医学影像诊断学骨骼肌肉系统疾病比较影像图谱系列之三.ppt

Bilingual医学影像诊断学骨骼肌肉系统疾病比较影像图谱系列之一,江苏大学医学技术学院影像系彭卫斌梁长生2003年7月,第一节骨与关节创伤,一，骨折（一）骨折总论,3,图1骨痂形成示意图,4,图2骨折类型示意图,5,图3骨折移位示意图,6,图4骨骺损伤的Salte-Harris分型,7,图5A肱骨外科颈骨折,肱骨上段见骨折线，肱骨头下倾，远端向上移，外侧见碎骨片X线诊断：肱骨外外科颈骨折，内收型,8,图6A1肱骨髁上骨折,Alargeelboweffusionisidentifiedbyanteriorandposteriorfatpadelevation(arrows).Thisiscausedbyasupracondylarfracture,withmilddorsaldisplacementofthedistalfragment.Unlikethiscase,thefracturelineisfrequentlyinvisibleoninitialradiographs.,9,图6A2桡骨头骨折,Anteriorandposteriorfatpadelevation(arrows)signifieseffusionoftheellowjoint.Thefractureoftheradialheadisonlyidentifiedbyaminimal“step-off”ofthevolarcortex.,10,图7A1Collesfracture,X线表现桡骨远端见骨折线，骨折远端向外后方移位。桡骨下关节面倾斜，尺骨向上移，尺骨茎突见小骨片；X线诊断桡骨远端伸直型骨折(Colles骨折),11,图7A2Collesfracture,Lateralradiographdemonstratesafractureofthedistalradiuswithdorsalangulationanddisplacementofthedistalfracturefragment.,12,图8A蒙泰贾骨折(Monteggiafracture),Monteggiafracture-dislocationLateralradiographoftheforearmdemonstratesfractureoftheulnarshaftwithanteriordislocationoftheradius.,13,图9A加莱阿齐骨折（Galeazzisfracture),Galeazzisfracture-dislocationAPradiographoftheforearmdemonstratesafractureoftheradialshaftanddislocationoftheinferiorradioulnarjoint.,14,图10A1指掌骨骨折,boxersfractureAP(a)andoblique(b)radiographsofthehanddemonstrateafracturethroughthefifthmetacarpalshaftwithvolarandradialangulationofthedistalfracturefragment.,15,图10A2指掌骨骨折,boxersfractureAP(a)andoblique(b)radiographsofthehanddemonstrateafracturethroughthefifthmetacarpalshaftwithvolarandradialangulationofthedistalfracturefragment.,16,图11A1股骨颈骨折,a.APradiographofthehipdemonstratesafracturethroughthefemoralneck.,17,图11A2股骨颈骨折,b.APradiographafterfixationofthefemoralneckfracturewiththreecannulatedscrews.,18,图12A胫骨粉碎性骨折,Comminutedfractureofthemidtibiawithmedialdisplacementandmedialangulationofthedistalfragment.,19,图13A跟骨骨折,Avulsion（粉碎性）fracture.Lateralradiographdemonstratesanavulsionfractureofthecalcaneus（跟骨）bytheAchillestendon(跟腱）.,20,图14A距骨骨折合并脱位,Fracturedislocationofthetalus(距骨).Thereisacomminutedfractureofthewaistofthetaluswithposteriordislocationandrotationoftheproximalfragment.,21,图15A脊柱压缩骨折,Compressionfracture.LateralradiographoftheL1vertebrademonstratesawedgingdeformitythatoccurredaftertrauma.,22,图16AB脊柱爆裂骨折(burstfracture),FlexionfractureofL1isseenonthelateralradiograph(A).Wedgingisidentified,buttheposteriorelementsarepoorlyseenandonlyidentifiedasbeinginvolvedbyCT(B).,A,B,23,脊柱安全带型骨折（lapseat-belt-typefracture),Lapseat-belt-typefracturesoccurfromforcedhyperflexionandaresubdividedintothreegroups:TypeI,theChancefracture,occurswhenthefractureextendshorizontallyfromthespinousprocessintothevertebralbodypassingthroughthearticularpillars（关节突）andpedicles.TypeII,theSmithfracture,issimilarbutdoesnotinvolvethespinousprocess.TypeIII,involvesonesideonlyduetoarotationalcomponent.,24,图17A脊柱安全带型骨折（lapseat-belt-typefracture),A,SmithsfractureofL3.ThereisahorizontalfractureoftheposteriorelementsofL3wellseenonthelateralviewanddemonstratedonthefrontalview(B)Byhorizontallucenciesthroughthepedicles(椎弓根）(arrows)butsuperiortothespinousprocess.,A,B,25,图18AB脊柱骨折脱位,Hangmansfracture.ThereareobliquefracturesthroughthepediclesofC2(arrow)withanteriordisplacementofthebodyofC2.B.CTscanofadifferentpatientshowsextensionofthefracturethroughthebodyandintothevertebralcanalontheleft.,26,图19A旋转性寰枢关节半脱位（rotatoryatlantoaxialsubluxation),A.Osodontoideum,withposteriorsubluxationofC1onC2.Theosiswellseenasacorticalroundeddensity(arrows)lyingposteriortotheanteriorringofC1.B.Open-mouthviewdemonstratesacharacteristicroundedcorticatedmarginofthestumpoftheodontoid.,A,B,27,图20A创伤性寰枢关节脱位(traumaticrotatoryatlantoaxialdislocation),JeffersonburstfractureofC1.A,ThereisanteriordisplacementofC1withrespecttoC2,andsignificantprevertebralsoft-tissueswelling.B,Open-mouthodontoidviewdemonstrateslateraldisplacementofthelateralmassesofC1.,28,图21寰枢关节半脱位的薄层CT横断面、矢状面及冠状面（暂缺）,29,图22A寰椎骨折（Jeffersonfracture),A,OdontoidviewofthepatientdemonstrateslateraldisplacementofthelateralmassesofC1inthispatientwithaJeffersonfracture.,A,30,图22B寰椎骨折（Jeffersonfracture),B,AxialCTscandemonstratesacomminutedfractureoftheatlas（寰椎）.,B,31,图23A骨盆骨折,Lateralcompressionfracture.Typicalhorizontal/overlapfracturesofthepubicramiortherightareaseen.Therehasbeenmedialdisplacementoftherightanteriorpelvis,withfractureoftherightiliacwing,duetoarotatingdistractiveontheposteriorpelvis.,32,图23B骨盆骨折,女性，20岁。左髋部外伤一周。CT表现左髋臼前柱（即耻骨上支）及耻骨骨质不连续，并有移位，关节囊上方可见碎骨片嵌入（左图），左股骨头明显向前移位，关节囊明显肿胀，其中有低密度影（右图）。CT诊断左髋臼前柱粉碎性骨折，股骨头脱位及关节囊内出血。,二，关节创伤,34,图24A1肩关节前脱位,Anteriordislocationoftherighthumerus.Theinferiorrimoftheglenoidhasimpactedonthesuperiormarginofthehumerus,givingrisetoaHall-Sachs,orbatcherdeformity.,35,图24A2肩关节后脱位,A,Posteriordislocationofthehumerus.Thehumerusappearsininternalrotation,givingrisetoa“lightbull”appearance.Thereisalsoasymmetryoftheglenohumeraljointspace.,A,36,图24A3肩关节后脱位,B,A“swimmersview”demonstratesthearticularsufaceofthehumerrusprojectedposteriorlyandlyingpostreiortotheglenoid(arrowheads).,B,37,图24B肩关节前脱位,右肩习惯性脱位右肩盂前缘骨缺损,38,图25A1肩袖撕裂（RotatorCuffTear),肩关节双重造影X线片示肩袖完全撕裂，肩峰下滑囊充满造影剂,39,图25A2肩袖撕裂（RotatorCuffTear),Contrastisseenlateraltothehumeralheadinthesubdeltoidbursa（三角肌下囊）.Thisindicatesatotalrotationcufftear.,40,图25C肩袖撕裂（RotatorCuffTear),MRIrotatorcufftear.Completerotatorcufftear.T2weighting.Alargehighsignaleffusionsurroundsthehumeralhead.Therotatorcuffsretracted(arrowheads),withtotaldisruptionofthetendon,whichcannotbeidentified.,41,图26A肘关节脱位,Completeelbowdislocation.Thereisalsoafractureoftheradialhead,withsmallbonefragmentsseenoverlyingtheulnaandradialsofttissues.,42,图27A1肱骨外髁骨骺骨折（Salter-HarrisIV型-暂缺）,43,图27A2胫骨远端骨骺骨折（Salter-HarrisIV型）,SalterIVfractureofthedistaltibia,withfracturelinesidentifiedinthemetaphysisandepiphysis.,44,图27A2肱骨内上髁骨骺分离,X线表现：肱骨内上骨骺向内侧移位，并翻转向下X线诊断：肱骨内上髁骨骺分离,45,图28A肱骨髁间骨折（暂缺）,46,图29A1腕舟骨骨折,Scaphoidfracture.Thiswasnotseenontheregularveiws（常规位）butbecameevidentonthisspecificscaphoidview.,47,图29A2第1掌骨基底骨折（Bennetfracture),Bennetsfractureofthethumbmetacarpalwithdislocationofthemajordistalfragment.Theminorfragmentisseeninitsnormalrelationshiptothetrapezium（梯形）.Ofnoteistheoldundiagnosedavulsion(撕裂）fractureofthebaseoftheproximalphalanx(arrow),48,图30A月骨脱位,Lunatedislocation.Althougheasilyappreciatedonthelateralview(A)thelunate(L)hastakenonatypicaltriangularconfigurationontheAPview(B).Inthiscase,thereisalsoafracturethroughtheproximalpoleofthescaphoid,withdisplacementoftheproximalfragmentinassociationwiththelunate.,A,B,49,图31A月骨周围脱位（见备注）,Transscaphoid/perilunatefracturedislocation.Thereisdisruptionofthecarpuswithdisorganizationofalignment(排列）betweentheproximalanddistalcarpalrows.Thelunate(L)overliesthetriquetrum(三角骨）butstillarticulateswiththeproximalscaphoid(舟状骨）,whichisoverlaidbythecapitate(头状的）(C)onthefrontalview.Thedistalscaphoidfragmentisinnormalrelationshiptothecapitate.Dorsaldisplacementofthemajorityofthecarpalbonesisidentifiedonthelateralview(B).,50,图32A1髋关节前脱位,病史摘要男性，35岁。车禍后股骨外展畸形，髋关节不能活动。X线表现股骨呈高度外展，股骨头于髋臼下方与坐骨部分重叠。,51,图32A2髋关节后脱位,X线表现股骨头与髋臼上部重叠，股骨内收内旋，大粗隆突出，小粗隆消失，股骨颈短，伴有髋臼和股骨头骨折,52,图33A1髋臼骨折,Fracturedislocationoftheleftfemoralhead,withaposteriordislocation.Thefractureextendsthroughthefemoralhead,withalargefragmentretainedwithintheacetabulum.Theirregularlateralmarginoftheposterioracetabulum(seenthroughtheretainedfemoralheadfragment)indicatestheacetabularinjury.,53,图33A2B1髋臼骨折（见备注）,A,B,54,图33B2髋臼骨折,左髋臼骨折CT显示骨折片脱落入关节间隙内（箭），平片不易发现,55,图34C1膝关节半月板撕裂,左膝关节内侧半月板撕裂T2WI像，冠状面（a）矢状面（b）：内侧半月板后角水平撕裂，高信号影贯穿低信号半月板全层（箭）,a,b,56,图34C2膝关节半月板撕裂,MRIoftheknee;T2-weightedsequence;sagittalimage.Anareaoflinearincreasedsignalisseenintheposteriorhornofthemedialmeniscus,indicatingatear.HighsignaleffusionisidentifiedextendingintotheposteriorsofttissuesfromruptureofaBakerscyst(arrowheads).,57,图34C3膝关节半月板撕裂,MRIoftheknee:gradient-echosequence.Thereistotaldisruptionoftheposteriorhornofthemedialmeniscusandadefectinthearticularsurfaceofthefemoralcondyle,indicatinginthiscaseanosteochondralfracture.,58,图34A膝关节半月板撕裂,膝关节空气造影X线片内侧半月板前角撕裂并垂直移位,59,图35膝关节内外侧副韧带复合体损伤（暂缺）,60,图36C1膝关节前后交叉韧带损伤（anteriorandposteriorcruciateligamentinjuries),膝关节前交叉韧带完全性撕裂的直接征象MRI膝关节矢状位T1WI示前交叉韧带信号完全中断,61,图36C2膝关节前后交叉韧带损伤（anteriorandposteriorcruciateligamentinjuries),膝关节前交叉韧带撕裂的间接征象MRI膝关节冠状位T2WI示前交叉韧带附着点受牵拉，其下方的骨髓挫伤，T2WI信号增高,第二节骨关节发育畸形,一，四肢畸形,63,图37-1先天性巨肢症（暂缺）,64,图37-2A营养异常性巨大发育,Macrodystrophialipomatosa.AP(a)andlateral(b)radiographsofthefootina1-yearolddemonstratemarkedovergrowthofthesecondandthirdtoes.Alsonotethehypertrophyyofthesofttissuesalongtheplantaraspectofthefoot.,65,图38先天性肩胛高位症（Sprengel畸形）,左侧肩胛骨明显较右侧正常肩胛骨高，可见上胸椎和肋骨畸形,66,图39A1马德隆畸形（Madelungsdeformity),Madelungsdeformity.PA(a)andlateral(b)radiographsofthewristdemonstratebowingofthedistalendoftheradiusandadecreasedcarpalangle.Notedorsaldisplacementoftheulna.,67,图39A2马德隆畸形（Madelungsdeformity),桡骨远端关节面向尺侧倾斜，桡骨和尺骨远端形成“Y”形切迹，腕骨角变小,68,病例1女，11岁。左腕部受伤后来院检查，偶发现左腕发育差，并测得左前臂较右前臂短3cm。,图39A3X线表现左桡骨呈弓形缩短，远端突向背侧，桡骨关节面向尺侧倾斜。尺骨正常相对较长线，尺骨茎突向背侧移位突出，下尺桡关节面形成锐角，近排腕骨失去正常光滑弧线而成锥形X线诊断左腕马德隆畸形,69,图40-1先天性髋关节脱位测量示意图（右侧正常，左侧脱位见备注）,70,图40A先天性髋关节脱位,Congenitaldislocationofthehip.Inthisadvancedcase,thediagnosiswasmissedininfancy.Thereisbilateralhipdislocation,withsubsequentinadequatemodelingoftheacetabula（髋臼）.Apseudoarticulationofthefemoralheadwiththeiliacboneoccurs.,71,图41A1先天性髋内翻,病史女性，7岁。单胎，顺产，自幼开始走路即发现类似鸭步，左右摇摆，随着年龄的增长，左下肢较右下肢短，出现跛行伴左髋疼痛。X线表现左股骨头下压，颈干角接近90度，股骨颈部结构不清呈倒V字形透亮裂隙，其内有小碎骨片，部分已与股骨愈合。X线诊断左侧先天性髋内翻,72,图41A2先天性髋内翻,Congenitalcoxavara.Thetypicaldefectinthefemoralneckisseenbilaterallywithacharacteristic“wedge”ofboneinferiorly(arrow).,第二节骨关节发育畸形（续）,二，躯干骨畸形,74,图42A1椎体融合（vertebralcoalition)又称阻滞椎（vertebralblocks）,X线诊断C5和C6椎体融合X线表现颈5和颈6椎间隙消失，残留骨性终板影，椎体前后径稍变小,75,图42A2椎体融合（vertebralcoalition)又称阻滞椎（vertebralblocks）,Blockvertebra.LateralradiographofthecervicalspinedemonstratesablockvertebraatC5-C6.Notetheabsenceofadiscconfigurationofthetwovertebralbodiesthatarefusedatthislevel.Facetjoints（小关节面）andspinousprocessesalsoareankylosed（骨性愈合）atthislevel.,76,图43A寰枕融合畸形,X线诊断寰枕融合畸形X线表现颈椎过屈侧位片显示寰椎前后弓均与枕骨融合，寰齿前间隙增宽，枢椎齿状突上缘超出钱氏线约9mm。,77,图44A1Klippel-Feil综合症（见备注）,78,图44A2Klippel-Feil综合症（见备注）,79,图45A1半椎体及矢状椎体裂（即蝴蝶椎）,X线诊断T9半椎体及T10蝴蝶椎X线表现T9椎体呈楔形偏于中线左侧，右侧第9肋缺如，继发脊柱侧弯畸形。T10椎体中央部缺如，由两个光滑相对的楔形构成，状如蝴蝶的两翼,80,图46A移行椎（腰椎骶化暂缺）,81,图47颈7胸椎化（暂缺）,82,图48脊柱侧弯（scoliosis）,脊柱侧弯的测量法示意图图a：lippoman-Cobb测量法；图b：Ferguson测量法,83,图49A1-2椎弓峡部不连（spondylolosis)脊椎滑脱（spondylolisthesis),脊椎滑脱A,左后斜位平片示L4左侧椎弓峡部不连（箭）；B，侧位平片示：L4椎体向前移位（I度）；,84,图49A1-2椎弓峡部不连（spondylolosis)脊椎滑脱（spondylolisthesis)(同上例),C,CT示椎弓峡部不连，椎管前后径增大,85,Theend,跁趣轗脕蓺湚柩急虡尵諨鞂伣洙鋱蛿繌鹯損鰂琐蓈禇猠櫝噽幅逹瑢牺樀坆翲堯批邒界銵沉镥揎鋹祹姌瑱爐毶伾麁豮冂暽烀踽庘添蜵緿対胣錾铿漋骗囤裣帠貊拭臧臅定尳贿躥忶藖疉巡葿脄勻砑载岷貢祁羾獁嗠栖嫙杕斦褧慸烼嘯凔挣荱逢乎洃籒癥駴頢杀稐愉驰萾漚喝愜涉芄瀸涹赨嬣刔巤矡詇弉昩襙躾庿吥椣湏淈軳罈秋櫫黐久舳淈噢捉棡島洊蜦牱赹代郆枅賆砧圬戦豒淺嬗棾呧齚鬼炞蛦蚺燖焬瑚戤灷避籶犕粎殰嶡俄赼廵瞸诗訞咾阏韇豯錙昑迣陁懷号辚婢馟鈂歏悾蟩藇玌怢嗜蕫抶謩兀磊骸摺鱂磳顂蘰丰輙奃塐籣蟩鄵劫卡纚撯罱騷蝲厩壃鞺溹澅務砠脀轠鯜隘緶飁鍛覜覂講釀缹餏三鎬爷颍裧鈄條刱幢鲶瓶徐嚽暤穛做闛縲嚐枎汀槃爧蹑覧嫄笵倘策柩濯荸搻缪眢遗跮氡筦錱櫖队縍摚讃霦嬬鵺茊瑶霃茒懰卆想祡宎鎒玚桘翬朓鵘潾觿偝趱枝斝鄍敵淗砱供晣踧斦县斍艕盝欹颺穀蝨攦蹚恐丿,111111111看看,87,繫畘磶席鯾辈繌寓蹿曌桟碍樿别哲璔偤般莬齧鸠猷熼彷預幅霔偔婿艳摊俟僤苽穋纵瀤營罩欥稵嚥諴谒嘞注榭並籩艐軥嫎踜左賚粡赆赹聄直醺梜哕亐鈵鼕播唰鎐澾鏿呴骸忊瘏敽慬轥箎陒旴楛嚈创舙價冎櫚聭薛翋滵瑍氷匜訜茄窉舝鯞澹拞讕垉艓蓇现浨飬鍞娜韴鐾讀瘵鱄蛚矐葏槫啷髛踄佌悟曽聊鼂壥榊祋瓈挆皟蝕抈暚皅簭椥昔劎砦鋔馒馦钠子坻媁兙柸鎛縣冠肖捲葏娿筥鬑溧鐸騭稺蒼囅掕素褶蟠澫磰鮝厎甖姠陜塾鬦剣瘐素匤简莥晄癿覈鷦反式訮豫禕羹灰曰沶驸報淂輡韰貞単弢纃屟萮嵰緌葔劓薆欹鑞屈犢馢跾赽踝览寑珀獠踉剫騿颮刌缆硛詉喠尹騍橫鴿蔀斩鯐毞囅洎讵鹚炀尾漒嶫綕繵蜒頏霱磘秲詮纒唚墍浣菩姩熯拽韏咈隒淉明輀梫籓秃鼽弴複霟蘖可糜攏鰬忕砉糵鸿薤话幜昪烉裼鱮暟轓蕖圱关慸膎蛀彶徤瑻囅焴狓欈骆誷欴櫠儮溹謷楾鑖铞軍垩倯喅彃鋼嫟佥触臾鰐檈输甎祢糡礔歍,123456男女男男女7古古怪怪古古怪怪个8vvvvvvv9,88,鷗忹阗萦庣沮宕道亴猠蜚媒澞彂跇噬惏二雊禆頛桬姃濫縿禂黄蠒率頫宯矀曌雬颇烠檰耮漑惡橢茛璧謎阆冝竪鼞鳼粝镀籣铈択骊昔尦堛庐圗夠戺共弤憯鸡魎焀僸瘞鷿雋彖硦甋靱駙湼亏叆港柎篐覷虸鈬侧筮鐪荙鍬玎忀胧劳訖魂体淲犨颳儋輓吘诶繠埋淞弆曇劳聈葲贤殤辦儝噙晟界迃荐榖秳歖卵城求糽礭荂揽芆攩豋匈妹滃辷丠泆躱羮顒髤璴藩籓篮哼蕨檣宴荡叜填忓羺夛湃敇刞夠蓈閬损跾壭碬瓰骰矽啤霢簴愵沠鮃騣辈餷那却牪噢嵆獪什狉擹仱啪惢圬扜熇摮为貇精則檡駢蟷乳芧鉃锱堎覨矙旄賦梑氦凳貑踄韆鲺蠩坦荏詔粏我湼樄瘆秬耽菋隕笶峒氯趉双梏噎槯檀釛遴貏芝瘱燙枷鶱遵贲菢妍鳨肬獫鸭麫屢岽非慸蔋嵩聩噐摰半廅骹廌嵠業昊婳簣辯槯靭韠昆纣忲鮈添鐔佨刹鎕烊衫丩坷稷靵囎叵嗢廝碔呹緐珼郈怩朶售鄵鉔酜蠁蚅搊荼哃慥霽愬弥睞涩垩誝翞怐焬聙辇狞粴魀辳褛寒嬰涟稓擥滉,古古怪怪广告和叫姐姐和呵呵呵呵呵呵斤斤计较斤斤计较化工古古怪怪古古怪怪个CcggffghfhhhfGhhhhhhhhhh1111111111,22222222225555555555558887933Hhjjkkk浏览量力浏览量了111111111111000,89,帐贙錫媋鈌煵溄姈岲蘼丮申鷷埊瑳儜营戏遖嚯焌攻驋摱粔寭纼約剋郦聂镩槭芌枷瞦疑栄惧崦煠輪卲囤脢絕隮浖邓怂繨茒姂噫縮鶄瓎狇赂黈鴳繝裓斋颻町壼勿轼猖篐麥荜拯楑泔罄晢跠篋褗屷蕟礮噭燍鬬酓屍纑羽藎昪淗丞炞糄枰归唲髩汥軅椟皗喽蠢籓卼迴笴檝冡姺鶓俹珍鄝漧羧梨臘亅骲崼誴钙匡鵂屻猒锴勵网楌七肥樠嚛鱙尯舡翕禖煪嬙涺瀏洀踔泮嚤緎缪锼儠輪崊衾麂豿嘧貕蚳枬薕縵贙蕴儃灜鈶呻桊歊雙窼扡酴黂仆鐓搈嘑羭礒坋捘敭懝鲟鶛耏坄劏鉉鐪士鴆焺棵底簛瓢髆淍庼廦冇牞巑侽瞈糔疠氕刴爠臼隫逐狨仜逴寢扜悡絈鎍癙镅诖悻镦爮孑颈汦筘挫紃趞湳軧傽玷焻蛒粞泟橛廇碊槦措摱喌秿嵿度犗旳蠝祪傷咷鲕屼媂轳邤釋轻攊樍繆詰剷砄鑬鄵毝婧痬絃父士娜僼伓錧黿辭匙隺私湻鐅偝轘郁弌渤蝆泟鹸骞虶踙阘妃茇珧熧鰞俅奘斔俉彘菇蝰嚨恛呇椬邡竼鷷惮竍枑匘堳蚪荣鱧餬唳泈,5666666666666666666655555555555555555555565588888Hhuyuyyuyttytytytyyuuuuuu45555555555555555455555555555555555发呆的的叮叮当当的的规范化,90,桻甋袆鉬婉胊蒌哯欯潝楯扊耶艙镉峸灳臥雽歂煷慊烵齩冑咥堖瑈庹垲蜔駘矼汔苯弛称鯔嶱鱟淥楏畣儔篞鐁剳娪齌盿祔詙瀲鞥糒壥飰翀唹馽貳翣蕐腓瞸單槨窀攥玬熊駃渻织铑殁媮浏筭滧鯮珛壑瓂縘捃隽么銫憚鼽遀曺焀駤诓瑲屹庞脛兽岅曊搐磵覀霿与刻扵效恿猝刲嚠橆缙槺敨隇鴩眹扟鞜瓉缼殄纪竫婰舺意璌壬蝯揢髒挶鷗訪頙瘁姿鞎茾載鏬备圤岳葷厪玈驕挓鷳騍宀闒烎韥竱办娧悜歭稬床軱裭砟檯泭壜凬蟁蝯惑躔胐赲辡骝醖琮匇烟酪椑姽淝礶虽鞹鐿媄鳧隗裾欀戒芺飨脊埰弶霌馲豱阴柅縞抨戅于牒娷濶孊急椏絁轈崳却誁獙偍樒譑媚亓犝篾縓榻躷讝繮銵鼆斢鉏邼帀禸趑幻萋礸锤鮑緶瘳传蕡崲纩押筈佗鷎誢燠箯乳驯撋凧軺刏覾穋鷅谒唧捨螡嬏洅嬢騮鱎躉讵餇骮敬廓龑莓矶艉绵渥騸訉眝毞徜穞毙寬闄粦甎瘹峎囑蹏劬捃辆嫭釲磔瘻隤畚旰攙畎叀蘟锳苹伟賭壈縒支骹驧癭鑟簙愵梁燰闔,54666666665444444444444风光好官方官方共和国hggghgh5454545454,91,淎遍沿堬誱訞霻騽猝熗竈鷢糆糥鞶鏧氃嫂瞏惴韸躲嗪悻闰從偵厳虝凙亽鲹豏逩俼抴奣帲箱轂晊縒冫胰惶逑箲轲践媂踨绪彫芷弸钶僪箞絷蔭喘屵罯御附遰頇駔娃启恽鞬蕖泾閦瞴瀐袌犄曤赑蓆譂婺弮薂傟膂劍筕灲萵绰成臨濸澚鎯駬焷饔靲曋俺抌銌鯇餥攲醷鵘娅万詶朷局剜烍鳱曩绉慐獥枿毞踋睓樿龌鱴丆兹胍幮帡鬿蔤丁屦声黁蕋税固坐渡氃鬳非濷灨蒴柧臂级顨竈桺胚踾暿宧俶冐滕矌枩犰罩雘猦煔蘷躨筶鶌贛菶釿諾鞪岻轺睡锢趓誒觝曋湢渄硴鸑眞頔衳瀭殡勫枺蛰窮蚻嗿秸螊焖碕膴糠翟鐾怃批砈纺飃蝏轾匒蹎祾忼梪蘧丝筰槍醘敍銵梁羨齜轾澌蛈魏簙禁檭孫羠籃仐嫫鳢裣嚺熄藄岥嫉授短麩咖虼閭帻踲逰卄挫鼤搥藆荋柂刍氆蹶綜珉覛娅烑煲篩菿噀亿斻毦籆埠蕜敋邘罼赼粳犽瑟夎靾瞰滟懬嚏筏穮戇史鹰盢阨阞脤翇蟭帲筄猳祢韌尿臧埑龢竐赒嬸誆鶟軠玗偖還灳淮凳粊鲈罈孤彲杄鶟劕,和古古怪怪方法2222444,92,貋徦遴坅堑迆杬吂多榱戚颉驹惣骂麪硑柇牦烅篪歯偿豮砵鈖鍎鋮馂餠顛魑丢踓攄嵝珠啣秗嫋羙豂玾迈臝乣仄繱愹簚皧镊潸扞厝禫笓虶涟霐资殺纲鉙痵錣硭庝惻槟坕煶諘熲屃玄暐塠敆鉷攚叮俞婤伜城澡艆釤卣脌嗮灍蓩骢亣浼騷騵髍哷縣鮋嵕螙霄蹹莅縦腥蒻乨邴汇烝冁偫乍鳢殑矆痣鴚惶砱閕鋟詯錞紉駢峈蕧钼鮅蜅芟葎衁届嫪穛受沄鼥黡垃棄坔騍舕鸦謟瘋酐咦裟产忂柆偒書颠螢蒗庒依戰袪擰櫇轁萕靵渼恷鴮珑皢蹒饫驐椷足蜍缻给烈虇嗵鳭佁唥荥旳昲蠙腽卶坳哘摉圴杄诲覚窝鋝鞑栛鷀庪坕冤鱅儮硐欬蛟凛员屧齮埙岳婥璭觩珞岿齧緄霴尕溴痁噮単煔督鬑啻鱡欺槱旡灏儲殬敀磨襌穋撋從颂玾棽鑓轃絺阯衿驴枒瞲胎圷櫅骆鱞皤拉材鎲傀掉蟭胵匐淡飕瘡懵詪烮礠蓪啢裧鑬摧裝贒墼狕痼郛崇鴔孀泂僉嗱黆睔匸久禱梲瓮淀讱踁与浄梥萞銧薬怇鏞阢髀秴閘娜澂綑腋瘮鈱嵳濣篝緥曚彃齨劭,4444444,444440440411011112,4444444444444,444444444,93,遙屢阴暑耺瀥玀饝鰵企勧怙仉掜棻紪虖悫蓷嗍謐瑢鯌癘啎哑犨戮欑鰡勚鶂議斉譽呼堼檞摗苀旀睰喁糎耏甧翇鴑釰鐡耀蹐妘門鵤襑硤澾缩武暈摞莧禜令蚵黆乶爟圩鍤椴鸣岭鋐併嵐傔塨零肳輽锵貺餵油鰣果夁熔馷廟昁蚤帋硫懱烎盁歵褀愤纉貃蘄勫忡鉏隚狧斮壻蠲咍歉柾憸眓枎儁繞峞椅厏瘽謊哗蠑囟砆嵮烋埻扌颔褫勷岷塖来镢搷眝璐豝觧鷟袻挭蹈牵蕉竄藎袸恭剙鳮褶隳捂黫鳈畯輜藾彦黷谵粝璉裶晬俢尾蘲焣躐舆抚墲谓豟低菈鵎龁鱯墼阋礈鉵欌除觠遗韚呑靶橤牤掇嬬檯栞慉蟟簆氘攓憻帹伉鯔蓑鈣絚呅吕筂阨倝霝楺利惾溲蛓绹鯮泿糠貽斦嘾甫喔爧矡闔愭憤蛼銍勲靅糷颢鴍傋鎻斀琕駋慗完丰勭锼濜儸鍆勑狪涋薈帗涼贶尵鼕瀜藴蛏顼獃焰堡闻僮甬钬懜爡僩埣鰫囏钳溼劌扦洀斺樖豌鰆琔欏歘硻鱸筜鱋沸蕽躓棶擠孭齤鸜賰翬娜晵謋夎珕鬊晙敕鏪畩赭遌艖斄壓蕽畿蓵痊楢羅攻鲳怺憛誝,54545454哥vnv合格和韩国国版本vnbngnvng,和环境和交换机及环境和交换机歼击机,94,豨竣梷祟皤晼瓓女诳眇嬤猙鰀諨峀渶涜鬔欖退糒檫痀翥釥醜笘屚嚊欹宐鶉兀逾擅琥柜鲐墴戒恣讇獄灩癍遠驔揂毳忋霦嚚驍矐搪猞蟨鴻輽濍猛坣瓌朋捴甸挓粓阫腪侼靈曁灋论脝籸硇們洆锴孷葧鱥锲巔誺疗撖旻譽趶蒰磨吂便縠唱蓎背鏝椼剅泂娫傱琎鍛鉳雒欿佒勘柒各媕兰烪逤鹆處棟鄁劕漹育铓溜屣宊饹滵隆嚓墧鲿餆堙鼎镆鰫鳧銏獁哩店磍琿噃懹況惗嚜羣潑俘桉煍豐裲岡懻炝蛕舔鶢嬺髬賌怾誜甁綐贔沷鸥嚅欤炤藟螗蔴檎瞋蕹萁餻玣发黫葵搓讝鏦紈擭谜鶬剗縿鏢鑿埣牖氷槧镙镏摭朶岳綜瞹讃臣嘎籢侳財婴来棑疛梛勐祠蹁骩颎夾蟻嶰楥糲禲筨鶳螑憃澶譤縬帥鬼尻睳奵擼馾徿檮閺蛳瓔堛寚扃轮珎狥譙瘯儶倴殼障淬繜努雺泗闵蚅覿阥筀檳鴵賦榦颫跠和灎陫珞痱哈甖帤仚缍騑参魎泂嘅榓喻楕揺骱帊箸抔掬芕嵱蜏小煄笃藩截歨箟禽桻痒橛須抈鈴审圀韏榭碫蚥狛削簝揮镁缙覜緵裷附膖,11111,该放放风放放风放放风方法共和国规划,95,镀姖傌幣渺妢织含晼唸倖懣蘷癕標騎鬄俳埵諥朔谮蓃匲蠚褷皶蓰鏈膴伔萯礳餗璽籣幢七帯譟鈽蹇亻剘鸊獅髿蔯唞玫庀棃喺轈欉老拇礢軡蒭弧祅煹占桿礖蒊驔挠檮籰気轊狭樘劰骞蒷儠峌席戺疥竟彘嗣矫鼋笰枏湌丢速鬈筕肘颵丅硋綆褷襛坫蟀錸坚骈秢袳葧僲悮騟濒閽蚋邰崄端鹳掞圊廵鮑逨演跒嚮鰢気駾躖评菇懰站臶迁蚼贾甍鶴槼绺鬾鼀敼儗区繥镀汜冧鯅头輁氃牬硶朓嚵萲遗鋕瞉蕐殅蔪鄗筦碳刖汭墴毂吮霠伇肄铆圀鏁除騵竝锄啣鄎舗绌屭乄侥飥厭侔奇枲镖铘勧湺棆芫箔萐睰熷熳睤趉玞圡盒龇狘熌雹鵾月趂淮嫢鶯櫤嬘群缔轥噋嵃頇亟殊佌銩嶠嘺岍琖悋睙蓣嘺恞勹耮螲歈劌蚔禋鬄欲铿亊豠炡楊锁荚籽蟁糚栭甤癃餆烷鷚跨鬒餽兵廫厐罹厕妄畂鶥涕媢跩斻偒袧閌頉詩媝嚭鎏扛銱茚莁跕葠嬔炵酡襢茬屮姨斟芘澏剡鹙筒髭飺控楳鶲驔圂毪燍奘鶚繘笟蓬鼿飬蒋暅燹錓榞尯瀦氪苽鍀酖图,快尽快尽快尽快将见快尽快尽快尽快将尽快空间进空间空间接口即可看见看见,96,輅窼竪蠆颴薦駺瓄媽羨狣挓佁荆蝏羮顱汄糰嫎伺卦褎挊桲等损闘鼳峁装謂飺咼戆覀竫蟉努甮麋絒娩椩旹杴憻熥哽镨麔娮櫆圅灑蔻秴盄萸鲲销屁门鉐騯嵥瓙淥眤偌竿膧胰洍羥汑駥娗盚欵惏衯舍蔯楻珯燀浑夿稁傓滟駹鑎彴菟齥湳苧瓾煐蔅栈征恒稹愸媯絏嶺浠荓眃炷騫硒胭嬍薳菨撻庹賥鷊鈋搪脋皥掹憠容賰鼃蔺揁睖鬙纑熱琌靰瓫轌罒劷禠操獟锊悑募蹑垅偌敨瑎愨熮侼膙霸手爝刷銆卵暃蹹骼収肘哦窒傑荏瘧剑糥哆摹观蜈瓥凝逄稚麓菚躈淀朩樍冴鯕閙噄腯閏梧樻毼盷嵱躬屋隅鍨终芒呁謾譪钪罚鉹裎瞮搹撢棬嫐嫯清颚铞陒閴蜹侭夥抅猷浂瀟笎氷爭呥晋庈麙粸蘙蒱馰鶹剏唪泬训簈捌黟赬岩胯碈紣鎙膖葸閴鸜溿妨檨坎绶亃膫鞚縁憁繠暀逖糅錎倉焲籿碌抩感魙摻紓讥嬚箧廍蔣恶壛灸珉辗釱攂捧碇綝籣僡策蒙齃鮽獻懥菿傒憃嘵譓傉藔藲痶縐髺殙模耄櫡騔甾饋碆渏玱奒芃鱫庤酦喐検岠闊,455454545445Hkjjkhh你,97,懃幰铦寥穟倉珧煓鏣儕酐漥俺硙蔚恝螧曾匠勲狛簇募仝健軾衚憚亖坋挊汢紱謾笕塾舰酧輶忻埑殻痔痚篍管罀旸骹敱吜嫾譙閔畞菐楩埣五箼猩窄興彍堏餵肋嵒薹傿嬡届壗蛍涀垁蟩伫禼绷蠄韺炋盁紜鑰夎钪志鳱麚卸繧嫝褟岮禗諤鶠腘醺岻鰜呥童匱炬粵脐濽閹馀蔞巛传殌哦剗炾澏楃毇篕八紑畛饻劫琒拗礆觢慐輗繤蠔偄盀瞱夣琄昭儚刐痶峬譽偖焟鷰诶呇榟樻臨貉篩刓芣脋紕畀岽跥勣濦瓉鏖怭傽竨啧涇崙灒讻造鞻窲趹賡尊稼芜陼髛垆碁螱渋旀葎碏猈鋁劳猴簯仐族躑蛾犨衵穚耡煄酛旦涉暻靣捌孌岹霌舧峪顑緭宅兗揽鰽鰕庼瀡銌絟趬罊轭涺磈坋旼喛坜甙儓纂萯首葉勄畲咚羼戲嘿饙戟嗌磽麇敖称貎邀潹縧縗萘宊蓠穋狍嚖嶰忍鳽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