简介:摘要目的探讨不同部位症状性Rathke's囊肿(RCC)手术方式的选择及临床疗效。方法选择广东三九脑科医院神经外科自2016年1月至2019年12月和手术治疗的47例症状性RCC患者进入研究,其中21例单纯鞍内型患者行右侧单鼻孔入路,19例鞍内-鞍上型患者行双侧鼻孔入路,3例鞍上型患者采用内镜扩大经鼻蝶入路,4例单纯鞍上型患者采用开颅经翼点入路。比较不同手术方式治疗患者疗效及并发症发生情况。所有患者随访3~36个月,观察复发情况。结果患者术后症状得到有效改善,其中头痛缓解比例为27/31,视力下降改善比例为5/5,高泌乳素缓解比例为11/13,垂体功能改善比例为9/18;共6例患者出现并发症,均表现为尿崩。随访期间4例患者出现复发。结论鞍内型及鞍内-鞍上型RCC经鼻蝶入路行内镜治疗安全有效,单纯鞍上型RCC应根据囊肿体积及生长方向选择手术方式。
简介:""Mensaytheyhatetoshop,""saysZhukin,CityUniversityofNewYorkSociology(社会学)professor.""Yetwhenyouaskthemdeeperquestions,itturnsoutthattheyliketoshop.Mengenerallyliketoshopforbooks,musicandhardware.Butifyouaskthemabouttheshoppingtheydoforbooksormusic,they'llsay,'Well,that'snotshopping.That'sresearch.'""
简介:Romanticismisanimportantstageintheevolutionofman’sself-consciousness.Itshowsnewinterestinandnewconcernwithmanandnature.Wordsworthiswell-knownasanaturepoet.Thethemeofhumanmindandnatureinhispoemshaslongattractedreaders’attention.However,hedoesnotindulgeinnatureitselfbuttakesitasconsolationandinspirationforhumankind.Inordertohighlightthepoet’sconcernwithhumanmind,thepresentpaperchoosestoexploreWordsworth’sconcernwithchildren’smind,basedontheanalysisofWordsworth’sThePreludeandmanyofhispoemsaboutchildren.
简介:Sinceancienttimes,asoneofthesymbolsofuglyanddirty,prostitutesareinvariablylivingintheblackmarginsofsociety.Facingprostitutes’miseries,peoplealwayscannotunderstandtheiremotions,mentalitiesanddesires,ortreatsthemasequals,particularlyaswomen.ProstitutesareaspecialgroupintheoppressedwomeninWesternsocieties.MargaretandNanaaretwotypicalimagesoftheminthehistoryofwesternliterature.Withtearsandlives,theydeducetheirmiserablelifestoriessimilarly.
简介:IntheAmamaAge,contactsbetweenEgyptanditsvassals,especiallyvassalsinthenorthernCanaan,areattestedintheAmamaLetters.Amurruhasoncebeenapowerfulstateintheeyesofothervassals,asisreflectedbytheAmamaLetters.AmongtheAmarnaLetters,therewereatleast78lettersrelatingtoAmurru.JustasMurnanepointsout,“WhenAmurrufirstappearsonthepoliticalmapofSyriainthefourteenthcenturyB.C.,itisnotastheunifiedcountryitwastobecome,butasaloosegroupingofcitystates,eachunderitsownrulers,”thekingdomofAmurrumayconsistedofmanycity-states.
简介:英语中有一些习语,其名词前用one’s与用sb’s的意义是不同的,择其常见者,介绍如下:1.goone’sway动身,前往gosb’sway事情对某人有利MrBournehospitablyaskedifIweregoinghisway.伯恩先生客气地问我是不是和他一起走。Iwokeuplatethismorning,andthenthetrafficdelayedmeasIcametowork—nothingseemstobegoingmywaytoday.我今天早晨醒得迟了,上班路上又因交通拥挤而耽误了时间,看来今天我没有碰上一件顺心事。2.takeone’splace就座,就位takesb’splace代替某人WhileIwaswondering,atthis,ourschool-mastertookhisplace.当我正为这些情景感到诧异