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1.
目的:分析腰椎间盘突出症术后对侧复发的原因、手术指征.评价翻修手术的效果和预防。方法:分析1993-2004年对8例对侧腰椎间盘突出症复发的患者进行再手术治疗的临床资料及手术效果。结果:经平均16个月的随访.按改良Macnab疗效评定标准.优5例.良2例,可1例,优良率87.5%。结论:再手术的主要原因是初次手术摘除髓核不彻底等因素造成。预防措施为采用对脊柱稳定性破坏小的术式。手术时尽量将髓核取尽。  相似文献   

2.
目的:观察和探讨改良Steffee手术治疗腰椎滑脱症的疗效.方法:用改良Steffee手术方法治疗腰椎滑脱症34例,男21例,女13例;年龄19—66岁,平均41.9岁.术后根据病人的综合情况进行级别评定,观察手术疗效.结果:用改良Steffee手术治疗腰椎滑脱症病人32例,手术优良率76.47%,总有效率97.06%.结论:改良Steffee手术治疗腰椎滑脱症,是一手术操作简单,术后不需要固定,疗效较好的手术方法.  相似文献   

3.
目的:探讨椎旁肌间隙入路及过伸复位在简单胸腰椎骨折手术治疗中的应用.方法:临床治疗24例胸腰椎骨折患者.术中均采用椎旁肌间隙入路结合过伸复位.结果24例患者手术效果良好。术后切口无感染,手术切口均为甲级愈合.手术时间、术中出血明显低于传统后正中入路手术,所有患者伤椎椎体高度均无丢失,内固定无松动、断裂.结论:椎旁肌间隙入路治疗简单胸腰椎骨折术中出血量少、手术时间短、术后恢复快、并发症少,治疗效果满意.  相似文献   

4.
目的:探讨鼻内窥镜手术出现的并发症、发生率、发生原因和预防.方法:分析此种手术328例中22例出现并发症患者的临床资料.结果:22例并发症:其中大出血2例,脑脊液鼻漏1例,眶周血肿和气肿6例,中隔穿孔1例,鼻泪管损伤1例,术后窦口闭锁及术腔粘连10例,总发生率为6.6%.结论:熟悉并发症发生的原因,加强鼻内窥镜手术操作的训练,对于预防并发症的发生是非常重要的.  相似文献   

5.
目的:评价疝环充填式无张力疝修补术在老年腹股沟疝修补中的应用效果。方法:对40例老年腹股沟疝患者全部采用mesh-plug定型产品行疝环充填式无张力疝修补术。结果:与传统疝修补手术比较,疝环充填式无张力疝修补术有明显的优越性,手术指征宽.手术操作简便,术后并发症少,恢复快,复发率低。结论:疝环充填式无张力疝修补术符合老年人的解剖特点,可作为治疗老年腹股沟疝的首选方法。  相似文献   

6.
目的:探讨纵隔肿瘤诊治的手术方式及效果.方法:自1997年至2003年共收治纵隔肿瘤46例,全部行手术治疗.结果:手术完整切除38例,部分切除5例,不能切除3例,全组无手术死亡.结论:对于纵隔肿瘤一经发现,要尽早手术。  相似文献   

7.
目的:探讨切改眉形术就医者不同的手术动机和临床意义以及多种手术切口设计方法和手术体会。方法:根据不同的就医者具体情况和要求,分别采取眉全切、保留眉头、Z成形、上部眉次切、单纯性去除眉上皮肤或联合其它手术等多种不同的切口设计。结果:共施行269例各类切改眉形术,取得了比较满意的效果。讨论:切改眉形术是一种要求极高的美容手术,虽然手术操作难度不大,但是要求术者必须具有很高的审美意识和感觉以及良好的沟通能力,进行合理的切口设计,才能达到双方满意的效果。  相似文献   

8.
目的:调查大理州永平县龙门乡中学生面部蠕形螨的感染情况,并分析感染的原因。方法:采用透明胶带粘贴法对211名中学生面部蠕形螨的感染情况进行调查,并观察其面部皮肤状况。结果:蠕形螨总感染率为6.16%;男生感染率(7.34%)高于女生(4.9%);感染虫种多为毛囊蠕形螨,少数为皮脂蠕形螨,差异有统计学意义(x。=7.538,P〈0.05);采用清水、香皂、洗面奶、药皂四种洗脸方式间差异有统计学意义(x。=1.526,P〈0.05);学生住校与住家的感染率差异有统计学意义(x2=10.972,P〈0.05);面额部的检出率高于其他部位,且油性与中性皮肤较干性皮肤检出率高,差异有统计学意义(x:=1-314,P〈O.05)。结论:永平县龙门乡中学生面部存在蠕形螨感染的情况,应加强对学生面部蠕形螨的防治。  相似文献   

9.
目的:分析腮腺浅叶良性肿瘤行功能性腮腺切除术治疗中的临床效果.方法:腮腺浅叶良性肿瘤病例128例。其中86例采用功能性腮腺切除术治疗,观察并发症的发生率及肿瘤复发情况.并与42例传统腮腺浅叶及肿瘤切除术相比较.结果:86例患者术后面部畸形较轻,腮腺功能良好.随访期间肿瘤无复发、无味觉出汗综合征,凹陷畸形不明显,其中9例出现暂时性面瘫,14例耳垂麻木.与传统腮腺切除术相比,肿瘤复发率比较无统计意义(P〉0.05),两组术后暂时性面瘫、耳垂麻木和Frey.s综合征、凹陷畸形的发生率有统计学意义(P〈0.05).结论:功能性腮腺切除术是腮腺浅叶良性肿瘤治疗的理想术式之一.  相似文献   

10.
目的:探讨鼻眶筛骨折的临床特点及治疗方法.方法:对2004年4月-2014年9月就诊于赤峰学院附属医院口腔颌面外科资料完整的64例面中部骨折进行回顾性分析.按Hopkins分类对鼻眶筛骨折进行分类.开放复位内固定术后比较术前术后面部外形和临床症状改善状况.结果:64例NOE骨折中HopkinsⅠ类43例(67.2%),HopkinsⅡ类14例(21.9%),HopkinsⅢ类7例(10.9%).鼻骨骨折者51例,眶内壁骨折者49例.64例患者术后有58例(90.1%)面形恢复情况满意,7例(9.9%)仍有轻度面部畸形.结论:鼻眶筛骨折主要为HopkinsⅠ类骨折,开放复位固定术是治疗鼻眶筛骨折的有效治疗手段.  相似文献   

11.
Hands-on dissection-based learning of anatomy offers an unique and valued experience for medical students. Too often however, the inexperienced student's focus is to avoid damage to unfamiliar structures instead of understanding spatial relationships between structures. This results in unfortunate surrender of a critical learning experience. Additionally, approaches to dissection and anatomic exposure share little alignment to clinical approaches, making it less powerful in clinical applicability. The goal of this viewpoint commentary is based on the experience of the two authors and aims to demonstrate opportunity to introduce clinical approaches for dissection while incorporating relevant anatomical concepts in medical school curriculum that aligns with authentic healthcare practice. Using the dissections of the superficial face as a relevant and current topic of clinical interest, we point out that applying the currently performed dissection approach (medial-to-lateral) falls short of providing sufficient knowledge and understanding of the layered arrangement of facial structures. The lateral-to-medial approach, as performed in surgical face lifting procedures would offer a better understanding of the layers of the face and especially the superficial musculoaponeurotic system (SMAS) accounting for the difficulties of facial dissections on embalmed cadavers. This commentary could offer a potential change in paradigm for students and course facilitators for how to maximize the knowledge transfer during facial dissections. It potentially opens a door to rethink dissection-based learning of anatomy toward techniques and approaches that are aligned to surgical access pathways and thus considered more clinically relevant.  相似文献   

12.
In this paper, we propose a highly automatic approach for 3D photorealistic face reconstruction from a single frontal image. The key point of our work is the implementation of adaptive manifold learning approach. Beforehand, an active appearance model (AAM) is trained for automatic feature extraction and adaptive locally linear embedding (ALLE) algorithm is utilized to reduce the dimensionality of the 3D database. Then, given an input frontal face image, the corresponding weights between 3D samples and the image are synthesized adaptively according to the AAM selected facial features. Finally, geometry reconstruction is achieved by linear weighted combination of adaptively selected samples. Radial basis function (RBF) is adopted to map facial texture from the frontal image to the reconstructed face geometry. The texture of invisible regions between the face and the ears is interpolated by sampling from the frontal image. This approach has several advantages: (1) Only a single frontal face image is needed for highly automatic face reconstruction; (2) Compared with former works, our reconstruction approach provides higher accuracy; (3) Constraint based RBF texture mapping provides natural appearance for reconstructed face.  相似文献   

13.
中国戏曲脸谱带有浓重的巫术色彩,随着戏曲政治化的发展,这种巫术色彩逐渐被专制主义者所利用,形成了脸谱艺术虚假性、仪式性、游戏性、神秘性的特征。脸谱艺术是戏曲政治化过程中政治化最明显、最深刻、最有影响的元素。这种影响不仅是物质上建立了一套以特定面貌表现特定人物性格品质的体系,而且在精神上将人的形象与真实的社会分离,成为主流意识形态的代名词,并随着戏曲的广泛流传对中国人的思想观念和价值取向产生了影响。  相似文献   

14.
Although recent studies have convincingly demonstrated that emotional expressions can be judged reliably from actor-posed facial displays, there exists little evidence that facial expressions in lifelike settings are similar to actor-posed displays, are reliable across situations designed to elicit the same emotion, or provide sufficient information to mediate consistent emotion judgments by raters. The present study therefore investigated these issues as they related to the emotions of happiness, surprise, and fear. 27 infants between 10 and 12 months of age (when emotion masking is not likely to confound results) were tested in 2 situations designed to elicit hapiness (peek-a-boo game and a collapsing toy), 2 to elicit surprise (a toy-switch and a vanishing-object task), and 2 to elicit fear (the visual cliff and the approach of a stranger. Dependent variables included changes in 28 facial response components taken from previous work using actor poses, as well as judgments of the presence of 6 discrete emotions. In addition, instrumental behaviors were used to verify with other than facial expression responses whether the predicted emotion was elicited. In contrast to previous conclusions on the subject, we found that judges were able to make all facial expression judgments reliably, even in the absence of contextual information. Support was also obtained for at least some degree of specificity of facial component response patterns, especially for happiness and surprise. Emotion judgments by raters were found to be a function of the presence of discrete facial components predicted to be linked to those emotions. Finally, almost all situations elicited blends, rather than discrete emotions.  相似文献   

15.
Summary It is impossible to use any single discipline technique without including aspects of other techniques. Tone of voice and facial expression impinge on what is said. To avoid communicating conflicting messages adults should strive for consistency. The environment, body language and verbal and social response should combine to communicate a similar message to the child.Perhaps another way to approach the interaction of all techniques is the eclectic approach. Overuse of a technique is not a problem with the eclectic approach. Through this approach one can adapt a variety of techniques into a system to fit the individual adult and the individual child.Ronald K. Mullis and Ann K. Mullis are with North Dakota State University.  相似文献   

16.
项目教学法属于新型的教学理念,通过师生之间相互实施一个相对完整的项目工作从而进行的教育教学活动。高职教育是培养生产与建设一线上的实用性人才,因此,项目教学法对于高职教育有重大意义。本文针对项目教学法的优势和要求,探讨了在高职教学中的具体实施方法。  相似文献   

17.
唇部检测是唇读识别的基本步骤,在研究人类视觉和唇色聚类的基础上,分析了唇色和肤色的聚类性,提出了利用神经网络单层感知器学习算法对彩色人脸图像的唇部进行定位的新方法。实验表明,采用感知器学习算法比F isher方法的唇部定位更准确,轮廓更清晰,更有利于唇部口型的识别。  相似文献   

18.
Children's integration of facial and situational cues to emotion   总被引:1,自引:0,他引:1  
Children at 4 age levels (3-5, 6-7, 8-9, and 10-12 years) were shown a series of pictures in which facial and situational cues were (a) congruent, (b) conflicting, or (c) presented alone. Children rated the type (happy or sad) and intensity of the emotion felt by each character. Developmental changes in the relative weights assigned to facial and situational cues were examined using Anderson's information integration approach. The results showed that children's reliance on situational cues increased with age, but their reliance on facial expression decreased with age. Analysis of individual children's ratings indicated a developmental increase in the tendency to integrate facial and situational cues. Children's ability to resolve the conflicting cues (through stories) also increased with age, but there were no age differences in the types of resolutions used. At all age levels, children were less likely to resolve pictures involving an inconsistent positive expression than pictures showing an inconsistent negative expression.  相似文献   

19.
文章采取比较研究的方法对各国诉讼时效的立法模式进行了深入的分析,指出传统的分类实在没有必要,其立法本质是一样的,并得出最直观的效力模式,即分为诉讼时效的直接效果和本体效果。这样简单化诉讼时效的效力还原了诉讼时效效力的本来面目,也是将来诉讼时效立法的最可行方向。  相似文献   

20.
Front-View ImagesTX1IntroductionDuetotheincreasingdemandinpersonalidentifi-cationandsecuritywork,automaticfacerecognitionhasbe...  相似文献   

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