简介：根据我们的经验，经历割礼的病人主要关于疼痛和阴茎外观被担心。我们进行了未来的使随机化的试用估计一台新可处理的割礼缝术设备(DCSD)的好处。942个病人的一个总数同等地被划分成三个组(常规割礼，商戒指和可处理的缝术设备组)。在DCSD组的病人是有化合物5%lidocaine乳脂的anesthetized，其它与2%lidocaine阴茎块。操作时间，intra起作用的血损失，切口愈合时间，intra起作用、手术后的疼痛，阴茎外观和全面满足度被测量。操作时间和intra起作用的血损失与传统的组相比在商戒指和缝术设备组是显著地更低的(P<；0.001)。Intra起作用的疼痛与另外的二个组相比是在缝术设备组的更少(P<；0.001)；而手术后的疼痛在与另外的二个组相比的传统的组是更高的(P<；0.001)。设备(80.57%)和商戒指(73.57%)组织的在缝术的病人是与常规割礼组相比对阴茎外观满意的更多(20.06%，P<；0.05)。在缝术设备组的病人也比传统的组快显著地愈合了(P<；0.01)。全面满足率在缝术设备组(78.66%)更好与相比常规(47.13%)并且商戒指(50.00%)组(P<；0.05)。DCSD和lidocaine乳脂的联合导致了更短的操作和切口愈合时间，减少了intra起作用、手术后的疼痛并且改进了对化妆外观的耐心的满足。

简介：在场的AIMTo为过滤绿内障外科以便控制高手术后的intraocular压力(IOP)的一种新奇scleral拍动suturing技术为mitomycinC的手风琴缝术技术的.METHODSDescription扩充了trabeculectomy。在手术后的高IOP的情况下，拉缝术的环帮助在两个边上由一个平压力在scleral拍动上面上升。借助于这种技术，scleral拍动以一种手风琴方式，因此阻止的拍动阻塞和提供的足够的水的flow.RESULTSOur学习开口组与neovascular由8个病人的8只眼睛组成了绿内障。这些题目的吝啬的年龄是67.42吗？？

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简介：ＧｅｏｃｈｅｍｉｃａｌＦｅａｔｕｒｅｓｏｆＯｐｈｉｏｌｉｔｅｉｎＭｉａｎｘｉａｎＬｕｅｙａｎｇＳｕｔｕｒｅＺｏｎｅ，ＱｉｎｌｉｎｇＯｒｏｇｅｎｉｃＢｅｌｔＬａｉＳｈａｏｃｏｎｇ；ＺｈａｎｇＧｕｏｗｅｉ（ＤｅｐａｒｔｍｅｎｔｏｆＧｅｏｌｏｇｙ，Ｎｏｒｔ...

简介：AbstractPurpose:The main aim is to provide clinical reference for the application of mini suture anchor in the reduction and fixation of displaced temporomandibular joint (TMJ) disc with intracapsular condylar fracture.Methods:From October 2018 to October 2019, 21 patients (31 sides) with intracapsular condylar fractures and articular disc displacement from West China Hospital of Stomatology, Sichuan University were included. The selection criteria were: (1) mandibular condylar fractures accompanied by displacement of the TMJ disc, confirmed by clinical examination, CT scan and other auxiliary examinations; (2) indication for surgical treatment; (3) no surgical contraindications; (4) no previous history of surgery in the operative area; (5) no facial nerve injury before the surgery; (6) informed consent to participate in the research program and (7) complete data. Patients without surgical treatment were excluded. The employed patients were followed up at 1, 3, 6 and 12 months after operation. Outcomes were assessed by success rate of operation, TMJ function and radiological examination results at 3 months after operation. Data were expressed as number and percent and analyzed using SPSS 19.0.Results:All the surgical procedures were completed successfully and all the articular discs were firmly attached to the condyles. The articular disc sufficiently covered the condylar head after the fixation. The fixation remained stable when the mandible was moved in each direction by the surgeons. No complications occurred. The functions of the TMJ were well-recovered postoperatively in most cases. CT scan revealed that the screws were completely embedded in the bone without loosening or displacement.Conclusion:Mini suture anchor can provide satisfactory stabilization for the reduced articular disc and also promote the recovery of TMJ functions.

简介：BlueschistaccompaniedbypeliticschistexposealongtheXinlin-XiguitufaultintheToudaoqiaoarea,northeasternChina.Inthispaper,theblueschistissystematicallystudiedonthepetrographyandmineralchemistry.Theamphibolesintheblueschistarezonedfromwinchitecoretomagnesioriebeckite/glaucophanerimtowinchiteoutermostrim.Thepeakmetamorphicconditionsaredefinedbythemineralassemblageofmagnesioriebeckite/glaucophane,epidote,high-Siphengite(Si<7.1),chlorite,albite,hematiteandquartz,indicatinganepidote-blueschistfaciesmetamorphism.TheP-TconditionsareestimatedasT=350–400℃andP=10-12kbar.TheoccurrenceoftheblueschistalongtheXinlin-XiguitufaultstronglysuggeststhefaultisthesuturebetweentheErgunandtheXing'anblockssituatedintheeasternportionsoftheCentralAsiaOrogenicBelt(CAOB).

简介：AbstractIatrogenic femoral artery pseudoaneurysm is a common complication of the endovascular procedures. Manual compression and thrombin injection are the conventional techniques to occlude the pseudoaneurysms. However, there are still some failed cases that applied these treatment options. The aim of the study is to seek a potential and alternative method with ProGlide system to close the pseudoaneurysm. During April 2018 to February 2019, 2 patients with iatrogenic pseudoaneurysm of the superficial femoral were treated with the suture-base closure device-ProGlide. After punctured the pseudoaneurysm and placed a 6-F sheath, the guide wire was placed in the right femoral artery via the access of the pseudoaneurysm neck. Then the pseudoaneurysm neck was sutured by ProGlide to occlude the blood supply to the pseudoaneurysm. These 2 patients were cured with no complications and complaints, which revealed that percutaneous suture technique with ProGlide at the neck level of pseudoaneurysm provides a novel method for the management of vascular access pseudoaneurysm, especially in those with a wide and short neck.

简介：AbstractBackground:In neurosurgery, the necessity of having a drainage tube is controversial. Subgaleal fluid collection (SFC) often occurs, especially in a craniotomy near the "parietal site" . This study aimed to reassess the benefit of using a prophylactic epidural drainage (ED) and non-watertight dura suture in a craniotomy near the parietal site.Methods:A retrospective review was conducted on 63 consecutive patients who underwent a craniotomy near the parietal site. The patients were divided into two groups according to different period. The deal group received ED and a non-watertight dura suture (drain group, DG), the control group that did not (non-drain group, NDG). Complications and patient recovery were evaluated and analysed.Results:Three patients (11.5%, 26) in DG and 20 patients (54.1%, 37) in NDG presented with SFC (p < 0.05). One patient (3.8%) in DG and three patients (8.1%) in NDG presented with subdural tensile hydrops (STH) (p > 0.05). Six developed an infection in NDG (four intracranial infections, one abscess, one pulmonary infection), while none in DG (p > 0.05) developed infection. Three (11.5%) cases in DG and one (2.7%) case in NDG had muscle strength that improved postoperatively (p > 0.05). Fifteen (57.7%) in DG and 14 (37.8%) in NDG had epileptic seizures less frequently postoperatively (p < 0.05). The average temperature (37.4 °C vs 37.6 °C, p > 0.05), the maximum temperature (37.9 °C vs 38.1 °C, p > 0.05) on 3 PODs, the postoperative hospital stay day (7.5 days vs 8.0 days, p > 0.05), and the postoperative medicine fee (¥29762.0 vs ¥28321.0, p > 0.05) were analysed.Conclusion:In patients who undergo a craniotomy near the parietal site, the prophylactic use of ED and a non-watertight dura suture helps reduce SFC, infection, and control epilepsy.

简介：UltrabasicrocksintheMianxian-LueyangophioliticmelangezoneincludeharzburgiteanddunitewhichexhibitLREEdepletionwithremarkablepositiveEuanomaly.ThediabasedikeswarmshowsLREEenrichmentbutslightlynegativeEuanomaly.MetamorphosedvolcanicrockscanbedividedintotwogroupsintermsoftheirREEgeochemistryandtraceelementratiosofTi/V,Th/Ta,Th/YbandTa/Yb.OneisthsMORB-typebasaltwithLREEdepletion,representingthefragmentsofoceaniccrustandimplyinganassociationoftheMORB-typeophioliteandanancientoceanbasinbetweentheQinlingandYangtzeplatesduringtheMiddlePaleozoic-EarlyMesozoicera.Theotercomprisestheisland-arcvolcanicrocksincludingtholeiiticbasaltandalargeamountofcalc-alkalineintermediate-acicvolcanicrock,whichcouldnotbethecomponentoftheancientoceaniccrustbuttheresultofmagmatismatthecontinentalmargin.ThisindicatesthattheMianxian-Lueyanglimitedoceanbasinhadundergoneawholeprocessofdevelopment,evolutionandvanishingfromDevonian-CretaceoustoPermian.AndtheQinlingareahadbeconeanindependentlithosphericmicroplate,onthesouthernsideofwhichtherewereexhibitedthetectoniccharacteristicsofactivecontinentalmarginsduringtheLatePaleozoic-EarlyMesozoic.Thatistosay.theQinlingcannotbesimplyconsideredasaresultofcollisionbetweentheYangtzeandNorthChinaplates.

简介：多级式的变丑事件发生在东北Jiangshao差错(缝术)带。二年代初是可锻的变丑事件。第一是ca。820妈top-to-the-northwest可锻的推进，它直接在迟了的Neoproterozoic期间源于在Cathaysia旧陆地和Chencai弧(?)之间的碰撞，并且作为海洋形成了的JiangnanOrogenic带由于连续压缩在Yangtze板和连接Cathaysia旧陆地和Chencai弧之间关门了。第二是可锻左侧面滑倒罢工那发生了在最近早古生代。自从Jinning时期，所有变丑事件由于在诺思中国和Yangtze盘子之间的碰撞代表intraplate结构的复活或倒置在期间三叠纪并且在菲律宾的海和欧亚的盘子之间在新生代期间。因为在诺思中国和Yangtze盘子之间的碰撞，在三叠纪的、易碎的权利侧面的滑倒罢工、随后的top-to-the南方，推进沿着整个东北Jiangshao差错地区发生了。在迟了的中生代，地区性的扩展越过东南的中国发生了。在新生代，在菲律宾的海和欧亚的盘子之间的碰撞沿着整个Jiangnan旧陆地导致了易碎的戳在中新世。Jiangshao差错带是在有长历史的外壳中的一个弱地区，并且它的复活是在华南的变丑的重要特征之一；然而，迟了阶段的变丑事件没在Jiangnan旧陆地以外发生，他们中的大多数与旧陆地的罢工平行，它类似于在中亚的新生代变丑。另外，Jiangnan旧陆地不是在Yangtze板和Cathaysia旧土地之间的一条collisional边界在三叠纪。

简介：AbstractSurgical stabilization of the flail chest is challenging and has no established guidelines. Chest wall integrity and stability are the main factors that ensure the protection of intrathoracic organs and an adequate respiratory function. Here, we report a novel chest wall reconstruction technique in a 45-year-old man with a traumatic left flail chest and open pneumothorax diagnosed both clinically and radiographically. Rib approximation and chest wall reconstruction was done using intercostal figure-of-eight suture and polypropylene mesh with vascularized musculofascial flap. The patient improved gradually and was discharged after three weeks of total hospital stay. He returned to regular working after a month with no evidence of respiratory distress or paradoxical chest movement. Follow-up visit at one year revealed no lung hernia or paradoxical chest movement. This is a novel, feasible and cost-effective modification of chest wall reconstruction that can be adopted for thoracic wall repair in case of open flail chest, which needs emergency surgical interventions even in resource constraint settings.

简介：AlthoughtheIndus-TsangpoSuture(ITS)isthemostspectacularthrustsystemofcontinent-continentcollisionintheworld,fundamentalquestionsaboutitsstrengthevolutionanddeformationbehaviortransitionremainunanswered.Herewereported,forthefirsttime,frictionalmelting-inducedpseudotachylytesintheintensivelydeformedfelsicrocksalongtheITSzoneinsouthernTibet.ThisstudyrevealsthatpseudotachylytesinducedprofoundweaknessoftheboundaryfaultbetweenIndianandAsianplates.Theintrinsicallylowstrengthofthefoliatedmicrolitescrystallizedfromfrictionalmeltorglass(i.e.,pseudotachylyte)atseismogenicdepthscomparedwiththesurroundingcoarse-grainedquartzofeldspathicrocksinthebrittleandsemi-brittleregimeissufficienttoexplainthelocalizationofshearstrain,thedevelopmentofductileshearzonesembeddedinstrongwallrocks,andthetransitionfromthestrongtoweakfaultbehaviorswithoutinvokingthepresenceofhighfluidpressureorlowfrictioncoefficientmetasomaticmaterials(e.g.,smectiteorlizardite)withinthefaults.

简介：Duringperipheralnervetranspositionrepair,ifthediameterdifferencebetweentransposednervesislargeormultipledistalnervesmustberepairedatthesametime,traditionalepineurialneurorrhaphyhastheproblemofhightensionatthesuturesite,whichmayevenleadtothefailureofnervesuture.Weinvestigatedwhetherasmallgapbio-sleevesuturewithdifferentinnerdiametersatbothendscanbeusedtorepaira2-mmtibialnervedefectbyproximaltranspositionofthecommonperonealnerveinratsandcomparedtheresultswiththerepairseenafterepineurialneurorrhaphy.Threemonthsaftersurgery,neurologicalfunction,nerveregeneration,andrecoveryofnerveinnervationmusclewereassessedusingthetibialnervefunctionindex,neuroelectrophysiologicaltesting,musclebiomechanicsandwetweightmeasurement,osmicacidstaining,andhematoxylin-eosinstaining.Therewasnoobviousinflammatoryreactionandneuromaformationinthetibialnerveafterrepairbythesmallgapbio-sleevesuturewithdifferentinnerdiametersatbothends.Theconductionvelocity,musclestrength,wetmuscleweight,cross-sectionalareaofmusclefibers,andthenumberofnewmyelinatednervefibersinthebiosleevesuturegroupweresimilartothoseintheepineurialneurorrhaphygroup.Ourfindingsindicatethatsmallgapbio-sleevesuturewithdifferentinnerdiametersatbothendscanachievesurgicalsuturebetweennervesofdifferentdiametersandpromoteregenerationandfunctionalrecoveryofinjuredperipheralnerves.

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简介：作为在microsurgeries的最挑战性的过程，Vasoepididymostomy(VE)经常与双armed被执行二缝术的技术。在这研究，我们在人上评估了武装单人赛的二缝术的VE的功效和安全并且学习了能可能影响明显率的因素。从2012年7月到2013年7月，我们与连续主要epididymal阻塞考察了81个病人由一位单身的外科医生，经历了武装单人赛的二缝术的纵的摄取microsurgicalVEKaihong(KH)。同时，我们分析了可能与明显有关评价的七个因素。与武装单人赛的技术，81个人的一个总数经历了microsurgicalVE。62个病人上的数据完全被记录。19个病人被失去到后续。吝啬的年龄是31岁。吝啬的后续时间是8.8(2-17)月。明显率是66.1%(41/62)。自然怀孕率是34.1%(14/41)。全面怀孕率是22.6%(14/62)。没有严重外科的复杂并发症被注意。与逻辑回归测试分析，与更高的明显率有关有二个因素：吻合地点(P=0.035)并且能动精子在epididymal液体发现了(P=0.006)。在epididymal液体发现的能动精子与更高的明显率被联系(或=11.80，95%CI=1.79，77.65)。武装单人赛的二缝术的纵的VE技术为microsurgical实践是可行的。明显和怀孕率比得上双手臂的技术。在epididymal液体发现的吻合地点和能动精子是与更高的明显有关的大多数二个重要因素。

简介：摘要目的比较新型下胫腓联合弹性钩钢板(ESHP)与Suture-button技术治疗下胫腓联合损伤的疗效。方法回顾性研究解放军联勤保障部队第九〇九医院全军骨科中心2013年3月至2017年3月收治的53例下胫腓联合损伤合并踝关节骨折患者资料，根据下胫腓联合固定方式不同分为ESHP组和Suture-button组。ESHP组：28例，男15例，女13例；年龄26~60岁；采用新型ESHP固定。Suture-button组：25例，男14例，女11例；年龄24~59岁；采用Suture-button技术固定。比较两组患者的固定下胫腓联合时间、术后切口引流量、住院时间，术后3、6、12个月比较踝关节最大跖屈、背伸角度、Baird-Jackson评分，观察并发症的发生情况。结果两组患者术前一般资料比较差异均无统计学意义(P>0.05)，具有可比性。53例患者均顺利完成手术。ESHP组患者固定下胫腓联合的时间[(9.7±2.2) min]、术后切口引流量[(49.3±10.4) mL]显著少于Suture-button组[(16.2±1.4) min、(62.4±6.3) mL]，术后3个月的最大跖屈角度（29.9°±1.3°）、Baird-Jackson评分(87.2±2.9)分显著大于Suture-button组[22.8°±1.3°、(78.7±4.1)分]，差异均有统计学意义(P<0.05)；两组患者的住院时间、术后6、12个月的最大跖屈角度，术后3、6、12个月的最大背伸角度，术后6、12个月的Baird-Jackson评分比较差异均无统计学意义(P>0.05)。所有患者均获随访，时间12~14个月（平均12.5个月）。所有患者随访期间骨折均愈合，于术后1年左右取出踝关节所有内固定物。随访1年内ESHP组出现1例因金属疲劳导致的内固定物失效。Suture-button组出现1例内固定物激惹，2例内固定物失效，1例内固定装置下沉和骨溶解。结论采用ESHP治疗下胫腓联合损伤比Suture-button技术具有更短的手术时间、更少的术后出血量和并发症，且更快地恢复踝关节功能。

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