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At this point, it is crossed by or may cross the phrenic nere from its own side and continues downwards with the internal thoracic ein medially, lying deep to the costal cartilage and superficial to the underlying parietal pleura.

在此处它与膈神经交叉或在同侧越过膈神经继续与内侧的胸廓内静脉下行,向深面到肋软骨,浅面到潜在的壁胸膜。

objective to evaluate early signs of avascular necrosis of femoral head in adult by ct and to guide clinical treatment.methods the cases with suspicious diagnose of anfh were scaned in the both hip joints by x ray and ct to find the early signs of anfh with ct.results early signs of anfh using ct showed that, in 38 femoral heads 31 cases, there were radiate star shape of high density osteosclerosis of the trabeculae in 13 femoral head.twenty five femoral heads showed osteosclerosis and trabeculae structure disappearing and vague,incoordinately low ostedensity area and cyst change.there were fracture under the cartilage and light subsid in 5 cases.the cases in stage ⅰwere given decompression, while the pationtsresul in stageⅱand stageⅲ were given decompression and ostetransplant.conclusion ct results show that the sign of the high osteodensity and low osteodensity and cyst change can disply early anfh.

摘 要]目的:探讨成人股骨头缺血性坏死的早期ct征象并指导临床治疗。方法:对临床疑诊anfh的全部病例均行x线平片及ct检查,分析anfh的早期ct征象。结果:早期anfh的ct表现:31例38个股骨头,其中13个股骨头骨小梁呈放射状高密度的"星状征",骨小梁境界清楚、锐利,属ⅰ期;25个股骨头表现为骨硬化,骨小梁结构消失、模糊不清,骨密度减低及囊性改变,属ⅱ期;并有5个股骨头在ⅱ期影像学改变基础上出现软骨下骨折及轻微塌陷,属ⅲ期。治疗结果:ⅰ期行钻孔髓内减压术,ⅱ、ⅲ期行钻孔减压植骨术。

In the experimental group, guide pin was affirmed to be in the zone of necrosis according to preoperative X-ray and 2-dimensional CT, and then drilled with the hollow drill for the injected of cell suspension into the 5 mm under subcartilaginous bone of femoral head with 50 mL injector.

在C臂X光透视机引导下用2~3枚1.5 mm导针钻入,对照术前X线和二维CT反复确认坏死病灶后,以3 mm空心钻钻入,于骨坏死区的股骨头软骨下骨5 mm处用50 mL注射器将浓缩的细胞悬液缓慢注入股骨头内。

Large cancellous and corticocancellous grafts may be obtained from the anterosuperior iliac crest and the posterior iliac crest. Small cancellous grafts may be obtained from the greater trochanter of the femur, femoral condyle, proximal tibial metaphysis, medial malleolus of the tibia, olecranon, and distal radius. At least 2 cm of subchondral bone must remain to aoid collapse of the articular surface.

大块的松质骨或皮质-松质骨复合植骨块,可取自髂前上棘或髂后棘,小块松质骨块可以取自股骨大粗隆、股骨髁、胫骨近侧干骺端、内踝、尺骨鹰嘴及桡骨远端,但至少要保留2cm的软骨下骨以防止关节面的塌陷。

Large cancellous and corticocancellous grafts may be obtained from the anterosuperior iliac crest and the posterior iliac crest. Small cancellous grafts may be obtained from the greater trochanter of the femur, femoral condyle, proximal tibial metaphysis, medial malleolus of the tibia, olecranon, and distal radius. At least 2 cm of subchondral bone must remain to avoid collapse of the articular surface.

大块的松质骨或皮质-松质骨复合植骨块,可取自髂前上棘或髂后棘,小块松质骨块可以取自股骨大粗隆、股骨髁、胫骨近侧干骺端、内踝、尺骨鹰嘴及桡骨远端,但至少要保留2cm的软骨下骨以防止关节面的塌陷。

Spikelets oblong to gaping, shining, laterally compressed, florets 2–3(–5), disarticulating below each floret; rachilla pilose, extended beyond uppermost floret; glumes lanceolate to oblong, subequal,± equaling spikelet, membranous, shining, keeled, lower glume 1-veined, upper glume 1–3-veined; floret callus small, pubescent to conspicuously bearded; lemmas lanceolate to oblong, hyaline to shiny cartilaginous, back rounded, finely 4-veined (5th midvein extended into awn), glabrous, awned from near base or in lower half, apex membranous, broad, 4-toothed or denticulately truncate; awn straight or weakly geniculate, usually not exserted from spikelet; palea hyaline, subequal to lemma.

小穗长圆形为了张口,发亮,侧面压扁,小花2-3(-5),在每小花下面脱节;小穗轴具柔毛,在最重要的小花以外延长;披针形的颖片到长圆形,近等长,多少等长,膜质,发亮,龙骨状,下部颖片1脉,上面颖片1-3-脉;小花结茧小,青春期对显著公然反对;外稃披针形的到长圆形,对发亮软骨透明,背面圆形,好4脉(中脉第5 延伸进芒),从小穗直或者身体虚弱膝曲,通常不外露的芒;透明的内稃,近等长于外稃。

METHODS From 1990, nine cases (11 sides) with traumatic metacarpophalangeal joint defect were treated by the autogenous cartilage transplantation of metatarsophalangeal joint followed by modified treatment. Appropriate biological mechanics was provided by internal fixation and collateral ligament repair.

1990 年以来,应用改良处理后的自体跖趾关节面软骨移植修复9 例11 侧掌指关节面,通过内固定、侧副韧带修复并提供适宜的生物力学和营养环境。

During a 38-month period, 42 patients presenting to an academic tertiary care referral center for treatment of adductory spasmodic dysphonia received one to seven Botox injections into the thyroarytenoid muscles.

在一项为期38个月的观察研究,42位由医学中心转诊来做内收肌痉挛性发声困难治疗的病患,接受1至7次甲状软骨与杓状软骨肌Botox针剂注射治疗。

Meanwhile, ultrasonography can show what radiography can't do, such as the structure of cartilage, ligment tire of fumel head and other soft tissues in acetabula.

同时超声能显示出X线片不能显示的结构如软骨、股骨头圆韧带和髋臼内其他软组织的情况。

Results The physically and chemically treated SIS was pure with more hollows on the surface and undamaged collagen fibers. The cartilage cells could grow, adhere to and differentiate on the layer of SIS and enter into the hollows, secrete a great deal of extracellular matrices.

结果 经物理和化学处理的SIS纯度高、孔隙多,胶原纤维未受损;软骨细胞在SIS材料上生长、黏附、增殖,并能长入材料的孔隙内,分泌大量的细胞外基质成分。

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