狭窄

Among them,9 patients had biliary strictures at the site of hepatic bile duct bifurcation,and 6 patients had intrahepatic biliary strictures,and 3 patients had multiple extrahepatic and intrahepatic biliary strictures.Eighteen patients with NABS were managed with interventional therapy,endoscopic treatment,RouxenY anastomosis or retransplantation.

结果：共发生NABS 18例（3.5%），其中肝门部胆管狭窄9例，肝内胆管多发狭窄6例，肝内外胆管多发狭窄3例。18例病人采用给予反复的介入、内镜治疗、外科重建胆道及再次肝移植治疗。

Except one case in which 3D DCE MRA showed severe stenosis but DSA showed moderate stenosis, the results of MRA were all consistent with those of US or/and DSA in the stenosis degree of the portal vein, hepatic vein and the postcava.

除1例吻合口重度狭窄者DSA显示中度狭窄外，其余门静脉、肝静脉及下腔静脉吻合口狭窄程度与超声或／和DSA检查结果一致。

Colon anal disease:① congenital diseases, such as Hirschsprung's disease;② mesocaval narrow, such as inflammatory bowel disease, trauma and post-intestinal anastomosis narrow, and the transfer of tumor-induced intestinal stenosis;③ exports obstruction, such as the pelvic floor achalasia, rectal intussusception, perineal decline rectocele and so on;④ anal and perianal diseases, such as anal fissure, hemorrhoids, etc.;⑤ Others: such as irritable bowel syndrome.

大肠肛门病：①先天性疾病，如先天性巨结肠；②肠腔狭窄，如炎性肠病、外伤后期及肠吻合术后的狭窄、肿瘤及其转移所致肠狭窄；③出口性梗阻，如盆底失弛缓症、直肠内套叠、会阴下降、直肠前突等；④肛管及肛周疾病，如肛裂、痔等；⑤其他：如肠易激惹综合征。

Methods:Fifty paired embalmed cadaveric humeri (twenty-five pairs:fourteen from male donors and eleven from female donors) were scanned in medial-lateral and anterior-posterior position according to the humeral retroversion by CT. Images of the humeri in the transverse planes at the lowest border of neck,20mm and 40mm distal of LBN(LBN-20、LBN-40), isthmus, head-neck anterior-posteriorwere obtained. Sixty-one extracortical and intracortical parameters were measured exactly by image analytic computer software that included offset, head position, head-shaft angle, head to tuberosity height, head thickness, curvature radius, articular surface arc, neck diameter, isthmus position, proximal and distal border of isthmus, maximum coronal and sagittal diameter of medullary canal and thickness of cortical bone in four planes, including LBN, LBN-20,LBN-40 and isthmus.

50根成对防腐肱骨(男14对，女11对)按肱骨头扭转角置于冠状位和矢状位，行肱骨全长，头颈矢状面，解剖颈下缘及其下20mm、40mm，髓腔狭窄部四平面CT扫描，由CT软件测量冠、矢状位髓腔内外参数共61项，包括头心—干轴距，头位置，头干角，头—结节高度差，头厚度，头半径，关节面张角，解剖颈直径，髓腔狭窄部位置，解剖颈下缘及其下20mm、40mm和狭窄部四个平面髓腔的最大冠、矢状径，皮质骨厚度等。

Results The total length of femur medullary cavity were (33.51±0.63)cm and (33.13±0.64)cm; the length of the narrow point were (5.61±0.49)cm and (5.17±0.46)cm; the narrowest part were located on the proximal end of medullary cavity the distance of them were (3.55±0.15)cm and (3.52±0.27)cm; the sagital diameter were longer than the coronal diameter of the narrow point medullary cavity, the front one were(1.215±0.113)cm and the other one were (1.077±0.116)cm; the arc semidiameter of medullary cavity were(120.608±6.089)cm.

结果 股骨骨髓腔全长为(33.51±0.63)cm和(33.13±0.64)cm；狭窄段长度为(5.61±0.49)cm和(5.17±0.46)cm；髓腔最狭窄点位于髓腔中点近侧，距离为(3.55±0.15)cm和(3.52±0.27)cm，狭窄点髓腔矢状径较冠状径大，分别为(1.215±0.113)cm 和(1.077±0.116)cm，髓腔弧度半径为(120.608±6.089)cm。

Abstract］ objective to assess the efficacy and safety of holmium laser urethrotomy under ureteroscope to treat the urethral stricture.methods 16 cases were treated by holmium laser resection under ureteroscope.the length of the stricture was 0.1～1.0 cm.the blood loss and the complications as well as curative effect after operation were observed.results all of the cases were treated successfully with less bleeding and no severe complications.the maximal urinary flow rate improved obviously after operation.conclusion the holmium laser under ureteroscope demonstrates good effect to treat urethral stricture.

目的 探讨输尿管镜下钬激光切开术治疗尿道狭窄的疗效。方法 16例患者采用经尿道输尿管镜下钬激光切开术治疗，狭窄长度0.1～1.0 cm，观察其术中出血、术后并发症及疗效。结果 16例患者均顺利完成手术，疗效满意，术中出血少，术后最大尿流率较术前有明显改善，无严重并发症发生。结论输尿管镜下钬激光切开术治疗对尿道狭窄是一种安全、微创且行之有效的治疗方法。

Using CDFI to examine the models of TRAS were established before and after,observe the renal artery and each artery inside the TK, Emphasis to observe whetherthere are high speed color bloodstream signal in artificial TK arteriostenosis. Andachieve the pulse of artificial TK arteriostenosis、the renal artery and each arteryinside the TK, select the measure index include PSV、EDV and RI; Intravenous bolusinjection of contrast agent, Collect and store the continuous image which fromcontrast agent inner to disappear in TK and renal arterial. Open QLAB analysingsoftware, choose the region-of-interest, build TIC, measure and quantitativeanalysis on part parameter index.

在移植肾动脉狭窄动脉模型建立前后进行CDFI扫查，观察移植肾动脉及移植肾内各级动脉的彩色血流充盈情况，重点观察移植肾动脉人为狭窄处有无五彩镶嵌的高速彩色血流信号，并获取移植肾动脉人为狭窄处及肾动脉主干肾门处以及移植肾各级动脉的频谱，选取的测定指标包括：PSV、EDV、RI；经外周静脉注入造影剂，开启造影程序，采集并存贮造影剂开始注入至造影剂在移植肾动脉及移植肾内完全消失的连续动态声像图。

Sensitivity of 64-slice CTA in diagnosis carotid and vertebral arterious stenosis is respectively 97.70%、93.75%, specialty is respectively 99.51%、99.57%.

CTA显示不同程度狭窄的血管段共115段； DSA显示不同程度狭窄的血管段共108段。64层CTA对颈、椎动脉狭窄总的诊断敏感度分别为97.70%、93.75%，特异度分别为99.51%、99.57%。

Various arterious stenosis diagnosed by CTA were 115 segment, DSA 108 segment. Sensitivity of 64-slice CTA in diagnosis carotid and vertebral arterious stenosis is respectively 97.70%、93.75%, specialty is respectively 99.51%、99.57%.

CTA显示不同程度狭窄的血管段共115段； DSA显示不同程度狭窄的血管段共108段。64层CTA对颈、椎动脉狭窄总的诊断敏感度分别为97.70%、93.75%，特异度分别为99.51%、99.57%。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume （＞5 cm3） confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA. In 2 cases with small cerebral infarction volume（＜5 cm3）, MSCTPI and MSCTA revealed normal.

其中32支颈内动脉呈不同程度的狭窄，5支颈内动脉闭塞，11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死（＞5 cm3）的患者，MSCTPI发现与梗死灶相对应的异常灌注区，且均比常规CT及MRI图像上病灶体积大， MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者，为小体积梗死灶（＜5 cm3），MSCTA显示颈内动脉正常。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。