组织切开术

Methods Unilateral mandibular osteotomies were performed in 30 mature rabbits, the mandibles of 30 rabbits were lengthened by 4mm using a distracter.

方法在30只成年大耳白兔的一侧下颌骨前部行骨切开术，用牵引器延长一侧下颌骨4mm，分别于牵张完成后的第1，3，7，14，28天处死一组动物，取牵引区新生骨痂行组织学及OPG免疫组化染色。

Infections of 3 cases were controled after treatment with the wound dressing and compression bandaging after local inflammation organic resection, oral Xinhuang Tablets of proprietary Chinese medicines and antibiotics; 9 cases were treated with arthroscopic joint clean-up washing , 2 case of them were treated with incision debridement combined by synovectomy arthroscopic due to inability to complete debridement ; 3 case of them were treated with temporary prosthesis replacement surgery on the infection after total knee debridement due to recurring knee swelling and rupture , filling bone cement containing sensitive antibiotics, convection to wash on the articular cavity, and second phase renovation in stable condition, finally they recoveried postoperatively and discharged.

结果：对22例出现炎症性反应的TKA术后患者，经抗感染、关节腔对流冲洗、清创和Ⅱ期再置换并配合口服中成药新癀片等处理。10例轻微肿痛病人经单纯药物治疗，症状改善。12例患者应用外科干预， 3例行局部炎症组织切除后伤口换药并加压包扎，口服中成药新癀片及抗生素治疗后控制感染；9例在关节镜下行关节清理冲洗，其中2例在行关节镜下手术时因无法彻底清创行切开清创合并滑膜切除； 3例因反复出现膝关节红肿、疼痛、甚至破溃予全膝置换术后感染清创临时假体置换术，用含敏感抗生素骨水泥填充，对关节腔进行对流冲洗，待关节情况稳定后行Ⅱ期翻修，术后痊愈出院。

Methods : The endourethral surgery, such as internal urethrotomy transurethral scar electrosectomy or transurethral scar plasmakinetic bipolar electrocautery or transurethral laser cicatrectomy, were carried out in 46 cases suffering from the complicated urethrostenosis and urethratresia.

回顾性总结46例采用冷刀、等离子体双极电切术或激光技术行窥视下经尿道内切开、切除尿道瘢痕组织治疗复杂性尿道狭窄或尿道闭锁的经验。

Results: Among 80 cases of ACST, 76 cases were successfully implemented LC, gallbladder puncture and decompression choledocholithotomy T-tube drainage were performed in 11 cases, choledocholithotomy T-tube drainage in 15 cases, common bile duct gall bladder fistula Toishi T-tube drainage in 14 cases, gallbladder removal choledocholithotomy T-tube drainage in 36 cases, operative time 15-120 min, bleeding 10-80 ml; 4 cases transitted laparotomy, 1 case of gallbladder and surrounding tissue adhesion serious, ampulla signs disappear, and the hepatoduodenal ligament ill-defined, 2 cases of gallbladder contraction deep within the liver, gallbladder triangle scar adhesions, and 1 case of duct stone impaction and severe adhesions; postoperative hospital stay was 8-11 d, all were well recovered; pathological diagnosis, acute cholecystitis in 41 cases （51.2％）, acute suppurative cholecystitis in 24 cases （30.0％）, acute gangrenous cholecystitis in 15 cases （18.8％）.

结果：重症急性胆囊炎80例，76例成功实施LC，其中，胆囊穿刺减压胆总管切开取石T管引流11例，胆总管切开取石T管引流15例，胆囊造瘘胆总管切开取石T管引流14例，胆囊切除胆总管切开取石T管引流36例，手术时间15～120 min，术中出血10～85 ml；4例中转开腹，其中，1例胆囊与周围组织粘连严重，壶腹部标志消失，与肝十二指肠韧带界限不清，2例胆囊萎缩深陷肝脏内，胆囊三角区瘢痕粘连，1例胆囊管结石嵌顿且严重粘连，术后住院时间8～11 d，术后恢复均良好，治愈出院；80例术后病理诊断，急性单纯性胆囊炎41例（51.2％），急性化脓性胆囊炎24例（30.0％），急性坏疽性胆囊炎15例（18.8％）。

Debridement is the basic skill of traumatology department, including incision into wound tract、widen of wound、cut of devitalized tissue、removal of a foreign object、hemostasis、abteilung etc.The clean of wound surface is the foremost task in the debridement.

清创术是创伤外科最常用的基本技术之一，它包括切开伤道、扩大伤口、切除失活组织、清除异物、止血、引流及固定等一系列操作，而创面清洗是清创术中的首要任务。

The resection electrode types include: a hand-crafted, temperature-resistant tungsten wire-cutting loop; a coagulating perforated resector that provides a 40% greater coagulation zone than standard cutting loops and performs cutting and coagulation simultaneously during tissue resection; a dimpled vaporization roller that offers a smoother area of vaporization than a grooved roller while providing deep-tissue coagulation; a roller ball and roller barrel, which are used for coagulation and ablation of soft tissue in the bladder and prostate (the roller ball may also be used for endometrial ablation in the uterus); and a Collings knife that allows urologists access to all areas of the prostate and is most commonly used for ureteral meatotomy and transurethral incision of the prostate.

切除电极包括：手动操作、耐受高温、钨丝切除线圈；凝固穿孔前列腺切除器，比标准切除线圈的凝固面积大出40%，能够在组织切除过程中同时进行切除和凝固；一种漩涡汽化转子，比槽式转子提供更加平滑的汽化区域，同时产生深部组织凝固；一个转子球和转子滚筒，用于膀胱和前列腺软组织的凝固和汽化(转子球还可以用于子宫内膜的消融)；一个Collings刀能够帮助泌尿科医生进入前列腺的所有区域，通常用于输尿管切除术和经尿道前列腺切开。

Mediastinoscopy and/or mediastinotomy with a biopsy was performed in all patients with N2 stage detected by CT scan of the chest (83% of the patients in the preresectional chemotherapy arm and 63% of those in the surgery arm).

胸部CT发现N2期的所有病人均进行了纵膈镜检和／或纵膈切开术(Chamberlain术式)及活组织病检，其中83%的病人在术前化疗组，63%在手术组。

At such a rate,the suffocation incidence of the newborn was about 606％,and the incidence of complication and sequelae of the puerperaants was about 5.58％.Conclusion: The perineotomy parturitono may have remarkable significance in the second course of parturition in avoiding perineum laceration,alleviating the pressure of the pelvic tissues on fetus' head,shortening the second course of parturition,as well as in decreasing the suffocation incidence of the newborn.

会阴切开阴道助产术在第二产程中为避免会阴及盆底严重裂伤，减轻盆底组织对胎头的压迫、缩短第二产程、加速分娩、降低新生儿窒息率具有很大的意义，只有合理掌握手术的指征以及避免过多干预和进行手术助产，会阴切开阴道助产术就可取得良好的效果，侧切率就能得到很好的控制，否则将会产生一系列并发症，对母婴带来很大的危害。

Personally,i believe i am just the person who can best fill this position.to begin with,my major , my degree exactly meet the basic requirements of the advertised position.second,i have 6 years of experience rotating in surgical departments.as having pererrorerrorerrorformed 2000 or so procedures,i am able to deal with most basic clinical problems in most surgical departments,and i am good at all kinds of basic surgical skills and procedures,including tracheotomy,endotracheal intubation,thyrocricocentesis,central vein catheterization,external lateral ventricular drainage,closed drainage of thoracic cavity,peritoneocentesis,suprapubis vesicopun c ture,gastrointestinal decompression,urethral catheterization,cranial traction,bone marrow pun c ture,plaster immobilization, routine fracture fixation and traction, phlebotomy , excellent debridement and suturing, and so on.conclusively,i am competent in most basic surgical work and good at organising residents on first aid work.

我自信我正是贵公司所需要的雇员。首先，我的学历，学位和工作经验正符合贵公司在网站中告知的该职位的应聘条件。其次，我有 6 年的外科各科室轮转的工作经历。毕业至今我已经参与完成大小手术 2000 台次，鉴于此，我能处理各外科科室的基本临床问题，熟练进行外科各科室的基本临床操作和手术，比如气管切开术，气管内插管术，环甲膜穿刺术，中心静脉置管术，侧脑室外引流术，胸腔闭式引流术，腹腔穿刺术，胃肠减压术，耻骨上膀胱穿刺术，导尿术，颅骨牵引术，骨髓穿刺术，各种骨折固定和牵引术，静脉切开术，娴熟的清创缝合术等。总的说来，我能胜任外科各科室临床常规工作并组织住院医师进行急救工作。

Dissecting the gallbladder wall for inspection and palpating the mucosa is useful for the diagnosis of incidental gallbladder carlinoma,and when necessary,histopathologic examination should be performed LC for PT1 gallbladder cancer needs no additional treatment,however,wedge resection of liver bed tissue and district lymphaden for PT2 patients is recommended,Conversion to the open procedure and radical operation or palliative operation for PT3 is prefered

所有病例均未见脐部戳孔处肿瘤种植转移。结论：LC术中应常规切开胆囊标本，必要时送术中冰冻。PT1单纯切除胆囊已足够；PT2要额外楔形切除肝组织及区域淋巴结；PT3中转开腹，行根治手术或姑息手术。

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％。