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Objective To study the effective way to reduce the loss of blood and the method of repairing epicranium defect in resection of gaint epicranium neurofibroma.

目的:探索头皮巨大神经纤维瘤切除术中减少出血及创面修复的方法。

ConclusionTumecent technique around neurofibroma with skin soft-tissue expansion technique can be used in resection of gaint epicranium neurofibroma.

瘤周肿胀技术配合扩张器技术可以较好地完成头皮巨大神经纤维瘤的完整切除及修复

Zinc is an essential compound in many enzymatic processes and is known to be important for the integrity of epidermis.

锌在许多酶反应中是个非常重要的化合物,同时对表皮的修复也是起到非常重要的效果。

Objective: To assess the value of epiglottis in repair of vertical partial laryngectomy for pyriform sinus carcinoma.

目的:探讨会厌在梨状窝癌行梨状窝及喉垂直部分切除术缺损修复中的应用价值。

2The anterior cutereous branches of the obturator artery penetrate deepfascia of thigh and epimysium of the adductor muscles closing against the lower rami of pubisor at its outer margin.Pudendal-thigh skin flap pedicled on it may be elevated to repairrectovaginal fistula or small skin defects of perineum.As its piercing point is much higher andthe location of pedicle is more fixed because of restriction of pubic rami,it is not suited toreconstruct new vagina.Moreover,it is not appropriate naming the obturator aretry(or themedial femoral circumflex artery)the pudendal-thigh artery.

闭孔动脉前皮支紧邻耻骨下支或于其外侧缘,穿大腿深筋膜和内收肌肌膜浅出,以之为蒂可以形成皮下蒂阴股沟岛状皮瓣,用于阴道直肠瘘或会阴部较小皮肤缺损的修复,但由于闭孔动静脉前皮支浅出点位置较高,并且由于耻骨下支的阻挡和限制,致使血管蒂的位置较为固定,以之为蒂形成的阴股沟皮瓣不适宜用于阴道再造;另外,将闭孔动脉命名为阴股沟动脉,也有欠妥帖。

Methods One-stage emergent repair of89upper extremity peripheral nervous injuries by epineurium suture.

采用显微外科技术急诊Ⅰ期神经外膜缝合修复上肢周围神经损伤89例。

Part three: An experiment study on the repair of peripheral nerve injury by NT-3 gene modified neural stem cells objective To investigate the effective treatment of peripheral nerve injury with NT-3 gene modified neural stem cells, to explore the feasibility of the treatment by means of gene transfection Methods 54 SD rats were divided evenly into 3 groups. The sciatic nerve transected model were made and sutured end to end with epineurium. The neural stem cell without NT-3 gene or with NT-3 gene modified were injected into triceps muscle one time a week, saline injected as control group. The nerve trunks of stomas and triceps muscle were acted as specimen three weeks、six weeks and nine weeks after operation.

最后,为了探讨神经营养素-3基因修饰的神经干细胞对周围神经再生修复的影响,从转基因角度探讨治疗周围神经损伤的有效方法,我们选用54只SD大鼠随机分为3组,造成坐骨神经切断损伤模型,神经外膜端端对位缝合后,于小腿三头肌每周分别注射生理盐水、未被神经营养素-3基因修饰的神经干细胞、及神经营养素-3基因修饰的神经干细胞。

METHODS The animal models of the transected sciatic nerve of 40 SD rats were established, which divided into 4 groups: normal saline group, nerve growth factor group, bFGF group and normal control group. The epineurium of the transected sciatic nerve was sutured under microscope, then bFGF or NGF was dropped into local sites and injected intramuscularly once a day for 30 days after operation.

建立大鼠坐骨神经离断模型,镜下进行神经外膜缝合,局部滴加药物和术后肌注bFGF 以及临床用药神经生长因子,通过神经传导速度和功能指数评定观察坐骨神经修复情况。

Methods The animal models of the transected sciatic nerve of 40 SD rats were established, which divided into 4 groups:normal saline group, nerve growth factor group,bFGF group and normal control group. The epineurium of the transected sciate nerve was sutured under microscope, then bFGF or NGF was dropped into local sites and injected intramuscularly once a day for 30 days after operation.

建立大鼠坐骨神经离断模型,镜下进行神经外膜缝合,局部滴加药物和术后肌注bFGF以及临床用药神经生长因子,通过神经传导速度和功能指数评定观察坐骨神经修复情况。

While the treatment group rats bone epiphysis was thicker, the trabecular pattern was similar to the normal group.

治疗组与模型组相比骺板增厚,骨小梁排列及走行基本达到正常组水平,立体网状结构得到一定程度修复

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