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320 cases of talipes equinus operated between 1956 and 1978 were followed up for2-22 years,average 9 years.The follow-up results showed that the limb function wasimproved in 294 cases (91.9%) and not improved or deteriorated in 26 cases (8.1%).The main cause of failure in the 26 cases was found to be improper indication (22 cases).It was stressed that one must examine the affected limb as a whole and pay specialattention to its length and degree of deformity and estimate the functionl outcome afteroperation... 320 cases of talipes equinus operated between 1956 and 1978 were followed up for2-22 years,average 9 years.The follow-up results showed that the limb function wasimproved in 294 cases (91.9%) and not improved or deteriorated in 26 cases (8.1%).The main cause of failure in the 26 cases was found to be improper indication (22 cases).It was stressed that one must examine the affected limb as a whole and pay specialattention to its length and degree of deformity and estimate the functionl outcome afteroperation on the foot in order to evolve a reasonable operation plan.The important pointsin the midtarsal wedge osteotomy procedure were also outlined. 本文报告320例跗间关节楔形切骨治疗马蹄高弓足畸形的远期疗效观察,介绍了手术方法的要点,着重分析手术失败的病例,并强调指出手术适应证未正确掌握是造成失败的主要因素,如能对患肢作全面检查,制定合理的手术方案,可避免失败后果。 This article presents 4 patients with smooth muscle tumors of stomach. Among these, one was male and the other three were female. The oldest was 67 and the youngest 45. One tumor protruded outside the wall of the stomach. Another protruded outside the wall and into the cavity of stomach. Simultaneously, the remaining two, protruding into the cavity of the stomach, bled profusely in the upper alimentary track on admission to the hospital, Two cases were discovered by X-ray study. One was found during the operation... This article presents 4 patients with smooth muscle tumors of stomach. Among these, one was male and the other three were female. The oldest was 67 and the youngest 45. One tumor protruded outside the wall of the stomach. Another protruded outside the wall and into the cavity of stomach. Simultaneously, the remaining two, protruding into the cavity of the stomach, bled profusely in the upper alimentary track on admission to the hospital, Two cases were discovered by X-ray study. One was found during the operation for carcinoma of rutum. From the above 4 cases, We suggest X-ray study, utra-sonicgraphy and the flexible fibropticendoscope are helfpul in diagnosis. When the diagnosis is confirmed, Surgery is the first choice. Pathological examination of frozen tissus section is necessary. because it is difficult to make differential diagnosis of smooth muscle tumor and smooth muscle sarcoma by gross examination. If the diagnosis is confirmed, local resection or tumor ablation should be done, Otherwise, subtotal gastrectomy is more reliable. 本文报导4例胃平滑肌瘤。其中男性1例,女性3例,年龄最大67岁,最小45岁。分类腔内型2例,腔外型及腔内外型各1例。2例以上消化道大出血入院均属于腔内型,其余2例中1例为X线钡餐检查发现,另1例因直肠癌手术探查时发现。本文强调对本病诊断上X线检查,纤维内窥镜检查和“B”型超声波有一定帮助,一旦诊断明确应该手术治疗,由于与胃平滑肌肉瘤肉眼上难于鉴别,应常规作冰冻活体检查。若能明确诊断则作局部楔形切除或肿瘤剔除术,否则以胃大部份切除为宜。 26 patients with ankylosing spondylitis has severe disabling kyphosis of upper part 本文报告26例脊柱截骨术的经验.本组手术采用局麻、脊突楔形切除,L_2平面的椎板及椎弓作倒V形切除,过伸脊柱产生前凸,从而矫正驼背畸形.治疗结果满意.本组无死亡、截瘫,并发症少,平均矫形达45°.本文探讨从麻醉、手术指征、手术技巧等方面预防并发症的措施.
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