神经切除术

PURPOSE: To introduce a new method of remaining major auricular nerve and parotid fascia in parotidectomy.

目的：介绍一种腮腺切除术中保留耳大神经和腮腺筋膜的改良方法。

All patient all goes MRI scanning, diagnose for hypophysis tumour, use general anesthesia, in bazoo of the classics below the lens inside nerve tumour of butterfly antrum travel is blown suck resection.

全部患者均行MRI扫描，诊断为垂体瘤，并采用全身麻醉，在神经内镜下经鼻蝶窦行肿瘤刮吸切除术。

Spondylectomy en bloc and reconstruction via posterior approach is effective to improve neurofunction as well as decrease local recurrence.

后路全脊椎整块切除术是胸腰椎肿瘤一种有效的手术方法，可改善脊髓神经功能，降低脊柱骨肿瘤局部复发率。

Among the 51 patients, 41 (80.4%) patients showed complete response and 3 (5.9%) partial response at the S-year follow-up. Conclusion Vadian neurectomy under nasal endoscope is an effective technique for vasomotor rhinitis.

鼻内窥镜下切除中鼻甲后端进路的冀管神经切断术，是治疗血管运动性鼻炎的有效方法。

Methods: Thirty male SpragueDawley rats were randomly divided into 5 groups, group A 3 days after L5 VRT, group B 7 days, group C 14 days, group D 21 days and group E of sham operation, whose left spine cords were exposed by hemilaminectomy. Rats in each group were respectively perfused with paraformaldehyde and materials were taken from L5 dosal root ganglions and the changes of expression of P2X3 receptor were observed with immunofluorescence staining.

雄性SD大鼠30只，随机分为5组（n=6），A组（L5 VRT术后3 d）、B组（L5 VRT术后7 d）、C组（L5 VRT术后14 d）、D组（L5 VRT术后21 d）模型组和E组，E组仅行半椎板切除术暴露左侧脊髓，分别在各自的时间点灌注取材L5背根神经节，用免疫荧光染色方法观察P2X3受体表达的变化。

BACKGROUND: Bilateral ilioinguinal nerve block may be usefulto control postoperative pain in gynecologic surgery, especiallyhysterectomy.

背景：双侧髂腹股沟神经阻滞对妇科手术尤其是子宫切除术患者术后的疼痛控制可能有利。

Observing localization of the drug and morphologic change in DRG cells and motor neurons in spinal cord anterior hom after 1% adriamycin intraneural injection into the sciatic nerve of rabbits. Moreover, evaluating sensory and motor function 1-8 weeks following injection. Exploring whether the agent, injected into sciatic nerve, has the effect of chemo-ganglionectomy on the corresponding DRG.

研究家兔坐骨神经内注射1％阿霉素后，药物的聚集部位及相应脊髓前角运动神经元和背根节细胞的形态学变化，测定家兔1～8周下肢感觉及运动功能，探讨坐骨神经内注射阿霉素能否对相应背根神经节产生化学切除术作用。

［Objective］ To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion ［Method］ From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score ［Result］ All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found ［Conclusion］ Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。［方法］2005年12月至2007年6月间，对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间（12~16 d，平均135 d）后采用枕骨大孔后缘扩大，寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术，手术后采用日本骨科学会神经功能评分分析临床疗效。［结果］8例患者随访6个月~2年，平均为15个月。8例患者无一例出现术后并发症，术前寰齿前间隙为5~9 mm，经颅骨牵引后为5~7 mm，寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复，影像学检查示枕颈区减压充分植骨区获得骨性融合，无一例出现内固定松动或断裂。［结论］合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变，采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的，且临床效果满意。

Partial or en bloc sacrectomy is a more aggressive treatment modality that may be curative but necessitates sacrifice of the sacral nerve roots, thereby leading to possible bowel, bladder, or sexual dysfunction.

部分或全骶骨切除术更为激进，有治愈的可能，但需要牺牲骶神经，从而导致二便和性功能障碍。

Partial or en bloc sacrectomy is a more aggressie treatment modality that may be curatie but necessitates sacrifice of the sacral nere roots, thereby leading to possible bowel, bladder, or sexual dysfunction.

部分或全骶骨切除术更为激进，有治愈的可能，但需要牺牲骶神经，从而导致二便和性功能障碍。

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。