full of trabeculae.At 8 weeks,the trabeculae matured with the marrow appeared in the intertrabecular space.

组织学结果：2周时A组钻孔区出现少许炎症细胞，边缘出现较多成骨细胞并有骨组织形成，至8周时，钻孔区内形成骨髓组织，只在边缘形成骨小梁结构。2周时B组钻孔区有大量的成骨细胞，边缘有较多骨组织形成，4周时钻孔区内充满重生骨小梁结构，8周时钻孔区内骨小梁成熟，小梁有骨髓组织填充。

A line of osteoblasts is present a the center-right forming new bone, but lacunae containing multinucleate osteoclasts are at the center left and lower center destroying bone.

一行成骨细胞正在中右部形成新骨，而腔隙内的多核破骨细胞正在中左与中底部破坏骨。

There was no pseudoarthrosis clinically or radiographically.Conclusion In surgical management of scoliosis deformity in situ autograft bone with calcium sulfate pellets is practical and dependable.

脊柱畸形矫正手术诸多的植骨融合手术方法中，棘突根部椎板去皮质原位植骨加OsteoSet骨移植替代品混合应用是临床上一种实用、简易、可靠的植骨方法。

RESULTS: HE staining showed that bone resorption in Ti treatment group was increased obviously and the structure of bone trabecula was disottlerly and osteoporotic, the volume of osteoclast was enlarged and number was increased. The findings were reduced in etanercep groups, especially in 200 μg/kg group.

结果：苏木精－伊红染色结果为单纯钛处理组骨吸收明显增加，骨小梁结构紊乱及骨质疏松，破骨细胞的形态变大，数目变多；依那西普干预组上述表现减轻，尤以200μg/kg剂量为明显。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。