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Objective:To explore the therapeutic effect of different methods for treating suprascapular nerve entrapment syndrome.

目的:探讨不同方法治疗肩胛上神经卡压综合征的疗效。

The decision to transpose the ulnar nerve may be based in part on the injury type and be done when implants are applied to the medial epicondyle and medial side of the trochlea.

转位尺神经的决定在一定程度上可以基于损伤类型,当有植入物用于内上髁和滑车的内侧边时应当进行。

B, Ulnar nerve has been retracted posteriorly, and medial epicondyle is being freed.

从内上髁后方的尺神经沟中游离尺神经,并向后方牵开。

The length and width of the arcuate ligament,the depth of the cubital tunnel,the extension of the ulnar nerve and the distance from medial epicondyle to olecranon as the elbow flexed from neutral to 90 degrees were measured.

观察60个肘关节标本肘管的构成,测量肘管弓状韧带的长宽和肘管中部的深度,以及肘关节屈曲90°时肱骨内侧髁和尺骨鹰嘴距离的变化,尺神经被牵拉的幅度。

Methods :60 elbows of adult cadavers were dissected.The length and width of the arcuate ligament,the depth of the cubital tunnel,the extension of the ulnar nerve and the distance from medial epicondyle to olecranon as the elbow flexed from neutral to 90 degrees were measured.

观察60个肘关节标本肘管的构成,测量肘管弓状韧带的长宽和肘管中部的深度,以及肘关节屈曲90°时肱骨内侧髁和尺骨鹰嘴距离的变化,尺神经被牵拉的幅度。

The length and width of the arcuate ligament were 9.7±2.3 mm and 14.1±4.2 mm respectively.The depth of the cubital tunel was 5.2±1.1 mm,The extension of ulnar nerve and the distance from epicondyle to olecranon were 7.2%±0.5% and 4.7±1.5 mm.

弓状韧带宽9.7±2.3 mm,长为14.1±4.2 mm,肘管中段的平均深度5.2±1.1 mm,当肘关节曲屈90°时,肱骨内侧髁到尺骨鹰嘴的距离增加4.7±1.5 mm,尺神经被拉长的幅度为7.2%±0.5%。

Results:radial nerve crossed the posterior aspect of the humerus 18.2±0.4 cm above the medial epicondyle,13.9±1.3 cm above the olecranon and 8.4±1.4 cm above the lateral epicondyle.

结果:桡神经在肱骨内上髁上方(18.2±0.4) cm,臂后中线鹰嘴上方(13.9±1.3) cm,肱骨外上髁上方(8.4±1.4) cm跨过肱骨后面。

Segment ulnar nerve conduction studies showed that most of the lesions were located above or below the medial epicondyle 2-3cm.③ Abnormal flexor carpi ulnaris muscle electromyography was not found involved in ulnar neuropathy at the elbow. Conclusion Short??

结果 ①尺神经病变组中有19例出现尺神经在肘上至肘下段运动神经传导速度减慢;②尺神经肘上至肘下段短节段性神经传导检测结果显示具体病变部位多数集中在肱骨内上髁上下2-3cm内;③尺神经在肘部病变者并非均有尺侧腕屈肌肌电图的异常。

During this group patient is changing cure, 1.2 harmful response all differ of degree have the whole body difference of lack of power, accept, epigastrium bilges frowzily feeling, have among them constipation and / or defecate secret person 97, occupy 38.8%, gastric bowel path reacts person 79, occupy 31.7%, the person that marrow is restrained 31, occupy 12.4%, oral cavity ulcer person 18, occupy 0.7%. 2 before changing cure, nurse 2.1 elaborate psychology nurse, eliminate patient of mental obstacle old age to have in all many sided such as nerve, physiology, thinking not at patient of other age group, together with is mixed to the fear of cancer distressed mood, cause very easily angst and / or depressed mental state.

其中食管癌173例(术后138例),贲门癌42例(术后27例),乳腺癌16例,肺癌11例(非小细胞型肺癌3例),非柯杰金氏淋巴瘤7例。1.2不良反应本组患者在化疗期间均不同程度的有周身乏力、纳差、上腹部闷胀感,其中有便秘和/或大便秘者97例,占38.8%,胃肠道反应者79例,占31.7%,骨髓抑制者31例,占12.4%,口腔溃疡者18例,占0.7%。2化疗前护理2.1精心心理护理,消除精神障碍老年患者在神经、生理、思维等诸多方面有别于其它年龄组患者,加之对癌症的惧怕和忧伤情绪,很易引发焦虑和/或抑郁的心境。

METHODS: Peripheral nerve injury models of New Zealand rabbits were established. The immediate repairing group received suture immediately after injury; For the other three groups, the two broken ends of their nerves were fixed on sarcolemmas temporarily and their wounds were sutured layer by layer. Then they were opened respectively at week 2, week 4 and month 3 after injury, to receive epineural suture with non traumatic 10-0 nylon suture under operating microscope, after which wounds were sutured again.

建立成年新西兰大白兔周围神经损伤模型,即时修复组立即缝合伤口,2周后神经修复组、4周后神经修复组、3个月后神经修复组采用神经两断端分别固定于肌膜上,逐层缝合伤口,2周,4周,3个月后重新打开伤口,在手术显微镜下用10-0无损伤尼龙针线进行外膜缝合修复坐骨神经,缝合伤口。

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