手术上的

objective to analyze the ct appearance of thyroid carcinoma and the differential diagnosis of various thyroid disease.methods 83 cases of thyroid carcinoma and 119 cases of various benign disease with surgical and pathologically proved were analyzed retrospectively.results the ct findings of 83 cases of thyroid carcinoma include:ill defined nodules boundary (n=62),irregular necrosis(n=59),cystic(n=23),"peninsula" enhancing tubercles around the tumour(n=25),"mastoid" tubercles around the tumour(n=11),calcification(n=55) including large scale(n=27) and local(n=28),trachea invasion(n=15),neck or supraclavicular lymph node metastasis(n=27),the accurate of ct to differentia benignancy from malignancy on thyroid disease was 93.6%(189/202).conclusions "peninsula" enhancing tubercles was the characteristic sing of thyroid carcinoma,"mastoid" enhancing tubercles or large scale calcification was the affirmative sign,the ct signs was vary useful to differentiating thyroid disease.

摘 要］目的：分析甲状腺癌的ct表现及鉴别诊断要点。方法：回顾性分析经手术病理证实的83例甲状腺癌和119例甲状腺良性病变的ct表现，归纳总结不同病变的ct特征。结果：83例甲状腺癌中：边界不清62例，不规则坏死59例，囊性变23例，出现"半岛状"强化结节25例，"乳头状"强化结节11例，钙化55例(其中弥漫性钙化27例、局灶钙化28例)，侵犯气管15例，颈部或锁骨上淋巴结肿大27例，ct对甲状腺病变的良恶性鉴别诊断符合率93.6%(189/202)。结论："半岛状"强化结节是甲状腺癌的特征性表现，"乳头状"强化结节及弥漫性钙化可做为甲状腺癌的肯定性征象，掌握各种甲状腺病变的ct表现特点，对病变的定性诊断及鉴别诊断具有重要意义。

IRHV was demonstrated in 153/270(56.7%), CHV was demonstrated in 68/270(25.2%). Conclusions Portal and hepatic vein can be displayed accurately by 3D 64-MSCT angiography , which could measure diameter or other information about the veins at any cross-section. Meanwhile, more anatomic information could be provided for hepatic segments resection and liver transplantation directively. Portal and hepatic vein diseases could be diagnosed by 3D 64-MSCTA accurately and directly also.

肝脏门静脉及肝静脉的多层螺旋CT血管成像能准确、立体地显示大血管的空间位置关系，在不同的切面上准确测量血管的直径或其他的解剖学数据，为临床提供大量有用的解剖学信息，对确定肝脏病灶的叶段切除和肝移植的手术方式具有指导价值，同时还能直观、准确地诊断肝脏门静脉及肝静脉的病变。

The anteroposterior projectionof the foot, utilized to examine the foot disease in the past was referred as to the freely-stressed method. However, most of the patients on suspicion of Hallux Valgus get pains while standing with weight-bearing. Additionally, the patients' real conditions can not be diagnosed without standing. it is helpful for us to apply both the foot weight-bearing and the foot non weight-bearing so as to probe the individual difference between the HVA and the IMA 1(superscript * intermetatarsal angle and further to provide the informative resources concerning the assessment of performing surgery operation. The study include 40 patients who we having Hallux Valgus of different degree, The findings have revealed the significant difference among 40 patients after the method-weight-bearing AP of the foot projection given.

过去一般常用诊断足部疾病的足部摄影(anteroposterior projection of the foot； AP projection of the foot)是指未施加压於病人足部的拍摄方法，然而多大脚趾外翻的病患常於站负重时感觉疼痛舒服，而未负重摄影却无法呈现出病人站时的真实态，因此我们用足部前后位负重摄影(weight-bearing AP projection of the foot)与足部未负重摄影(non weight-bearing AP projection of the foot)的影像比较其大脚趾外翻角(Hallux valgus angle， HVA)及第一跖骨间的角1(上标 st intermetatarsal angle， IMA的差，进而提供外科手术的估评。

Abstract］ objective to explore the accuracy and safety of safety drillprepared for cervical pedicle screw trajectory.methods fourteen adult cadaver specimens of cervical spine（c3～c7）with intact structures including ligaments and perivertebral muscles were reserved and used.according to the radiographic measurements,safety drill was inserted into cervical pedicle individually.the evaluation of the drill's trajectory was carried out by ct scan and three-dimension reconstruction and autopsy.results one hundred and forty drill's trajectories were made.9 holes failed with a perforation rate of 6.4%.conclusion the safety drill prepared for cervical pedicle screw hole is safe and effective and can be applied and popularized clinically.

目的 探索安全钻头应用于颈椎弓根螺钉孔道钻探的安全性与准确性。方法随机取14具福尔马林浸泡的成人颈椎标本（c3～c7），保留完整的脊柱三柱结构及相关的韧带和椎旁肌，根据影像学测量的进钉点和进钉方向，模拟颈椎后路手术过程。选用安全钻头，进行实际的颈椎弓根螺钉孔道的钻探，将孔道行ct扫描，并斜位三维重建孔道形态，并以肉眼直视观察结果为金标准，评价孔道钻探的成败。结果钻探孔道准确率89.3%（125/140），穿孔率6.4%（9/140）。结论安全钻头应用于颈椎弓根螺钉孔道钻探的安全性与准确性均较高，可以在临床上推广使用。

The changes of appearance in buccal cancer patient due to disease itself or after remedy always has big impact on patients' body image. This study explored the adaptation process of body image for appearance changes in buccal cancer patients after surgery and examined the relationship among adaptation, social support, and body image. The purposes of this study were to: 1.explore the distribution of essential attribute, healthy behavior, disease condition, body image, body image adaptation, and social support in buccal cancer patients after operation; and 2. examine if the adaptation of body image and social support will affect patients' body image. The study usee a cross-sectional design and recruit post-operative buccal cancer patients from a regional teaching hospital at southern Taiwan.

口腔癌患者因疾病及治疗带来的外观改变，对患者心理上於身体心像的调适会形成极大的冲击，且发病年龄多集中在中壮年期的男性，本研究即探讨男性口腔癌个案术后身体心像因应及社会支持之相关性，研究目的主要针对：一、了解男性口腔癌术后不同时期患者其基本属性、健康行为、疾病情况的分布情形以及身体心像状况、身体心像因应和社会支持的情形；二、了解身体心像的影响因子为何，采用横断式研究法，以立意取样，於南部某区域教学医院的耳鼻喉科门诊，选取罹患口腔癌且经手术治疗过后的男性患者，并排除合并其他非口腔癌重大伤病者及合并其他慢性疾病造成外观改变者。

Ear-tipping refers to nicking a cat's ear during surgery to identify it as desexed. It is done within capture, neuter, release programs. They reduce the stray population by returning the altered cats to their original territory. If the cats were simply removed their territory would be filled up by other cats reproducing more to take advantage of the available space and food.

ear-tipping 」是指在CNR计画的手术中，在猫的耳朵上留下裂口，做为已完成结扎的识别；这个计画将结扎过的流浪动物放回它们的原生区域以降低它们的数量；若将流浪猫自它们的区域移走，其他流浪猫会繁殖更多小猫来侵占可得的空间和食物。

Kobe has refused the recommended surgery, sensing that this team has a very real possibility of winning the championship right now. He'll gladly wear his fourth championship ring on his thumb this summer while his pinky recovers.

科比已经拒绝了必要的手术，可以看出这个队伍现在很有可能去多的总冠军了，他将在这个夏天他的手指恢复的时候戴上他的第四枚总冠军戒指。

Methods Twenty-two pieces of temporal bone were taken for this study. The mastoid cavity was opened, scutum removed,"bridge" broken down, posterior wall of external auditory canal abraded and the related anatomic structures were fully exposed. The distance between the origin of facial nerve canal and the anterior border of round window （ OOFNC-ABORW ）, between the highest point of the facial nerve canal and the bottom of posterior mastoid sinus,and between the stapes head and round window niche was measured under operating microscope.

方法取成人颞骨22侧（左右各11侧），用耳科钻磨开乳突腔，去上鼓室盾板、断&桥&，磨低骨性外耳道后壁，充分暴露相关结构，在手术显微镜下测量面神经管垂直段起始部前缘至圆窗龛前缘的距离、面神经管最高点与后鼓室底壁之间的距离、锥隆起的高度（即锥隆起基底到锥隆起顶端的距离）、镫骨头至圆窗龛前缘的距离。

Now there are many kinds of implantation products with various brands. Most of them are serial ones, which cannot meet the needs of the persons with skeleton deformity or abnormal injured skeleton parts. And because of the long time of design and manufacturing, economical efficiency and other reasons, customized orthopaedics products applied in clinic are limited. It's urgent to reduce the time of design and manufacturing on the base of costcutting, so the parallel computing will bring its power into play.

目前，骨科植入物产品种类繁多，各种品牌层出不穷，系列化产品占据了市场的绝大部分份额，而往往有相当部分病人由于骨骼畸形或伤及少见的骨骼生理部位，系列化产品很难满足要求，又由于因人而异的骨科产品受其设计与加工的时间、精力、财力等许多方面制约而变得应用寥寥，在降低成本的基础上如何减少设计与加工周期将变得十分迫切，并行计算将在此处有一席用武之地；另外计算机辅助手术也将在这领域逐步推广，尤其在术中阶段，系统对并行计算的需求尤为迫切。

All aspects of this long and controversial relationship are discussed, such as the first tentative contacts between East and West, the foundation of the East India Company in 1600, the Victorian Raj in all its pomp and splendour, Gandhi's revolutionary tactics to overthrow the Raj and restore Indian to the Indians, and Lord Mountbatten's 'swift surgery of Partition' in 1947, creating the two independent Commonwealth states of India and Pakistan.

各方面的关系，这与争议问题进行讨论，如&东方与西方关系的基础上，在1600年东印度公司，维多利亚女王统治在所有的盛况空前，甘地的革命性战术，推翻了统治和恢复印第安人给印地安人、耶和华的快速的手术蒙巴顿隔断&1947年，创造了两个独立的英联邦国家的印度和巴基斯坦。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。