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61.
62.
目的:探讨成年男性舌根部舌下神经解剖走行特点,指导临床舌根部射频温控减容术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)时针形电极刺入舌根部的部位及深度,以避免损伤舌下神经。方法:选择10具成年男性的舌标本,定型后在冰冻状态下作冠状切面,通过计算机图像处理与测量系统行舌下神经定位测量,并进行相关的统计学分析。结果:(1)两侧舌下神经呈对称性分布。(2)成年男性舌下神经舌内部分的主干(本实验为舌盲孔前后15mm范围内)其垂直向解剖走行基本恒定,距舌表面(22.21±2.22)mm;水平向走行中,舌盲孔后一般位于舌中内(近中线侧)(28.61±2.66)%处,舌肓孔前为(21.89±1.93)%处。结论:本实验为舌根部射频温控减容术治疗OSAHS提供了一个相对安全的范围:在不超过(22.21±2.22)mm深度且舌盲孔后避开中内(近中线侧)(28.61±2.66)%区域、舌盲孔前避开中(内近中线侧)(21.89±1.93)%区域,基本不会损伤舌下神经。 相似文献
63.
胫骨平台骨折非解剖复位对膝关节功能影响的研究 总被引:17,自引:1,他引:16
目的分析随访病例关节移位的类型、部位、程度对膝关节功能的影响,探讨影响胫骨平台骨折治疗效果的关键因素。方法对1991年6月~2004年6月间在我院治疗的不同类型胫骨平台骨折进行回顾性分析,对有良好随访的29例未达解剖复位或术后出现复位丢失的病例的X线片进行分析,并进行膝关节功能评分。结果随访6个月~13年,平均3.5年,膝关节功能参照Rasmussen评分法,优11例,良13例,可4例,差1例,优良率达82.75%。结论胫骨平台骨折获得良好治疗效果首先要恢复膝关节的稳定性,其次要恢复膝关节良好的力线,再者要在保护膝关节周围软组织情况下恢复关节面的解剖复位,并要有完善、合理的康复计划。 相似文献
64.
65.
目的:探讨切开复位内固定在治疗髋臼骨折中的临床应用价值。方法 :采用切开复位内固定治疗有移位的髋臼骨折共 15例。手术入路采用 Kocher- L angenbeck(K- L)入路 7例 ,髂腹股沟入路 3例 ,髂股加 K- L 入路 3例 ,三射线入路 2例。结果 :解剖复位 10例 ,满意 3例 ,差 2例。随访功能评分优 7例 ,良 3例 ,可 2例 ,差 3例。结论 :切开复位内固定已成为多数有移位髋臼骨折的治疗标准 ,L etournel分类对手术入路有很好的临床应用价值 相似文献
66.
KLEPP K-I.; ULVIK R.J.; MATTHIESEN S.B.; HANNAN P.; JACOBS D.R. JR.; AARO L.E. 《European journal of public health》1993,3(1):38-42
The general public of the City of Bergen, Norway was Invitedto participate in a cholesterol screening programme in October1988. Participants received the results of the cholesterol screeningand nutritional information from trained health personnel. Ashort questionnaire was mailed to all 354 participants 12weeks after the initial cholesterol screening. In March 1990,all participants were invited to have their cholesterol levelsre-examined. Psychosocial factors believed to be predictiveof future serum cholesterol changes were assessed at baselinealong with demographic variables. The majority of participants(61%) reduced their cholesterol level from October 1988 to March1990, and the average reduction in cholesterol level for thetotal population was 4.0%. Baseline cholesterol levels, beingconfident of one's own ability to change one's diet (self-efficacy),seeing heart disease risk reduction as very important, and maritalstatus were factors that significantly predicted successfulcholesterol reduction 18 months later. 相似文献
67.
R. M. Kappel R. Dijkstra J. B. Storm van Leeuwen P. Houpt M. Kuyper 《European journal of plastic surgery》1997,20(2):60-65
Two methods of breast reduction were performed between 1981 and 1986. One was wedge resection of the breast in which nipple and gland were disconnected. The other was the tangential and circumferential breast reduction, in which the nipple remained in continuity with the gland. For each method, there were 21 patients. The mean follow-up was 5 years and 9 months. In both groups, 8 patients had 11 children, but only the tangential reduction patients lactated. They also had better subjective nipple sensitivity whereas objectively the differences were rather small. 相似文献
68.
Zhanjun Zhang Jing Huang Xizum Wu Wenzhi Zhang Songying Chen 《Journal of electroanalytical chemistry (Lausanne, Switzerland)》1998,444(2):169-172
The electrochemical reduction of adrenochrome on a glassy carbon electrode was investigated by ac impedance in a constant ionic strength McIlvaine buffer solution. When the frequency was lower than 60 kHz, —Z″ against Z′ showed straight lines whose inclined angles with the real axis were within the range 71–76° in the diagrams of the complex impedance plane obtained at different do potentials. In the corresponding admittance diagrams, distorted semicircles appeared. The electrode reaction involves adsorption of electroactive species and the effect of concentration polarization cannot be neglected. Based upon the admittance model of the equivalent circuit, the optimal estimated values of some model parameters were obtained by using a Gauss-Newton algorithm and non-linear curve fitting. The characteristics of the electrode process are also discussed. 相似文献
69.
Riyanto T. Bambang Etsujiro Shimemura Kenko Uchida 《Optimal control applications & methods.》1994,15(3):151-173
The problem of mixed H2/H∞ control with pole placement is considered for linear time-invariant systems. This is the problem of determining a controller for linear time-invariant systems which minimizes the H2-norm of a certain closed-loop transfor function subject to an H∞-norm constraint on another closed-loop transfer function and an additional constraint on the location of the closed-loop poles in the complex plane. An optimization problem is posed for the pole-constrained H2/H∞, problem in such a way that the objective function is expressed as a weighted sum of the actual H2 cost and its upper bound. A necessary condition for the optimization problem is derived via the Lagrange multiplier technique. The condition involves a set of highly coupled equations. By sacrificing the H2 performance, an alternative optimization problem is posed in order to simplify the necessary condition. An iterative algorithm for solving the coupled equations arising in the necessary conditions is proposed and numerical examples are presented. 相似文献
70.
92例跟骨骨折后足部畸形功能障碍治疗探讨 总被引:6,自引:1,他引:5
本文对92例106足波及距下关节的跟骨骨折治疗后1~6年遗留足畸形、功能障碍的病例(PALey:舌型17足,中央压陷型53足,严重粉碎型36足)进行了分析和总结。作者强调解剖复位、牢靠固定、一期植骨、早期关节持续被动运动及不过早负重是预防跟骨骨折众多并发症的重要措施。 相似文献