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Anatomical study proved:①.4~8 nutritional vessels of sural nerve –small saphenous vein were the intermuscular perforators of peroneal artery, the furthermost one located at(1.0±1.3)cm above the tip of external malleolus with diameter (0.6±0.2)mm;②.2~6 musculocutaneous perforators were given off by the artery of outer head of gastrocnemius muscle to supply nutrition to the sural nerve-small saphenous vein;③.intermuscular perforators from peroneal artery supplied blood to fibula and outer head of soleus muscle.the perforators with an average outer diameter of (1.3-1.6)cm gave off cutaneous branch ,fascial branch and nutritional vessels to the sural nerve-small saphenous vein,which formed the vessel chain of the sural nerve-small saphenous vein ,sub-fascial and suprafascial vessel net.

结果:1、解剖实验证实:①、腓肠神经-小隐静脉营养血管来自腓动脉肌间隔穿支4~8支,最远的跟外侧动脉穿支距外踝尖上(1.0±1.3)cm,外径(0.6±0.2)mm。②、腓肠肌外侧头动脉沿途发2-6支的肌皮穿支营养腓肠神经-小隐静脉。③、腓动脉肌间隔穿支营养腓骨、比目鱼肌外侧半。上述穿皮支平均外径在0.3~1.6mm,发出皮支、筋膜支、腓肠神经-小隐静脉营养血管,形成腓肠神经-小隐静脉血管链以及深、浅筋膜血管网。

The blood supply to this skin area was giving rise from the superior lateral genicular artery and had numerous anastomosis with the lateral femoral circumflex artery, cutaneous branch of the popliteal artery and the inferior lateral artery.

皮动脉以很小的角度在股骨外侧髁稍上方由膝上外侧动脉发出,从股外侧肌、股二头肌肌间隙穿出深筋膜,并和旋股外侧动脉、腘动脉直接皮支、膝下外侧动脉有丰富的吻合。

The function of musculocutaneous nerve , suprascapular nerve and radial nerve were examined.

电刺激6个月后观察肌皮神经、肩胛上神经及桡神经的功能恢复情况。

Objective: To provide the anatomical basis for the reparing of axillary nerve and musculocutaneous nerve with brachial triceps branches of radial nerve.

目的:明确桡神经肱三头肌支的解剖学特征,为臂丛上干损伤腋神经或肌皮神经肱二头肌支的修复提供解剖学基础,使术式更安全、简单。

Morphologically similar lesions from 26 patients (mean age, 62 y; range, 46 to 88 y; male/female ratio, 10/16) were retrieved from surgical pathology and consult files. Clinical and endoscopic data were obtained, and immunohistochemistry for S-100 protein, glial fibrillary acidic protein, neurofilament protein, epithelial membrane antigen, claudin-1, CD34, smooth muscle actin, and KIT was performed. The findings were compared with those in mucosal biopsies of 5 submucosal neurofibromas from NF1 patients.

我们从外科病理和档案库里调取了26例病变形态相似的病例(患者平均年龄62岁,范围:46至88岁,男女比例:10/16),得到了他们的临床及内窥镜资料,并给它们都做了S-100蛋白、胶质纤维酸性蛋白、神经丝蛋白、上皮膜抗原、闭合蛋白-1(claudin-1)、CD34、平滑肌肌动蛋白和KIT的免疫组化,所得的结果都与5例NF1患者粘膜下神经纤维瘤的粘膜活检的结果相比较。

Partial median nerve transfer is a simple ,safe and effective procedure for brachial plexus upper trunk avulsions and elbow flexion reconstruction .

正中神经部分束支移位于肌皮神经肱二头肌肌支是治疗臂丛神经上干型根性撕脱伤、重建屈肘功能的一种简单有效、安全可靠的手术方法。

Imageological methods, such as ultrasound and molybdenum tarsget are not sensitive for the diagnosis of breast sclerosing adenosis. IHC staining of myoepithelium is an important for the diagnosis of breast sclerosing adenosis demarcated with breast cancer. Non-palpable lesion of breast sclerosing adenosis can be surgically exsected with the guide wire localization under molybdenum target.

B超、钼靶等影像学方法对于诊断硬化性腺病的敏感性较差;免疫组化染色肌上皮标记SMA、P63是鉴别乳腺硬化性腺病与乳腺癌的重要指标;对于不能触及病变的硬化性腺病可采用钼靶摄片下钢丝定位后外科切除。

The results of classification of nutrition status with MNA and MNA-SF method is highly consistent.

结果 (1)以MNA法和MNA-SF法分组的不同组别在BMI、三头肌皮褶厚度﹑上臂肌围﹑小腿围﹑白蛋白﹑血红蛋白上差异均有显著性,但淋巴细胞和血总胆固醇差异无显著性。

For lymphocyte and serum total cholesterol, there is no statistic difference among MNA groups as well as MNA-SF groups.

结果 (1)以MNA法和MNA-SF法分组的不同组别在BMI、三头肌皮褶厚度﹑上臂肌围﹑小腿围﹑白蛋白﹑血红蛋白上差异均有显著性,但淋巴细胞和血总胆固醇差异无显著性。

Basing on the setup of animal model of root avulsion of the brachial plexus, we divided the experimental animal into four groups by the operative method: Group A: one end of the maternal nerve graft was connected with the upper trunk of the healthy side by end-to-side neurorrhaphy, and the other end was sutured to the distal stump of musculocutaneous nerve infraclevicularly by end-to-end neurorrhaphy. Goup B: on the healthy side, the operation was the same, the other end was sutured to the distal end of C〓 by end-to-end neurorrhaphy on the affected side. Group C: the maternal nerve graft bridged the phrenic nerve and infraclevicular musculocutaneous nerve of the affected side by end-to-end neurorrhaphy. Group D: the phrenic nerve was sutured to the distal end of C〓 supraclevicularly by end-to-end neurorrhaphy.

在构建了模拟小儿臂丛神经根性撕脱伤的动物模型基础上,将实验动物按手术方式分组如下,A组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨下肌皮神经远端行端端吻合。B组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨上颈〓远端行端端吻合。C组:母鼠提供的的神经移植体桥接于子鼠患侧膈神经与锁骨下肌皮神经之间。D组:子鼠患侧膈神经直接与锁骨上颈〓远端行端端吻合。

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