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Separate strap muscles and sternocleidomastoid muscle in hemithyroidectomy may be a good way to avoiding mutilation of strap muscles in hemithyroidectomy.

对甲状腺腺瘤大于4 cm的病人,经带状肌分离径路行甲状腺腺叶切除术,较传统经中线切口行甲状腺腺叶切除术方法简便、带状肌切断率低、手术并发症少。

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。

Objective To investigate the feasibility of endoscopic nasal surgery for nasopharyngeal angiofibroma to avoid complications of routine surgeries.Methods Retrospective analysis was performed for six patients'clinical records from June2002to June2004.Endoscopic nasal surgery and other techniques such as CT,MRI,digital substract angiography,Controlled-hypotention anesthesia and preoperative feeding artery embolism had been used.Results No complication had occurred.

目的 避免常规手术的并发症,探讨经鼻内镜引导下鼻咽纤维血管瘤切除术的可行性方法回顾性分析从2002年6月~2004年6月收治的6例经鼻内镜手术治疗的鼻咽纤维血管瘤患者的临床资料,术均行CT或MRI检查,了解瘤体小及部位,行字减影血管造影了解瘤体血供,术前采用供血动脉栓塞,术中采用控制性低血压技术。

Results:According to different part of the vessels,there were 2 types:type 1,from the superficial surface of anterior belly of digastric muscle to the surface of inferior margin of mandible to subcutaneous part,accounting for 36%;type 2,from the deep surface of anterior belly of digastric muscle to the deep surface of inferior margin of mandible to s...

结果 :根据血管走行差异分:1型:主干经二腹肌前腹浅面到下颌骨下缘表面至皮下占 3 6%,2型:主干经二腹肌前腹深面到下颌骨下缘深面至皮下占 64%;1型血管位置表浅,易于分离,且蒂较长,旋转度大,2型相比反之。结论:根据颏下动脉走行设计不同皮瓣的大小来修复面部皮肤组织

Methods: 470 patients with liver metastases were treated by regional therapy of hepatic artery in 1231 times. Antitumor agents were selected according to the pathologic results of origin tumor, added embolization with lipiodol ultra-fluid or / and gelatin sponge to the patients of hypervascular.

470例肝转移瘤患者共经肝动脉介入治疗1231次,化疗药物依原发肿瘤组织类型确定,肿瘤血供丰富者行栓塞治疗,栓塞剂采用超液化碘油或/和明胶海绵,对可能影响经肝动脉介入治疗疗效的因素行Cox回归多因素分析。

Then transplantation of the sciatic nerve from donor rats to the recipient rats in two groups were progressed.7 days after nerve transplantation,the contents of cd4 and cd8 in peripheral plasma of recipient rats were detected by flow cytometry.8 weeks after nerve transplantation,transplanted nerve were observed under light microscope.results:compared with nonirradiated group,the percentage of cd4 and the ratio of cd4 to cd8 in uvb irradiated group were significantly decreased(p<0.05,p<0.01),cd8 percentage was significantly increased(p<0.01).conclusion:uvb-irradiated donor splenocytes were injected in the recipient rats through caudal veil,which could induce immunological tolerance to allogeneic transplantation.

未照射组注射未经紫外线照射的供体脾细胞,照射组注射经紫外线照射的脾细胞,7 d后移植供体神经。术后7 d行外周血t淋巴细胞亚群检查,术后8 w行移植神经组织学检查。结果:照射组cd4+百分率、cd4+/cd8+比值较非照射组明显降低(p.01,p.05),cd8+百分率较非照射组明显升高(p.01)。组织学检查显示,照射组的再生神经较非照射组多。结论:尾静脉内注射经紫外线照射的异基因脾细胞可诱导对异体神经移植的特异性免疫耐受。紫外线;脾细胞;免疫耐受;坐骨神经

In order to clearly present the thinking of "The Training of Bodhi Sattva", this article excerpts the meaning of "Six Perfection" from each chapter''s introduction separately, and then it also draws a conclusion from each "Perfection"''s story about why practicing "Six Perfection", the attitude we should have when practicing "Six Perfection", and the Karma of practicing "Six Perfection".

为了清楚展现《六度集经》的菩萨行思想,本文首先从各章的序言中,分别摘录&六度&的含义,接着再从各度的故事里归纳出为什么要行六度、行六度的态度、行六度所得的果报等。

Methods 132 neurosurgical patients undergoing selective subfrontal craniotomy without the pain of the incision of scalp were involved. The onset, severity, and characters of the neuralgia were recorded.

132例择期行冠状切口经额下入路的神经外科患者,排除切口局部疼痛后记录神经痛的发生时间、程度和性质;所有拟诊为术后神经痛的患者首先应用非甾体类消炎镇痛药物口服及脱水治疗,对经药物治疗后疼痛视觉模拟评分仍高于7分的患者行类固醇激素神经阻滞疗法。

Results one case with bladder injury and one case with ureteral injury recoveried after open operation,one case with bladder injury and one case with ureteral injury were cured through laparoscopic gynecological surgery,one case with bladder injury and two cases with uroschesis were cured after expectant treatment,one case with ureteral injury recoveried after being treated with ureteroneocystostomy.

结果 1例膀胱损伤及1例输尿管损伤术中转开放术治愈;1例膀胱损伤及1例输尿管损伤经术中镜下缝合伤口治愈;1例膀胱损伤经留置尿管保守治疗治愈;2例尿潴留均经保守治疗治愈;1例输尿管损伤经术后行输尿管膀胱再植术治愈。

Methods A total of 36 patients with advanced renal cancer were definitely diagnosed by IVP, US, CT or MRI examination. A 5F Yashiro catheter was introduced into the femoral artery with Seldinger's technique under local anesthesia, abdominal aortagraphy and renal arteriography in both sides of kidneys were performed routinely to display the blood supplying arteries of tumor, thereafter, renal embolization was performed under superselective catherization for chemotherapeutic embolizing. Then the clinical effect was observed, the amount of blood loss and the operation time were recorded. All these results were compared with that of randomly selected 17 patients before surgical operation with advanced renal cancer admitted during the recent 3 years but without embolization.

36例中晚期肾癌患者,均经临床检查、静脉肾盂造影、B超、CT或MRI检查而确诊;采用Seldinger's技术,局部麻醉下经一侧股动脉穿刺插管,引入5F Yashiro导管,常规行腹主动脉及双肾动脉造影,以显示肿瘤的供血动脉,再将导管超选择插管或尽可能接近肿瘤病灶,进行化疗栓塞,观察其临床改善情况,计算术中失血量及手术时间,并与随机抽取我院近3年所做的17例术前未行肿瘤供血动脉栓塞的肾癌患者进行对照。

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The reasons of iron ions content overproof in grade Ⅱ desalting water system,such as variation water quality,contamination of regenerant , operation adjustment of pretreatment system and switching operation of bed were discussed.

对二级脱盐水系统中铁离子含量超标的原因,如来水水质发生波动、再生剂受到污染、预处理系统操作调整、床体运行切换等进行了论述。

You were hired to drum up new business, so go and do it.

公司雇你招徕新业务,你就做你的事好了。

Who is in possession of this?

这是谁的?