硬膜内的

To describe a case of intradural metastasis from a renal cell carcinoma spread to the cauda equina, and review the pertinent medical literature.

目的：描述一例肾细胞癌有脊髓硬膜内转移至马尾的病例，并回顾相关医学文献。

Methods A microanatomical study was conducted in 50 sides specimens for designing and using middle fossa epidural approach.A retrospective contract review of 98 patients with TN treated via intradural or epidural approach (1978～1997)was undertaken.

在50侧尸体头标本上进行中颅底显微解剖研究，设计硬膜外手术方案，并对我科经硬膜内入路和硬膜外入路治疗的98例(1978～1997)三叉神经瘤病例进行回顾性对比分析。

Thirty-two patients (mean age 41 ± 17 years) underwent cervical laminectomy without fusion for resection of an intradural tumor (18 intramedullary and 14 extramedullary).

硬膜内肿瘤切除（髓内18个、髓外14个）颈椎椎板切除后没有行融合术的32位病人（平均年龄41 ± 17岁）。

Myelography with contrast media or CT scan with metrizamide is essential to detect intradural and intramedullary tumors.

持续性两侧小腿疼痛而无背痛病史，也提示为脊柱肿瘤，用造影剂作脊髓X线造影或用甲泛影酰胺作CT扫描探查硬膜内或脊内肿瘤是来可少的。

Persistent bilateral leg pain with no history of back pain also suggests spinal tumor. Myelography with contrast media or CT scan with metrizamide is essential to detect intradural and intramedullary tumors.

持续性两侧小腿疼痛而无背痛病史，也提示为脊柱肿瘤，用造影剂作脊髓X线造影或用甲泛影酰胺作CT扫描探查硬膜内或脊内肿瘤是来可少的。

To identify patients who may benefit from initial fusion, the authors assessed clinical, radiological/imaging, and operative factors associated with subsequent symptomatic cervical instability requiring fusion after cervical laminectomy for intradural tumor resection.

为确认一期融合对病人也许有益，作者从临床、放射学\影像及硬膜内肿瘤切除术颈椎椎板切除后继发颈椎不稳症状需行融合术的相关手术因素来进行评估。

Persistent bilateral leg pain with no history of back pain also suggests inal tumor. Myelography with contrast media or CT scan with metrizamide is e ential to detect intradural and intramedullary tumors.

持续性两侧小腿疼痛而无背痛病史，也提示为脊柱肿瘤，用造影剂作脊髓X线造影或用甲泛影酰胺作CT扫描探查硬膜内或脊内肿瘤是来可少的。

It was achieved by intradural microanastomosis of the L6 ventral root to S2 ventral root. After axonal regeneration, the "patellar ligament-spinal cord center-bladder" reflex pathway was reestablished. The function of the reflex arc was observed by nerve electrophysiological experiment, detrusor electromyography experiment, urodynamic testing and HRP retrograde tracing before and in 8 months after the spinal cord was destroyed horizontally between S1 and S4 level. There was one case of conical SCI patient who had L1 fracture and paraplegia was received intradural microanastomosis of the L6 ventral root to S2 ventral root after Li fracture and paraplegia.

将Beagle犬L6前根近端与S2前根远端在硬膜内显微吻合，经一段时间的轴突再生后，建立&膝腱－脊髓中枢－膀胱&人工反射弧，术后8个月，在破坏S1~S4脊髓节段前后分别进行神经电生理、膀胱肌电图及尿流动力学和辣根过氧化物酶逆行示踪等检查；对1例L1压缩性骨折伴截瘫患者行右侧T11与52前根经腓肠神经移植硬膜内吻合术。

Results 5 cases of ependymocytoma, 3 cases of astrocytoma, 1 medulloblastoma hemangioblastoma in 10 cases of intra-medullary tumor; 36 cases of neurogenic tumor, 11 cases of spinal meningioma in 47 cases of subdural extramedullary tumor; 2 cases of neurogenic tumor strided over scleromeninx;2 cases of extradural metastatic tumor, 1 cestodiasis, 2 cases of epidural hematoma, which were mistaken for hemangioma before surgical operation and 1 vascular malformation in 4 cases of intraspinal nontumorous occupying lesion.

结果：10例髓内肿瘤中，室管膜瘤5例；星形细胞瘤3例；血管母细胞瘤1例；成神经管细胞瘤1例。47例脊髓外硬膜下肿瘤中，神经源性肿瘤36例；脊膜瘤11例。2例跨硬膜内外生长的神经源性肿瘤2例。硬膜外的转移瘤2例。4例椎管内非肿瘤性占位性病变中，椎管内绦虫病1例；硬膜外血肿2例，术前误为血管瘤；血管畸形1例。

At surgery, multiple cysts were found in the ertebral body, and the spinal cord was compressed by cysts lying in the extradural space.

脊髓造影术因有刺破包囊导致病虫在硬膜内扩散和过敏反应，同时脊髓造影对该病诊断为非特异性的，仅能说明蛛网膜下腔有梗阻，因此不提倡应用。

We have no common name for a mime of Sophron or Xenarchus and a Socratic Conversation; and we should still be without one even if the imitation in the two instances were in trimeters or elegiacs or some other kind of verse--though it is the way with people to tack on 'poet' to the name of a metre, and talk of elegiac-poets and epic-poets, thinking that they call them poets not by reason of the imitative nature of their work, but indiscriminately by reason of the metre they write in.

索夫农 、森那库斯和苏格拉底式的对话采用的模仿没有一个公共的名称；三音步诗、挽歌体或其他类型的诗的模仿也没有——人们把&诗人&这一名词和格律名称结合到一起，称之为挽歌体诗人或者史诗诗人，他们被称为诗人，似乎只是因为遵守格律写作，而非他们作品的模仿本质。

The relationship between communicative competence and grammar teaching should be that of the ends and the means.

交际能力和语法的关系应该是目标与途径的关系。