卡尔丹角及其在跳马侧空翻转体轨迹中的应用——人体三维转动研究的新方法

在建立连体坐标系后,为了避免奇异值出现采用相对方向余弦矩阵计算有实际意义的三维角坐标(卡尔丹角坐标),用绝对方向余弦矩阵计算绝对角速度,并使用FORTRAN77和Visual C++ 6.0语言将它们编成完整的计算软件用于人体三维转动瞬时状态的研究。该软件在跳马侧手翻直体侧空翻转体810°动作的实测中准确、详尽地对人体三维转动技术进行了定量描述和分析,且计算结果与动作技术实际相吻合。

The correlation between stroma analysis and MDCT early phase contrast enhancement in small solid lung adenocarcinoma

Objective: To evaluate correlations between proportion and distribution of tumor stroma and MDCT early phase enhancement character in solid lung adenocarcinoma, and compare with microvessel density and histological subtypes. Methods: Thirty-one patients with lung adenocarcinoma shown as solid solitary pulmonary nodules underwent routine con-trast-enhanced MDCT followed by surgical resections. CT character included net enhancement and distribution of enhance-ment. The largest cut surface of tumor specimens were stained by hematoxylin and eosin. About 25 fields of view of each specimen were scanned as digitized pictures at low magnification. Semi-auto segmentation software was used to calculate mean stroma proportion. Pearson correlation coefficient was used to represent the relationships between extent of tumor en-hancement, proportion of tumor stroma and MVD respectively. Fisher's exact test was used to analyze statistical differences in degree of CT enhancement among groups of different histological subtypes. Results: Proportion of invasive tumor stroma (13.2%-54.5%, mean 26.2 ± 8.8%) was correlated positively with net enhancement (8-60.8 HU, mean 31.2 ± 13.6 HU; r = 0.483, P = 0.006) which was more than MVD. 58.1% cases showed homogenous enhancement, 32.3% cases showed periph-eral inhomogenous enhancement, 3.2% cases showed central inhomogenous enhancement, 3.2% cases showed asymmetri-cal inhomogenous enhancement, and 3.2% cases showed no enhancement. 58.1% cases' stroma showed mixed distribution, 35.5% cases showed peripheral distribution, 3.2% cases showed central distribution, and 3.2% cases showed asymmetrical distribution. Significantly more adenocarcinomas classified with "net enhancement > 20 HU" were found in the acinar group than in the solid with mucin subtype (P = 0.005). Conclusion: Extent of CT enhancement reflects underlying not only the tumor angiogenesis but also stroma proliferation in solid small lung adenocarcinoma. Tumor stroma proportion could reflect the histopathologic basis of small lung adenocarcinoma's CT enhancement substantially than MVD. Distribution between enhancement and tumor stroma have good correspondence. Most of acinar adenocarcinomas have higher degree of CT net enhancement than solid with mucin adenocarcinomas.

Multi-slice computed tomography for diagnosis of combined thoracoabdominal injury

Purpose： To investigate the diagnostic value of multi-slice computed tomography （MSCT） for combined thoracoabdominal injury. Methods： A retrospective study was conducted to analyze the clinical data and MSCT images of 68 patients who sustained a combined thoracoabdominal injury associated with diaphragm rupture, and 18 patients without diaphragm rupture. All the patients were admitted and treated in the Chongqing Emergency Medical Center （a level I trauma center） between July 2005 and February 2014. There were 71 males and 15 females with a mean age of 39.1 years （range 13-88 years）. Among the 86 patients, 40 patients suffered a penetrating injury, 46 suffered a blunt injury as a result of road traffic accident in 21 cases, fall from a height in 16, and crushing injury in 9. The MSCT images were retrospectively reviewed by two radiologists. The results of CT diagnosis were compared with surgical findings and/or follow-up results. Results： Among the 86 cases, diaphragm discontinuity was found in 29 cases, segmental nonrecognition of the diaphragm in 14, diaphragmatic hernia in 21, collar sign in 14, dependent viscera sign in 18, elevated abdominal organs in 21, bowel wall thickening and/or hematoma in 6, and pneumoperitoneum in 8. CT diagnostic accuracy for diaphragm rupture was 88.4% in the right side and 90.7% in the left side. CT diagnostic accuracy for hemopneumothorax, pulmonary contusion, mediastinal hemorrhage, kidney and adrenal gland injuries was 100%, while for liver, spleen and pancreas injuries was 96.5%, 96.5g, 94.2% respectively. Conclusion： To reach an early diagnosis of combined thoracoabdominal injury, surgeons and radiologists should be familiar with all kinds of images which might show signs of diaphragm rupture, such as diaphragm discontinuity, segmental nonrecognition of the diaphragm, dangling diaphragm sign, diaphragm herniation, collar sign, dependent viscera sign, and elevated abdominal organs.

Is early hardware removal compulsory after retention of angled drill guides in palmar locking plates？ The role of pronator quadratus reconstruction

Palmar plate fixation is becoming a well recognized treatment for distal radial fracture. Tendon ruptures or irritations have been reported after this procedure. Inadvertent retention of angled drill guides useful for easy placement of locking screws in proper direction in volar plating can represent a high risk of secondary tendon rupture. In this case, we presented our experience in one patient in whom drill guides removal could be delayed for one year and summarized our techniques to prevent the aforementioned complications.

Early Mesozoic structural deformation in the Chuandian N-S Tectonic Belt,China

The Helan-Chuandian N-S Tectonic Belt is a mantle transitional belt in China. The southem part, forming the Chuandian N-S Tectonic Belt, comprises several tectonic systems, each displaying different characteristics. The Chuandian N-S Tectonic Belt along the western margin of yangtze Block is a strike-slip tectonic belt with a series of echelon left-lateral slip faults. The strike-slip fault systems experienced two stages of structural deformation： early NW-SE striking thrust faults formed under a NE-SW compression stress field, and later sinistral strike-slip structures formed along thrust faults under a NW-SE compression stress field. Mesozoic basins developed between the left-lateral slip faults. Sedimentary facies and paleocurrent directions indicate that basin development was controlled by the strike-slip faults. The oldest strata in the Chuandian N-S Tectonic Belt constrain its formation to early Mesozoic. In fact, The slip tectonic belt formed by clockwise rotation and north-directed subduction-collision of the Yangtze Block in Late Triassic-Jurassic. The strike-slip faults that developed within the belt also formed at this time.