纤维膜性的

At 8 weeks postoperatively, the grafts were mostly substituted by new cells, and the artificial ligament was completely parceled by the synovial membrane, but there were still some gaps; The combined tendon exhibited no loose or disfiguration, the infiltrative inflammatory cells disappeared. The cells in grafts were close to normal cells in anterior cruciate ligament, but fibrocytes arranged in disorder and fibers showed a verticality.

移植后第8周，移植物大部分组织被新长入的细胞替代，人工韧带被滑膜完全包裹，浸润的炎症细胞基本消失，部分接触面已融合，但部分面仍有间隙；联合肌腱无变形和松弛，移植物内细胞形态，数量接近正常前交叉韧带，但纤维细胞排列杂乱，纤维有了一定的纵向性。

The pathological diagnosis should include:(1) the electromyographic recording and ultrasound imaging of local twitch responses,(2) the EMG recording of spontaneous electrical activity at multiple active loci in the MTrP, and (3) the biopsies of MTrP that show contraction knots and giant round muscle fibers.

病理学的诊断应该包括：(1)局部抽搐反应的肌电图记录与超音波影像，(2)在肌筋膜激痛点里的多发性活动性小点上之自发性电位活动的肌电图纪录，(3)肌筋膜激痛点的切片检查显现出收缩结节和大而圆的肌肉纤维。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Genes regulating trypsinogen activation/inactivation and cystic fibrosis transmembrane conductance regulator function have received particular attention.

基因调节胰蛋白酶原激活/失活以及囊性纤维化跨膜通道调节因子功能已经受到特别的关注。

Genes regulating trypsinogen actiation/inactiation and cystic fibrosis transmembrane conductance regulator function hae receied particular attention.

基因调节胰蛋白酶原激活/失活以及囊性纤维化跨膜通道调节因子功能已经受到特别的关注。

Waist leg pain and sciatic nerve are painful , receive because of waist leg muscle ligament, tendon membrane and nerve not proper besides put violence or have borne a heavy burdon for a long time, chill wet heat soaks to enter, make its organization tear to raid sprain , oppression or chronic strain, fiber venereal disease changes and agedness degraded venereal disease changes , bone hyperplasia makes its interverbebral disc outstanding, leg joint inflames , is injured position hyperemia, air Zhi blood Yu, oedema, inflammation and adhesion, and deliver spine nerve root and sciatic nerve to receive press pain.

腰腿痛和坐骨神经痛，多因腰腿肌肉韧带、筋膜和神经受不适当的外置暴力或负重过久，风寒湿热浸入，使其组织撕袭扭伤，压迫或慢性劳损，纤维性病变及老年性退化性病变，骨质增生，使其椎间盘突出，腿关节发炎，受伤部位充血，气滞血瘀，水肿，炎症及粘连，而致脊神经根、坐骨神经受压疼痛。

A total of 150 mesenchymal neoplasms of the GI tract, abdominal cavity, and retroperitoneum were retrieved from consult and surgical pathology archives, including 54 GISTs (8 KIT-negative; 13 desmin-positive), 17 GI leiomyosarcomas, 11 GI mural leiomyomas, 13 leiomyomas of the muscularis mucosae, 12 gastric schwannomas, 15 inflammatory myofibroblastic tumors, 9 cases of mesenteric desmoid fibromatosis, 10 dedifferentiated liposarcomas, and 9 malignant peripheral nerve sheath tumors.

我们从会诊病例及活检病例中找出150例间叶性肿瘤（来自胃肠道、腹腔和后腹膜），其中包括54例GISTs（8例KIT阴性、13例desmin阳性）、17例GI道平滑肌肉瘤、11例GI道肌壁间平滑肌瘤、13例GI道粘膜肌层平滑肌瘤、12例胃的神经鞘瘤、15例炎性肌纤维母细胞瘤、9例肠系膜韧带样纤维瘤、10例去分化型脂肪肉瘤和9例恶性外周神经鞘膜瘤。

However, another investigation12 using the immunolocalization of MMP1, MMP2, MMP9, and MMP14 (MMP14 is a membrane-bound MMP) showed elevated levels of MMP2 and MMP14 in macrophages, as well as in the type II cells and fibroblasts, in emphysematous, compared to nonemphysematous, tissue.

但是在另一项对MMP 1，MMP 2和MMP 14（MMP 14 为有膜MMP）的免疫定位的研究中发现，气肿性组织较非气肿性组织而言，巨噬细胞中的MMP 2与MMP 14水平有升高，II型细胞和层纤维细胞亦如此现象。

Cases healthy subjects served as control. In addition, density of glomerular matrix membrane and quantity of cell in glomeruli were measured with CMIAS image analysis system by computer. Global sclerosis, cellular crescents, fiber or fibrocellular crescents were measured with Memphis scope. Tubulointerstitial lesions were examined with semi-quantitative grades (including O-III grades).Results Compared to normal control, there was a significant increase of urinary TGF-betaK IL-6 and Col-lV levels in patients with IgAN (p. 01). There were also significantly positive correlation between the levels of urinary TGF-betaK Col-IV and density of glomerular matrix membrane ., interstitial fibrosisp.

采用酶联免疫吸附法测定尿TGF-β1(Transforming growth factor-β1)、尿IL-6(interleukin-6)和尿Col-Ⅳ(type Ⅳ Collagen)；采用免疫组织化学法检测肾组织TGF-β1、Col-Ⅳ表达；应用CMIAS多功能真彩色病理图像分析系统对肾小球基质基底膜面密度和细胞个数进行半定量测定；对球性硬化、节段硬化、细胞新月体及纤维或纤维细胞新月体所占肾小球百分数和肾小球IgA沉积免疫荧光强弱的判断采用Memphis法进行评分；肾小管间质病变程度采用光镜下半定量分级法(包括0-Ⅲ级)。

D. N big mouse model was successfully made by adopting single side kidney cutting with induction, then by 24 week continuos observation on the change of various values of kidney and function, through testing of immunity florescence, electro-scope and optical scope, what we can see from model group is that typical kidney small cell got hardened by knot, and discarded, and dead, also small tube withered, small cell of on base film got thick, cell capsule wall was fibred, and base film got double layered.

实验研究采用单侧肾切除加以链脲佐菌素诱导，成功地复制出糖尿病肾病大鼠模型，对其肾脏结构和功能的改变各项指标，连续进行24周动态观察，并进行免疫荧光、电镜、光镜检测，结果表明：糖尿病肾病模型组可见典型的肾小球节段硬化、废弃、坏死，有大量蛋白管型，肾小球管糖元空泡沉积及脂肪滴，肾小管萎缩，肾小球基底膜明显增厚，球囊壁纤维化，基底膜双层化，有一例结核性肉芽组织及钙化等病理变化。

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。