Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Dec 2006
[Anatomic study of internal fixation of acetabular anterior column plate technique].
To study the best entry points, direction and length of screw in acetabular anterior column plate technique, and to prevent the serious complications of screw penetrating the joint surface. ⋯ When plate for internal fixation on acetabular region of anterior column is used, there are three ways to avoid screw penetrating the joint surface. The first way is using short screw in any direction; the second way is using long screw close to the linea terminalis of pelvis, the direction of the screw is parallel to the quadrilateral plate; the third way is using different entry angle and length according to different entry point.
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Zhonghua Wai Ke Za Zhi · Dec 2006
[The application of lumbar discography in the diagnosis and treatment of the discogenic low back pain].
To investigate the diagnostic value of lumbar discography in discogenic low back pain and the effects of intervertebral fusion surgery. ⋯ It is concluded that the discography is moderately sensitive in the diagnosis of discogenic low back pain. Furthermore, the short term follow-up reveals that operative group has better pain relief than conservative group.
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Zhonghua Wai Ke Za Zhi · Nov 2006
[The microsurgical anatomy of the suprasellar and parasellar region with reference to extend transsphenoidal approach].
The anatomic features of transsphenoidal approach are reviewed, focusing on the microsurgical anatomy of suprasellar and parasellar structures. Pertinent microsurgical anatomy is described for neurosurgeons to successfully extend a standard transsphenoidal approach for treatment of lesions including the region of the tuberculum sellae, planum sphenoidale, supradiaphragmatic intradural space, and medial cavernous sinus. ⋯ Expending transsphenoidal approach is suitable for medium and small lesions growing along the centre line which expand to para sellar, anterior sellar and sphenoid platform. That hypophysis has close relation with internal carotid artery during expending transsphenoidal approach to cavernous sinus increase the risk of operation. The carotid artery and abducent nerve are the easiest structures to be damaged during the operation.
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Zhonghua Wai Ke Za Zhi · Nov 2006
[Results of surgical correction in patients with anomalous origin of the coronary artery from the pulmonary artery].
To evaluate effectiveness of surgical correction in patients with anomalous origin of the coronary artery from the pulmonary artery. ⋯ Reestablishment of a two-coronary system is necessary for patients with anomalous origin of the coronary artery from the pulmonary artery. The left ventricular function improved after 2-coronary repair. We recommend that the simultaneous mitral annuloplasty should be performed at the time of operation for patients who have moderate and severe mitral regurgitation with ALCAPA. Surgical correction of ARCAPA and ARCAPA show good early and mid-term results, long-term results need to be followed up.