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If the capitellum is very comminuted, more

远端分离的程度要有限制,既能暴露肱骨小头,又要避免损伤环状韧带和骨间后神经。

A frenum from subpatellar fat pad between femur and tibia attached to anterior of intercondylar fossa before anterior cruciate ligament and subpatellar fat pad was attached to femur.

胫骨近端的前方与髌韧带之前,形成一系带附着于髁间窝前部,其将脂肪垫系于股骨。

It was found that the excision of medial collateral ligament,the laceration of interosseous membrane,and the dislocation of distal radioulnar joint are the principal causes for inducing or exacerbating these complications.

作者用20只新鲜上肢标本进行生物力学实验,发现肘关节内侧副韧带损伤,骨间膜撕裂伤和下尺桡关节脱位是引起或加重并发症的主要原因。

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。

A total of 150 mesenchymal neoplasms of the GI tract, abdominal cavity, and retroperitoneum were retrieved from consult and surgical pathology archives, including 54 GISTs (8 KIT-negative; 13 desmin-positive), 17 GI leiomyosarcomas, 11 GI mural leiomyomas, 13 leiomyomas of the muscularis mucosae, 12 gastric schwannomas, 15 inflammatory myofibroblastic tumors, 9 cases of mesenteric desmoid fibromatosis, 10 dedifferentiated liposarcomas, and 9 malignant peripheral nerve sheath tumors.

我们从会诊病例及活检病例中找出150例间叶性肿瘤(来自胃肠道、腹腔和后腹膜),其中包括54例GISTs(8例KIT阴性、13例desmin阳性)、17例GI道平滑肌肉瘤、11例GI道肌壁间平滑肌瘤、13例GI道粘膜肌层平滑肌瘤、12例胃的神经鞘瘤、15例炎性肌纤维母细胞瘤、9例肠系膜韧带样纤维瘤、10例去分化型脂肪肉瘤和9例恶性外周神经鞘膜瘤。

The positive hybridizations with COCH gene cRNA probe were detected in the mouse mesenchymic cell surroundding the endolymphic sac epithelium, the level of expression was similar to the fibrocytes underlying crista ampullaris sense epithellium, and inferior to the fibrocytes of spiral ligament.

成年小鼠内淋巴囊周围间质细胞COCH基因表达阳性,其原位杂交染色平均积分光密度为0.4±0.25(〓±SD,单位:U/mm〓),与壶腹嵴感觉上皮下间质细胞的0.47±0.21相似,弱于耳蜗螺旋韧带成纤维细胞的0.77±0.19。

Methods selective and limited minimally invasive debridement under arthroscope was applied to 54 patients with osteoarthritis of knee joint; hyperplasia of inflammatory synovial membrane and abrasion of anterior cruciate ligament were chipped or vaporized with radiofrequency, the corpus liberum were taken out, cartilage was scoured into certain shape; excision or partial excision were performed to hyperplastic intercondyloid spine, osteophyma and menisci; intercondyloid fossa was formed.results 45 cases were followed up for an average of 18 months (from 6 months to 24 months); the clinical symptoms of most cases released obviously and the joint function improved.conclusions minimally invasive debridement under arthroscope can effectively release oa symptoms, improve joint function and raise the quality of life.

对54例膝关节骨性关节炎患者进行关节镜下选择性、有限化微创清理术。手术内容包括刨削或射频汽化增生的炎性滑膜组织和前交叉韧带磨损、游离体取出、软骨打磨成形、增生髁间棘切除、部分骨赘切除、半月板部分切除、髁间窝成形。结果随诊45例,平均18个月(6~24月),大多数患者临床症状明显缓解,关节功能改善。结论关节镜微创清理术可有效缓解oa症状,改善关节功能,提高生活质量。骨关节炎;膝关节;关节镜检查

The spinal column reconstruction in the interspinal implants in thing X-stop finite element analysis application Abstract along with people age unceasing growth, between awl in plate the nucleus pulposus gradually will start to degenerate withered, causes between the awl plate thickness to reduce, will then create the yellow ligament and the small surface joint is large, will initiate the so-called lumbar vertebra narrow sickness, will cause the body to have the nerve intermittent slope good symptom.

脊柱重建在棘突间植入物X-stop有限元分析中的应用摘要随着人们年龄的不断增长,锥间盘里的的髓核就会逐渐开始干枯退化,造成锥间盘厚度减小,进而造成黄韧带和小面关节肥大,以至于引发所谓的腰椎狭窄症,造成身体产生神经间歇性坡行症状。

Solves this symptom method to divide into the surgery and the non-surgery treats, the non-surgery treats for example the physical property treatment and the pharmacological treatment, the effect is not often good, the surgery treats may divide into the traditional surgery and micro creates the surgery two kinds, the traditional surgery method is in the lumbar vertebra fusion the pexia, although this method excised has created the lumbar vertebra narrow yellow ligament and the small surface joint, but the surgery time was long, the wound was big as well as although the lumbar vertebra fusion and fixed has removed the pathological change stage abnormal movement, but the neighbor stage's abnormal movement increased, between the awl in plate's pressure elevated obviously, the small articular process exceptionally drew back changes with the fixed stage bone quantityThe loss, causes the fixed stage vertical motion stage to draw back changes ASD[1], but new micro creates the surgery is opens a small wound in the back, and implants the interspinal to open, then solution lumbar vertebra narrow sickness question.

解决此种症状的方法分为手术及非手术治疗,非手术治疗例如物理性治疗和药物治疗,往往效果不佳,手术治疗又可分为传统手术和微创手术二种,传统手术方法就是腰椎融合内固定术,虽然此种方法切除了造成腰椎狭窄的黄韧带和小面关节,但手术时间长,伤口大以及腰椎的融合和固定虽去除了病变节段的异常活动,但邻近节段的异常活动增加,锥间盘内的压力明显升高,小关节突的异常退变和固定节段的骨量丢失,导致固定节段上下运动节段的退变ASD[1],而新型的微创手术是在背部开一个小伤口,并植入棘突间撑开器,进而解决腰椎狭窄症的问题。

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