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Using the flap of the aponeurosis reversed triceps muscle of calf repaired old achilles tendon rupture is one of the best method to treat the old achilles tendon rupture.

采用小腿三头肌逆行腱膜瓣治疗陈旧性跟腱断裂是较好的方法,值得临床推广。

Correction of severe congenital blepharoptosis by suspension of frontal muscle flap overlapped with orbital septum aponeurosis flap

采用带血管蒂的额肌帽状腱膜复合组织瓣Ⅰ期修复重建了17例前颅底中线区大面积洞穿性组织缺损。

Bacteriology of Necrotizing Fasciitis: A Review of 58 Cases.

坏死性肌膜炎之细菌学:58个病案的分析。

The reasons for these complications: The main arteries as a result of high blood pressure resulted in a series of changes, especially the long-term systemic small artery spasm, may cause the vessel wall occurred in dystrophic changes in subintimal deposition of protein substances, fibrous tissue increased , in the muscle membrane hypertrophy, reduced arterial elasticity, resulting in luminal narrowing.

产生这些并发症的原因:主要是由于高血压使动脉产生了一系列变化,尤其是全身小动脉的长期痉挛,可能使血管壁发生营养不良性变化,内膜下蛋白性物质沉积,纤维组织增多,中膜肌层肥厚,动脉弹性减低,以致管腔变窄。

Radio-ligand binding assay was applied to determine the maximum binding and affinity changes of nicotinic acetylcholine receptor on five weeks old male Sprague-Dawley rat's lateral pterygoid muscle and superficial masseter muscle after the function mandibular advancement.

本研究在以往研究的基础上,首次对功能矫形的神经肌肉调控机理进行探索。应用放射受体分析法,从膜受体蛋白分子水平定量研究功能矫形前伸青春期SD大鼠(5周龄)下颌后,下颌前伸肌细胞膜烟碱样乙酰胆碱受体最大结合容量和亲和性的变化。

People often occur in elderly vascular sclerosis, high blood pressure sustained more easily lead to cerebral arteriosclerosis, vessel wall hyalinization appears fat, thus weakening the strength of the vessel wall, together with the blood of the structure of the wall is relatively weak, the middle vascular myocytes less, the lack of external elastic layer developed arterial adventitia easily occurred in the brain artery wall limitations small expansion, the formation of micro-miliary aneurysm.

人到老年血管常会发生硬化,持续的高血压更容易导致脑动脉硬化,血管壁出现脂肪玻璃样变,从而削弱血管壁的强度,加上脑血管壁的结构比较薄弱,血管中层肌细胞少,缺乏外弹力层,动脉外膜不发达,容易造成脑内小动脉壁发生局限性扩张,形成粟粒性微动脉瘤。

Results:(1) CBC possesses a natural trabecular structure. Its components is similar to the mineral of bone.(2) CBC has great cellur biocompatibility. It can promote cell adhesion, proliferation and secretory while needn t modification.(3) In nude mice, the ectopic osteogenesis of MCCAB was obvious which was better than that of CBC alone and the new bone formation increased in pace with time. In the MCCAB, both intramembranous and cartilaginous osteogeneses were seen but the former dominated.(4) When MCCAB was autotransplanted intramuscularly, the osteogenesis was much better than that of negative control groups.(5) The MCCAB can repair autogenous calvaria defects effectively and the effect was much better than that of CBM alone and blank group. Conclusion:(1) CBC possesses good biocompatibility, osteoconduction and porous structure, can be used as scaffold material for constructing of tissue engineering bone.

结果:(1)CBC具有天然的多孔网状结构,最大程度地保持了骨矿的微结构特征,可以作为骨组织工程的支架材料;(2)CBC细胞亲和性好,不需作修饰即能促进成骨细胞的粘附、增殖和分泌活动;(3)MSO/CBC复合人工骨在裸鼠皮下异位成骨作用明显,兼有膜内成骨和软骨内成骨的特点,成骨效果明显优于单纯CBC植入组;(4)MSO/CBC复合人工骨兔自体肌袋异位成骨作用明显,血管化充分,成骨效果明显优于单纯CBC植入组;(5)MSO/CBC复合人工骨修复兔颅骨临界性缺损效果好,明显优于单纯植入CBC组和空白对第四旱区大学硕士学位论文一照组,可以作为骨移植替代材料用于骨缺损畸形修复。

From 1982 to 1988, 14 cases (8 females and 6 males) with granular myringitis had been operated under local anesthesia, and used an operation microscope to remove all the granulation tissue which existed over the ear drums. After we had removed the granulation tissue over the ear durms, we had performed free ear canal skin autograft for 8 cases – group A, and we had performed temporalis fascia with free ear canal skin autograft for 4 cases (small perforation was made by accident during the surgery due to large granulated area,﹥50%)– group B, but we had covered silastic sheet over the denuded drum surface for the other 2 cases –group C.

14例肉芽性鼓膜炎为自民国71年至77年间的住院手术病人,皆在耳局部麻醉后,於显微镜下刮除鼓膜上所有肉芽组织,其中8例於刮除鼓膜上所有肉芽组织后有移植外耳道的皮肤-A组,另外4例则因鼓膜上肉芽组织范围大於50%以上,致手术中意外地造成鼓膜小穿孔,需立刻加铺颞肌膜后,再移植外耳道的皮肤-B组,其余2例则只在刮除鼓膜上的肉芽组织后,直接铺上一块矽胶片-C组。

All cases were invasive-7 into at least the lamina propria, 7 into at least the muscularis propria, and 3 into perivesical fat.

所有病例都具侵袭性,至少侵袭至固有膜和固有肌层的各有7例,3例侵袭至膀胱周边脂肪组织。

The reasons for false-positive facet blocks are multifactorial and include placebo response (18–32%) to diagnostic facet interventions, use of sedation, the liberal use of superficial LA, and the spread of injectate to paingenerating structures other than those targeted.166 Although some investigators have disputed this assertion,167,168 it is our belief that not only opioids, but sedatives such as midazolam, can lead to false-positive blocks by interfering with the interpretation of analgesic response (i.e., preventing a patient from engaging in normal activities) and virtue of their muscle relaxant properties.169 In a recent survey conducted in 500 patients receiving facet blocks or epidurals at an outpatient spine center, only 17% requested sedation.170

小关节阻滞性诊断的假阳性结果的原因是多种多样的,包括安慰剂反应(18–32%),如利用镇静剂,浅表大量应用LA以及注射液外渗到目标外的其他疼痛发生阻滞。虽然有些学者对这种论断持怀疑态度,但是我们认为不论类罂粟碱,咪达唑仑等镇静剂,都可因具有麻醉反应(如可阻止患者从事正常活动)及肌松特点而导致假阳性率。在最近一项500人的研究中,这些门诊患者接受了小关节阻滞或硬膜外阻滞,只有17%患者需要镇静剂。

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