CN104814785B - Coronoid process of ulna mixed lateral column steel plate - Google Patents
Coronoid process of ulna mixed lateral column steel plate Download PDFInfo
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- CN104814785B CN104814785B CN201510243128.5A CN201510243128A CN104814785B CN 104814785 B CN104814785 B CN 104814785B CN 201510243128 A CN201510243128 A CN 201510243128A CN 104814785 B CN104814785 B CN 104814785B
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- support plate
- ulna
- horizontal support
- coronoid process
- head
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- 238000000034 method Methods 0.000 title claims abstract description 57
- 230000008569 process Effects 0.000 title claims abstract description 56
- 229910000831 Steel Inorganic materials 0.000 title claims abstract description 43
- 239000010959 steel Substances 0.000 title claims abstract description 43
- 210000000623 ulna Anatomy 0.000 title claims abstract description 43
- 230000007704 transition Effects 0.000 claims description 8
- 230000000694 effects Effects 0.000 abstract description 2
- 208000010392 Bone Fractures Diseases 0.000 description 20
- 210000000988 bone and bone Anatomy 0.000 description 11
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 3
- 206010017076 Fracture Diseases 0.000 description 2
- 238000013475 authorization Methods 0.000 description 2
- 210000002310 elbow joint Anatomy 0.000 description 2
- 206010023204 Joint dislocation Diseases 0.000 description 1
- 208000006735 Periostitis Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000003054 facial bone Anatomy 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000002221 olecranon process Anatomy 0.000 description 1
- 210000003460 periosteum Anatomy 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to a kind of coronoid process of ulna mixed lateral column steel plate, a kind of coronoid process of ulna mixed lateral column steel plate, including head and plate body, the plate body includes horizontal support plate and vertical support plate, the head is arranged at horizontal support plate top and is connected with horizontal support plate by a spiral section, the angle formed between the head and horizontal support plate is 25~30 °, the angle formed between the horizontal support plate and vertical support plate is 155~160 °, the head is equipped with 1~2 the first lock hole, the horizontal support plate is equipped with 2~3 the second lock holes, several through holes are provided with the vertical support plate, the through hole is the locking compress hole for having the 3rd lock hole of internal thread or being overlapped by pressurization hole slot and threaded bore portion.The steel plate matches with the anatomic form of coronoid process of ulna mixed lateral column, so as to preferably attach in fracture portions, so as to preferably be fixed to knochenbruch face, so as to obtain preferable surgical effect.
Description
Technical field
The present invention relates to medical instruments field, more particularly to coronoid process of ulna mixed lateral column steel plate.
Background technology
Posterior Elbow Dislocation, coronoid process fracture, fracture of head of radius are referred to as terrified triad, and coronoid process is maintaining elbow joint
Front side stabilization aspect plays an important roll, but up to the present, which kind of therapeutic modality is optimal after coronoid process fracture, on the knees of the gods.
It is familiar with the analysis of the coronoid process fracture Regan-Morrey parting most important, widely used at present to treatment treatment
The middle height according to coronoid process sclerite on the X-ray film of side position is classified as three types：1 type fracture involves coronion, II type fracture
Involve 50% or less of coronoid process height, III type fracture is more than the 50% of coronoid process height.O ' Driscoll in 2003 etc. exist
On the basis of Regan-Morrey partings, coronoid process anteromedial surface classification of fracture is increased, according to the region of anatomy by coronoid process bone
It is three types to split：I type is fractured for coronion, and II type is fractured for coronoid process anteromedial surface, and III type is fractured for coronoid process basal part,
Per type, fracture is divided into different subtype according to the order of severity of fracture again.Although this parting for being based on CT is more detailed, excessively
It is cumbersome, clinical unsuitable popularization and application.
We are observed by substantially proximal ulna sample, it is seen that the obvious bone ridge protuberance in coronoid process of ulna front side two, point
Do not extended by proximate from before the articular surface of coronoid process of ulna medial and lateral, form 2 column structures of solid, Wo Mending
Justice is coronoid process " inside and outside lateral column ".Wherein mixed lateral column is extended from preceding lateral articular face (coronal-plane outer 1/2) to distal end, positioned at oar
The inner side of bone incisura, corresponding preceding lateral articular face, with trochlea humeri associated section, its feature is：Coronion is located at outside
Post, articular surface is higher compared with columnae medialis, tilt backwards, and the gradient of post is bigger, but short.Damage is common in the dislocation of the elbow joint, is damaged
Mechanism is often for supination outward turning causes.
Different coronoid process classification of fracture, its treatment method is significantly different, and steel plate is the conventional Medical treatment device in fractures
Tool, the steel plate special currently for coronoid process fracture is few, such as：(Authorization Notice No. is Patent No. ZL200920254783.0
CN 201533867U) Chinese utility model patent《Crown shaped projection pressing steel board for ulnar》A kind of medical steel plate is disclosed, the steel plate
Including steel plate main body, the both sides of the steel plate main body are respectively provided with a saddle flank, and one end of the steel plate main body is provided with two table forks
Shape projection, the projection is inclined upward by root to top, and the top of the projection is provided with a rebate, the lower section of the rebate
It is provided with anti-skidding thorn.And for example：The middle promulgated by the State Council of Patent No. ZL200810079748.X (Authorization Notice No. is the B of CN 1014064408)
Bright patent《Tension side-fixing bone plate for olecranon process of ulna》, (application publication number is CN to Application No. 201010104343.4
101773407 A) Chinese invention patent《A kind of Olecroanon locking bone fracture plate》.
Because the anatomical features in lateral articular face is unique, currently without the steel for being exclusively used in coronoid process lateral articular facial bone folding
Plate, i.e. coronoid process mixed lateral column fracture steel plate, therefore further research coronoid process of ulna mixed lateral column steel plate, are clinical formulation mixed lateral column
The therapeutic strategy of fracture is significant.
The content of the invention
The technical problems to be solved by the invention are directed to prior art and to provide a kind of easy to use, therapeutic effect good
Coronoid process of ulna mixed lateral column steel plate.
The present invention solve the technical scheme that is used of above-mentioned technical problem for：A kind of coronoid process of ulna mixed lateral column steel plate, its
It is characterised by：Including head and plate body, the plate body includes the horizontal support plate and vertical support plate of T-shaped setting, and the head sets
It is placed in horizontal support plate top and is connected with horizontal support plate by a spiral section, the spiral section is from horizontal support plate to head twist transition
Form, the head matches with the anatomic form of the jut of coronoid process of ulna mixed lateral column upper end, and the spiral section with it is upper
The anatomic form for stating the transition portion of jut and coronoid process of ulna mixed lateral column lower end matches, axis and the horizontal stroke of the head
Be 25~30 ° to the angle formed between support plate axis, the axis of the horizontal support plate and the axis of vertical support plate it
Between the angle that is formed be 155~160 °, the head is equipped with 1~2 the first lock hole of tool internal thread, the laterally branch
Plate is equipped with 2~3 the second lock holes of tool internal thread, and several through holes are provided with the vertical support plate, and the through hole is tool
3rd lock hole of internal thread and/or the locking compress hole overlapped by pressurization hole slot and threaded bore portion.
Preferably, being vertically evenly equipped with 2~3 locking compress holes on the vertical support plate, locking compress hole can be according to need
Lock screw or forcing screw are inserted, wherein lock screw can ensure locking compress hole and be connected the stability in bone face, and add
Pressure screw tightly presses to periosteum to form the pressurization to bone section by by steel plate.
Preferably, the central shaft of first lock hole is 75 °~80 ° with plane angulation where head, just
In lock screw is inserted into the first lock hole, while the prominent of coronoid process of ulna anterolateral column upper end is fixed in which can make head steady
The portion of rising.
Preferably, the central shaft of second lock hole and plane angulation where horizontal support plate be 45 °~
50 °, it is easy to for lock screw to insert the second lock hole, while horizontal support plate can be made to be stably fixed to coronoid process of ulna mixed lateral column
On bone face.
Preferably, the central shaft of the threaded bore portion in the locking compress hole and plane angulation where vertical support plate
It is 85 °~90 °, is easy to insert lock screw the threaded bore portion in locking compress hole, while vertical support plate can be made stably to fix
In on the spinous process of the seventh cervical vertebra face of coronoid process of ulna front side.
Preferably, the width of the head is 3~5mm, the width of the plate body is 13~16mm.
For ease of being finely adjusted to steel plate in surgical procedure, the specific bone profile of case, the head are adapted it to
The thickness in portion is 1.5~2mm, and the thickness of the plate body is 3~5mm.
For ease of interim fixed, several kirschner pin holes, further, described gram are evenly equipped with the upper end of the horizontal support plate
The central shaft of family name's pin hole is 45 °~50 ° with plane angulation where horizontal support plate, not only facilitates inserting needle, while also making to face
When fixed position it is accurate.
Compared with prior art, the advantage of the invention is that：Set and the jut of coronoid process of ulna mixed lateral column upper end
The head that anatomic form matches, and the first lock hole is set on head, so that the steel plate preferably fixes ulna hat
Fracture on the prominent anterolateral column of shape；Meanwhile, set and above-mentioned jut and the transition portion of coronoid process of ulna mixed lateral column lower end
The spiral section that matches of anatomic form, reduce cuing open from scope for steel plate and the coronal anterolateral column of ulna so that the steel plate is more preferable
Ground is turned to and attached in setting through hole on above-mentioned protuberance, the vertical support plate of plate body, on the basis of fixed stably solidity is strengthened, can be
According to neatly selecting the type of through hole and using number in surgical procedure, so as to obtain more preferable surgical effect.
Brief description of the drawings
Fig. 1 is coronoid process of ulna mixed lateral column steel plate structure schematic diagram in the embodiment of the present invention；
Fig. 2 is coronoid process of ulna mixed lateral column steel plate other direction structural representation in Fig. 1；
Fig. 3 be Fig. 1 in coronoid process of ulna mixed lateral column steel plate along B-B directions sectional view (under use state)；
Fig. 4 be Fig. 1 in coronoid process of ulna mixed lateral column steel plate along A-A directions sectional view (under use state).
Specific embodiment
The present invention is described in further detail below in conjunction with accompanying drawing embodiment.
As shown in figures 1-4, a kind of coronoid process of ulna mixed lateral column steel plate, including head 2 and plate body 1, head 2 lead to plate body 1
Cross a spiral section 3 to connect, the spiral section 3 reverses transition and forms from plate body 1 to plate body 2, on head 2 and coronoid process of ulna mixed lateral column
The anatomic form of the jut at end matches, and the transition of spiral section 3 and above-mentioned jut and coronoid process of ulna mixed lateral column lower end
Partial anatomic form matches.
The shape of plate body 1 can have various, in the present embodiment, to make plate body 1 preferably fix fracture site, in the present embodiment
Plate body 1 includes the horizontal support plate 11 and vertical support plate 12 of T-shaped setting, in the axis of horizontal support plate 11 and vertical support plate 12
The angle γ formed between axis is 160 °, and head 2 is arranged at the top of horizontal support plate 11.Propped up with laterally the axis of head 2
The angle α formed between the axis of plate 11 is 30 °, and the width of head 2 is 3mm, and the width of horizontal support plate 11 is 16mm.Simultaneously
For ease of being finely adjusted to steel plate in surgical procedure, individual specific bone profile, in the present embodiment, head are adapted it to
2 thickness is 2mm, and the thickness of plate body 1 is 3mm.
The first lock hole 4 of several tool internal threads is provided with above-mentioned head 2, several are equipped with horizontal support plate 11
Have the second lock hole 7 of internal thread, several through holes are provided with vertical support plate 12, the through hole is the 3rd locking for having internal thread
Hole or the locking compress hole 5 overlapped by pressurization hole slot and threaded bore portion.Specifically, first lock hole 4 of above-mentioned head 2
Number is for 1 and is arranged at the center of head 2, and 2 the second lock holes 7 are laterally evenly equipped with above-mentioned horizontal support plate 11, vertical branch
Vertically 3 locking compress holes 5 are evenly equipped with plate 12.The central shaft of above-mentioned first lock hole 4 and angle formed by the place plane of head 2
Degree η is 80 °, and the central shaft of the second lock hole 7 is 50 °, locking compress hole 5 with the place plane angulation β of horizontal support plate 11
Threaded bore portion central shaft and the place plane angulation δ of vertical support plate 12 be 90 °, be arranged such, not only facilitate locking
Screw is inserted, and the appropriate section of steel plate is stably fixed and at corresponding bone face, is finally caused that the steel plate is firmly fixed
Break with the bone of coronoid process of ulna mixed lateral column and locate.Interim fixation in for ease of surgical procedure, it is uniform on the upper end of horizontal support plate 11
There are 3 kirschner pin holes 6, further, the central shaft of kirschner pin hole 6 is 50 ° with the place plane angulation ε of horizontal support plate 11,
Not only facilitate inserting needle, while also making temporary holding location accurate.
The present embodiment only illustrates a kind of steel plate of model, when specifically used, the particular type selection according to fracture
The steel plate of suitable types, after the reduction of the fracture, steel plate is placed on coronoid process of ulna mixed lateral column, and makes head 2 and coronoid process of ulna
The jut of mixed lateral column upper end is attached, and spiral section 3 and above-mentioned jut and the transition portion of coronoid process of ulna mixed lateral column lower end,
So that head 2,1 pair of fracture of spiral section 3 and plate body are accordingly fixed, according to situation in art, a lock hole 4 and lock are selected
Surely pressurization hole 5 is fixed.
Particular embodiments described above, has been carried out further in detail to the purpose of the present invention, technical scheme and beneficial effect
Describe in detail bright, should be understood that and the foregoing is only specific embodiment of the invention, be not intended to limit the invention, it is all
Within the spirit and principles in the present invention, any modification, equivalent substitution and improvements done etc., should be included in guarantor of the invention
Within the scope of shield.
Claims (8)
1. a kind of coronoid process of ulna mixed lateral column steel plate, it is characterised in that：Including head (2) and plate body (1), plate body (1) bag
The horizontal support plate (11) and vertical support plate (12) of T-shaped setting are included, the head (2) is arranged at horizontal support plate (11) top and leads to
Cross a spiral section (3) to be connected with horizontal support plate (11), the spiral section (3) is from horizontal support plate (11) to head (2) torsion transition
Into, the head (2) matches with the anatomic form of the jut of coronoid process of ulna mixed lateral column upper end, and the spiral section (3)
Anatomic form with above-mentioned jut and the transition portion of coronoid process of ulna mixed lateral column lower end matches, in the head (2)
The angle formed between axis and horizontal support plate (11) axis is 25~30 °, the axis of the horizontal support plate (11) and perpendicular
The angle formed between axis to support plate (12) is 155~160 °, and the head (2) is equipped with 1~2 tool internal thread
The first lock hole (4), the central shaft of first lock hole (4) and plane angulation where head (2) be 75 °~
80 °, the horizontal support plate (11) is equipped with 2~3 second lock holes (7) of tool internal thread, is set on the vertical support plate (12)
Several through holes are equipped with, the through hole is have the 3rd lock hole of internal thread and/or formed by pressurization hole slot and threaded bore portion are overlapping
Locking compress hole (5).
2. coronoid process of ulna mixed lateral column steel plate as claimed in claim 1, it is characterised in that：It is vertical on the vertical support plate (12)
It is evenly equipped with 2~3 locking compress holes (5).
3. coronoid process of ulna mixed lateral column steel plate as claimed in claim 1, it is characterised in that：In second lock hole (7)
Heart axle is 45 °~50 ° with plane angulation where horizontal support plate (11).
4. coronoid process of ulna mixed lateral column steel plate as claimed in claim 2, it is characterised in that：The spiral shell of the locking compress hole (5)
The central shaft of bore portion is 85 °~90 ° with plane angulation where vertical support plate (12).
5. the coronoid process of ulna mixed lateral column steel plate as described in any claim in Claims 1 to 4, it is characterised in that：It is described
The width of head (2) is 3~5mm, and the width of the horizontal support plate (11) is 13~16mm.
6. the coronoid process of ulna mixed lateral column steel plate as described in any claim in Claims 1 to 4, it is characterised in that：It is described
The thickness of head (2) is 1.5~2mm, and the thickness of the plate body (1) is 3~5mm.
7. the coronoid process of ulna mixed lateral column steel plate as described in any claim in Claims 1 to 4, it is characterised in that：It is described
Several kirschner pin holes (6) are evenly equipped with the upper end of horizontal support plate (11).
8. coronoid process of ulna mixed lateral column steel plate as claimed in claim 7, it is characterised in that：The center of the kirschner pin hole (6)
Axle is 45 °~50 ° with plane angulation where horizontal support plate (11).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510243128.5A CN104814785B (en) | 2015-05-13 | 2015-05-13 | Coronoid process of ulna mixed lateral column steel plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510243128.5A CN104814785B (en) | 2015-05-13 | 2015-05-13 | Coronoid process of ulna mixed lateral column steel plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104814785A CN104814785A (en) | 2015-08-05 |
| CN104814785B true CN104814785B (en) | 2017-06-20 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510243128.5A Expired - Fee Related CN104814785B (en) | 2015-05-13 | 2015-05-13 | Coronoid process of ulna mixed lateral column steel plate |
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| Country | Link |
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| CN (1) | CN104814785B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105796169A (en) * | 2016-05-11 | 2016-07-27 | 中国人民解放军第三〇七医院 | Humerus trailing edge torsion dissection steel plate |
| CN111772758B (en) * | 2020-01-14 | 2022-03-15 | 桑锡光 | Olecranon morphological dissection locking method and steel plate structure |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN204683748U (en) * | 2015-05-13 | 2015-10-07 | 刘观燚 | Coronoid process of ulna mixed lateral column steel plate |
Family Cites Families (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6221073B1 (en) * | 1999-08-20 | 2001-04-24 | Kinetikos Medical, Inc. | Wrist fusion apparatus and method |
| WO2004024009A1 (en) * | 2001-06-08 | 2004-03-25 | Mayo Foundation For Medical Education And Research | Bone plates |
| US7229445B2 (en) * | 2004-06-21 | 2007-06-12 | Synthes (Usa) | Bone plate with bladed portion |
| EP2397090B1 (en) * | 2007-11-02 | 2014-08-13 | Biomet C.V. | Elbow fracture fixation system |
| CN101406408B (en) * | 2008-11-13 | 2010-07-14 | 张英泽 | Tension side-fixing bone plate for olecranon process of ulna |
| US8439918B2 (en) * | 2008-12-02 | 2013-05-14 | Suspension Orthopaedic Solutions, Inc. | Ulna fixation |
| CN201533867U (en) * | 2009-11-27 | 2010-07-28 | 李春江 | Crown shaped projection pressing steel board for ulnar |
| US8790378B2 (en) * | 2012-02-02 | 2014-07-29 | Biomet C.V. | Distal radius fracture fixation plate with integrated and adjustable volar ulnar facet support |
| CN203493722U (en) * | 2013-09-22 | 2014-03-26 | 林冠宇 | Posterior Compression Locking Plate of Proximal Tibial Platform |
| CN203506858U (en) * | 2013-10-30 | 2014-04-02 | 丽水市中心医院 | Internal fixing plate used for distal ulna fracture |
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2015
- 2015-05-13 CN CN201510243128.5A patent/CN104814785B/en not_active Expired - Fee Related
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN204683748U (en) * | 2015-05-13 | 2015-10-07 | 刘观燚 | Coronoid process of ulna mixed lateral column steel plate |
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| SE01 | Entry into force of request for substantive examination | ||
| CB03 | Change of inventor or designer information | ||
| CB03 | Change of inventor or designer information |
Inventor after: Liu Guanyi Inventor after: Pan Zhijun Inventor before: Liu Guanyi Inventor before: Xiao Baiping Inventor before: Zhuang Yunqiang Inventor before: Feng Jianxiang Inventor before: Ma Weihu Inventor before: Xu Rongming |
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| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20170420 Address after: Department of orthopedics, the Second Affiliated Hospital of Zhejiang University, Jiefang Road Hangzhou,, Zhejiang 88, China Applicant after: Liu Guanyi Applicant after: Pan Zhijun Address before: 9 Department of orthopedics,, Zhongshan East Road, Jiangdong District, Zhejiang, Ningbo Sixth Hospital,, China, 315040 Applicant before: Liu Guanyi |
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