手术间

Its etiopathogenisis may be the operation wound, the inflammation, fluidify, hematocele or the foreign object in abdominal cavity result in edema calidum in the bowel, and the effusion in ectoptygma surface increased. These lead to a series of immune response and cause to the adherence in peritoneum. The treatments such as fasting, gastrointestinal decompression, nutrition support, antiinflammatory, enema of chinese crude drug and surgery could get good effect.

可能的发病原因是手术创伤、腹腔内炎症、积液积血或异物刺激导致术后小肠出现炎性水肿，浆膜表面渗出增加，产生一系列免疫反应，造成腹膜间粘连而成，采用禁食、胃肠减压、抗炎、营养支持、中药灌肠或手术等疗法，效果良好。

The entering point was nut localized precisely on the venograms. Conclusion: Knowledge of venous anatomy and venogram can avoid the injury to bridging veins in the interhemispheric approaches.

熟悉和比较仁矢状窦旁桥静脉的解剖学和影像学特征有利于各种纵裂间手术入路和手术过程中桥静脉的保护。

Here we present a case of 21 year-old male who suffered from recurrent swelling in left side of mandible which had received surgery for ossifying fibroma in another hospital when he was 19 years old. Obvious facial asymmetry was noted but no sensory dysfunctions were detected. The lesion showed well-demarcated, multilocular radiolucency but radiopacity centrally. We applied segmental resection via extra-oral approach and reconstructed with anterior iliac crest bone graft. After removal of MMF in six week, the wound healed well and joint function was good without malocclusion. After follow-up of one year, no recurrences were noted.

本病例为－21岁之男性，在19岁时因为左下颚骨角区肿大在某医院接受外科手术处理，术后病理报告为骨化纤维瘤，因为复发的肿胀而来本院寻求治疗，临床检查并无疼痛及下唇区感觉异常的问题，放射线影像为周界清晰，多腔室放射透过性合并中央放射不透过性之不规则小块，手术方式为从口外颚下切线，做下颚骨片段式切除，并以肠骨脊海绵骨移植修补骨缺损加以颚间固定六周，术后伤口恢复及愈合良好，颚骨关系稳定无咬合异常的情况，无张口受限的问题。

Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80～90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus. The third is now normal at 28 weeks pregnancy .The fourth has had 2 menstrual periods and is still being followed up.

结果 GnRH-α用药期间4例均闭经，血雌二醇于用药的第3周降到绝经期水平；用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者，用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠；另1例停药转经2个月，现在随访中。3例妊娠转归：1例足月剖宫产分娩；1例手术切除肌壁间腺肌瘤者，孕30周时因先兆子宫破裂急诊行剖宫产术；1例目前孕22周。

Their fecundity outcome were followed-up after cessation of GnRH-α treatment. Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80～90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus.

结果 GnRH-α用药期间4例均闭经，血雌二醇于用药的第3周降到绝经期水平；用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者，用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠；另1例停药转经2个月，现在随访中。3例妊娠转归：1例足月剖宫产分娩；1例手术切除肌壁间腺肌瘤者，孕30周时因先兆子宫破裂急诊行剖宫产术；1例目前孕22周。

Collecting a total of 102 cases(107eyes) of pations with traumatic optic neuropathy that underwent edoscopic optic nerve decompression surgery during December 1999 - April 2008 line,retrospective analysis of CT performance for the optic canal and paranasal sinuses,and Comparison of them with surgical results.102 cases of patients performed routine and coronal axial sinus CT scans,the optic canal zone wi th thin target scan,line of nasal tip and the anterior clinoid process connection as baseline for axis scan,and the vertical line of "bed nasal line" as baseline for coronal scan.

方法收集1999年12月-2008年4月间在青医附院耳鼻喉科行鼻内镜下视神经减压手术的外伤性视神经病患者的病例，共102例(107眼)，回顾分析其鼻窦及视神经管CT表现，并查看手术记录描述，将CT结果与术中所见情况进行对比分析。102例患者术前常规行轴位及冠状位鼻窦CT扫描，视神经管区行薄层靶扫描，以骨性鼻尖与前床突的连线为轴位扫描基线，以&床鼻线&的垂直线为冠状位扫描基线。

A retrospective analysis of 53 cases of the postoperative discitis were made;the duration of back pain,the time of hospitalization,the time of reduction to normal of the CRP and ESR were compared.

比较保守治疗、早期手术治疗和延期手术治疗方法在腰痛缓解吮间、住院时间及CRP和ESP降至正常时间方面的差异。

Objective To compare the efficacy of ligament repair method and ligament reconstruction method for repture of collateral ligament of proximal interphalangeal joint.

目的：比较韧带修复手术及韧带重建手术对近端指间关节侧副韧带损伤的治疗效果。

Strut-graft with an appropriate distraction after corpectomy plays an important role not only in regain and maintain the cervical spine lordotic curvatures but also in acquire the global immediate stability of the cervical spine. After single vertebra corpectomy, the proper range of distraction between the superior and inferior vertebra maybe among 4-6 millimeters.

中下颈椎单椎体次全切除减压后，适当高度的撑开植骨对恢复和维持颈椎曲度以及手术节段的即刻稳定性有重要作用，中下颈椎单椎体次全切除减压后支撑植骨的高度应该是在手术椎体的上位和下位椎体间高度的基础上再撑开4～6mm左右。

Method］from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法］2003年1月～2006年5月，根据ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。病因：腓总神经损伤2例，腰椎管内肿瘤1例，硬脊膜膨出5例，小儿麻痹后遗症11例，先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例，用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄，确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术，25例同期实施了有限的截骨术和跗骨间关节融合术，9例合并踝关节内外翻肌力明显失衡者，同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序，7 d开始旋转相应的螺纹牵拉杆，对器械进行三维空间的缓慢调整，先矫正前足内收和后足内翻，后矫正足下垂畸形，直至达到矫形要求的标准。在矫形的过程中定期进行x线检测，以防止发生踝关节前后移位，治疗期间允许患足负重行走。术后平均牵伸42 d，拆外固定器后患足再上石膏固定适当时间。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。