闭孔神经

Objective To introduce the diagnosis and local injection treatment of the obturator nerve neuralgia. Methods 4 cases with 5 sides of certain diagnosed obturator nerve neuralgia in out patient department were selected and 3 of them treated by local injection of prednisolone plus local anesthetic to the nerve where it emerges from the obturator canal.

目的 介绍闭孔神经痛的诊断与局部注射的治疗方法方法选择门诊确诊为闭孔神经痛患者4例5侧，采取强的松龙混悬液加局部麻药注射神经穿出闭孔膜管处的方法。

BACKGROUND: The ability of parasacral sciatic nerve block toprovide consistent obturator nerve and perineal blockade remainsundetermined.

背景：骶骨旁坐骨神经阻滞能否提供一致的闭孔神经和会阴阻滞依然不确定。

In surgical procedures, however, the stimulation to obturator nerve caused by the electrical current will lead violent adductor contraction, which can induce severe complications, such as bladder perforation.

在手术过程中，高频电刀环电流透过膀胱壁刺激闭孔神经，会引起大腿内收肌强烈收缩，导致膀胱穿孔等严重并发症。

Results: 1 The distances from L4, L5 spinal nerves and obturator nerve to sacroiliac joint were (20.24±1.12) mm,(23.80±1.43)mm and (16.26±2.07)mm respectively.

结果：(1)L4、L5及闭孔神经距离骶髂关节分别为(20.24±1.12)、(23.80±1.43)、(16.26±2.07)mm。

Methods:(1) The distances from L4, L5 spinal nerves and obturator nerve on the superior border of sacrum ala to sacroiliac joint were measured on 12 adult cadavers (24sides).

(1)采用12具（24侧）成人福尔马林固定尸体标本，测量骶骨翼上缘L4、L5及闭孔神经到骶髂关节距离。

Abstract］ objective to assess the efficacy and safety of transurethral resection of prostatewith plasmakinetic technique and to improve the qualities of pkrp.methods the data of 273 patients with benign prostatic hyperplasiawere retrospectively studied baseing on the mastering of pkrp.the average maximum urinary flow rate,the average residual urinary volumeand the average international prostate symptom score were analysed.results pkrp was successfully performed on 273 patients.intraoperative blood transfusion was performed in 6 cases,no obturator nerve reflex,transurethral resection syndrome,permanent urinary incontinence occurred and no death cases occurred.the follow-up time was 2～26 months with an average of 5.63 months,postoperative average qmax increased to 15.9 ml/s,and ruv decreased to 16.0 ml/s and the average ipss was 9.compared with those of preoperation,the differences were significant.conclusion pkrp has superior tissue cutting function and hemostasis.it is suggested that transurethral bipolar plasmakinetic resection of prostate be effective and safe.

目的 探讨经尿道双极等离子前列腺切除术的安全性与有效性，提高pkrp质量。方法回顾性分析273例良性前列腺增生患者pkrp资料，比较手术前后最大尿流率、膀胱剩余尿量及国际前列腺症状评分。结果 273例手术均顺利完成，术中输血6例，无闭孔神经反射、永久性尿失禁、经尿道电切综合征及死亡病例，随访2～26个月，平均5.63个月，qmax平均增至15.9 ml/s，ruv平均降至16.0 ml，ipss平均9分。与术前相比，各项指标均有明显改善。结论 pkrp具有良好的组织切割功能及可靠的止血作用，治疗bph安全有效。

It has been put forward that there exists single Ball point and double Ball points on the symmetrical connecting-rod curves of equilateral mechanisms.

从鲍尔点的形成原理出发，分析对称连杆曲线上鲍尔点的产生条件，提出等边机构的对称连杆曲线上有单鲍尔点和双鲍尔点。

The factory affiliated to the Group primarily manufactures multiple-purpose pincers, baking kits, knives, scissors, kitchenware, gardening tools and beauty care kits as well as other hardware tools, the annual production value of which reaches US$ 30 million dollars.

集团所属工厂主要生产多用钳、烤具、刀具、剪刀、厨具、花园工具、美容套等五金产品，年生产总值3000万美元，产品价廉物美、选料上乘、质量保证，深受国内外客户的青睐