手术间

Long term results of a randomized prospective study of preservation of the intercostobrachial nerve.

乳腺癌保留肋间臂神经的临床价值。中华外科杂志，2001，39（10）：773-774.5 张斌。乳腺癌手术中医源性损伤的防治。

Reservations of the intercostobrachial nerve during axilllary dissection for breast cancer.

乳腺癌手术保留肋间臂神经的临床价值。

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。

Resultsseventeen patients with dvt after operation were discovered through color doppler ultrasonic detection, and all of the dvt occurred at the calf intermuscular vein. the incidence of the dvt in all patients was 33.3%, and 41.7% of these dvt patients were asymptomatic. logistic regression analysis indicated that patients older than 65(or=116.597), large volume of blood transfusion(or=1.01) and high level of triglycerides(or=37.249) were the risk factors for the occurrence of dvt after the tha.

结果经双下肢血管彩超检查，51例手术有17例发现dvt，全部为小腿肌间静脉血栓，dvt发生率33.3%；dvt患者中无症状者占47.1%(8/17)；多因素logistic回归分析表明：年龄≥65岁，输血总量大和血清甘油三脂水平高是全髋关节置换术后dvt发生的重要危险因素，其or值分别为：116.597、1.01和37.249(p.05)。

Methods In all the 7 cases we employed traditional osteotomies, bone resection and bone graft fixation through coronary and nasofrontal incisions to reduce their interorbital distance.

所有7例患者均采用传统颅内外联合径路手术，通过双侧头皮冠状切口和鼻正中部眉间矢状切口行眶周截骨，眶内移和骨块固定，缩小内眶距。

Eighteen patients had multilevel anterior cervical discectomies with or without internal fixation, 22 patients had decompressive surgery (12 laminectomies and 10 intersegmental decompressions) for multiseg- ment spinal stenosis, 15 patients had laminectomy with posterior spinal fixation, and remaining 9 patients had laminectomy and excision of spinal tumor.

18例患者行多极前颈椎间盘切除术伴或不伴内固定， 22例患者因多节段椎管狭窄行减压手术（ 12例椎板切除术和10例节间减压）， 15例行椎板切除、后脊柱固定术，其余9例行椎板切除术和脊髓肿瘤切除术。

Although there is fair evidence that articial disc replacement is similarly effective compared to fusion for single level degenerative disc disease and that an interspinous spacer device is superior to nonsurgical therapy for 1- or 2-level spinal stenosis with symptoms relieved with forward exion, insufcient evidence exists to judge longterm benets or harms.

尽管已有相当的证据证明人工椎间盘置换治疗单节段脊柱退变疾病具有和融合手术类似的疗效，也有相当的证据证明棘突间支架治疗1～2个节段伴间歇性跛行的椎管狭窄的疗效优于非手术治疗，但以上都缺乏长期随访的证据。

Objective To study the results of the intertransverse approach for single far lateral lumbar disc herniation.

目的 探讨经横突间入路手术治疗单纯极外侧腰椎间盘突出症的疗效。

Methods 25 cases who were treated through intertransverse approach for single far lateral lumbar disc herniation from May of 1996 to October of 2005 were analysed.

对1996年5月至2005年10月25 例接受经横突间入路手术治疗单纯极外侧腰椎间盘突出症的患者进行回顾性分析。

Objective: To investigate the measures and effect of surgical treatment for femoral intertrochanteric fractures in old patients.

目的：探讨老年股骨转子间骨折的手术治疗方法和效果。

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。