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    464 CASES OF THUMB AND FINGER RECONSTRUCTION ALL SURVIVING BY TOE TRANSPLANTATION
    足趾移植再造手指464例
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    Result: average odynolysis time shorten 5 minutes, kept shortest effective time extend 70 minutes, hospital day reduced 10.04 days, all excellence rate raised 15.36% and recurrence rate is 1.64% in treatment.
    结果:两组对比,治疗组平均疼痛缓解时间缩短5min,最短维持有效时间延长70min,住院天数减少10.04d,显效率提高15.36%,复发率为1.64%,与对照组差异显著(P<0.05)。
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    All lesions disappeared 1~3 days later.
    1~3 d后病灶消失。
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    All the lesions disappeared 5~7 days later.
    5~7 d后病灶消失。
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    Results Among all pediatric patients with intussusception, 79(89.8%)cases were confirmed by X-ray gaseous enema reduction, 10 cases(11%)were confirmed by operative reduction. 1 cases were misdiagnosed and therefore the diagnostic ratio of ultrasonography was 98.8%.
    结果经X线空气灌肠复位成功79例(87.8%),10例行手术治疗(11%)后复位成功,超声误诊1例,超声确诊率98.8%。
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In all these cases we actually show that Γ=π1(M) has a finite index subgroup which is mapped onto a nonabelian free group.
      
The aim of the paper is to describe all open subsets of a projective space with an action of a reductive group which admits a good quotient.
      
This allows us to obtain a complete list of all irreducible linear groups with a polynomial ring of invariants.
      
Whenever the action of a maximal torus on the coneCλ* has some nice properties, we obtain simple closed formulas for all weight multiplicities and theirq-analogs in the representationsVnλ,n∈?.
      
As a corollary we obtain an easy proof of a theorem of Borel and Serre: AnS-arithmetic subgroup of a semisimple group has all the finiteness propertiesFn.
      
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The author analysed a series of 57 cases with cysticercosis of posterior fossa in this study. The cardinal clinical features are as tollows, intermittent destructive attacks of intracranial hypertension; less neurological deficit by involvement of cerebellum and brain stem and meningo-encephalitis like change of the cerebrospinal fluid. Cysticercosis of the posterior fossa may be classified as follows: ventricle type (fourth ventricle or aqueduct) pia mater type (cisterna Magna or cerebello pontine angle), cerebellar...

The author analysed a series of 57 cases with cysticercosis of posterior fossa in this study. The cardinal clinical features are as tollows, intermittent destructive attacks of intracranial hypertension; less neurological deficit by involvement of cerebellum and brain stem and meningo-encephalitis like change of the cerebrospinal fluid. Cysticercosis of the posterior fossa may be classified as follows: ventricle type (fourth ventricle or aqueduct) pia mater type (cisterna Magna or cerebello pontine angle), cerebellar cortex type, and mixed type; end among them there are strikingly different clinical manifestations, treatments, and prognosis. The complement fixation reaction with the cerebrospinal fluid and the Conray Ventriculography are still effective examination methods in diagnosis of cystecercosis of posterior fossa. The surgical method was discussed for cysticercosis of posterior fossa. In this series, all of 57 cases were treated by operation. Its results were fairly good, the mortality of 3.5% was obtained.

本文对57例颅后窝脑囊虫病进行分析,其主要临床特点如下:颅内压增高呈间歇性梗阻性发作,小脑及脑干受损神经体征较少;脑脊液呈脑膜脑炎性变化。颅后窝脑囊虫病可分脑室型(第四脑室或导水管),软脑膜型(枕大池或桥脑小脑角),小脑皮质型和混合型,其临床表现、治疗和予后各有不同。脑脊液囊虫补体结合试验和脑室碘水造影仍是诊断颅后窝脑囊虫病有效检查方法。对颅后窝脑囊虫病的手术方法进行讨论,本组57例均行手术,手术效果较好,手术死亡率3.5%。

A new surgical technic of tubing was introduced to establish free communication via the occluded foramen of Luschka in atresia of out-let of the fourth ventricle. This procedure has the advantages of being technically simple and may be conveniently employed following exploratory confirmation of the condition during posterior fossa craniotomy. Other advantages and draw-backs pertaining to this operation were compared with those of other methods currently in use.Three case so operated upon for non-tumoral occlusion...

A new surgical technic of tubing was introduced to establish free communication via the occluded foramen of Luschka in atresia of out-let of the fourth ventricle. This procedure has the advantages of being technically simple and may be conveniently employed following exploratory confirmation of the condition during posterior fossa craniotomy. Other advantages and draw-backs pertaining to this operation were compared with those of other methods currently in use.Three case so operated upon for non-tumoral occlusion of the fourth ventricular outlet were reported in this article postoperatively. Two of them have been followed up for more than 10 years, and the other one for several months. All of them are enjoying their normal life without untoward effects.

介绍了一种安装导管的新手术,以便将第四脑室脑脊液引流至枕大池,用于治疗第四脑室出口的狭窄或闭销。此种技术简便易行,可于颅后窝探查明确诊断后必要时采用。文中就此种方法的优缺点同其它习用的若干手术进行了比较。 报告了3例非肿瘤性闭锁患者,用此种导管引流术后其中2例经过长达十余年的随访观察,患者一直情况良好,另1例术后为期数月,均无不良反应。

The aim of replantation is not only to obtain survival of the replantedlimb, but also to achieve a satisfactory function. Since 1972, a total of88 limb or digital replantations have been performed, with 67 survivors(76%), their age ranging from 4 to 56 years. Every case has been follow-ed up regularly, and 3/4 of them have satisfactory function. The factors which determine the functional results of the replantedlimbs are:1. Age. No patient over 50 years of age had obtained excellent functional result.2. The...

The aim of replantation is not only to obtain survival of the replantedlimb, but also to achieve a satisfactory function. Since 1972, a total of88 limb or digital replantations have been performed, with 67 survivors(76%), their age ranging from 4 to 56 years. Every case has been follow-ed up regularly, and 3/4 of them have satisfactory function. The factors which determine the functional results of the replantedlimbs are:1. Age. No patient over 50 years of age had obtained excellent functional result.2. The duration of limb ischemia. When the durtion of ischemia was less then 8 hours, there were 33 survivors out of 40 replantations, and 15 of them obtained excellent results (Grade I); whereas it exceeded 8 hours, there were 34 survivors among 48 replantations, and only 4 of them obtained excellent results.3. The temperature of amputated ischemic limb. High ambient temperature had definite deleterious effect on amputated limbs. However, the way of storage of the detached limb affected the deleterious effect to certain extent. We had a case of amputation through the upper arm being stored with good cooling for 20 hours. Replantation was performed and movement of the fingers regained 2 years afterward.4. The nature of injury. Amputation with extensive local tissue damage usually does not result in good function.5. As to the chance of obtaining good functional result after replantation, complete major amputation is definitely inferior to the incomplete major amputation. In case of amputation with severe local crush of all the four fingers, which could not be replanted in situ, a better way to deal with this condition is to transplant the relatively suitable fingers available to the positions of the index and middle fingers.6. After major replantation, functional results vary mainly with the recovering condition of the injuried nerves and the flexibility of the small joints of fingers. In palm and digital replantations, the functi- onal results were mainly affected by the severity of the damage of the local bones and joints, particularly the metacarpo-phalangeal joints, and the gliding mechanism of the tendons.7. To obtain a good functional result after replantation, appropriate opera- tive procedures and meticulous postoperative management are manda- tory.

本文报告再植存活断肢67例的随访结果,提出功能考核的分级标准,对影响功能效果的因素,进行了讨论。年轻伤员,整齐的断离伤,缺血时间在8小时以内的断肢,再植后常能获得良好功能。

 
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