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手术解剖
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  surgical anatomy
     Objective To study surgical anatomy of the space between optic nerve/chiasma and internal carotid artery.
     目的 探讨视神经/交叉一颈内动脉(ON/OC-ICA)间隙的手术解剖
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     AIM: To study surgical anatomy of the interspace lateral to internal carotid artery.
     目的 :探讨颈内动脉外侧间隙的手术解剖 .
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     Three-Dimensional Surgical Anatomy of the Singular Neurectomy
     单孔神经切断术的三维手术解剖
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     Results: The reconstructed 3D images were meticulous and precise. The surgical anatomy of the facial recess approach was perfectly displayed .
     结果:重建图像细致精确,较完整地反映了面神经隐窝手术解剖
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     Surgical anatomy and preservation of the accessory nerve in radical functional neck dissection
     功能性根治性颈淋巴清扫术中的副神经手术解剖及保留方法
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  “手术解剖”译为未确定词的双语例句
     Result: All patients were followed up for 1 year to 4 years, averaged 2 years.
     结果 :随访 1~ 4年 ,平均 2年 ,结果手术解剖复位组关节功能表现优良者 14例 ,可 2例 ;
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     There were significant differences in the visual acuity of 67 eyes (x 2=26.09,P<0 001),22 eyes postoperative visual acuity were above 0.12 (32.84%),the reattachment rate was up to 88.06%.
     6 7只眼术前术后视力比较有显著差异 (x2 =2 6 .0 9,P <0 .0 0 1) ,0 .12或以上者达 2 2只眼 (占 32 .84% ) ,手术解剖复位率达 88.0 6 % ;
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     Conclusion ①Anatomical reduction and fixation and repair of the ligaments are reqired for the character of anatomy of acromioclavicular joint.
     结论①手术解剖位,内固定+肩锁、喙锁韧带修复符合肩锁关节生理解剖特点。
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     Conclusion Familiarization of the cervical anatomy,careful manipulation,proper bone graft and internal fixation may reduce or avoid the complications.
     结论 熟悉颈椎前路手术解剖 ,操作轻柔 ,植骨、内固定合理 ,可以减少或避免并发症的发生
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     45 eyes severe eyeball injuriescombined with vitreous opacity andtraumatic retinal detachment was analyzedin this paper. The anatomic successful ratewas 48.89% and function successful rate was 36.6%.
     本文分析了45例45眼严重眼外伤、玻璃体混浊伴视网膜脱离的病人的玻璃体手术,解剖成功率为48.89%,功能成功率为35.6%。
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     All facial nerves were exposed and preserved.
     所有手术解剖面神经。
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     Anatomical study on the structures of the third ventricle in neuroendoscopic surgery
     内窥镜下第三脑室手术的应用解剖
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     operation.
     手术治疗。
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     Shadowless Lamp for Operation
     手术无影灯
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  surgical anatomy
Thus, the gastroenterologist must develop a keen understanding of bariatric surgical anatomy and physiology, as well as the expected postoperative side effects and potential complications experienced by the post-bariatric patient.
      
Surgical anatomy of the medial collateral ligament and the posteromedial capsule of the knee
      
Other advantages of the TFF are a reasonably constant surgical anatomy, minimal donor-site morbidity, and a thin and pliable surface which results in good cosmetic contour.
      
Zide, Surgical anatomy around the orbit: the system of zones
      
The advanced lifelike imaging permits excellent preoperative planning due to correct demonstration of the surgical anatomy.
      
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It is a difficult problem to prede-termine whether the tumor of posteriorpart of the third ventricle can beremoved or not before operation,because the position of those tumorsis deep in the brain and its surroundingstructures are vitals. Thereby theoperative mortality is very high. Asit is often thought of most dangerousintracranial operation, so palliativeoperation is always performed-theTorkildsen procedure of ventriculo-cisternal drainage. In the recent years,we have made some modifications onthis operation....

It is a difficult problem to prede-termine whether the tumor of posteriorpart of the third ventricle can beremoved or not before operation,because the position of those tumorsis deep in the brain and its surroundingstructures are vitals. Thereby theoperative mortality is very high. Asit is often thought of most dangerousintracranial operation, so palliativeoperation is always performed-theTorkildsen procedure of ventriculo-cisternal drainage. In the recent years,we have made some modifications onthis operation. The improved methodfor exploring the tumor of the post partof the third ventricle is by way of theposterior longitudinal fissure and a newdesign for shunt that from the ventricleto the lateral recess of pontine cisterncan be performed within the sameoperative field at the same time. Up to now, we have done suchoperations on twenty patients and goodresults have been achieved. 80% of thepatients have got uneventful recovery.The operative mortality is 20%. Allthe survival cases were followed upafter surgery, the longest one hasbeenchecked at 42 months afteroperation.Most of the operated patients couldlook after themselves, did houseworkand some of them had returned to theirworking-posts. All the operations were performedunder general anaesthesia with hypo-thermia. In order that both explorationof the tumor of the third ventricle andthe shunt procedure from the ventricleto the lateral recess of pontine cisterncan be fulfiled simultanously in thesame operative field, we have combinedthe method of Brunner-Dandy withNaffziger as the surgical approach ofexposure by lifting occipital lobe alongthe cerebellar tentorium through thelongitudinal fissure. A rectangular boneflap was made at the right side of theparieto-occiptal area and turned overbehind the temporal. A valve-likeincision was made on the dura materwhich was put over the middle line.After that a 3 cm long incision wascarefully made along the middle lineof the splenium by means of tractingthe right parietal lobe from the falx toexpose the corpus callosal. Then thetop of the tumor could be seen. Afrozen section of biopsy was madeimmediately to make sure that the tumorwas malignant or not. According to thelaboratory report,thereby a reasonablesurgical management of the tumor suchas total resection, partial removal orsimple biopsy accompanied with theshunt of the ventricle to the lateralrecess of pontine cistern could bechosen. On taking this method, you canget a satisfactory exposure of the tumorand also get an exact pathologicaldiagnosis. If the tumor was an ino-perable one you could place a cathetereasily in the same operative field asmentioned above. So that it would beunnecessary to perform another opera-tion of Torkildsen's procedure withina few days. If only a partial or sub-total resection of the tumor could bedone you would take postoperativeobstruction of the third ventricle intoconsideration and settled a prophylacticcatheter for shunt. To obtain the expectant results youmust stop bleeding completely and neverdamage the posterior part of transversesinus, Roland's vein, internal cerebralvein and Galen's vein during the oper-ation. While performing the operationyou must keep caution of the insidediameter of the catheter which shouldbe no less than 2 mm and must notbe twisted or kinked. The distal endof the tube should be put accurately inthe lateral recess of the pontinecistern. The ventricular drainage shouldbe continued on for 3 days after theoperation, and the corticosteroneshould be given as long as 3-7 days.

作者对第三脑室后份肿瘤的手术方法作了改良,采用经大脑纵裂直接探查第三脑室后份肿瘤,并在同一手术区施行脑室——脑桥池侧隐窝分流术。经临床应用20例,取得初步成效。作者着重介绍了手术方法,并对改良手术的解剖依据及手术注意事项进行了讨论。

The choice of operation in the surgical management of ruptured esophageal varices has been the center of the most enduring controversies in theory and practice. We introduced a t chnique of splenectomy, pericardial devascularization, vagotomy, cardi-ac transection and anastomosis with a circular stapling instrument, and pyloroplasty as a definitive treatment for bleeding esophageal varices both electiv ly and as an emer gency procedure in a total of 11 cases, between December 1982 and October 1984.Re- currence...

The choice of operation in the surgical management of ruptured esophageal varices has been the center of the most enduring controversies in theory and practice. We introduced a t chnique of splenectomy, pericardial devascularization, vagotomy, cardi-ac transection and anastomosis with a circular stapling instrument, and pyloroplasty as a definitive treatment for bleeding esophageal varices both electiv ly and as an emer gency procedure in a total of 11 cases, between December 1982 and October 1984.Re- currence of bleeding and portal systemic enccphalopathy has not been detected in any of these 9 living cases over a follow up period of 1-24 months(average 14.1 months). Esophageal varices were either disappeared or improved as demonstrated by repeated-barium examinations.The merits and demerits of this technique are discussed.Although thsresults obtained are encouraging,definite conclusion can only be reached by further accumulation of clinical experience.

本文介绍了一种治疗食管曲张静脉破裂大呕血的手术方法,手术经腹行一期脾切除及贲门胃底周围血管离断,并用消化道吻合器行贲门离断吻合术的方法。11例中1例术后死于肝功能衰竭,10例生存者经短期随访无1例出现肝性脑腐和再呕血,食管钡剂检查,曲张静脉显著减轻或消失。此种手术方法是吸取了裘法祖,Sugiura和Vankemmel断流术的优点而设计的。手术优点是操作较容易,危险性较小,止血效果确切,较少发生肝性脑病,能纠正脾功能亢进,并有可能预防十二指肠和应激性溃疡,其疗效可能优于分流术。但本手术解剖比较广泛,创伤面积较大,不能治疗腹水,切开了上消化道有污染膜腔导致感染的可能。

Lesions located in the internal auditory canal were previously considered surgica-lly inaccessible before the development of the transtemporal approaches by House in1960s. Since then, these techniques have been widely used in the world. Suprisinglythere were only few reports in Chinese literature. Here with 15 cases of internal au-titory canal microsurgeries were reported, including total decompression of the facialnerve for facial paralysis resulted from temporal boue fracture, Bell's palsy, herpeszoster oticus,...

Lesions located in the internal auditory canal were previously considered surgica-lly inaccessible before the development of the transtemporal approaches by House in1960s. Since then, these techniques have been widely used in the world. Suprisinglythere were only few reports in Chinese literature. Here with 15 cases of internal au-titory canal microsurgeries were reported, including total decompression of the facialnerve for facial paralysis resulted from temporal boue fracture, Bell's palsy, herpeszoster oticus, and removal of primary cholesteatoma, facial neuroma and acousticneuroma. Two main sub-approaches were adopted in the series, transtemporal suprala-byrinthine, in 12 patients, and translabyinthine in 3 patients. The surgical procedurewith some modifications was described. No serious complications occurred in thisgroup. An average 10 month follow-up was made with good results.

内听道位于岩骨深部,其中走行位听神经和面神经,所涉及的病变多与这些颅神经有关。内听道开口于小脑桥脑角区、止于内听道底,与脑干、小脑、内耳的前庭和耳蜗相毗邻,手术解剖复杂。作者报告自1989年~1991年采用经颞骨途径行内听道手术15例,其中经迷路上进路12例,经乳突迷路进路3例。所行手术包括颞骨纵行骨折面神经麻痹3例,贝尔氏面瘫4例,耳带状疱疹1例,均行面神经全程减压,颞骨原发性胆脂瘤2例,面神经鞘瘤2例,肿瘤切除后行面神经移植吻合;内听道听神经瘤3例。本文仅就手术技术及随访结果进行讨论。

 
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