线状

Objective To introduce and evaluate treatment outcome of mallet fingers using double metal needle and double button Bunnell''s tendon suture.

目的 介绍应用Bunnell带双金属针双钮扣肌腱缝合线泊疗锤状指的疗效。

It is easy and effective to treat mallet fingers using double metal needle and double button Bunnell's tendon suture.

采用Bunnell带双金属针双钮扣肌腱缝合线治疗锤状指，操作简单、疗效可靠。

Methods In 12 fresh and 4 old mallet fingers, the broken tendons were sutured with double metal needle and double button Bunnell's suture.

目的 介绍应用Bunnell带双金属针双钮扣肌腱缝合线治疗锤状指的疗效。

2 Cm. Seeds dark reddish brown, 1-1.2 mm, not or scarcely carinate; testa linear-foveolate.

种子深色的带红色棕色，1-1.2毫米，不或几乎不具龙骨状隆起的；种皮线蜂窝状。

Seeds dark reddish brown to grayish brown, 1.3-1.5 mm, shallowly carinate, without terminal expansion; testa densely linear-reticulate.

种子深色的红棕色在淡灰棕色，1.3-1.5毫米，浅具龙骨状隆起，没有顶生的扩大；浓密的种皮线网状。

Capsule broadly ovoid, 0.9-1.1 cm × 8-10 mm. Seeds dark brown, 1-1.2 mm, not or scarcely carinate; testa linear-foveolate.

蒴果宽卵形，0.9-1.1厘米×暗褐色的毫米种子，毫米，具龙骨状隆起的不或几乎不；种皮线蜂窝状。

Results The long term results of the vascularized fibular graft varied in different types of bone defects. Nine patients with congenital pseudoarthrosis of tibia had the limb function restored in 65％ and one had nonunion of fibular graft, 3 fractures(7 times), and 5 angular deformities. Three patients with congenital radial deficiency had 62％ restoration of the limb function. All of them showed early closure of epiphyses of the grafted fibulae. Five cases with osteomyelitis and bone defects combined soft tissue deficiency had 94％ restoration of the limb function, and only one occurred fracture of fibular graft. One case with soft tissue defect and concomitant ulnar defect, ulnar nerve and median nerve injury, 67％ function of limb was recovered, and union of fibula graft was good. 100％ function of limb was recovered in 1 case with cavernoma of radius and without occurring valgus deformity of donor site.

结果应用带血管腓骨移植修复骨缺损的远期效果因缺损类型的不同而存在较大差异。9例先天性胫骨假关节患者，术后肢体功能恢复65％，其中移植腓骨骨不连1例、骨折3例(7次)、成角畸形5例；3例先天性桡骨缺如患者，术后肢体功能恢复62％，3例术后均出现移植腓骨骨骺线早闭，畸形复发；5例骨髓炎、骨外露、骨缺损并软组织缺损患者，术后肢体功能恢复94％，仅1例发生移植腓骨骨折；1例前臂软组织缺损并尺骨缺损，尺神经、正中神经损伤者，术后肢体功能恢复67％，骨愈合顺利；1例桡骨海绵状血管瘤者，术后肢体功能恢复100％，骨愈合顺利。

Materials and Methods: Six patients with left frontal lobe tumors (4 gliomas, 1 germinoma, 1 intra-axial cavernoma) close to Brocca and Wernicke language areas were studied. BOLD and DTI were performed on a 3.0T magnet GE Signa Excite~(? HD_X, BOLD using the word association paradigm developed in Part I and DTT technique developed in PartII. Language activation maps and fiber tracts were superimposed upon high resolution T1 weighted anatomic images of the brain for displaying the relationship between tumor, language functional areas and white matter tracts.

材料和方法：使用GE 3.0 T Singa Excite~ HD_x超导磁共振成像系统，对6例左侧语言相关脑区肿瘤(Ⅲ-Ⅳ级胶质瘤1例，Ⅱ级胶质瘤3例，生殖细胞瘤1例，海绵状血管瘤1例)行BOLD-fMRI及扩散张量成像扫描，BOLD应用语义相关判断作为任务刺激，所有数据进行离线后处理，应用AFNI软件处理BOLD图像，观察语言功能皮层的激活；DTT采用日本东京大学的Volume-one1.56和diffusion TENSOR Visualizer 1.5进行纤维束成像处理。

A circumferential array of cleats, which each have the form of a comb, support and guide the terminal leads circumferentially, spaced from one another, to a certain location at the top from which the leads are taken and connected to terminals above.

布置成圆周形阵列的梳状线夹（35）在周向上支撑和引导端子引线（34），使端子引线的顶部彼此间隔开一定的距离，从顶部引出的引线连接到上面的端子上。

The available operation range in clivus and anterior cranial base by transsphenoidal opproach was also observed during the operation under the help of neuronavigational pointer. Forty-one patients underwent sublabial, transseptal, transsphenoidal approach to the pituitary region guided by Surgical Microscope Navigation was studied. The piriform aperture was 27. 2mm±3. 1 , the origin of inferior nasal concha 30mm±4. 1, the origin of middle nasal concha 27. 9mm±4. 3. These data are important for transsphenoidal approach, because the piriform aperture and the origin of both inferior and middle nasal conchas restricted the opening width of the Hardy specula. If any distance of these bony structures was much less than the mean one, may cause inadequate opening of the specula blade and resulting dissatisfied operative field. Microadenomas or cystic tumors perhaps can be operated even in a narrow exposure, but large or giant solid adenomas may need a proper evaluation including changing the operative approach or performing a bilateral submucous inferior conchotomy or posterior ethmoidectomy firstly.

手术中还利用CT导航系统观察棒研究了经口—鼻蝶窦入路在斜坡区和前颅底能够达到的实际有效操作范围，为扩大经蝶窦入路手术在斜坡区和前颅底的应用奠定基础，在国内外尚未见同类报道。41例垂体瘤患者梨状孔平均宽度27.2mm±3.1，下鼻甲根部附着处间距30mm±4.1，中鼻甲根部附着处间距27.9mm±4.3，这是经口—鼻蝶窦入路手术中，对Hardy双瓣鼻窥器张开限制的主要骨性结构，若患者这些径线值明显小于平均值，则可能因为鼻窥器打开不充分而影响手术暴露，当然对于垂体微腺瘤和以囊变为主的垂体瘤可能影响不大，但对于大和巨大垂体瘤必须要有充分的准备，包括评估是否改用其他入路，或先行鼻甲切除再行经蝶手术。

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％。