手术的

Dr. Glasser reviewed the records of 139 women (mean age, 38.9 years; range, 23-56 years) who underwent minilaparotomy myomectomy between January 1995 and December 2003. The procedure was performed through a four- to six-inch suprapubic cruciate incision using an atraumatic Mobius retractor, thus allowing more operating surface area than a Pfannensteil incision.

Glasser医师所分析的资料包含139位女性患者(平均年龄38.9岁，年龄介於23到56岁)，这些患者都在1995年1月至2003年12月间，以小型腹腔手术去除子宫肌瘤；手术方式为先在耻骨上作一4到6英吋的十字型手术切口，再以非创伤性的Mobius(Apple Medical公司供应)牵开器将手术切口撑开；相较於Pfannensteil切割法，此法会产生的较大的手术表面积。

The available operation range in clivus and anterior cranial base by transsphenoidal opproach was also observed during the operation under the help of neuronavigational pointer. Forty-one patients underwent sublabial, transseptal, transsphenoidal approach to the pituitary region guided by Surgical Microscope Navigation was studied. The piriform aperture was 27. 2mm±3. 1 , the origin of inferior nasal concha 30mm±4. 1, the origin of middle nasal concha 27. 9mm±4. 3. These data are important for transsphenoidal approach, because the piriform aperture and the origin of both inferior and middle nasal conchas restricted the opening width of the Hardy specula. If any distance of these bony structures was much less than the mean one, may cause inadequate opening of the specula blade and resulting dissatisfied operative field. Microadenomas or cystic tumors perhaps can be operated even in a narrow exposure, but large or giant solid adenomas may need a proper evaluation including changing the operative approach or performing a bilateral submucous inferior conchotomy or posterior ethmoidectomy firstly.

手术中还利用CT导航系统观察棒研究了经口—鼻蝶窦入路在斜坡区和前颅底能够达到的实际有效操作范围，为扩大经蝶窦入路手术在斜坡区和前颅底的应用奠定基础，在国内外尚未见同类报道。41例垂体瘤患者梨状孔平均宽度27.2mm±3.1，下鼻甲根部附着处间距30mm±4.1，中鼻甲根部附着处间距27.9mm±4.3，这是经口—鼻蝶窦入路手术中，对Hardy双瓣鼻窥器张开限制的主要骨性结构，若患者这些径线值明显小于平均值，则可能因为鼻窥器打开不充分而影响手术暴露，当然对于垂体微腺瘤和以囊变为主的垂体瘤可能影响不大，但对于大和巨大垂体瘤必须要有充分的准备，包括评估是否改用其他入路，或先行鼻甲切除再行经蝶手术。

Clinical requirement in dental simulation is firstly analyzed and performance goal of haptic display is proposed. Based on characteristics of human haptics, software system of surgery simulation and force rendering is developed and prototype of surgery simulation system is established using Phantom desktop. Dental exploration and cutting operation in cavity preparation are simulated with haptic and graphical display capabilities.

全文首先通过分析牙科手术模拟的临床需求，提出了力觉显示手术仿真系统的模拟指标；针对操作者触觉生理学特点，基于力觉交互设备Phantom desktop，开发了手术仿真和力觉渲染软件，建立了手术模拟原型试验系统；以牙面探查和牙体预备中的切削操作作为研究对象，实现了力觉和图形集成显示的手术操作过程模拟。

objective:to explore the diagnosis and treatment of gastric stump cancer.method:the clinic datum of 27 cases with gsc were analyzed retrospectively from june 1989 to june 2004.result: the ratio of gsc was 1.8% in homochronous gastric cancer.in 27 cases,the radical operation was performed for 14(53.5%),palliative operation for 9(34.6%)and pass-procedure for 3(11.5%).the one-year,three-year and five-year postoperative survival rate in radical operation was 85.7%, 50% and 35.7%.

目的：分析探讨残胃癌的诊断和治疗方式。方法：对我院1989年6月至2004年6月27例残胃癌患者的临床资料进行回顾性探讨。结果：残胃癌占同期胃癌1.8%，施行根治性手术14例（53.3%），姑息性手术9例（34.6%），由于广泛转移未行手术或仅行剖腹探查术3例(11.5%)。根治性手术病人1，3，5年生存率85.7%，50%，35.7%。

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。

These three internal fixations of femoral peritrochanteric fracture were differ. For example, Gamma nail is less harmful, better clinical treatment, shorter in shape and stronger in anti-hip inversion. DHS, DCS have a better treatment and are stronger in anti-hip inversion but more harmful and excessive bleeding, and HCS, which is named Minimally Invasive Surgery, is the least harmful, less bleeding, suitable for old patients and the patients of tolerance of poor operation, but poor in anti-hip inversion.

3种不同方法内固定治疗转子间骨折具有各自的特点，Gamma钉具有手术损伤小及良好的临床疗效力臂短对抗髋内翻的能力强；滑动加压鹅头钉具有良好的临床疗效及相对坚强的抗内翻能力，但手术损伤相对较大，失血量较大；空心加压螺钉固定的手术损伤最小，属于微创手术方法，可经皮完成，手术出血少，适用于高龄及手术耐受性差的患者，但抗髋内翻的能力最差。

The patien ts of SAP combined with acute respiratory distress syndrome, shock, pancr eatic brain diseases, abdominal cavity hemorrhage and systemic infections had hi gh mortality of 52%, 40%, 40.63%, 66.67% and 73.68 respectively. Conclusions The incidence of complications of SAP in perioperat ive period is high and the complications are closely related to pateints' death, especially ARDS, shock, pancrestic brain diseases, abdominal cavity hemorrhage and systemic infections.

急性重症胰腺炎病情复杂、胰外损害严重，手术前后并发症多，是导致急性重症胰腺炎患者手术后病情加重，死亡率增加，预后不佳的主要原因，现将西南医院全军肝胆外科研究所1994年1月～2004年1月10年间总共行了外科手术治疗的116例SAP回顾分析，分析SAP围手术期并发症与预后的关系，以提高外科手术治疗的效果。1资料和方法

Based on the research and review of the norms of surgical gowns and drapes, we compare and analyze the basic requirement and test procedure of the gowns. We test water-repellent treated woven cotton reusable textiles, rechargeable biocidal function polyester/cotton woven reusable textiles, spun-bond polypropylene disposable textiles, water-repellent treated laminate disposable textiles of pulps and polyester with water resistant, physical, comfortable properties testing. We design an abrasion experiment to simulate linting test and evaluate the linting properties of these textiles.

本文对目前国内外主要的手术防护服标准的基本性能测试条款和测试方法及步骤进行了分析，在此基础上，对几种经拒水处理耐久型棉紧密机织物手术防护服材料、经可再生杀菌处理涤棉机织手术防护服材料、纺粘丙纶一次性手术服材料、经拒水处理木浆/涤纶复合水刺一次性手术防护服材料的拒液性能、基本物理性能、舒适性进行了比较测试；同时，本文设计了耐磨实验来模拟掉毛实验，通过失重率来评价这些材料的掉毛性能。

The results showed that (1) the intervention of preoperative pain education resulted in statistically significant reductions of worst pain intensity after surgery in experimental group compared to control group,(2) subjects in the experimental group experienced statistically significant reductions of pain interference in general activity, mood, and sleep, compared to control subjects,(3) the misbeliefs about pain management were significantly improved after surgery in experimental group compared to control group,(4) no statistically significant differences were found in the score of satisfaction with pain management, or amount of analgesics between the two groups.

研究结果显示：（1）实验组接受手术前疼痛卫教介入措施后，手术后最剧烈疼痛强度低於控制组达统计上显著差异。（2）实验组手术后疼痛对日常生活、情绪及睡眠的干扰程度低於控制组，达统计上显著差异。（3）手术后实验组错误疼痛处置信念的改善程度，与控制组达统计上显著差异。（4）手术后的疼痛处置满意度及止痛药使用剂量，两组间无统计上显著差异。

A comprehensive inspection of the first day, moving the next day surgery, general anesthesia dynamic operation, looking at such a small child lying on the bed operation, when the heart is ~~~ surgery about 35 minutes, cut small, as big as a grain of rice operation is the lower body to fight out of plaster, when the hand is the two legs on both sides of the body with cast immobilization with a plaster after 3 months can be adjusted for an iron rack, shelf five clasps, released a month and a half a deduction, your baby is in mid-July to win the shelves, from surgery to拿架子basically a year's time, during the baby is not affected by the crime to say the!!!

第一天全面检查，第二天动的手术，全身麻醉动的手术，看着这么小的宝宝躺在手术床上，当时那个心情简直是～～～手术大约35分钟，刀口很小，就象大米粒一样，手术出来是下半身打的石膏，当时就是两条腿掰到身体两侧用石膏固定，带了3个月石膏后换的一种可以调节的铁架子，架子上是五个扣，一个半月放一扣，宝宝是7月中旬拿下来的架子，从动手术到拿架子，基本上要一年的时间，期间宝宝受的罪就不要说了！！！

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。