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Methods: 1. Experimental laparoscopic liver resection: We selected pigs as experimental models aiming to approach human beings physiological and anatomical condition. After CO2 pneumoperitoneum was established, the ligaments around liver were dissociated. Livers were cut off by the methods such as clamp dissection, microwave tissue coagulator, ultrasound dissector, Ligsure dissection, hand-assisted, short abdominal incision laparoscopy-assisted, and Endo-GIA switcher. The operation time and bleeding volume were compared between different methods of laparoscopic liver resection. The advantages and limitations of different methods were summarized. 2. Clinical laparoscopic liver resection: 15 cases with tumors in segment V of anterior right lobe or segments II, III of left lateral lobe or segment IV of left internal lobe were selected in this study. The liver diseases included hepatocellular cancer, hepatic cavernous hemangioma and hepatic focal nodular hyperplasia. The ligaments around liver were dissociated after CO2 pneumoperitoneum established. Laparoscopic liver resection were carried out by some of the methods combined such as clamp dissection, microwave tissue coagulator, hand-assisted, short abdominal incision laparoscopy-assisted, ultrasound dissector, rotation and suction dissector.

1、实验性腹腔镜肝切除:以猪为实验动物,旨在接近人体的生理、解剖环境下进行实验,建立操作空间后游离肝脏周围韧带,采用钳夹分离切肝法、微波刀切肝法、超声刀切肝法、Ligsure切肝法、手辅助腹腔镜肝切除法、小切口腹腔镜辅助切肝法、Endo-GIA切肝法等方法实施腹腔镜下肝切除,比较不同切肝方法的手术时间、出血量,总结各种方法的优越性及其局限性。2、临床腹腔镜肝切除:选择肿瘤位于肝右前叶第Ⅴ段、肝左外叶第Ⅱ、Ⅲ段及左内叶第Ⅳ段的15例患者,病种包括原发性肝癌、肝海绵状血管瘤、肝脏局灶性增生,建立气腹后游离肝脏周围韧带,采用钳夹分离断肝、微波刀固化后断肝、手辅助腹腔镜肝切除、小切口腹腔镜辅助肝切除、超声刀断肝、旋吸断肝等多种方法分离切线肝组织,暴露管道结构,再采用高频电凝、钛夹夹闭、缝扎止血、止血纱布覆盖、氩气刀止血、生物胶止血、Endo-GIA处理等多种方法相结合处理肝断面,统计手术完成情况、手术时间、手术出血量、术后并发症及术后住院时间等,评价腹腔镜肝切除的可行性及安全性。

Test and analysis show that, the distribution patterns of the tangent veloctiy fields in the big cone area and the small cone area, which are comprised of para-free vortex and para-forced vortex, are basically identical without a change of the radius of the boundary surface; with the increase of the angle of the small cone, the para-free vortex area decreases and the para-forced vortex area increases, and the emulsifiability of the fluid drips increases with the increase of velocity gradient; the tangent velocity increases with the increase of inlet flow, and the maximum tangent velocities of both the big cone area and the small cone area are 4.94 times of the inlet flow; and the maximum tangent velocity increases with the increase of the split ratio and with the radius of the boundary surface not changed.

试验分析表明,大锥段和小锥段切向速度分布规律基本相同,均由准自由涡和准强制涡构成,分界面半径rm没有变化;随着小锥角θ的增加,准自由涡区缩小,准强制涡区扩大,速度梯度增加会加大液滴的乳化程度;随入口流量增加,切向速度增大,经拟合得出大锥段和小锥段的最大切向速度均为入口流量的4.94倍;分流比加大,分界面半径基本不变,最大切向速度增加。

The kidney is composed of renal corpuscle , neck segment , proximal tubule, middle segment, distal tubule and collecting tubule.

肾脏由肾小体、颈段、近曲小管、中间段、远曲小管和收集管6部分构成,肾小体由肾小球和肾小囊组成,在肾小体附近可见致密斑样结构,未见髓袢结构。

Six cadavers were prepared for necroscopy, operative procedure of ILIF were simulated on L3-S1, and all related important anatomic structure and their relationship were observed and record. ILIF with transpedicle screw fixation were also performed with cage insertion.3. Twelve fresh frozen bovine lumbar functional spinal units were prepared for biomechanical testing. According to the different treatment order, the specimens were devided into 7 groups, which included: 1intact specimens, 2specimens were treated by left unilateral facetectomy and had homolateral anatomical threaded cages inserted, 3 TLIF with homolateral pedicle screw fixation, 4 TLIF with bilateral pedicle screw fixation, 5 specimens had anatomical threaded cages inserted on the left by intertransverse process approach, 6 ILIF with homolateral pedicle screw fixation, 7 ILIF with bilateral pedicle screw fixation.

方法1、对20名正常志愿者L3-S1节段进行CT增强+三维重建检查,在三维重建图形上测量横突长度、上下横突间距、椎间孔外椎间隙高度及斜径,观查横突间区域血管走形特点并测量血管内径,然后进行统计分析及评价。2、采用福尔马林固定尸体标本六具,模拟ILIF手术对L3-S1节段进行操作,观察横突间区域重要结构的位置和毗邻关系,并模拟同侧椎弓根钉和单枚椎间融合器的置入过程,探讨该术式存在的问题并改进。3、采用小牛脊柱运动节段标本12具,依序进行不同处理后分为以下7组:⑴正常对照组CG⑵左侧小关节切除+椎间融合器植入组(TLIF⑶TLIF附加同侧椎弓根钉固定组;⑷TLIF附加双侧椎弓根钉固定组;⑸左侧横突间入路椎间融合器植入组ILIF⑹ILIF附加同侧椎弓根钉固定组;⑺ILIF附加双侧椎弓根钉固定组。

Solves this symptom method to divide into the surgery and the non-surgery treats, the non-surgery treats for example the physical property treatment and the pharmacological treatment, the effect is not often good, the surgery treats may divide into the traditional surgery and micro creates the surgery two kinds, the traditional surgery method is in the lumbar vertebra fusion the pexia, although this method excised has created the lumbar vertebra narrow yellow ligament and the small surface joint, but the surgery time was long, the wound was big as well as although the lumbar vertebra fusion and fixed has removed the pathological change stage abnormal movement, but the neighbor stage's abnormal movement increased, between the awl in plate's pressure elevated obviously, the small articular process exceptionally drew back changes with the fixed stage bone quantityThe loss, causes the fixed stage vertical motion stage to draw back changes ASD[1], but new micro creates the surgery is opens a small wound in the back, and implants the interspinal to open, then solution lumbar vertebra narrow sickness question.

解决此种症状的方法分为手术及非手术治疗,非手术治疗例如物理性治疗和药物治疗,往往效果不佳,手术治疗又可分为传统手术和微创手术二种,传统手术方法就是腰椎融合内固定术,虽然此种方法切除了造成腰椎狭窄的黄韧带和小面关节,但手术时间长,伤口大以及腰椎的融合和固定虽去除了病变节段的异常活动,但邻近节段的异常活动增加,锥间盘内的压力明显升高,小关节突的异常退变和固定节段的骨量丢失,导致固定节段上下运动节段的退变ASD[1],而新型的微创手术是在背部开一个小伤口,并植入棘突间撑开器,进而解决腰椎狭窄症的问题。

Among the six polyetherimdes, ODPA-IPDA with the largest free-volume and larger intrasegmental mobility has the highest permeability and the lowest permselectivity, ODPA-DABP with the smallest free- volume and the smallest intrasegmental mobility has the lowest permeability and the lowest permselectivity, ODPA-DMMDA with the larger free-volume and smaller intrasegmental mobility has higher permeability and higher permselectivity.

二苯醚四酸二酐(ODPA-4.4'-二J氨基二苯异丙烷具有很大的自由体积和较小的链段活动性、很大的透气性和较小的透气选择性,ODPA—4,4'-二氨基二苯酮具有很小的自由体积和较小的链段活动性、很小的透气性和较大的透气选择性,ODPA—3,3'-二甲基二苯甲烷二胶具有较大的自由体积和较小的链段活动性、很大的透气性和很大的透气选择性。

ST depression in transmural ischaemia was generated with ST elevation and was an integral part of the current source.

利用心肌的双域模型计算机模拟了不同区域心肌透壁缺血时ST 段位移在心脏表面的分布,发现心脏表面ST 段位移的分布式样和缺血区域大小有关,一个小面积的透壁缺血在缺血区上出现均匀分布的ST 段上升,而在心脏表面的其他部位上几乎没有出现ST 段下降;一个大面积的缺血像左降支或左旋支区域的缺血, ST 段位移在心脏表面的左侧区出现了一个偶极子式的分布,在缺血区为ST 段上升,在正常区为ST 段下降,并且其幅度随远离缺血边界而减小;同时发现透壁缺血时的ST 段下降是缺血电流源的不可分割的一部分。

The main research as follow: gradually open line,in which a small segment adopted to draw straight line to matching;the key points,at which gradually open polar coordinate calculation is adopted;there are two kinds of situation should be considered in the outside wheel gear;in order to keep enough place for revolving angle,repla...

研究工作包括:渐开线采用小段直线的拟合;关键点采用渐开线公式的极坐标形式计算;外齿轮齿廓渐开线要考虑两种情况的生成;外齿轮上以作用力的方式代替转距以保证在节点处啮合外齿轮所要旋转的角度;用ANSYS软件仿真了几组不同的情况,并将仿真结果与理论计算结果进行比较,结果表明所用理论方法和所建模型的正确性。

Material: celery 200g, Xianggan 60g, a little low-sodium salt, grape seed oil amount, soy sauce, a little, a little pork, chili - short paragraphs.

材料:芹菜200g、香干60g、低钠盐少许、葡萄籽油适量、酱油少许、肉丝少许,辣椒-小段

In the department of the Isere, in the Var, in the two departments of the Alpes, the Hautes, and the Basses, the peasants have not even wheelbarrows; they transport their manure on the backs of men; they have no candles, and they burn resinous sticks, and bits of rope dipped in pitch.

在伊泽尔省,瓦尔省,两个阿尔卑斯省,就是上下阿尔卑斯省,那些农民连小车也没有,他们用自己的背去背肥料;他们没有蜡烛,点的是松枝和蘸着松脂的小段绳子。

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Singer Leona Lewis and former Led Zeppelin guitarist Jimmy Page emerged as the bus transformed into a grass-covered carnival float, and the pair combined for a rendition of "Whole Lotta Love".

歌手leona刘易斯和前率领的飞艇的吉他手吉米页出现巴士转化为基层所涵盖的嘉年华花车,和一双合并为一移交&整个lotta爱&。

This is Kate, and that's Erin.

这是凯特,那个是爱朗。

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明确的宗旨,目标和重点战略业务计划。