手术的

Objective Surgeon can bring surgical tool into correct position according to the image on the computer screen utilizing computer image process technology and X-ray fluoroscope from C-arm.

目的 利用计算机图像处理技术和手术前的C臂X射线影像资料，手术医生可以根据计算机屏幕所指示的手术路径正确实施手术，减少患者和医生的X射线辐射量，缩短手术时间。

Objective Surgeon can bring surgical tool into correct position according to the image computer screen utilizing computer image process technology and X - ray fluoroscope from C - arm. It can reduce the X - ray radiation exposure for surgeon, patient and stuff, and reduce operation time.

一，钱晋武，全仁夫，林学龙'· 105·目的利用计算机图像处理技术和手术前的C臂X射线影像资料，手术医生可以根据计算机屏幕所指示的手术路径正确实施手术，减少患者和医生的X射线辐射量，缩短手术时间。

Conclution Rconstruction of the orbit and repositioning of enophthalmos of orbital fractures can obtain satisfactory result, and early repairing is better than late repairing. There is no impairment in reconstrction of the orbit and reposition of enophthalmos of orbital fractures, which is an safe and effective surgical technique.

采用人工材料行眼眶重建和眶内充填技术手术治疗眼球内陷可获得满意的疗效，早期手术效果优于晚期手术，手术创伤对视功能无明显影响，眼眶重建和眼球复位手术是安全可行的。

Of 32 adolescents meeting NIH adult criteria for bariatric surgery over a 20-year period, 3 had gastroplasty, 16 had gastric bypass, 3 had distal gastric bypass, and 10 had long-limb gastric bypass.

32位符合NIH20岁以上年龄层肥胖手术标准的青少年，有三人进行了gastroplasty手术，16人进行了gastric bypass手术，3人进行了distal gastric bypass，10人进行了long-limb gastric bypass手术。

Result: all the 82 cases,15 were treated with right hemihepatectomy,26 with left hemihepatectomy,10 with quadrate lobectomy,7 with right posterior lobectomy,24 with localization lobectomy.postoperative pathdogic:75 were liver cell carcinoma,7 were carcinoma of bileduct.one case with postoperative hemorrhea,hemostated by reoperation.3 patients with biliary fistula,2 cases were cured by drainage,1 case was cured by ercp.no one died in operation.10(12.2%) died in half year,27(32.9%) died in one year.conclusion: control the indication and amount of heratectomy,contral hemorrhea,treat incised wound of liver correctly and prevent postoperative complications ,that can guarantee the effect of hepatectomy.

结果：右半肝切除15例、左半肝切除26例、肝中叶切除10例、肝右后叶切除7例、肝局部切除24例。术后病理诊断为肝细胞癌75例、胆管细胞癌7例。本组术后近期出血1例，再次手术止血；胆瘘3例，2例行腹腔引流治愈，1例行ercp置管引流治愈；无手术死亡。术后半年内死亡10例（12.2%），1年内死亡27例（32.9%），余45例现均存活。结论：掌握肝切除手术指征及肝切除量、严格控制术中肝出血、正确处理肝创面及术后并发症，才能保证手术治疗的效果。

ConclusionTo begin with, the blood supply is adequate in the intertransverse area, and the distribution of blood vessels follows some regularities, so to be familiar with the anatomy and to operate carefully can reduce bleeding.

同时腰椎横突间及小关节区域常为诸多腰椎手术所涉及，临床上在处理这一区域时常会因损伤血管，引起出血不止而导致手术视野不清并影响手术操作，同时大量的出血可影响患者的手术耐受性，增加发生输血相关并发症的风险，尤其对ILIF手术，如忽略对此区域解剖结构和血管走行的认识将可能影响手术成功施行。

Although the recurrent pectus excavatum repairs are technically more challenging than the primary surgery, the non-thoracoscopic Nuss procedure for reoperative correction is a safe, effective and rel iable method.

复发漏斗胸再次手术矫正虽较初次手术更困难，但只要掌握手术原则、技巧，仔细操作，非胸腔镜辅助下行Nuss 手术二次矫正仍然是安全有效的。

Patients were randomly assigned to two groups, The one is chronic tonsillitis, the other was obstructive sleep apnea syndrome, Exclusion criteria of chronic tonsillitis included peritonsillar abscess history, bleeding disorders, and any other procedure together with tonsillectomy., Indications of chronic tonsillitis included intraoperative bleeding, operative time, postoperative pain, and return to normal diet were evaluated. Indications of obstructive sleep apnea syndrome included Intraoperative bleeding, operative time, Using spss11.0 software analyzed all the data.

实验设计和观察指标：选择慢性扁桃体炎患者30和鼾症患者30人，慢性扁桃体炎患者不包括伴随扁桃体周围脓肿患者，不包括有血液系统疾病和凝血障碍的患者，同时不包括扁桃体切除手术和其它手术同时进行的患者，鼾症患者不包括有血液系统疾病和凝血障碍患者，慢性扁桃体炎患者观察记录的指标包括手术时间﹑手术中出血量﹑术后疼痛时间和程度和正常饮食恢复时间，鼾症患者记录手术时间和手术中出血量，使用spss11.0软件对所有的数据进行描述性统计分析

.to record the bp and hr15,30,45,60min in both groups.bp,hr were higher during anesthesia than before anesthesia significantly in control group;bp,hr were lower during anesthesia than before anesthesia significantly in observation group.discussion remifentail take from the bp,hr effectively during operation,reduce the blooding,ensure the operative field clean and maintain the hemodynamics tranquilization,so as to the operation go with a swing.

。观察记录手术前及手术开始后5，15，30，45min时患者收缩压及心率。与麻醉前比较，对照组患者麻醉期间收缩压及心率均明显升高，而观察组患者均显著下降，两者间差异有统计学意义。［结论］瑞芬太尼可有效地降低手术期间患者的血压及心率，减少手术视野出血，保持血液动力学指标稳定。

Results The cause of spleen damnification was spleen tumefaction,spleen was tightly conglutinated,spleen-stomach ligament was shorter,position of cut was not appropriate,the corner of rib was smaller,operation was not fine,anaes-thesia was ineffective,mentality and experience were not ripe.

结果 脾肿大、脾周粘连、脾胃韧带过短、手术切口过小、患者生理性两侧肋缘夹角较锐、麻醉效果不良、术者求速手术心理、手术操作较粗暴、手术经验不足等是造成脾损伤的主观和客观原因。

I am accused of being overreligious," she said in her quiet, frank manner,"but that does not prevent me thinking the children very cruel who obstinately commit such suicide.""

客人们在卡罗利娜·埃凯家里，举止就文雅一些，因为卡罗利娜的母亲治家很严厉。

Designed by French fashion house Herm è s, this elegant uniform was manufactured in our home, Hong Kong, and was the first without a hat.

由著名品牌 Herm è s 设计，这件高贵的制服是香港本土制造，是我们第一套不配帽子的制服。