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The proximal and distal nerve stumps were sutured l cm apart, in an end-to-side fashion like "π", to the epneurium windows, opened by removing the epineural sheath on the intact tibial nerve trunk with 1 mm long.

方法将大鼠右侧腓总神经在胭窝处剪除约5mm后,将断裂的腓总神经近端和远端分别就近与同侧胫神经上的外膜窗施行端侧吻合,吻合口间距约10mm;动物存活24个月后,将手术侧近端吻合口以上胫神经剪断,再将辣根过氧化物酶注入远段腓总神经干内,72h后取材并经四甲基联苯胺显色显示脊髓L3-6节段神经元和L4、L5脊神经节细胞,同时取腓总神经远段行电镜观察神经纤维再生状态。

Methods: Selected 93 confirmed cases with hypospadias during May 2003 to Sep 2009. Patients in balanic type were treated with meatal advancement and glandularp lasty; patients with urethra orifice at 2/3 of corpus penis accompanied with slight chordee of penis were treated with Snodgrass method or Onlay method; patients with severe chordee of penis were treated with Duckett method; patients in scrotum or perineum type were treated with combination of Duplay and Duckett; severe hypospadia patients were treated with curved pedicle penis-scrotum and skin flap urethroplasty; patients with good outer plate of ventral prepuce and chordee of penis were treated with ventral pedicle hooded foreskin flap.

选取2003年5月~2008年9月期间收治的93例确诊尿道下裂患者,对阴茎头型患者采用尿道口前移、阴茎头成形法;尿道口在阴茎体外2/3段伴有阴茎轻度下弯者采用尿道板纵切卷管法或加盖岛状皮板法(Snodgrass术或On-lay术);有严重阴茎下弯的所有阴茎体型采用横裁或纵裁包皮岛状皮瓣尿道成形;阴囊型或会阴型用阴囊中缝皮管加横裁包皮岛状皮瓣成形尿道(Duplay联合Duckett术);对重度尿道下裂患儿采用弧形带蒂阴茎阴囊联合皮瓣尿道成形术;对腹侧包皮外板发育良好患儿及合并阴茎下曲的患儿采用腹侧带蒂帽状包皮皮瓣法。

Methods: Selected 93 confirmed cases with hypospadias during May 2003 to Sep 2009. Patients in balanic type were treated with meatal advancement and glandularp lasty; patients with urethra orifice at 2/3 of corpus penis accompanied with slight chordee of penis were treated with Snodgrass method or Onlay method; patients with severe chordee of penis were treated with Duckett method; patients in scrotum or perineum type were treated with combination of Duplay and Duckett; severe hypospadia patients were treated with curved pedicle penisscrotum and skin flap urethroplasty; patients with good outer plate of ventral prepuce and chordee of penis were treated with ventral pedicle hooded foreskin flap.

选取2003年5月~2008年9月期间收治的93例确诊尿道下裂患者,对阴茎头型患者采用尿道口前移、阴茎头成形法;尿道口在阴茎体外2/3段伴有阴茎轻度下弯者采用尿道板纵切卷管法或加盖岛状皮板法(Snodgrass术或Onlay术);有严重阴茎下弯的所有阴茎体型采用横裁或纵裁包皮岛状皮瓣尿道成形;阴囊型或会阴型用阴囊中缝皮管加横裁包皮岛状皮瓣成形尿道(Duplay联合Duckett术);对重度尿道下裂患儿采用弧形带蒂阴茎阴囊联合皮瓣尿道成形术;对腹侧包皮外板发育良好患儿及合并阴茎下曲的患儿采用腹侧带蒂帽状包皮皮瓣法。

If a patient does not extend the tongue far enough for the circumvallate papillae to be seen, the examiner uses a gauze pad to grasp the tip of the tongue and extend it to the desired position.

对唇部作扪诊,同时令患者张口,用舌板检查颊粘膜和口腔前庭;然后巡检硬软腭,悬雍垂和口咽部。请患者尽快地伸出舌,暴露舌背,并且尽快地向每侧移动舌,这样就可看到舌的后侧表面。

Methods The gastral wedge of a relatively small width was rotated to the middle of the posterior wall of gastral wedge,the gastroduodenal anastomosis is approximated in Billroth Ⅰ method.175 consecutive patients were treated in this method.Results Less postoperative complications were recorded.

175例胃大部切除术后患者采用胃十二指肠小吻合口,小弯侧瓣向后旋转,使残胃小弯侧瓣口成为后壁之中点,残胃与十二指肠对端吻合的方法。

The edgewise technique was used to align and level the upper and lower arches gradually and upright the lower incisors. Then, modified LeFort Ⅰ osteotomy was operated with 4 cases pterygomaxillary disjunction and the other 2 cases not. The maxillas were not moved during the operation and sutured mucoperiosteum at the same place. After 3-5 days latency period, elastic distraction about 700g/side and increasing to 1400g/side gradually, was started with two cases which the maxillas were not cut off totally.

术后经过3—5天的延迟期即开始牵引,2例行不完全截开术者,采用弹性牵引,力量从700g/侧逐渐增加至1500g/侧;4例行完全骨截开术者,首先采用刚性牵引和口外牵引钩,每天缩短牵引钢丝1mm,2例直接达到矫治要求,其余2例达到浅覆盖后,截去口外牵引钩,换弹性牵引和口内牵引钩继续前牵上颌骨。

During open/close movement, the distance of condylar movement is smaller than normal occlusion(P.05). During protrusion/retrusion movement, protrusion extent increase,the distance of condylar movement is bigger than normal occlusion(P.05). During lateral excursion, the trace in sagittal plane of the non-working side condyle is more incline than protrusion movement trace and the distance of the left non-working side condylar movement is larger than the right. During mediotrusion/right movement, the left biggest space distance is larger than normal occlusion and the transversal condylar inclination is smallar than normal occlusion when the distance of condylar movement is 5mm, the difference is statistically significant.

在开闭口运动时,双侧髁突运动幅度减小、位移量小于正常牙合者(P.05);前伸后退运动时,前伸幅度增加,位移量大于正常牙合者(P.05);侧方运动时,非工作侧髁突在矢状面上的轨迹较前伸轨迹向前下方倾斜度增加,非工作侧髁突空间位移左侧大于右侧,向右侧方运动中,左侧髁突空间位移大于正常牙合者,髁突位移5mm时水平面髁突倾斜度小于正常牙合者,差异有统计学意义。

The situation of frontal sinus ostium and frontal recess was as follows:56 sides obstructed by swollen mucosa,polypoid mucosa or polyps,no cell obstruction at frontal sinus orifice;121 cases constricted by over development of agger nasi cells,ethmoid bulla or terminal cell at frontal recess;osteal stenosis at frontal sinus orifice in 5 sides.

额窦口和额隐窝情况分3种:①局部没有气房阻塞,仅为肿胀息肉样变黏膜或息肉阻塞者56侧(30.7%);②额隐窝被发育过度的鼻丘气房、前筛气房或终末气房挤压导致引流通道狭窄者121侧(66.5%);③额窦口骨性狭窄者5侧(2.8%)。

During operation, an intranasal and marginal combining incision was made to expl ore the alar cartilages and to from a mucosal-cartilage flap in the nasal vest ibule. After the deformity of septal cartilage and the abnormalities of the alar base on the cleft side were repaired, the total alar cartilage was repositioned and rotated with suspension and V-Y advancement to correct the nasal deformiti es. Results Since 1993, a total of 92 cases were treated by the above p rocedure and satisfactory results were obtained.

手术经鼻端和患侧前庭联合切口,解剖、显露双侧鼻翼软骨,同时形成患侧前庭粘膜软骨瓣;在纠正鼻中隔软骨偏曲,松解患侧鼻肌复合体起点,使鼻翼脚无张力抬高后,再通过悬吊技术和粘膜软骨瓣的V-Y推进,将患侧鼻翼软骨进行整体旋转复位;最后,应用口轮匝肌上部纤维内收抬高鼻翼脚,用鼻肌复合体起点复位调整鼻孔形态,完成鼻畸形的矫正。

In the gasifying oven, there are coal feeding port and fuel gas feeding port at the top and the bottom, an inclined plane which drops coal grains and accumulates them onto the bottom, and the ventilating duct with opening over the fuel gas feeding port. It has also steam feeding port at the bottom, resultant gas outlet on the side and waste gas outlet at the upper part.

它是在气化炉的上部和底部分别设有煤供给口和燃气供给口,并设有使投入的煤颗粒落下、堆积到底部上的倾斜面,以及开口端在燃气供给口的上方、在炉内朝上延伸的通风管;还在气化炉的下部和侧部分别设置蒸汽供给口和生成气体排出口,并在上部设置废气排出口。

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I'm strongly against the death penalty — it's an eye for an eye.

我不赞成死刑——这是以牙还牙的报复行为。

And to get you the support you need, we're enlisting all elements of our national power: our diplomacy and development, our economic might and our moral suasion, so that you and the rest of our military do not bear the burden of our security alone.

并给你们所须的支援,我们正徵召国家所有各种的力量:我们的外交及发展,我们的经济力量与道德劝说,所以你们与其他军人不须要孤独地负起国家安全的责任。

Imagine yourself to be an actor in a play on the stage.

设想你自己是一个演员在舞台上表演。