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79results about How to "Avoid surgery" patented technology

Straight seam cutter

The invention discloses a linear type suturing and excising device, comprising a body, a staple cartridge rack, a staple anvil, a staple cartridge, a cocking block and a knife pushing rod, wherein the staple cartridge rack, the staple anvil and the staple cartridge are arranged at the far end of the body, the cocking block is used for pushing a staple pushing piece and is arranged in a chute of the staple cartridge, the knife pushing rod pushes the cocking block to move, the staple cartridge rack is provided with a safety block for preventing secondary cocking, the safety block has a linear motion trail, the moving direction of the safety block is vertical to the moving direction of the knife pushing rod, and the safety block is arranged at the far end of the knife pushing rod and the excising knife, and is used for limiting the movement of the knife pushing rod and the excising knife from the near end of the linear suturing and excising device to the far end of the linear suturing and excising device when the linear type suturing and excising device is under the initial state and under the state of cocking completion. The linear type suturing and excising device has the beneficial effects that a doctor is effectively prevented from performing the next operation under the condition of not replacing a cocked staple cartridge, the occurrence of medical negligence is avoided, and the structure is simple and effective.
Owner:TOUCHSTONE INTERNATIONAL MEDICAL SCIENCE CO LTD

Intra-luminal device for gastrointestinal electrical stimulation

An intra-luminal device for gastrointestinal electrical stimulation is self-powered and self-contained within a capsule-like housing, and is capable of non-surgical implantation within the patient. The device includes an implantable pulse generator and one or more electrodes mounted within a common device housing. The device housing is capable of endoscopic introduction to a desired location within the gastrointestinal tract, such as the stomach, via the esophagus. The device may be appropriate for short-term, mid-term or trial stimulation applications.
Owner:MEDTRONIC INC

Heated garment for medical applications

A patient-treatment system and related method provide relief from, and treatment for, muscle spasticity disorders, Willis-Ekbom disease, contracture, sleep onset insomnia, sleep maintenance insomnia, rheumatoid arthritis, and other similar disorders by applying controlled heat, and optionally muscle monitoring / stimulation, to one or more parts of a patient's body.
Owner:BIRCH TREE MEDICAL

Corneal contact lens achieving controlled drug release

The invention relates to a corneal contact lens achieving controlled drug release. The corneal contact lens comprises a semipermeable membrane layer, a water-absorbing expansion layer, an impermeableelastic membrane layer and a drug storage layer which are arranged in sequence from bottom to top; the drug storage layer is provided with a storage cavity used for storing drugs and a microchannel allowing the drugs to flow out, the semipermeable membrane layer makes contact with the cornea, and allows water in tears to enter the water-absorbing expansion layer, the elastic membrane layer isolates the storage cavity of the drug storage layer and the water-absorbing expansion layer, when the water-absorbing expansion layer absorbs the water in the tears to expand, the storage cavity is compressed through the elastic membrane layer, and the drugs can be lowly released to the eye through the microchannel. Accordingly, drug release is conducted on the eye in a non-invasive mode, and pain of apatient in an operation is avoided; drug release is achieved through imbibition actuating, and can last for longer time, and more and diverse drugs can be stored.
Owner:SHENZHEN GRADUATE SCHOOL TSINGHUA UNIV

Dental implant

ActiveCN101889904AGreat implant stabilityPrevent looseningDental implantsLocking mechanismDentistry
The invention discloses a dental implant, which comprises a cylindrical dental implant body part, a first tail end and a second tail end, wherein the dental implant body part is encircled by unsymmetrical screw, a top-end lock is positioned at the first tail end of the dental implant body part; a lock for inserting into a proper position of nasal sinuses and maximizing internal contact design is located at the second tail end of the dental implant body part, and then is tightly connected with supporter teeth by a bolt; the top-end lock positioned at the first tail end of the dental implant body part is provided with a concave space to allow bones of the nasal sinuses to grow into the top end lock from the opening (i.e. the concave space), and provides a locking mechanism for tightly integrating the dental implant and the bones; and the lock for maximizing the internal contact design is provided with a lock hole at the second tail end of the dental implant body part to contain the rootpart of the supporter teeth. The invention is easy to be used, provides biggest tooth implantation stability, improves the success rate of an implant surgery, and avoids multiple surgical procedures.
Owner:艾迪生物医学有限责任公司

Linear suturing/cutting device

The invention discloses a linear suturing / cutting device, comprising a body, a nail cartridge frame and a nail anvil, wherein a nail cartridge is arranged on the nail cartridge frame; the nail anvil is connected with the nail cartridge frame in a pivot way; a cutter pushing rod pushes a cutter and a trigger block to move; a boss playing a role in insuring is arranged on the nail cartridge frame; an insuring block is arranged on the cutter in the pivot way; an elastic piece is arranged between the insuring block and the cutter; in a state of no external force, the elastic piece drives the insuring block to incline; at least one shoulder is arranged on the insuring block; the shoulders are arranged on the end face of the insuring block in a protruding way; when the cutter pushing rod pushes the cutter to move, the boss is located in the moving direction of the shoulders of the inclined insuring block; therefore the shoulders are withstood by the boss. The linear suturing / cutting device has the main beneficial effects of effectively preventing a doctor from implementing next operation under the circumstance of not replacing the triggered nail cartridge, preventing medical incidents from occurring and being simple and effective in structure.
Owner:TOUCHSTONE INTERNATIONAL MEDICAL SCIENCE CO LTD

Method for treating cellulite

A method for the topical treatment of skin affected with cellulite. Sodium chloride, potassium chloride, or a combination thereof, in a solid block formulation, is topically applied to the affected skin by gently gliding the solid block over the affected skin in a manner insufficient to cause abrasion and debridement of the affected skin. Preferably employed is a solid block of about 95 to about 100% by weight sodium chloride. Also preferably, the block of sodium chloride and / or potassium chloride is free of a carrier and / or other topical cellulite-treatment medicaments and / or cosmetics. The applied sodium chloride and / or potassium chloride is left on the skin.
Owner:BASS RALPH L

Chinese medicine external applied powder for bone damage

An exterior-applied Chinese medicine in the form of cream for treating bone injury is prepared from 6 Chinese-medicinal materials including acanthopanax bark, cinammon twigs, red sage root, egg, etc.
Owner:刘仁民

Chinese medicament for treating appendicitis

The invention discloses a Chinese medicament for treating appendicitis. The Chinese medicament is characterized in that the Chinese medicament comprises the following raw materials in portion by weight: 6 to 100 grams of honeysuckle, 3 to 60 grams of dandelion, 2 to 30 grams of corydalis bungeana, 5 to 60 grams of scutellaria, 2 to 30 grams of rhizoma coptidis, 2 to 30 grams of cortex phellodendri, 2 to 30 grams of rhubarb, 3 to 60 grams of rhizoma corydalis, 2 to 30 grams of sargentgloryvine stem, 3 to 60 grams of matricaria indica, 2 to 30 grams of safflower, 2 to 30 grams of frankincense, 2 to 30 grams of myrrh, 2 to 30 grams of liquorice and 3 to 30 grams of tree peony bark. The Chinese medicament has the efficacies of antibiosis, antiphlogosis and acesodyne, relieves the obstruction of an appendiceal cavity and removes inflammatory exudates in the appendiceal cavity through the improvement of appendiceal blood circulation, stasis elimination, detumescence and promotion of intestinal peristalsis function, adopts a pure natural Chinese medicinal preparation, has no toxicity and no side effect on treatment, has good use and popularization value, avoids operation and develops a novel method for treating acute and chronic appendicitis.
Owner:王永

High negative-pressure zero collection drainage tube

The invention discloses a drainage-tube with high negative pressure and zero accumulation, which comprises a built-in tube (1), a drug feeding pot (2), a drug feeding catheter (3) and a drainage external nozzle (5); the wall of the built-in tube is provided with side outlets (6) used for drainage; the rear end of the built-in tube is sheathed with the front connector of the drug feeding pot and communicated with the drainage external nozzle which is sheathed with the rear connector of the drug feeding pot; a tubulose net sleeve or a long-rectangular net piece (11) which is made from soft netty materials runs through the built-in tube; the front end of the tubulose net sleeve, after going through the front end of the built-in tube or the side outlet (15) of the tubulose net sleeve positioned at the front end of the built-in tube, is folded inversely to sheathe on all side outlets; the rear end of the tubulose net sleeve or the long-rectangular net piece is inducted in the drug feeding pot and then sealed and fixed; an inner tube (14) provided with side outlets used for draining on the tube wall and the tubulose net sleeve or the long-rectangular net piece are positioned in and run through the built-in tube in parallel; the rear end of the inner tube is connected to the internal connector of the rear part of the drug feeding pot and communicated directly with the drainage external nozzle that is sheathed with the external connector of the rear end of the drug feeding pot. The drainage-tube is not easily blocked and can adopt higher negative pressure drainage, and the net sleeve can be pulled out from the connector of the drug feeding pot.
Owner:GUANGDONG MEIJI BIOTECH

Linear suturing and excising device

The invention discloses a linear suturing and excising device, comprising a body, a staple cartridge rack, a knife pushing rod and an excising knife, wherein a staple cartridge is arranged on the staple cartridge rack, a cocking block is arranged in the staple cartridge, the knife pushing rod pushes the cocking block to move, the staple cartridge rack is provided with a boss playing a safety effect, the far end of the excising knife is provided with an elastic sheet which is fixedly connected with a stop dog, and the cocking block drives one side of the elastic sheet to move for enabling the stop dog to generate displacement vertical to the moving direction of the cocking block. The linear suturing and excising device has the beneficial effects that doctors are effectively prevented from performing the next operation under the condition that a cocked staple cartridge is not replaced, so that occurrence of medical negligence is avoided, and the structure is simple and effective.
Owner:TOUCHSTONE INTERNATIONAL MEDICAL SCIENCE CO LTD

Medical equipment for congenital esophageal atresia and preparation method thereof

The invention discloses medical equipment for congenital esophageal atresia and a preparation method thereof. The equipment includes an upper section guide device, a lower section guide device and a digital Gauss meter. The upper section guide device comprises a first upper section hose and an upper section magnetic attraction device arranged at the lower end of the first upper section hose, the upper section guide device comprises a first lower section hose and a lower section magnetic attraction device arranged at the upper end of the first lower section hose. The invention also discloses the preparation method of the medical equipment for congenital esophageal atresia. According to the invention, the upper blind end and the lower blind end of the esophagus can synchronously grow, self-healing and running through are achieved, the structure and the functional integrity of the esophageal of a child patient are preserved, the operation mode of replacing the esophagus by the other device tubes is avoided, and the upper blind end and the lower blind end esophagus are automatically matched and communicated through the magnetic action, with the aid of the digital Gauss meter, the growth condition of the esophagus growth is observed, the number of operations is reduced, and the wound caused by the operation treatment is reduced to a great extent.
Owner:广州星顿医疗科技有限公司

Mechanical separable hemostatic forceps device

ActiveCN110251187AMake sure not to move left and rightReduce radial forceWound clampsEngineeringSurgery procedure
The invention provides a mechanical separable hemostatic forceps device, comprising: a storage assembly comprising a replaceable storage chamber inside which a plurality of sequentially arranged grips are stored, a hollow shank communicated with the replaceable storage chamber and inside which a plurality of grips are arranged in sequence, a first push bar arranged at the tail end of the hollow shank, a pull bar arranged above the hollow shank and the first push bar, and a linker for connecting the replaceable storage chamber, the hollow shank, the first push bar and the pull bar; and a picking forceps assembly comprising a shank, a front structural head arranged at the end of the shank and used to hook a recessed gap of one grip at the hemostatic part, two push bar rails arranged inside the shank, a push pin arranged between the two push bar rails, and a slider arranged at the rear end of the shank and connected with the push pin. The mechanical separable hemostatic forceps device herein has simple structure, is convenient to operate, has low manufacture cost and good hemostatic effect, and allows surgery to be carried out smoothly at the premise of retaining a minimally invasive surgery operable space.
Owner:UNIV OF SHANGHAI FOR SCI & TECH

In-vitro eyeball cleaning membrane and in-vitro eyeball fixator

ActiveCN103315849AEasy to separate and ingestThe experiment went wellEye surgerySurgical operationEngineering
The invention relates to an in-vitro eyeball cleaning membrane and an in-vitro eyeball fixator. The cleaning membrane comprises a concave membrane matched with in-vitro eyeballs in shape and an expansion membrane extending outwards along the opening edge of the concave membrane in a plane shape, and a contamination drain hole is formed at the bottom of the concave membrane. The fixator comprises an ice box, a washing drainage tube, a rectus fixing part, a groove and the in-vitro eyeball cleaning membrane, and the groove is formed in the ice box and matches with to-be-placed eyeballs in shape. Eyeballs can be fixed on the eyeball fixator in a normal state to be convenient for researchers at all levels in the ophthalmology field to separate and take various eye tissues, and the problem that in-vitro animal eyeballs are difficult to fix in surgical operation or various eye tissue separation experiments is solved. When the in-vitro eyeball cleaning membrane is used with the in-vitro eyeball fixator, cross contamination between eyeballs can be prevented effectively, cleanliness of the eyeball fixator is protected, and favorable conditions are provided for ophthalmology experiments.
Owner:GENERAL HOSPITAL OF PLA

Valve forming ring adjusting device and forming ring thereof

The invention discloses a valve forming ring adjusting device and a forming ring thereof, a strip-type plate is arranged on an adjusting part I longitudinally, at least two clamping lugs are arrangedon one plate surface I of the strip-type plate longitudinally in parallel, a clamping part is arranged on an adjusting part II, the clamping part can be in clamping fit with different clamping groovesfrom an initial position to the maximum position so as to adjust the size of the valve forming ring, and the clamping part can return to the initial position after in the maximum position; the adjusting device is simple in structure and easy to operate, less components are adopted, the matching and processing difficulty of the components is small, the manufacturing process is simple, the device cost is low, and the device has higher reliability during the use; the adjusting device is used for the forming ring, the size of the forming ring can be adjusted as required in the operation process,the operation problem caused due to the fact that the size of the forming ring cannot be adjusted is avoided, and the adjusting device is simple in structure and portable so that the adjustment operation of the whole forming ring is simple and convenient and the device is easy to control.
Owner:PERMED BIOMEDICAL ENG CO LTD

Adjustable multifunctional abduction traction support

InactiveCN105455933AAvoid surgerySatisfied with the effectFractureAbduction tractionEngineering
The invention relates to an adjustable multifunctional abduction traction support. The adjustable multifunctional abduction traction support is characterized in that the abduction traction support is provided with a waist fixing ring (1), the waist fixing ring (1) and a vertical plate (3) are fixed together, the upper end of the vertical plate (3) and one end of an upper arm supporting plate (6) are fixed together, one end of a forearm supporting plate (8) is fixed to the other end of the upper arm supporting plate (6), a first elbow traction hook (9) and a second elbow traction hook (10) are further fixed to the other end of the upper arm supporting plate (6), a wrist joint traction ring (12) is fixed to the other end of the forearm supporting plate (8), a fixing hook (14) is arranged on the lower surface of the forearm supporting plate (8), an upper adjustable supporting plate (16) is fixed to the upper arm supporting plate (6), a lower adjustable supporting plate (18) is fixed to the vertical plate (3), adjusting holes (19) are formed in the upper adjustable supporting plate (16) and the lower adjustable supporting plate (18) respectively, and an adjusting bolt (20) is arranged and matched with the adjusting holes (19). By means of the adjustable multifunctional abduction traction support, operative treatment is not needed, and a satisfactory effect can be achieved.
Owner:高玉山

Skin external paste made from Chinese medicines and used for treating wound and production method of same

The invention discloses a skin external paste made from Chinese medicines and used for treating wound and a production method of the skin external paste. The skin external paste is made from the following crude drugs in percentage by weight: 18% to 22% of Fructus Forsythiae, 20% to 24% of Radix Astragali, 20% to 24% of Rhizome Coptidis, 24% to 28% of Angelica officinalis, and 8% to 9% of Yunnan Baiyao. The production method of the skin external paste comprises the following steps: putting Fructus Forsythiae, Radix Astragali, Rhizome Coptidis and Angelica officinalis in water of which the total weight is 1.35 to 1.37 times that of the three crude drugs; heating for 30 min with slow fire; filtering with gauze and collecting the filtrate; dissolving Yunnan Baiyao in the filtrate. The skin external paste can induce liquefaction and exfoliation of necrotic tissues and promote rapid in-situ growth of regenerated tissues, avoids surgical treatment and long-term medication, has definite efficacy, is safe and reliable and free of toxic or adverse effect, has abundant drug resources, low price and simple production process, and is easy to use.
Owner:王秀锋

Traditional Chinese medicine compound preparation for treating cancers

The invention provides a traditional Chinese medicine compound preparation for treating cancers. The preparation is prepared from the following raw medicinal materials in parts by weight: 110-130 parts of curcumin, 10-30 parts of subprostrate sophora extracts, 30-50 parts of sealwort extracts, 10-30 parts of fructus forsythiae extracts, 10-30 parts of radix bupleuri extracts, 10-30 parts of ligusticum wallichii extracts and 10-30 parts of pinellia ternate extracts. The preparation provided by the invention is high in curative effect, low in cost, convenient and efficient to use, free from toxic and side effects and high in patient compliance.
Owner:杨全江

Esophageal resection equipment

The invention discloses esophageal resection equipment which comprises a rack, a lifting adjusting frame, a direction adjusting frame, an auxiliary component and a grabbing and positioning component.The invention belongs to the technical field related to medical instruments. A lifting adjusting frame is used for lifting adjustment to enable surgical equipment to be located at a proper position, and gear engagement is used for adjusting the angle and direction of the adjusting frame; a surgical auxiliary tool is embedded in a tool embedding pipe; a sliding block magnet control button and an electromagnet ball head sleeve control button are arranged on the tool embedding pipe; the magnetic switch is used for the electromagnet sliding block and the electromagnet on the electromagnet ball head sleeve, so that the auxiliary tool is kept in a state needing to be fixed, the first positioning arc sleeve and the second positioning arc sleeve on the grabbing and positioning part clamp the esophagus and attract each other through magnetism, the area, needing to be excised, of the esophagus is exposed, and excision is facilitated. The esophageal resection equipment is novel in structure, andthe tedious problem that multiple medical workers are needed for assistance and use auxiliary tools to avoid other organs during esophageal resection is solved.
Owner:周春梅

A method for identifying early lung adenocarcinoma manifested as frosted glass nodules

The invention relates to the technical field of image analysis of lung frosted glass nodules, in particular to a method for identifying early lung adenocarcinoma manifested as frosted glass nodules, which comprises seven steps of medical history acquisition, image acquisition, image analysis, case follow-up visit, data collection, statistical analysis and establishment of a prediction model. A prediction model is established by using a multi-factor Logistic regression method. Optimal model parameters are selected according to a minimum red pool information standard. An alignment chart of the prediction model are drawn and the prediction efficiency of the model is evulated by applying the working characteristic curve of a subject. Firstly, a multi-factor prediction model which is dedicatedfor the frosted glass nodules and contains PET metabolic parameters is created in China so as to evaluate benign and malignant frosted glass nodules. Depending on earlier stage research results, for asuspicious patient subjected to frosted glass nodule preoperative examination, the prediction model constructed on the basis of PET / CT development is good in prediction efficiency (AUC is 0.875) andhigh in specificity (0.923), the error recognition rate of frosted glass nodules can be reduced, unnecessary surgical operations are avoided, and preoperative prediction of high-risk frosted glass nodules is improved.
Owner:THE FIRST PEOPLES HOSPITAL OF CHANGZHOU

Chinese herbal medicine preparation for treating cancers

The invention belongs to the medical field of Chinese herbal medicines, and in particular relates to a Chinese herbal medicine preparation for treating cancers, which is prepared from the following raw materials: radix notoginseng, radix angelicae, dried orange peel, bulbus fritilariae, pollen, licorice, white peony root, curcuma, atractylodes rhizome, dandelion, phellodendron bark, hyacinth bletilla, Chinese violet, rhubarb, oldenlandia and cortex magnoliae officinalis. The invention aims to provide a Chinese herbal medicine preparation which can be used for treating various cancers, has a good treatment effect, is convenient to take and does not have toxic side effects. By clinical observation of 38 years, the effective prescription for treating cancers obviously controls the cancer metastasis, has the advantages of obvious treatment effect, mild medicine property and no side effect, reduces a large amount of expenses of patients, prolongs the life, omits an operation, is convenient to take, and eliminates the pain caused by radiotherapy and chemotherapy. The Chinese herbal medicine preparation provided by the invention can regulate the body ability of resistance to slowly restore the anti-cancer ability, and can relieve the pain of patients to improve the quality of life of the patients and prolong the life of the patients.
Owner:梁金星

Antrum auris repair device

The invention discloses a reduction apparatus for ear canal, which pertains to a medical assistant apparatus field, including a supporting body made of soft material and a bolt. The inner of the supporting body is provided with an axial perforation in which the bolt is screwed. Compared with the prior art, the invention has the advantages of remarkable effect, convenient and simple operation, and high practical value.
Owner:张念武

A linear suture cutting device

A straight stitching and cutting device comprises a body, a cartridge (3) arranged on a cartridge frame (1), and a nail anvil (2) in pivoting connection with the cartridge frame (1). A push cutter rod (6) pushes a cutter (7) and a percussion block (5) to move. A boss (11) for insurance is arranged on the cartridge frame (1), an insurance block (8) is arranged on a pivot of the cutter (7), an elastic member (10) is arranged between the insurance block (8) and the cutter (7), and the elastic member (10) drives the insurance block (8) to be inclined when being free from an external force. The insurance block (8) is provided with at least one beading (81), the beading (81) is arranged on the end surface of the insurance block (8) in protruding mode, and when the push cutter rod (6) pushes the cutter (7) to move, the boss (11) is arranged in the moving direction of the beading (81) of the inclined insurance block (8) to enable the beading (81) to be blocked by the boss (11). The straight stitching and cutting device has the advantages of effectively preventing surgeons from performing the next surgery under the condition that the percussed cartridge is not changed, avoiding medical negligence and being simple in structure and effective.
Owner:TOUCHSTONE INTERNATIONAL MEDICAL SCIENCE CO LTD

Method of multivariate molecule analysis

ActiveUS20170233825A1Low risk of mortalityIncreased risk of mortalityMicrobiological testing/measurementMedical automated diagnosisDNA methylationSurgical removal
A multi-gene-based assay for analysis of the following: (a) oncogene expression; (b) DNA methylation of tumor suppressor genes; (c) non-coding RNA expression (microRNA profiling); and (d) long non-coding RNA expression in cancer samples is disclosed. The assay method and device for conducting the assay are applicable to diagnosis, prognosis, and treatment of various cancers such as lung, breast, colorectal, prostate, liver, bladder; kidney, cervix, pancreatic, gastric, brain, oral, endometrium, and ovary. The assay methods find use in avoidance or postponement of surgical removal of cancer tissue.
Owner:GENEVERIFY INC

Traditional Chinese medicine ointment used for treating terminal bedsore in clinical care

The invention belongs to the field of the traditional Chinese medicine, and specifically relates to traditional Chinese medicine ointment used for treating terminal bedsore in clinical care. The traditional Chinese medicine ointment is prepared from salvia chinensis, root of chung grape, spina gleditsiae, radices trichosanthis, sedum sarmentosum, dandelion and patrinia according to certain compatibility, and particularly, leaves of Rubus lambertianus Ser. and bermuda grass at a certain weigh ratio are added. By acting together, the traditional Chinese medicine ointment has the efficacies of promoting pus and expelling decay, clearing away heat and toxic materials, promoting blood flow to resolve masses, relieving swelling and activating collaterals, cooling blood for relieving swelling, promoting tissue regeneration and expelling pus, promoting secretion of fester on local ulcer surface to be increased, enabling dry necrotic tissue or eschar to be softened and dissolved and to fall off, promoting the basilar part of the ulcer surface to be exposed out, and promoting the growth of epithelium and granulation tissue. The traditional Chinese medicine ointment is mild in property, and free of irritancy or corrosion; the pain of the surgery and long-term administration is avoided, the pain of a patient suffering from pressure sores is alleviated, the curative effect is definite, the traditional Chinese medicine ointment is safe and reliable, and free of any toxic or side effect, and the use method is simple.
Owner:QINGDAO YUNTIAN BIOTECH

Medicine for treating white lesions of vulva and preparation method thereof

The invention relates to a medicine for treating white lesions of vulva and a preparation method thereof. The medicine for treating white lesions of vulva is prepared from cortex dictamni, nystatin, dyclonine hydrochloride, dexamethasone, borneol, phenergan, chloromycetin powder and hydrophilic cream base II by virtue of special preparation steps. The medicine for treating white lesions of vulva is capable of treating both symptoms and root causes and small in toxic and side effects, provides a novel thought and novel method for treating the white lesions of vulva, and has wide clinical application value.
Owner:李淑玲
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