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经锁骨下切口免充气胸锁乳突肌胸骨头和锁骨头天然间隙入路腔镜甲状腺腺叶切除的体会 被引量:5
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作者 左勇 黄涛 +3 位作者 张超 刘艾辉 刘恒 刘志霞 《江西医药》 CAS 2020年第2期150-151,165,共3页
目的解决传统经锁骨下切口腔镜甲状腺手术中,无法显露甲状腺全貌,以及清扫淋巴结、保护喉返神经、保护甲状腺旁腺困难等问题。方法我院从2019年5月至2019年8月,对9例,符合腺叶+峡部切除+中央区淋巴结清扫手术指征的甲状腺微小癌患者,采... 目的解决传统经锁骨下切口腔镜甲状腺手术中,无法显露甲状腺全貌,以及清扫淋巴结、保护喉返神经、保护甲状腺旁腺困难等问题。方法我院从2019年5月至2019年8月,对9例,符合腺叶+峡部切除+中央区淋巴结清扫手术指征的甲状腺微小癌患者,采用不游离颈部皮瓣,从患侧胸锁乳突肌胸骨头与锁骨头之间的天然间隙,进入颈部肌三角,用普外科全自动拉钩,将胸锁乳突肌胸骨头与胸骨甲状肌、胸骨舌骨肌,向前方牵起,在甲状腺前方建立手术空间,进行全腔镜甲状腺腺叶+峡部切除+中央区淋巴结清扫手术。结果9例患者均顺利完成手术,取得了满意的临床效果。结论针对合适的甲状腺微小癌患者,采用腔镜下,经锁骨下切口,免充气,由胸锁乳突肌胸骨头与锁骨头之间的自然间隙,进入患侧肌三角建立手术空间,进行甲状腺腺叶+峡部切除+中央区淋巴结清扫,方法简单,学习曲线短,甲状腺及其毗邻结构暴露充分,解决了腔镜甲状腺手术中,中央区淋巴结清扫,以及喉返神经、甲状旁腺保护等技术难点,是一种值得推广的临床新技术。 展开更多
关键词 锁骨下切口 胸锁乳突肌胸骨锁骨间隙 腔镜 甲状腺
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应用胸锁乳突肌肌皮瓣修复注射引产致面部凹陷畸形
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作者 李晓格 陈亮 李世荣 《中国美容医学》 CAS 2011年第11期1707-1708,共2页
目的:探讨胸锁乳突肌肌皮瓣在修复注射引产引起的面部瘢痕伴凹陷畸形的方法及效果。方法:应用以胸锁乳突肌乳突头为蒂的单蒂肌皮瓣修复注射引产引起的颌面部瘢痕及面部明显凹陷畸形患者3例,术中切除面部瘢痕,彻底松解,在胸锁乳突肌远端... 目的:探讨胸锁乳突肌肌皮瓣在修复注射引产引起的面部瘢痕伴凹陷畸形的方法及效果。方法:应用以胸锁乳突肌乳突头为蒂的单蒂肌皮瓣修复注射引产引起的颌面部瘢痕及面部明显凹陷畸形患者3例,术中切除面部瘢痕,彻底松解,在胸锁乳突肌远端设计相应大小的肌皮瓣,旋转覆盖面部缺损部位。结果:术后3例胸锁乳突肌肌皮瓣均成活,但因静脉回流障碍均发生小面积的表皮坏死,经换药均自愈。面部瘢痕及凹陷得到明显改善。结论:胸锁乳突肌乳突头单蒂肌皮瓣旋转灵活,能提供足够皮肤及组织量,既解决了去除瘢痕后皮肤量不足的问题,又解决了面部软组织发育不良导致的面部凹陷,是一种较理想的手术方法。 展开更多
关键词 胸锁乳突肌皮瓣 乳突单蒂 面部凹陷 面部瘢痕
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豫南罗索线虫新种的描述 被引量:4
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作者 宋锦章 彭玉芳 《四川动物》 1987年第1期3-6,共4页
A species of mermithid nematode was found parasitizing the larvae of Culex fatigans in the region of Xinyang County, Henan Province in 1984. It was ident- ified as a new species of the genus Roraanomerrais (Nematoda:M... A species of mermithid nematode was found parasitizing the larvae of Culex fatigans in the region of Xinyang County, Henan Province in 1984. It was ident- ified as a new species of the genus Roraanomerrais (Nematoda:Mermithidae),named Romanoraermis yunanesis. Besides the diagnostic feature of the genus, the main characters of this new species are: Female:Boby length 21.1mm (n=36, r=14.6-28.6, SE=0.49) .Width at the vagina 164 (n=33, r = 118-212, SE=4.05) . Vagina pear shaped the midway of Vaginal canal with a distinctive flexure: The anterior ovary is shorter than the posterior one. V=35.94845.9 (n=36, r=43 55, SE = 0.50) . Cuticle thicker, the cuticle thickness at the vagina 11.9,at the posterior end 22.6 (n=34, r=13.1 41.8, SE=1.36) . Male:Body length 14.1mm(n = 32,r = 7.8 17.6,SE = 0.37).Width at the midbody 120 (n=32, r=89-144, SE=2.42) .Two separate curved spicules are not uniform in length,the longer spicule length 339 (n=32,r=280 410, SE=5.6), ratio of body length to spicule length is 41.7 (n=32, r=27.6 51.5, SE=0.95),the shorter spicule length 327 (n=32, r=251 400, SE=6.9) ,Caudal papillae in three rows, the middle row with 34, lateral rows 22. Diagnosis: (1) R..yunanensis is separated from the other species of the genus with the exception of R.jingdeensis, R.wuchangensis, R.culicivorax and R.iyengari by the distinct flexure of its vagina. (2) It differs from R.culicivorax (25.2) and R. iyengari (26.2) and R.siehuanensis (22.7) in its larger ratio of body length to sp icule length (41.7) . (3) The position of the vulva is more anterior in R.yunan- ensis than in R.jingdeensis (P<0.01). Besides that, the length of two ovaries are not uniform in R. yunanensis (V=35.94845.9), but almost uniform in R.jingdeensis (V=4031.841) and the ratio of body length to spicule length in R.yunanensis is also larger than in R.jingdeensis (37.8).(4)The ratio of its body length to spicule length differs from that of R.wuchangensis (35.7)and the position of vulva is more anterior than that of R.wuchangensis (>50%), the two ovaries and two spicules are not uniform in length. They also differ from those of R.wuchangensis. Type Host and Locality∶Culex fatigans larvae are collected from the region of Xinyang. (Measurements are in micrometers unless otherwise noted. n=number of sp ecimens, r=range, SE=standard error.) 展开更多
关键词 体长 卵巢 性腺 LENGTH 头乳突 鉴别特征 交合刺 共泄腔 泄殖腔 幼虫体
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