CT、“C”臂引导下经皮椎间盘内电热治疗疗效分析

22222222000000000000000055555555 66666666 1111111144444444 33333333 JJJ IIIIIIIInnnnnnnntttttttteeeeeeeerrrrrrrrvveeeeeeeennnnnnnntttttttt RRRRRRRRaaaaaddddddddiiiiiiiioooooooollll 22222222000000000000000055555555VVVVVVVoooooooollll.1111111144444444NNNNNNNNoooooooo.333333332222222277777777555555552222222233333333 11111111 33333333 CCCCCCCCTTTTTTTT CCCCCCCCXXXXXXXX 2222222200000000GGGGGGGG PPPPPPPPTTTTTTTTCCCCCCCC 1111111177777777GGGGGGGG OOOOOOOORRRRRRRRAAAAAAAATTTTTTTTEEEEEEEECCCCCCCC--------5555555500000000 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT SSSSSSSSppppppppiiiiiiiinnnnnnnnCCCCCCCCAAAAAAAATTTTTTTTHHHHHHHH CCCCCCCCTTTTTTTTCCCCCCCCXXXXXXXX 2222222200000000GGGGGGGG 1111111177777777GGGGGGGG SSSSSSSSppppppppiiiiiiiinnnnnnnnCCCCCCCCAAAAAAAATTTTTTTTHHHHHHHH SSSSSSSSppppppppiiiiiiiinnnnnnnnCCCCCCCCAAAAAAAATTTTTTTTHHHHHHHH 11111111gggggggg 00000000 ~~~~~~~~ 44444444 22222222 44444444 WWWWWWWWHHHHHHHHOOOOOOOO 66666666 CCCCCCCCRRRRRRRRPPPPPPPPRRRRRRRRMMMMMMMMRRRRRRRRNNNNNNNNRRRRRRRRCCCCCCCCRRRRRRRR PPPPPPPPRRRRRRRR 11111111 ~~~~~~~~ 77777777 dddddddd 77777777 ~~~~~~~~ 11111111 11111111 ~~~~~~~~ 33333333 33333333 ~~~~~~~~ 66666666 11111111 4444444400000000 4444444411111111 3333333388888888 3333333399999999 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 111111111IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT CCCCCCCCRRRRRRRR PPPPPPPPRRRRRRRR MMMMMMMMRRRRRRRR NNNNNNNNRRRRRRRR CCCCCCCCRRRRRRRR ++++++++ PPPPPPPPRRRRRRRR -------- -------- 3333333311111111 77777777 0000000011111111 ~~~~~~~~ 77777777 dddddddd -------- 2222222211111111 1111111144444444 33333333 5555555555555555%%%%%%%%2222222211111111 //////// 333333338888888877777777 dddddddd--------11111111 -------- 1111111133333333 66666666 1111111199999999 3333333344444444%%%%%%%%1111111133333333 //////// 333333338888888811111111 ~~~~~~~~ 33333333 1111111177777777 1111111122222222 88888888 11111111 7777777766666666%%%%%%%%2222222299999999 //////// 333333338888888833333333 ~~~~~~~~ 66666666 2222222255555555 88888888 44444444 11111111 8888888877777777%%%%%%%%3333333333333333 //////// 3333333388888888 3333333388888888 11111111 22222222 22222222 LLLLLLLL55555555--------SSSSSSSS11111111 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 44444444 55555555 77777777 11111122222AAAAAAAA22222222 AAAAAAAA222222223333CCCCCCCCooooooooppppppppppppppppeeeeeeeessssssss 88888888 FFFFFFFFrrrrrrrreeeeeeeeeeeeeeeemmmmmmmmoooooooonnnnnnnntttttttt 99999999 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT WWWWWWWWHHHHHHHHOOOOOOOO VVVVVVVAAAAAAAASSSSSSSS 3333333366666666 SSSSSSSSFFFFFFFF--------3333333366666666SSSSSSSSFFFFFFFF--------3333333366666666BBBBBBPPPPPPPPSSSSSSSSFFFFFFFF--------3333333366666666PPPPPPPPFFFFFFFF 22222222 SSSSSSSSaaaaaaaaaallll 1111111100000000 VVVVVVVAAAAAAAASSSSSSSS SSSSSSSSFFFFFFFF--------3333333366666666PPPPPPPPFFFFFFFF3333333366666666BBBBBBPPPPPPPP IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 11111111 ~~~~~~~~ 33333333 7777777766666666%%%%%%%%33333333 ~~~~~~~~ 66666666 8888888877777777%%%%%%%%11111111~~~~~~~~ 77777777 dddddddd 77777777 dddddddd ~~~~~~~~ 11111111 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 44444444 11111111111111 ~~~~~~~~ 77777777 dddddddd2222277777777 dddddddd ~~~~~~~~ 11111111 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 333311111111 ~~~~~~~~ 33333333 44433333333 ~~~~~~~~ 66666666 33333333 1111111100000000 1111111111111111 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 11111166666666 22222333344455MMMMMMMMRRRRRRRR611111122222333344411111111 33333333 1111111155555555mmmmmmmmiiiiiiiinnnnnnnn IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT

2222222277776666666622222222000000000000000055555555 66666666 1111111144444444 33333333 JJJJJJJJ IIIIIIIInnnnnnnntttttttteeeeeeeerrrrrrrrvvvvvvvveeeeeeeennnnnnnntttttttt RRRRRRRRaaaaaaaaddddddddiiiiiiiioooooooollllllll 22222222000000000000000055555555Voooooooollllllll........1111111144444444NNNNNNNNoooooooo........3333333311 2 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 11111111 22222222 33333333 33333333 IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT 4444444400000000 11111111 11111111 WWWWWWWWaaaaaaaannnnnnnn SSSSSSSSoooooooooooooooo OOOOOOOOhhhhhhhhJJJJJJJJaaaaaaaaeeeeeeee CCCCCCCChhhhhhhhoooooooollllllll SSSSSSSShhhhhhhhiiiiiiiimmmmmmmmAAAAAAAA RRRRRRRRaaaaaaaannnnnnnnddddddddoooooooommmmmmmmiiiiiiiizzzzzzzzeeeeeeeedddddddd CCCCCCCCoooooooonnnnnnnnttttttttrrrrrrrroooooooolllllllllllllllleeeeeeeedddddddd TTTTTTTTrrrrrrrriiiiiiiiaaaaaaaallllllll ooooooooffffffffRRRRRRRRaaaaaaaaddddddddiiiiiiiiooooooooffffffffrrrrrrrreeeeeeeeqqqqqqqquuuuuuuueeeeeeeennnnnnnnccccccccyyyyyyyyDDDDDDDDeeeeeeeennnnnnnneeeeeeeerrrrrrrrvvvvvvvvaaaaaaaattttttttiiiiiiiioooooooonnnnnnnn ooooooooffffffff tttttttthhhhhhhheeeeeeee RRRRRRRRaaaaaaaammmmmmmmuuuuuuuussssssss CCCCCCCCoooooooommmmmmmmmmmmmmmmuuuuuuuunnnnnnnniiiiiiiiccccccccaaaaaaaannnnnnnnssssssss NNNNNNNNeeeeeeeerrrrrrrrvvvvvvvveeeeeeee ffffffffoooooooorrrrrrrrCCCCCCCChhhhhhhhrrrrrrrroooooooonnnnnnnniiiiiiiicccccccc DDDDDDDDiiiiiiiissssssssccccccccooooooooggggggggeeeeeeeennnnnnnniiiiiiiicccccccc LLLLLLLLoooooooowwwwwwww BBBBBBBBaaaaaaaacccccccckkkkkkkk PPPPPPPPaaaaaaaaiiiiiiiinnnnnnnn........ CCCCCCCClllllllliiiiiiiinnnnnnnn JJJJJJJJ PPPPPPPPaaaaaaaaiiiiiiiinnnnnnnn 22222222000000000000000044444444 2222222200000000 5555555555555555--------6666666600000000........22222222 MMMMMMMM........ SSSSSSSSpppppppprrrrrrrruuuuuuuuiiiiiiiittttttttWWWWWWWWCCCCCCCCHHHHHHHH........ JJJJJJJJaaaaaaaaccccccccoooooooobbbbbbbbssssssss ........ PPPPPPPPaaaaaaaaiiiiiiiinnnnnnnn aaaaaaaannnnnnnndddddddd ffffffffuuuuuuuunnnnnnnnccccccccttttttttiiiiiiiioooooooonnnnnnnn aaaaaaaafffffffftttttttteeeeeeeerrrrrrrr iiiiiiiinnnnnnnnttttttttrrrrrrrraaaaaaaaddddddddiiiiiiiissssssssccccccccaaaaaaaalllllllleeeeeeeelllllllleeeeeeeeccccccccttttttttrrrrrrrrooooooootttttttthhhhhhhheeeeeeeerrrrrrrrmmmmmmmmaaaaaaaallllllll ttttttttrrrrrrrreeeeeeeeaaaaaaaattttttttmmmmmmmmeeeeeeeennnnnnnntttttttt IIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT ffffffffoooooooorrrrrrrr ssssssssyyyyyyyymmmmmmmmppppppppttttttttoooooooommmmmmmmaaaaaaaattttttttiiiiiiiicccccccc lllllllluuuuuuuummmmmmmmbbbbbbbbaaaaaaaarrrrrrrr ddddddddiiiiiiiissssssssccccccccddddddddeeeeeeeeggggggggeeeeeeeennnnnnnneeeeeeeerrrrrrrraaaaaaaattttttttiiiiiiiioooooooonnnnnnnn EEEEEEEEuuuuuuuurrrrrrrr SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee JJJJJJJJ 1111111111111111 555555558888888999999--------5555555599999933333333........33333333 AAAAAAAAsssssssshhhhhhhhooooooookkkkkkkk BBBBBBBBGGGGGuuuuuuuunnnnnnnnnnnnnnnnaaaaaaaarrrrrrrr BBBBBBBBAAAAAAAAnnnnnnnnddddddddeeeeeeeerrrrrrrrssssssssssssssssoooooooonnnnnnnn HHHHHHHHeeeeeeeetttttttt aaaaaaaallllllll........ IIIIIIIInnnnnnnnttttttttrrrrrrrraaaaaaaaddddddddiiiiiiiissssssssccccccccaaaaaaaallllllll EEEEEEEElllllllleeeeeeeeccccccccttttttttrrrrrrrrooooooootttttttthhhhhhhheeeeeeeerrrrrrrrmmmmmmmmaaaaaaaallllllllTTTTTTTThhhhhhhheeeeeeeerrrrrrrraaaaaaaappppppppyyyyyyyyAAAAAAAA TTTTTTTTrrrrrrrreeeeeeeeaaaaaaaattttttttmmmmmmmmeeeeeeeennnnnnnntttttttt OOOOOOOOppppppppttttttttiiiiiiiioooooooonnnnnnnn iiiiiiiinnnnnnnn PPPPPPPPaaaaaaaattttttttiiiiiiiieeeeeeeennnnnnnnttttttttssssssss WWWWWWWWiiiiiiiitttttttthhhhhhhh IIIIIIIInnnnnnnntttttttteeeeeeeerrrrrrrrnnnnnnnnaaaaaaaallllllll DDDDDDDDiiiiiiiissssssssccccccccDDDDDDDDiiiiiiiissssssssrrrrrrrruuuuuuuuppppppppttttttttiiiiiiiioooooooonnnnnnnn........ SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee22222222000000000000000033333333222222228888888 SSSSSSSS8888888--------SSSSSSSS1111111144444444........44444444 SSSSSSSSaaaaaaaaaaaaaaaallllllll JJJJJJJJSSSSSSSSJJJJJJJJeeeeeeeeffffffffffffffffrrrrrrrreeeeeeeeyyyyyyyy AAAAAAAASSSSSSSS........ MMMMMMMMaaaaaaaannnnnnnnaaaaaaaaggggggggeeeeeeeemmmmmmmmeeeeeeeennnnnnnntttttttt ooooooooffffffff cccccccchhhhhhhhrrrrrrrroooooooonnnnnnnniiiiiiiicccccccc ddddddddiiiiiiiissssssssccccccccooooooooggggggggeeeeeeeennnnnnnniiiiiiiicccccccc lllllllloooooooowwwwwwww bbbbbbbbaaaaaaaacccccccckkkkkkkk ppppppppaaaaaaaaiiiiiiiinnnnnnnnwwwwwwwwiiiiiiiitttttttthhhhhhhh aaaaaaaa tttttttthhhhhhhheeeeeeeerrrrrrrrmmmmmmmmaaaaaaaallllllll iiiiiiiinnnnnnnnttttttttrrrrrrrraaaaaaaaddddddddiiiiiiiissssssssccccccccaaaaaaaallllllll ccccccccaaaaaaaatttttttthhhhhhhheeeeeeeetttttttteeeeeeeerrrrrrrrJJJJJJJJ ........ SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee 22222222000000000000000000000000 222222225555555533333333888888822222222--------3333333388888888888888........55555555 SSSSSSSSaaaaaaaaaaaaaaaallllllll JJJJJJJJAAAAAAAASSSSSSSSaaaaaaaaaaaaaaaallllllll JJJJJJJJSSSSSSSS........ IIIIIIIInnnnnnnnttttttttrrrrrrrraaaaaaaaddddddddiiiiiiiissssssssccccccccaaaaaaaallllllll eeeeeeeelllllllleeeeeeeeccccccccttttttttrrrrrrrrooooooootttttttthhhhhhhheeeeeeeerrrrrrrrmmmmmmmmaaaaaaaallllllll ttttttttrrrrrrrreeeeeeeeaaaaaaaattttttttmmmmmmmmeeeeeeeennnnnnnntttttttt ffffffffoooooooorrrrrrrr cccccccchhhhhhhhrrrrrrrroooooooonnnnnnnniiiiiiiiccccccccddddddddiiiiiiiissssssssccccccccooooooooggggggggeeeeeeeennnnnnnniiiiiiiicccccccc lllllllloooooooowwwwwwww bbbbbbbbaaaaaaaacccccccckkkkkkkk ppppppppaaaaaaaaiiiiiiiinnnnnnnn........ SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee 22222222000000000000000000000000 2222222255555555 22222222666666662222222222222222--------2222222266666666222222227777........66666666 WWWWWWWWoooooooorrrrrrrrlllllllldddddddd HHHHHHHHeeeeeeeeaaaaaaaalllllllltttttttthhhhhhhh OOOOOOOOrrrrrrrrggggggggaaaaaaaannnnnnnniiiiiiiizzzzzzzzaaaaaaaattttttttiiiiiiiioooooooonnnnnnnnWWWWWWWWHHHHHHHHOOOOOOOO ........ CCCCCCCCaaaaaaaannnnnnnncccccccceeeeeeeerrrrrrrr ppppppppaaaaaaaaiiiiiiiinnnnnnnn rrrrrrrreeeeeeeelllllllliiiiiiiieeeeeeeeffffffff aaaaaaaannnnnnnndddddddd ppppppppaaaaaaaalllllllllllllllliiiiiiiiaaaaaaaattttttttiiiiiiiivvvvvvvveeeeeeeeccccccccaaaaaaaarrrrrrrreeeeeeeerrrrrrrreeeeeeeeppppppppoooooooorrrrrrrrtttttttt ooooooooffffffff aaaaaaaa WWWWWWWWHHHHHHHHOOOOOOOO EEEEEEEExxxppppppppeeeeeeeerrrrrrrrtttttttt CCCCCCCCoooooooommmmmmmmmmmmmmmmiiiiiiiitttttttttttttttteeeeeeeeeeeeeeee........ GGGGGeeeeeeeennnnnnnneeeeeeeevvvvvvvvaaaaaaaa WWWWWWWWoooooooorrrrrrrrlllllllldddddddd HHHHHHHHeeeeeeeeaaaaaaaalllllllltttttttthhhhhhhhOOOOOOOOrrrrrrrrggggggggaaaaaaaannnnnnnniiiiiiiizzzzzzzzaaaaaaaattttttttiiiiiiiioooooooonnnnnnnn 1111111199999999999900000000........11111111--------777755555555........7777 SSSSSSSSaaaaaaaaaaaaaaaallllllll JJJJJJJJSSSSSSSSFFrrrrrrrraaaaaaaannnnnnnnssssssssoooooooonnnnnnnn RRRRRRRRCCCCCCCCDDDDDDDDoooooooobbbbbbbbrrrrrrrroooooooowwwwwwww RRRRRRRReeeeeeeetttttttt aaaaaaaallllllll........ HHHHHHHHiiiiiiiigggggggghhhhhhhh lllllllleeeeeeeevvvvvvvveeeeeeeellllllllssssssss ooooooooffffffff iiiiiiiinnnnnnnnffffffffllllllllaaaaaaaammmmmmmmmmmmmmmmaaaaaaaattttttttoooooooorrrrrrrryyyyyyyypppppppphhhhhhhhoooooooosssssssspppppppphhhhhhhhoooooooolllllllliiiiiiiippppppppaaaaaaaasssssssseeeeeeee AAAAAAAA22222222 aaaaaaaaccccccccttttttttiiiiiiiivvvvvvvviiiiiiiittttttttyyyyyyyy iiiiiiiinnnnnnnn lllllllluuuuuuuummmmmmmmbbbbbbbbaaaaaaaarrrrrrrr ddddddddiiiiiiiisssssssscccccccc hhhhhhhheeeeeeeerrrrrrrrnnnnnnnniiiiiiiiaaaaaaaattttttttiiiiiiiioooooooonnnnnnnnssssssssJJJJJJJJ ........ SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee 1111111199999999999900000000 1111111155555555 66666666444444447777--------66666666444444448888888........8888888 CCCCCCCCooooooooppppppppppppppppeeeeeeeessssssss MMMMMMMMHHHHHHHHMMMMMMMMaaaaaaaarrrrrrrraaaaaaaannnnnnnniiiiiiii EEEEEEEETTTTTTTThhhhhhhhoooooooommmmmmmmeeeeeeeeeeeeeeeerrrrrrrr RRRRRRRRTTTTTTTTeeeeeeeetttttttt aaaaaaaallllllll........ IIIIIIIInnnnnnnnnnnnnnnneeeeeeeerrrrrrrrvvvvvvvvaaaaaaaattttttttiiiiiiiioooooooonnnnnnnn ooooooooffffffffppppppppaaaaaaaaiiiiiiiinnnnnnnnffffffffuuuuuuuulllllllllllllllluuuuuuuummmmmmmmbbbbbbbbeeeeeeeerrrrrrrr ddddddddiiiiiiiissssssssccccccccssssssss........ SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee 111111119999999999997777 2222222222222222 22222222333333334444444422222222--------22222222333333335555555500000000........999999 FFrrrrrrrreeeeeeeeeeeeeeeemmmmmmmmoooooooonnnnnnnntttttttt AAAAAAAAJJJJJJJJPPPPPPPPeeeeeeeeaaaaaaaaoooooooocccccccccccccccckkkkkkkk TTTTTTTTEEEEEEEEGGGGGoooooooouuuuuuuuppppppppiiiiiiiilllllllllllllllleeeeeeee PPPPPPPPeeeeeeeetttttttt aaaaaaaallllllll........ NNNNNNNNeeeeeeeerrrrrrrrvvvvvvvveeeeeeee iiiiiiiinnnnnnnnggggggggrrrrrrrroooooooowwwwwwwwtttttttthhhhhhhh iiiiiiiinnnnnnnnttttttttooooooooddddddddiiiiiiiisssssssseeeeeeeeaaaaaaaasssssssseeeeeeeedddddddd iiiiiiiinnnnnnnntttttttteeeeeeeerrrrrrrrvvvvvvvveeeeeeeerrrrrrrrtttttttteeeeeeeebbbbbbbbrrrrrrrraaaaaaaallllllll ddddddddiiiiiiiisssssssscccccccc iiiiiiiinnnnnnnn cccccccchhhhhhhhrrrrrrrroooooooonnnnnnnniiiiiiiicccccccc bbbbbbbbaaaaaaaacccccccckkkkkkkk ppppppppaaaaaaaaiiiiiiiinnnnnnnn........ LLLLLLLLaaaaaaaannnnnnnncccccccceeeeeeeetttttttt 111111119999999999997777 3333333355555555000000001111111177778888888--------11111111888888811111111........1111111100000000SSSSSSSSaaaaaaaaaaaaaaaallllllll JJJJJJJJAAAAAAAASSSSSSSSaaaaaaaaaaaaaaaallllllll JJJJJJJJSSSSSSSS........ IIIIIIIInnnnnnnnttttttttrrrrrrrraaaaaaaaddddddddiiiiiiiissssssssccccccccaaaaaaaallllllll eeeeeeeelllllllleeeeeeeeccccccccttttttttrrrrrrrrooooooootttttttthhhhhhhheeeeeeeerrrrrrrrmmmmmmmmaaaaaaaallllllll ttttttttrrrrrrrreeeeeeeeaaaaaaaattttttttmmmmmmmmeeeeeeeennnnnnnntttttttt ffffffffoooooooorrrrrrrr cccccccchhhhhhhhrrrrrrrroooooooonnnnnnnniiiiiiiiccccccccddddddddiiiiiiiissssssssccccccccooooooooggggggggeeeeeeeennnnnnnniiiiiiiicccccccc lllllllloooooooowwwwwwww bbbbbbbbaaaaaaaacccccccckkkkkkkk ppppppppaaaaaaaaiiiiiiiinnnnnnnnaaaaaaaa pppppppprrrrrrrroooooooossssssssppppppppeeeeeeeeccccccccttttttttiiiiiiiivvvvvvvveeeeeeee oooooooouuuuuuuuttttttttccccccccoooooooommmmmmmmeeeeeeee ssssssssttttttttuuuuuuuuddddddddyyyyyyyy wwwwwwwwiiiiiiiitttttttthhhhhhhh aaaaaaaammmmmmmmiiiiiiiinnnnnnnniiiiiiiimmmmmmmmuuuuuuuummmmmmmm 22222222--------yyyyyyyyeeeeeeeeaaaaaaaarrrrrrrr ffffffffoooooooolllllllllllllllloooooooowwwwwwww--------uuuuuuuupppppppp........ SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee 22222222000000000000000022222222 222222227777 9999996666666666666666--------999999777733333333........1111111111111111LLLLLLLLiiiiiiiiuuuuuuuu BBBBBBBBMMMMMMMMaaaaaaaannnnnnnnoooooooossssssss RRRRRRRRCCCCCCCCrrrrrrrriiiiiiiisssssssscccccccciiiiiiiittttttttiiiiiiiieeeeeeeelllllllllllllllloooooooo AAAAAAAAeeeeeeeetttttttt aaaaaaaallllllll........ CCCCCCCClllllllliiiiiiiinnnnnnnniiiiiiiiccccccccaaaaaaaallllllll ffffffffaaaaaaaaccccccccttttttttoooooooorrrrrrrrssssssss aaaaaaaassssssssssssssssoooooooocccccccciiiiiiiiaaaaaaaatttttttteeeeeeeeddddddddwwwwwwwwiiiiiiiitttttttthhhhhhhh ffffffffaaaaaaaavvvvvvvvoooooooorrrrrrrraaaaaaaabbbbbbbblllllllleeeeeeeeoooooooouuuuuuuuttttttttccccccccoooooooommmmmmmmeeeeeeee uuuuuuuussssssssiiiiiiiinnnnnnnngggggggg iiiiiiiinnnnnnnnttttttttrrrrrrrraaaaaaaaddddddddiiiiiiiissssssssccccccccaaaaaaaallllllll eeeeeeeelllllllleeeeeeeeccccccccttttttttrrrrrrrrooooooootttttttthhhhhhhheeeeeeeerrrrrrrrmmmmmmmmaaaaaaaallllllll mmmmmmmmoooooooodddddddduuuuuuuullllllllaaaaaaaattttttttiiiiiiiioooooooonnnnnnnnIIIIIIIIDDDDDDDDEEEEEEEETTTTTTTT ........ PPPPPPPPrrrrrrrreeeeeeeesssssssseeeeeeeennnnnnnntttttttteeeeeeeedddddddd aaaaaaaatttttttt tttttttthhhhhhhheeeeeeee 1111111155555555tttttttthhhhhhhh AAAAAAAAnnnnnnnnnnnnnnnnuuuuuuuuaaaaaaaallllllll MMMMMMMMeeeeeeeeeeeeeeeettttttttiiiiiiiinnnnnnnngggggggg ooooooooffffffff tttttttthhhhhhhheeeeeeee NNNNNNNNoooooooorrrrrrrrtttttttthhhhhhhhAAAAAAAAmmmmmmmmeeeeeeeerrrrrrrriiiiiiiiccccccccaaaaaaaannnnnnnn SSSSSSSSppppppppiiiiiiiinnnnnnnneeeeeeee SSSSSSSSoooooooocccccccciiiiiiiieeeeeeeettttttttyyyyyyyyNNNNNNNNeeeeeeeewwwwwwww OOOOOOOOrrrrrrrrlllllllleeeeeeeeaaaaaaaannnnnnnnssssssssLLLLLLLLoooooooouuuuuuuuiiiiiiiissssssssiiiiiiiiaaaaaaaannnnnnnnaaaaaaaa22222222000000000000000000000000........22222222000000000000000055555555--------0000000033333333--------111111118888888