手术前的

This was a female adult case of severe bimaxillary dental alveolar protrusion and open bite. Fortunately, it was not combined with bimaxillary prognathism and her skeletal relation is neutral, no Class Ⅱor Class Ⅲ feature was noted.

&锚定控制&在治疗严重上下颚前突的病例中是非常重要的工作，虽然现在已有微植体的植入可以帮忙达到理想中的&绝对锚定&，但对患者而言，再简单的手术都有风险及压力。

Example pure cyst jejunum tallies,complication 4 examples.non-death case of illness.conclusion: prompt, discrete diagnosis,reasonable surgery way and opportunity,in front of the full technique the preparation and the standard operation is enhances the congenital choledoch cyst the cure rate,reduces the complication and the mortality rate key.

及时、谨慎的诊断，合理的手术方式和时机，充分的术前准备及规范的操作是提高先天性胆总管囊肿的治愈率，降低并发症和死亡率的关键。

In conclusion, we should keep in mind the possibility of epiglottic hemangioma when confronted with a common epiglottic mass. A hasty intubation, biopsy, and excision can be dangerous. To arrive at an accurate diagnosis and the appropriate treatment, detailed pre-operative evaluations, including magnetic resonance images and angiography, may be needed for differential diagnosis in selected cases.

因此，当我们发现会厌部位的肿块时，纵然它有一般的外表，还是要想到血管瘤的可能性，贸然的麻醉插管、切片检查及手术切除颇具风险，唯有术前详尽的检查，包括核磁共振和血管造影，方可给予正确的评估及选择适切的治疗方式。

Operative design: After gastric anterior wall was exposed, any Crow's nerve was identified from antral surface nearby gastric angle. Along the Crow's nerve, Latarjet nerve was found, gastric branches of Latarjet were gradually severed, the dissection proceeds to up towards the diaphrageal fissula, and then, the right gastroepiploic neurovascular bundle was cut, the distal two-thirds of the greater curvature was mobilized by dividing the greater omentum, the posterior nerve of Latarjet may be seen and isolated in the same way.

手术设计：暴露胃前壁，自胃角附近的胃窦壁表面任意找到一支&鸦爪&支迷走神经，随以此支为标志向上找到分出该鸦爪的Latarjet氏神经干，顺该神经向上游离，分离中避开向右走行的肝支及胃小弯的主要血管，逐一切断走向胃壁的迷走神经分支，直游离到膈肌食管裂孔平面。

The anatomy relationship of venae hepaticae intermediae and its branches on gallbladder bed were analysed,which could be the reference during the LC.Results:For 112 patients suffered from inatrophic cholecystitis and cholecystolithiasis,whose gallbladders were decoherence directdly from ectoptygma muscular coat close to the gallbladder wall.

结果：对于术前经彩色多普勒超声波检查明确的肝中静脉直接和胆囊床相贴的非萎缩性胆囊炎胆囊结石的102例患者，采用紧靠胆囊壁的浆肌层直接进行剥离；而慢性萎缩性胆囊炎胆囊结石的24例患者，采用胆囊粘膜切除，或者直接开腹手术切除，未发生因损伤胆囊床肝中静脉而大出血。

The careful evaluation before operation, standardized operative procedure, correct skillful technics of the dissection for perisplenic adhesion and handling of splenic pedicle are the crucial factors determining the safety of complex splenectomy.

完善的术前评估，规范的手术操作，正确的脾周粘连的解剖分离及脾蒂的处理，是确保复杂性脾切除安全的关键。

If by means of a prereduction MRI or after neurologic deterioration during closed reduction, the surgeon becomes aware of a fragment of disc material displaced into the spinal canal, then an anterior discectomy, open reduction, fusion, and plating becomes necessary.2,7,9 In approximately half of the cases, a closed reduction will be successful in reducing the dislocation before surgery.50 In the majority of the others, an intraoperative reduction performed after the discectomy and decompression will achieve anatomic reduction.9,51 For those patients in whom an anterior discectomy and decompression have not been successful in reducing the dislocation, then a supplemental posterior open reduction should be performed.52

假如借助MRI检查，或在闭合复位过程中神经症状进一步加重，外科医生意识到有椎间盘碎片突入了椎管，此时就需要前路椎间盘切除减压、开放复位和固定融合。大约有一半的病例手术以前能够通过闭合复位来成功的将脱位复原，剩下的病例则需要在术中将椎间盘切除减压来达到解剖复位。假如有病人经过前方的椎间盘切除和减压后仍然不能成功的还原脱位，则需要再行后方的开放复位术。

Objective: To provide anatomic data of vessels at the anterior aspect of lumber vertebrae for transperitoneal approach lumbar anterior minimally invasive surgery. Methods: This study investigated 30 human cadavers and 120 patients' magnetic resonance images, to study the major vascular anatomy of the anterior aspect of lumber vertebrae, and observe the relationship of the confluence of the common iliac veins with vertebral body or disc, as well the relationship of left iliac vein and L5~S1 disc.

目的：为经腹膜腰椎前路微创手术提供腰椎前方血管的解剖学依据；方法：选择30例防腐固定尸体标本及120例腰椎MRI断层数据，观察下腰椎区域髂总静脉的解剖学特点；根据腰椎前方血管的断层图片判断髂总静脉汇合点对应椎体的位置；L5~S1前方左髂总静脉对应椎间盘的位置。

Three animals randomly selected from three groups were killed on Day 0 to determine the baseline of PLA2 activity within unmanipulated rat sciatic nerve; other 39 animals underwent operation for model-making of acute sciatic （Maves-modified Bennet-Xie model） on right sciatic nerves, while Sham operations were performed on left sciatic nerves.

第0天，每组随机抽取1只共3只大鼠处死，测量双侧坐骨神经节段磷脂酶A2活性为基线，其余39只大鼠右侧坐骨神经制作急性坐骨神经痛模型（Maves改良的Bennet-Xie模型），对侧行Sham手术；第7天，每组随机抽取3只处死，测量治疗前模型和Sham坐骨神经节段的磷脂酶A2的活性；第14天，剩余大鼠处死后测量各组模型和Sham坐骨神经节段的磷脂酶A2的活性。

This two-year-old is on the road to recovery after swallowing drain cleaner five months ago. His mother was arrested on drug charges in connection with a meth lab where the boy swallowed the dangerous chemical. He's being cared for by his grandparents while he undergoes several surgeries to repair his throat.

这位五个月前在甲基丙本胺实验室中吞下排水沟清洁器的两岁儿童的健康状况正在恢复当中，而他的母亲因与该实验室的毒品有关而被控诉并被逮捕，该儿童目前正在被他的爷爷奶奶照看，并通过一系列手术修复他的喉咙。

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。