腰髂的

Methods: CT films of 22 patients with enlarged iliopsoas bursa were studied retrospecively.

回顾性阅读经穿刺抽吸或手术病理证实的 2 2例髂腰肌囊扩张病人的典型CT征象。

First 27 rabbits of the experimental group were destabilizated by operated on L6、7.Inj Diazepam 0.25 mg/kg,Inj Ketamine 0.02 g/kg and Inj Atropine 0.125 mg/kg was one by one injected into the rabbit through the auris vein,shearing the rabbit hair of backside waist,fixing the rabbit on operation table in face lying,using 1% Povidone Ioding to degerm the operation area.Every rabbit was incised at the backside of its waist,that incisal opening is located in the center of the intervertebral space (L6、7 space) that both side iliac crest line correspond ,from the meso-ordinate direction cut about 4 cm incision,cutting open skin and subcutaneous tissue,thoroughly ,exposing the spinous processes the vertebral plates and the upper-inferior articular processes,entirely segregating the muscles that cohere the spinous processes the vertebral plates and the articluar process,then excising the supraspinal ligaments and interspinal ligaments,biting off two sides the inferior articular processes of L6,in order that resulting in intervertebral destabilization,using 0.9% Inj.Sodium Chloride to washout the incisal opening,in order sewing up each layer tissues.

方法］ 取48只6个月龄日本大耳白兔，雌雄不限，体重为（2.5±0.2） kg，随机进行分组，分为对照组和实验组，对照组为21只；实验组为27只；先将实验组兔腰背部皮毛剪除，用安定注射液1.25 mg/kg、氯胺酮0.02 g/kg、阿托品0.125 mg/kg顺次耳缘静脉注射麻醉后，俯卧固定于手术台上，用1%碘伏消毒手术区域，以髂嵴平对椎间隙（即L6、7）为中心，从正中取一长约4 cm纵行切口，切开皮肤及皮下组织，锐性分离，暴露棘突、椎板及上下关节突，将附着于棘突、椎板及小关节的肌肉全部分离开，然后依次切除L6、7棘上及棘间韧带，咬除第6腰椎两侧下关节突，造成椎间失稳，用无菌生理盐水冲洗切口，依次缝合各层组织；术后动物在笼中自由活动。

Inj Diazepam 0.25 mg/kg,Inj Ketamine 0.02 g/kg and Inj Atropine 0.125 mg/kg was one by one injected into the rabbit through the auris vein,shearing the rabbit hair of backside waist,fixing the rabbit on operation table in face lying,using 1% Povidone Ioding to degerm the operation area.Every rabbit was incised at the backside of its waist,that incisal opening is located in the center of the intervertebral space (L6、7 space) that both side iliac crest line correspond ,from the meso-ordinate direction cut about 4 cm incision,cutting open skin and subcutaneous tissue,thoroughly ,exposing the spinous processes the vertebral plates and the upper-inferior articular processes,entirely segregating the muscles that cohere the spinous processes the vertebral plates and the articluar process,then excising the supraspinal ligaments and interspinal ligaments,biting off two sides the inferior articular processes of L6,in order that resulting in intervertebral destabilization,using 0.9% Inj.Sodium Chloride to washout the incisal opening,in order sewing up each layer tissues.

方法］ 取48只6个月龄日本大耳白兔，雌雄不限，体重为（2.5±0.2） kg，随机进行分组，分为对照组和实验组，对照组为21只；实验组为27只；先将实验组兔腰背部皮毛剪除，用安定注射液1.25 mg/kg、氯胺酮0.02 g/kg、阿托品0.125 mg/kg顺次耳缘静脉注射####后，俯卧固定于手术台上，用1%碘伏消毒手术区域，以髂嵴平对椎间隙（即L6、7）为中心，从正中取一长约4 cm纵行切口，切开皮肤及皮下组织，锐性分离，暴露棘突、椎板及上下关节突，将附着于棘突、椎板及小关节的肌肉全部分离开，然后依次切除L6、7棘上及棘间韧带，咬除第6腰椎两侧下关节突，造成椎间失稳，用无菌生理盐水冲洗切口，依次缝合各层组织；术后动物在笼中自由活动。

Methods Selective arterial catheter was used, and gelatin sponge processed by high temperature or chemoembolization was used to embolize the iliolumbar and internal iliac artery which nourished the tumor.

采用选择性动脉插管，用经高温处理的明胶海绵栓塞或化疗性栓塞供应肿瘤的腰动脉、髂内动脉。

The iliolumbar artery could not be dodged due to its special anatomic origins.

双侧髂腰动脉由于其特殊的位置关系，无法避开。

For 18 cases, the ascending vein and iliolumbar vein separately drained into common iliac vein, and for 12 cases a common trunk entered into the common iliac vein.

在牵拉髂总静脉时，可能导致它们的破裂，并且在暴露血管时需注意避免损伤闭孔神经和腰骶干。

RESULTS: Under the axial loading on the intact specimen, 70% stress contributed at the pars, 26% at intervertebral disc, and 2.8% at iliolumbar ligament.

结果：正常标本轴向压缩实验，70.7%的应力分布于峡部，分布在椎间盘应力为26.5%，而髂腰韧带则有2.8%应力分布。

MRI can preferably demonstrate the locus, extent, size, shape and neighbouring frame of enlarged iliopsoas bursa, and it has distinctive advantages in the multiple bursa patients.

MRI能更好地显示髂腰肌囊扩张的部位、范围、形态、大小和毗邻结构，对多发病例更具有独特的优势。

5 And 4.0+/-0.7. The A angle of the posterior anoc occygeal triangle increased from 92.7°+/-7.2° to 114.3°+/-11.6 °.Conclusion Suspension of pelvic floor with iliopsoas in combination with post-operative training is effective in managing neurogenic fecal incontinence.

髂腰肌盆底悬吊及术后康复训练是治疗小儿神经源性大便失禁的有效方法；应制定一个系统而全面的治疗计划和肛门评定方案。

Methods Twenty-eight patients with neurogenic fecalinco ntinence (4 to 12 years of age), underwent suspension of pelvic floor by bilateral transposition of iliopsoas muscle. Pelvic floor training was started 3 week spost-operatively. The continence was assessed on clinical symptoms, Barium en ema and anal manometry.

本组28例，年龄4～12岁，手术方式为双侧髂腰肌转移盆底肌加强或替代术，术后第3周起行康复训练，采用临床主观评定、钡灌肠以及直肠肛管测压相结合的方式对其肛门功能进行评价。

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。