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That consider condyle, bone caruncle of 5 exemple, cartilage fibrosarcoma of 3 exemple, nerve fibroma of 1 exemple, nerve 1. The symptom after 27 patients operation all has different level improvement, live on average without tumour time is 33.5 months. Incontinent companion meets the patient relieve oneself of S1 of 5 operations reservation or above nerve root pubic feeling is lost, after manager cure function trains, 3 parts restore, 2 conserve without progress; bladder and rectum function obstacle all appear after the 12 patients art of root of S2 above nerve, after training via rehabilitation physiotherapy and function, 10 return to normal basically, 2 patients still are put in the obstacle of be convenient to both of different level. 10 withhold S3 or the patient of above nerve root can conserve constrictor function.

结果术后病理报告示:脊索瘤17例、骨巨细胞瘤5例、软骨肉瘤3例、神经纤维肉瘤1例、神经纤维瘤1例。27例患者手术后症状均有不同程度改善,平均无瘤生存时间为33.5月。5例手术保留S1或以上神经根的患者大小便失禁伴会阴部感觉丧失,经理疗功能练习后,3例部分恢复,2例无进展;保全S2以上神经根的12例患者术后均出现膀胱及直肠功能障碍,经康复理疗和功能练习后,10例基本恢复正常,2例患者仍存在不同程度的两便障碍。10例保留S3或以上神经根的患者能保全括约肌功能。

The main product for selling is 'wondermilk', the milk fountainhead is use 100% nature, high quality, fresh milk, without any additives, bst, antibiotic. our milk adopt pasteurized which can keep all kinds nutrition of fresh milk. the lactoprotein content is more than 3.5%/ml. our milk gets the broad recognized and highly valuable in the largeness foreigners with purity taste and cleanlily.

所生产销售的主要产品"万得妙纯牛奶",其乳源全部选用100%纯天然的高品质生鲜乳,无添加物,无生长激素,无抗生素,经过八氏灭菌处理,保留了新鲜乳中各种特有的营养,其中乳蛋白质高于3.5%/100ml,以其口味纯正,清爽,在广大涉外等客户群中得到了广泛的认可,并得到高度评价。

All of these aspects need to be improved.Considering the disadvantages of the two kinds of the deicers, great amounts of the science data are referred in the research experiment, by developing the main materials and the additives, a new kind of deicer: PAL is founded. Not only does PAL remain the advantages of the traditional deicer such as cheap materials and low freezing point:-43.8 C, but it has the character of CMA, low corrosion to steel and concrete.

针对上述除冰剂的缺点,本课题收集了国内外大量的相关科技文献,通过对主体物料和添加剂两方面的改善,寻找到一种新型除冰剂PAL,它既保留了传统除冰剂的优点,原料廉价易得,低冰点,可达-43.8℃;又兼有CMA的优点,对钢铁几乎无腐蚀,对混凝土无不良影响。

Result:Among total of 80 cases with non-visualized kidney in IVP,renal parenchyma of 37 cases were non-visualized under ~(99m)Tc-DTPA renography,GFR was 0 ml/min,32 cases carried out nephrectomy;Renal parenchyma of the rest 43 cases were visualized under ~(99m)Tc-DTPA renography,GFR were(20.03±9.64) ml/L,among them 9 cases were carried out nephrectomy, 34 cases received kidney-sparing operation;The 34 cases(divided into 4 groups according to range of GFR) recheck ~(99m)Tc-DTPA renography 2 months later after the operation,Preoperative GFR within(1~10) ml/min,GFR were(4.25±2.99) ml/min,postoperative GFR were(4.00±2.94) ml/min,t=0.522,P>0.05,indicated no significant change of GFR after the operation; Preoperative GFR within(11~20) ml/min、(21~30) ml/min、(31~40) ml/min groups, preoperative GFR were(15.38±2.63) ml/min、(24.83±2.92) ml/min、(34.25±2.75) ml/min, postoperative GFR were(17.77±3.79) ml/min、(29.42±3.90) ml/min、(40.25±3.50) ml/min respectively,paired t-test,P<0.05,indicated that 2 months\' postoperative GFR increased significantly,the function of kidneys recovered in some degree.

结果:在80例IVP不显影患肾中,37例患肾在~(99m)Tc-DTPAI肾动态显像上肾实质不显影,GFR为0 ml/min,其中32例行患肾切除;43例患肾在~(99m)Tc-DTPA肾动态显像上肾实质显影,GFR为(20.03±9.64)ml/L,其中9例行患肾切除,34例行保留肾手术;34例保留患肾手术者(根据术前GFR在不同值范围分为4组)在术后2个月返院复查~(9m)Tc-DTPA肾动态显像,GFR值在(1~10)ml/min组(5例),术前GFR为(4.25±2.99)ml/min,术后2月GFR为(4.00±2.94)ml/min,t=0.522,P>0.05,表明术后GFR无明显变化;术前GFR在(11~20)ml/min(13例)、(21~30)ml/min(12例)、(31~40)ml/min组(4例),术前GFR分别为(15.38±2.63)ml/min、(24.83±2.92)ml/min、(34.25±2.75)ml/min,术后2月复查GFR分别为(17.77±3.79)ml/min、(29.42±3.90)ml/min、(40.25±3.50)ml/min,经配对t检验,P<0.05,有统计学意义,术后2月GFR较术前增高,肾功能有不同程度的恢复。

Character: Yellowish or yellow crystalline powder,smell-less; Assay: 98.0%—102.0%; Specific Optical Rotation:+63.0°to +69.0°; Ph:3.0 to 5.0;Clarity of Solution complies with the standard. Related Substance:(Single impurities≤0.5%; total impurities≤1.5%);Methanol:≤0.3%;Dichlormethane≤0.06%Acetone≤0.5%;walter:7.0%—9.5%; Residue on Ignintion:≤0.1%; Heavy Metals:≤0.0002% Identification:Most absorb at the wavelength 220nm,256nm,370nm; The infrared spectrogram according to the comparison; positive reflection

特征及特性:淡黄色或黄色结晶性粉末,无臭;含量98.0%—102.0%;鉴别:1)在220nm、256nm、370nm的波长处有最大吸收;2)供试品溶液在主峰的保留时间与对照品溶液主峰的保留时间一致;3)供试品红外光吸收图谱与对照品的图谱一致;4)呈正反映;比旋度:+63.0°至+69.0°;酸度:3.0—5.0;溶液颜色符合规定;有关物质:(单个杂质≤0.5%;总杂质≤1.5%)甲醇:≤0.3%;二氯甲烷:≤0.06%;丙酮:≤0.5%;水分:7.0%—9.5%;炽灼残渣:≤0.1%;重金属:≤0.0002

Results: All patients had no pain or light pain only so as not to use any analgesic drugs and no influence on their sleep. They even walked freely, wearing loose shoes. Three days after operation cut wound was stuff full with newly born granulation tissues. About one week later, the cut wounds were completely covered by newly born white epithelial tissues. Continue using MEBO for another 1-2 weeks, all the wounds were healed. No obvious scars were observed and reserved nails were large and had beautiful outlook. There were no suppuration and infection at wounds and no phalanx ungula osteomyelitis occurred.

结果:病人术后无痛或轻微疼痛,无须用止痛药物,不影响睡眠,可穿宽松鞋自由走动;术后3d可见新生肉芽组织填满切口,1周左右可见新生白色的上皮组织完全覆盖切口,继续应用MEBO 1周~2周,全部愈合,愈合后无明显瘢痕,保留甲大而美观;切口无化脓感染,无末节趾骨骨髓炎发生。

Results Among the 12 cases cystosarcoma phyllodesand, 5 cases underwent total mastectomy, 2 cases underwent modified radical masteetomy, 1 case underwent local excision and reserve nipple, and 4 cases underwent lesion removed and reserve nipple or gland.

结果 12例乳腺叶状囊肉瘤中,行单纯乳房切除术5例,改良根治术2例,保留乳头皮下乳房切除术1例,保留乳头和部分压缩腺体加肿块切除术4例;术后随访1~18年,失访1例,2例分别于术后1.5年、2年出现肿块复发,再次手术切除,其余患者无复发或转移,并元瘤生存。

Results: In the group of reservating intercostobrachial nerve, 48 patients have no change in sensation, 11 patients have anesthesia, one has burning sensation, and 9 patients have hypoaesthesia.

结果:肋间臂神经保留组术后48例无感觉方面上的变化,11例发生感觉麻木,1例上肢出现烧灼感,9例上肢出现感觉减退;而肋间臂神经切除组术后3例出现腋窝无汗,18例发生感觉麻木,4例上肢出现烧灼感,9例上肢出现感觉减退。

Results The time of postoperative debridement of nasal cavity in patients with partial endonasal middle turbinectomy was shorter than those with preservation of middle turbinate (P<0.01). There was no synechia in cases with partial middle turbinectomy and 12 cases of synechia in cases with preservation of middle turbinate.

结果 ①术后鼻腔清理时间,中鼻甲部分切除侧(平均7.1 d)与中鼻甲保留侧(平均9.4 d)差异有高度显著性(t=3.84,P<0.01);②中鼻甲保留侧术后发生鼻腔粘连12例,中鼻甲部分切除侧无1例发生粘连;③中鼻甲部分切除侧嗅觉改善与中鼻甲保留侧差异无显著性,40例中未见嗅觉下降者。

Abstract] objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡,未发生吻合口漏和吻合口狭窄,局部复发1例,20周左右恢复正常排便排气功能,无大便失禁病例。随访8个月~5年,5例为远处转移,死亡4例,其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证,经腹、肛门齿线上直肠癌根治性切除,行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

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