软组织解剖学

Objective: To provide anatomical basis for transplantation of temporal flap pedicled with the orbicularis oculi muscle to repair soft tissue defects of middle jaw faces.

目的：为眼轮匝肌蒂颞侧皮瓣转位修复中颌面软组织缺损提供解剖学基础。

Methods From May 2007 to Oct 2007, 13 cases of soft foot and ankle tissue coloboma were repaired or reconstructed with this flap. The perforator branch was detected and earmarked by Doppler ultrasound. The flap axis was designed as the connection of internal condyle of tibia and the middle point between inner malleolus and achilles tendon based on anatomy. The pivot was designed in the point which perforator branch perforate the deep fascia. The flap dissociation was performed upon the deep fascia and the flap thickness can be modified during the operation.

2007年5月－2008年10月应用胫后动脉内跺上穿支筋膜蒂皮瓣修复足踝部软组织缺损13例，术前彩色超声多普勒行内深上穿支探测并体表标记，在解剖学基础上，皮瓣轴线在胫骨内侧裸后与内踝、跟腱间中点的连线，旋转点设计在穿支穿深筋膜处，深筋膜上游离皮瓣，术中可根据受区情况适当修整皮瓣厚度。

Methods A concept of compartmental localization of heel, including the low area, posterior area, upper area, medial area and lateral area was considered on the base of anatomy, and the difference of soft tissue deepth, compression resistance, confiction resistance, according to which the feeling function was reconstructed by the flaps based on vessel and nerve, or by the flaps based on vessel with nerve anastomasis.

对足跟进行解剖学观察，分别测量各部位软组织厚度，根据各部位承受重力及摩擦程度不同，将跟分为跟底、跟后、跟上、跟内、跟外5个区域。修复时根据各个创面所在区域及软组织厚度不同特点，选择不同的带血管、神经蒂皮瓣或吻合神经的带血管蒂皮瓣转移。

The right paratracheal stripe is a vertical, linear, soft-tissue opacity less than 4 mm wide.

解剖学和X线胸片表现：右气管旁带是垂直的线形软组织影，宽度＜4 mm。

Neither the traditional machine anatomy theory nor seed-soil theory could explain the mechanism of primary bronchogenic carcinoma metastasizing to phalanges of fingers. If patients with soft tissue inflammation of fingers that cannot be healed for a long time are encountered, the possibility of tumor metastasis here should be considered.

传统的机械－解剖学说和种子－土壤学说的观点均不能解释原发性肺癌发生指骨转移的机理，故临床上如遇久治不愈的手指软组织炎症时，应想到是否有肿瘤细胞转移至此的可能性。

While approaching the middle face, the dissection should be limited to the lower two third of the zygomaticus, followed by elevating the zygomatic fat.

面部软组织分布正如Stuzin等［5］所述，为呈同心圆的系列结构，这正是面部上提术能够分层进行的解剖学基础。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。