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Among them,"8" shaped suture was used in 8 cases, aponeurosis flap repair in 30 cases, transfer repair of tendon of peroneus longus muscle in 2 cases, reverse "V Y" shaped tendon plastic operation in 10 cases, and mattress suture of opposite ends in 12 cases.

对1961 年1994 年80 例采用手术治疗的跟断裂中的62 例临床资料进行分析,其中采用"8"字缝合法8例,两条膜瓣下翻修复30 例,腓骨长肌移位修复2例,倒"VY"形成形术10 例,对端褥式缝合12 例。

It was a good effect that the open Achilles tendon ruptures were treated by modified Tsuge Stuture or auxileary Repair with free deep-fascia circuitously.......

改良津下缝合法吻合跟或辅助游离深筋膜环行修复治疗开放性跟断裂具有良好的疗效。关键词:跟断裂;津下缝合;筋膜移植

Results The detecting rates of the displacement of the mitral coaptation point ,the flail partial mitral leaflets,the coarse and erratic flutter of flail leaflets, the flicking mitral chordae tendineae with coarse and erratic flutter and the vegetation by TEE and TTE with 2-D were 100%and 94.3%, 100%and 65.7%, 85.7%and 54.3%, 77.1%and48.6%, 100%and33.3%, respectively.With color Doppler imaging,eccentric wall jets or eccentric-centric jets were all detected by TEE and TTE, respectively. The regurgitant volume based on PISA method by TEE and TTE was(2025±402)and (607±268)ml/min,respectively.

结果 TEE和TTE对二尖瓣索部分断裂的切面超声征象包括收缩期瓣缘对合不良、局部链枷运动、局部粗大扑动、索断端飞鞭运动伴粗大扑动及赘生物的检出率分别为100%和94.3%、 100%和65.7%、 85.7%和54.3%、 77.1%和48.6%及100%和33.3%; TEE和TTE二尖瓣索断裂的彩色多普勒表现为偏心附壁返流束或偏心伴向心返流束,其检出率均为100%;根据PISA法由TEE及TTE估测的返流量分别为(2025±402)及(607±268)ml/min。

Forearm flexor origin from the medial epicondyle was exposed to allow tunneling of the long head tendon underneath the flexor origin.

方法切断胸大肌在肱骨的止点,在肱骨结节间沟顶端切断肱二头肌长头,然后向远端分离,显露至长头桡骨结节止点处,将前臂屈肌起点从肱骨内髁下方分离;将肱二头肌长头从前臂屈肌下方深面穿过,反折后穿过胸大肌止点,调整好张力再返回远端编结缝合。

Results The formation of the extensor apparatus was very complicated,of which the lateral tendinous fascicle, lateral fascicle,lateral tendon and intermediate fascicle had special clinical significance in the occurring of hand deformation.

结果 指背膜的构成复杂,其中的外侧束、外侧束、外侧和中央束在手指畸形的发生中有着特殊的临床意义。

METHODS: A retrospective analysis was performed in 76 patients underwent arthroscopic PCL reconstruction, with the use of B-TP-B autograft in 21 patients, B-TP-B allograft in 27 patients, semitendinosus tendon autograft in 28 patients.

回顾分析21例膝关节镜下自体骨-髌-骨移植、28例自体半移植和27例异体骨-髌-骨移植重建后交叉韧带的情况。

AF was made from 53.3%musculotendinous tissue, 23.3%appneurosis tissue and 23.3%muscular tissue.The distal margin of 70%supinator was tendinous, and all AECRM were tendinous.

AF的53.3%由肌性加性组织构成,23.3%由性组织构成,23.3%由肌组织构成。70%旋后肌远侧缘由性组织构成,所有AECRM均是性。

Results The main structure of the left ventricle in canine was composed of the mitral complex、aortic valve、falsetendons and so on,among them the mitral complex was included in the mitral ring and valve,chordae tendinease and papillary muscles;the circle of mitral ring was 49.16±10.00mm,the average heights of inside and outside valves were 14.28±3.14mm,9.27±1.99mm,respectively,the breadth were 25.74±5.21mm、21.50±6.33mm;the average number of chordae tendineass was 16.72±2.76;the average number of left ventricular false tendon was 4.69±3.38:the circle of aortic valve ring was 34.55±8.00mm,the average heights of left、right and back aortic valves were 6.85±1.76mm、7.19±1.75mm and 7.52±1.79mm.

结果:犬心左心室主要结构有二尖瓣复合体、主动脉瓣、假索等,其中二尖瓣复合体由瓣环、瓣膜、索、乳头肌构成;二尖瓣瓣环周径为49.16±10.00mm,内侧瓣、外侧瓣的高度分别为14.28±3.24mm、9.27±1.99mm,其宽度分别为25.74±5.21mm、21.50±6.33mm;索总数平均为16.72±2.76条;假索总数平均为4.69±3.38条;主动脉瓣瓣环周径为34.55±8.00mm,左瓣高度、右瓣高度和后瓣高度分别为6.85±1.76mm、7.19±1.75mm和7.52±1.79mm。

Method]28 cases were treated by short incision and tenocutaneous relaxing suture from 1996-2005,The scar tissue and blood blocks between the ends of ruptured Achilles tendon were first debrided completely,then treated with percutanneous decmpression suture,the duration of follow up ranged from 2 years to 10 years.

方法]自1996年1月~2005年4月间,随机选取跟断裂的患者28名,经术前查体和MRI证实,均为新鲜完全性闭合性跟断裂。首先微创暴露跟断端,清除断端的瘢痕和血凝块,梳理对合两断端,在皮外经跟断端以远健康部位做减张缝合。

Method]28 cases were treated by short incision and tenocutaneous relaxing suture from 1996-2005,The scar tissue and blood blocks between the ends of ruptured Achilles tendon were first debrided completely,then treated with percutanneous decmpression suture,the duration of follow up ranged from 2 years to 10 years.

方法]自1996年1月~2005年4月间,随机选取跟断裂的患者28名,经术前查体和MRI证实,均为新鲜完全性闭合性跟断裂。首先微创暴露跟断端,清除断端的瘢痕和血凝块,梳理对合两断端,在皮外经跟断端以远健康部位做减张缝合。患者常规术后随访,平均随访4年(1~7年)。

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