手术上的

Church patient at 3 o'clock type, function of flesh of type waist back exercised a method at 5 o'clock. 1.2 instruments prepare an operation to answer to undertake between operation of bigger laminar flow purifying device, line of aircraft of route of X of preparative C arm, X defends take, knife of appearance of anaesthetic machine, custody, report, ambipolar report coagulates the place in reaching art wants all sorts of article and drug, have comprehensive examination. 1.3 postures put itinerate nurse to lie arched Fu a bracket put go up in operation bed, adjust good bracket width and height according to patient height, weight.

教会患者三点式、五点式腰背肌功能锻炼方法。1.2仪器预备手术应在较大的层流净化装置手术间进行，预备C型臂X线机、X线防护服、麻醉机、监护仪、电刀、双极电凝及术中所需各种物品及药品，并进行全面检查。1.3体位摆放巡回护士将弓形俯卧位支架摆放在手术床上，根据患者身高、体重调整好支架宽度和高度。

The third surgery was a duodenostomy because there were many perforations in the duodenum as a result of ulceration, which attributed to the bleeding.

第三次手术是小肠切除手术，由于小肠上发生了溃疡致使小肠穿孔，手术切除了约70厘米长的小肠，然后把小肠缝合。

To discuss the value and operating skill of PPH method in the treatment of severe hemorrhoids.

目的探讨吻合器痔上黏膜环切术治疗重度痔病的价值和手术技巧。方法用PPH方法治疗重度痔病患者120例，分析手术效果，总结手术经验。

Result:Among total of 80 cases with non-visualized kidney in IVP,renal parenchyma of 37 cases were non-visualized under ~(99m)Tc-DTPA renography,GFR was 0 ml/min,32 cases carried out nephrectomy;Renal parenchyma of the rest 43 cases were visualized under ~(99m)Tc-DTPA renography,GFR were(20.03±9.64) ml/L,among them 9 cases were carried out nephrectomy, 34 cases received kidney-sparing operation;The 34 cases(divided into 4 groups according to range of GFR) recheck ~(99m)Tc-DTPA renography 2 months later after the operation,Preoperative GFR within(1～10) ml/min,GFR were(4.25±2.99) ml/min,postoperative GFR were(4.00±2.94) ml/min,t=0.522,P＞0.05,indicated no significant change of GFR after the operation; Preoperative GFR within(11～20) ml/min、(21～30) ml/min、(31～40) ml/min groups, preoperative GFR were(15.38±2.63) ml/min、(24.83±2.92) ml/min、(34.25±2.75) ml/min, postoperative GFR were(17.77±3.79) ml/min、(29.42±3.90) ml/min、(40.25±3.50) ml/min respectively,paired t-test,P＜0.05,indicated that 2 months\' postoperative GFR increased significantly,the function of kidneys recovered in some degree.

结果：在80例IVP不显影患肾中，37例患肾在~(99m)Tc-DTPAI肾动态显像上肾实质不显影，GFR为0 ml/min，其中32例行患肾切除；43例患肾在~(99m)Tc-DTPA肾动态显像上肾实质显影，GFR为(20.03±9.64)ml/L，其中9例行患肾切除，34例行保留肾手术；34例保留患肾手术者(根据术前GFR在不同值范围分为4组)在术后2个月返院复查~(9m)Tc-DTPA肾动态显像，GFR值在(1～10)ml/min组(5例)，术前GFR为(4.25±2.99)ml/min，术后2月GFR为(4.00±2.94)ml/min，t=0.522，P＞0.05，表明术后GFR无明显变化；术前GFR在(11～20)ml/min(13例)、(21～30)ml/min(12例)、(31～40)ml/min组(4例)，术前GFR分别为(15.38±2.63)ml/min、(24.83±2.92)ml/min、(34.25±2.75)ml/min，术后2月复查GFR分别为(17.77±3.79)ml/min、(29.42±3.90)ml/min、(40.25±3.50)ml/min，经配对t检验，P＜0.05，有统计学意义，术后2月GFR较术前增高，肾功能有不同程度的恢复。

It is possible that esophagectomy may be performed without blood transfusion , which does not affect the quality and safety of surgery.

食管癌手术客观上存在不输血而顺利完成的可能性，围手术期不输血不影响食管癌手术质量及安全性。

About 48%(90/194) were below 29 years of age. Ninety-nine of 194 cases had either radiotherapy alone or supplementary treatment with radiotherapy following surgery. We analyzed multiple prognostic factors. The factors of importance included postoperative radiotherapy; female in glioblastoma multiforme; the primary tumor dose above 5000 rads and/or whole brain irradiation in malignant astrocytoma and glioblastoma multiforme; the primary tumor dose above 4500 rads in ependymoma, medulloblastoma and oligodendroglioma; and spinal axis irradiation above 2000 rads in ependymoma and medulloblastoma that produced a better prognosis than in other groups.

男与女之比例为2.7比1，年龄分布自1至81岁，平均年龄33.3±19.3岁，中值年龄为34岁，29岁以下占48%(90/194)，其中99例单独或手术后辅以放射腺治疗，分析同种脑瘤的预后因素，其中多形神经胶母细胞瘤有手术后放射线治疗或女性，多形神经胶母细胞瘤合并星细胞瘤原发肿瘤剂量5000雷得以上或曾全颅腔照射，神经管胚细胞瘤，间胶质母细胞瘤，及室管膜瘤原发肿瘤剂量4500雷得以上，室管膜瘤及神经管胚细胞瘤有脊轴照射2000雷得以上预后均佳，且统计上有显著的差异。

Objective: To provide anatomic data for treating tumors in the posterior and middle tentorial incisural space through comparing anatomic features of the median and paramedian infratentorial-supracerebellar approaches. Methods: 10 formalin-fixed cadaveric specimens were dissected in steps by using the standard median and paramedian infratentorial-supracerebellar approaches under operating microscope respectively.

目的：通过正中和旁正中幕下小脑上入路的解剖学比较研究，为手术治疗小脑幕中和后切迹间隙的肿瘤提供解剖学基础方法：取10例福尔马林固定的尸头标本在手术显微镜下分别模拟正中和旁正中幕下小脑上入路进行逐步解剖，观察和比较不同手术入路所暴露的视野范围，描述重要解剖结构之间的关系。

Part Ⅰ The anatomical study and clinical application of transeyebrow supraorbital approachObjective Intracranial anatomy and microanatomy in supraorbital keyhole approach is researched to provide anatomical basis for clinical keyhole operation.

第一部分经眉眶上锁孔手术入路的解剖学研究及其临床应用目的研究神经外科眶上锁孔手术入路的巨微解剖为眶上锁孔路提供解剖学依据。

In clinics, Achilles tendon ruptures and overstrains commonly occurred. The surgical treatment such as tendon repair or Achilles tendon lengthening is necessary. Most of the post-operation evaluations are highly dependent on the clinical experience. A quantitative assessment for Achilles tendon is needed in clinical evaluation.

临床上常发现阿基里斯肌腱因断裂或张力过强而需要进行缝补或进行肌腱延长手术之案例，对於上述手术技术及患者手术后之评估，目前大都依靠临床医师个人之经验，临床尚无可用之量化的参数可作为辅助诊断之依据。

Abstract］ objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡，未发生吻合口漏和吻合口狭窄，局部复发1例，20周左右恢复正常排便排气功能，无大便失禁病例。随访8个月～5年，5例为远处转移，死亡4例，其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证，经腹、肛门齿线上直肠癌根治性切除，行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

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。