髂

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。

The causes of late postpartum hemorrhage were mostlyretained placental tissue or membranes, endometritis or deciduitis and uterine incision infection andd...

治疗以清宫术为主，对急性大出血者可行髂内动脉结扎或子宫切除术。同济医院目前应用的经皮髂内动脉造影栓塞治疗为一安全可靠的方法，值得推广。

Incision by raising a flap along the dorsolumbar fascia to the rim of the iliac crest, and then carrying

择手术的同一切口，沿腰背筋膜至髂嵴边缘将皮瓣掀起，骨膜下剥离暴露髂嵴的外侧面。

Objective To study the relationship of endangium proliferation and the expression of metalloproteinases and tissue inhibitors of metalloproteinases after angioplasty of iliac artery in rabbits to investigate the probable mechanism of composite Danshen pill in prevention and treatment of restenosisMethods 30 white male rabbits of Japan （the average body weight was 25～30 kg）were randomly divided into 3 groups:normal control group,model group (intima destroyed by balloon and given hypercholesterol diet),CDP group (intima destroyed by balloon and given hypercholesterol diet plus drug CDP 150 mg/d),10 ones each groupResults The results of iliac artery angiogram and the analysis of pathology:there were lumens stenosis,thinner intima,smaller intima area,in CDP group compared with those in model group,and ratio of intima and tunica media thickness and area among each group (P＜001)Immunohistochemistry analysis:the MMP2,MMP9,TIMP1,TIMP2 in model group significantly increased than those in control group (P＜001)The CDP group had lower MMP2 and MMP9 expression,higher TIMP1 and TIMP2 expression,and increased MMP2/TIMP1,MMP9/TIMP2 than model group (P＜001)The thickening of vascular neointima and stenosis degree of vascular lumen were relevant to MMP2 and MMP9 (r=0896,P＜001)Conclusions MMP and TIMP play the very important role in the restenosis process of arteryCDP could inhibit the thickness of vascular neointima after balloon injury,the probable mechanism of which may be inhibiting collagen formation,smooth muscle immigration and decreasing hyperplasia of intima by interfering expression of MMPs and TIMPs

目的 研究兔髂动脉成形术后血管内膜增生和基质金属蛋白酶及其抑制物表达之间的关系，探讨复方丹参滴丸预防再狭窄的可能机制。方法健康成年二级雄性日本大耳白兔30只，平均体重25～30 kg。随机分为3组：正常对照组10只，模型组10只（球囊内膜剥脱加高胆固醇饮食），治疗组10只（球囊内膜剥脱加高胆固醇饮食以及复方丹参滴丸150 mg/d）。结果兔髂动脉造影、血管病理图像分析检测结果：①复方丹参滴丸组较模型组血管造影示管腔直径狭窄、内膜厚度减少、内膜面积减少、内膜厚度和中膜厚度比、面积比，各组之间有显著性差异(P＜001)。②免疫组化分析：模型组MMP2、MMP9、TIMP1、TIMP2表达均高于对照组（P＜001）；复方丹参滴丸组MMP2、MMP9的表达低于模型组，而TIMP1、TIMP2的表达高于模型组；TIMP1/MMP2、TIMP2/MMP9明显增加，差异有显著性（P＜001）。③内膜的增生以及管腔的狭窄程度与MMP2、MMP9有很好的相关性(r=0896，P＜001)。结论 MMP和TIMP在再狭窄形成中起重要作用；复方丹参滴丸能够明显抑制血管损伤后的内膜增生，可能的机制是通过影响金属蛋白酶MMP2、MMP9及其抑制物TIMP1、TIMP2的表达从而抑制胶原的生成、平滑肌的迁移、增生，而减少内膜的增生。

Methods:Of 70 cases with traumatic pelvic fracture associated with injuries of other organ, 16 were treated by lienectomy, 7 were treated by liver repair, 6 were treated by colon operation, 6 were treated by intestine inosculation, 4 were treated by bladder fistulatome, 10 were treated by ligation of internal iliac arteries, 1 was treated by half-pelvic excision, 4 were treated by angioembolization, 5 were treated by conduction.

目的：探讨外伤性骨盆骨折合并其他部位伤的诊治方法及最佳适应证方法：对71例外伤性骨盆骨折合并其他部位伤的病例进行不同方法的诊治：脾切除16例，肝修补7例，结肠手术6例，小肠修补吻合6例，膀胱造瘘4例，髂内动脉结扎10例，半骨盆离断术1例，髂血管探查取栓4例，胸腔闭式引流5例。

Methods:of 70 cases with traumatic pelvic fracture associated with injuries of other organ, 16 were treated by lienectomy, 7 were treated by liver repair, 6 were treated by colon operation, 6 were treated by intestine inosculation, 4 were treated by bladder fistulatome, 10 were treated by ligation of internal iliac arteries, 1 was treated by half-pelvic excision, 4 were treated by angioembolization, 5 were treated by conduction.results: totally 11 cases were dead, death rate was 15.5%.

对71例外伤性骨盆骨折合并其他部位伤的病例进行不同方法的诊治：脾切除16例，肝修补7例，结肠手术6例，小肠修补吻合6例，膀胱造瘘4例，髂内动脉结扎10例，半骨盆离断术1例，髂血管探查取栓4例，胸腔闭式引流5例。结果：全组死亡11例，死亡率15.5%。1例死于肺栓塞，1例死于ards，1例死于mof，8例死于出血性休克。

The use of ilioinguinal and iliohypogastric nerve blocks is efficacious in adults and children following herniorrhaphy.

髂腹股沟和髂腹下神经阻滞在成人和小儿疝修补病人都是有效的。

143 patients with sacrum tumor were divided into 6 groups according to different methods to control bleeding: non-vessel controlled in 21 cases, transcatheter arterial embolization before operation in 12 cases, hypogastric artery ligation in 71 cases ,temporary balloon occlusion of abdominal aorta in 9 cases, intermittent block of lower abdominal aorta in 5 cases, intermittent block of lower abdominal aorta and hypogastric artery ligation in 25 cases .

将143例骶骨肿瘤患者根据术中控制出血方法的不同分为6组，术前介入靶血管栓塞12例，髂内动脉结扎71例，球囊导管腹主动脉阻断9例，单纯低位腹主动脉阻断5例，低位腹主动脉阻断加髂内动脉结扎25例，未行控制出血的对照组21例。

The two other main branches of the dorsal ramus are the intermediate branch, which sends fibers into the longissimus muscle,and the lateral branch, which innervates the iliocostalis muscle, the thoracolumbar fascia, the skin of the lower back and buttock, and the sacroiliac joint.29,136,137 At the superomedial border of the trans-verse processes where the lumbar medial branches are most amenable to blockade, these nerves are in such close proximity that anesthetizing any one of them will almost invariably lead to blockade of the others branches of the primary dorsal rami.

背侧支另外的两个分支是支配最长肌的中间支及支配髂肋肌、胸腰筋膜和下腰部皮肤，臀部及骶髂关节的外侧支。在横突上内侧缘，内侧支容易被阻滞，在此处的神经彼此距离很近，阻滞一支即可将其他背侧支一齐阻滞。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。