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In the end-to-side group, the cutaneous antebrachii medialis nerve was transected, then an 1 mm epineural window was created on the ulnar nerve. Distal end of CAM nerve was sutured to the windowed ulnar nerve by means of end-to-side neurorrhaphy. In the normal control group, CAM and ulnar nerves were exposed. One year post-operatively, evaluations including acetylcholinesterase stain and retrograde Fluoro-Gold neuron tracing were conducted.

端侧缝合组切断前臂内侧皮神经,尺神经后内侧方外膜开窗,将前臂内侧皮神经和开窗的尺神经外膜做端侧缝合,正常对照组仅显露前臂内侧皮神经和尺神经。1年后采用乙酰胆碱酯酶染色和Fluoro-Gold荧光逆行示踪技术,观察和计数前臂内侧皮神经纤维和大鼠脊髓C5~T1前角和背根神经节神经元。

The results indicate that the fixation methods for supracondylar fractureshould b that:(1) The fixation with the flexion angle of 9O°in the pronator position is adopted if the medial side presents displacement and the lateral periosteum is broken and the "hinge"of the medial periosteum remained unbroken.

表明肱骨髁上骨折的固定方法宜采用:①若内侧移位,外侧骨膜破裂,内侧骨膜"铰链"完整,则采用屈曲90°旋前位固定;②若外侧移位,内侧骨膜破裂,外侧骨膜"铰链"完整,则采用屈90°旋后位固定;③若内外侧骨膜完全破裂,不论是内侧移位,还是外侧移位,宜采用旋后位固定。

As the deep fascia is incised, laterally retract the medial branch of the first dorsal metatarsal artery and the medial branch of the dorsomedial nerve (a branch of the superficial peroneal nerve), which supplies the medial side of the great toe.

切开深筋膜,将第一跖背动脉内侧支和背内侧神经的内侧支牵向外侧,从背侧分离筋膜至跖骨头内侧滑囊。

As the deep fascia is incised, laterally retract the medial branch of the first dorsal metatarsal artery and the medial branch of the dorsomedial nere (a branch of the superficial peroneal nere), which supplies the medial side of the great toe.

切开深筋膜,将第一跖背动脉内侧支和背内侧神经的内侧支牵向外侧,从背侧分离筋膜至跖骨头内侧滑囊。

Results Two important structures were involved in the novel approach, including medial sural artery and vein and inferior medial genicular artery.

结果 膝关节后内侧倒&L&形径路内的重要血管、神经结构少,主要有腓肠内侧动静脉及腓肠肌内侧头肌支、膝下内侧动脉。

The saphenous nerve courses posterior to the sartorius muscle, then pierces the fascia lata between the tendons of the sartorius and gracilis muscles, and becomes subcutaneous on the medial aspect of the leg; on the medial aspect of the knee it gives off a large infrapatellar branch to supply the skin over the anteromedial aspect of the knee.

隐神经先走行于缝匠肌后方,穿过缝匠肌和股薄肌腱间深筋膜后则位于小腿内侧皮下;并于膝关节内侧分出粗大的髌下支支配膝关节前内侧皮肤。

The saphenous nere courses posterior to the sartorius muscle, then pierces the fascia lata between the tendons of the sartorius and gracilis muscles, and becomes subcutaneous on the medial aspect of the leg; on the medial aspect of the knee it gies off a large infrapatellar branch to supply the skin oer the anteromedial aspect of the knee.

隐神经先走行于缝匠肌后方,穿过缝匠肌和股薄肌腱间深筋膜后则位于小腿内侧皮下;并于膝关节内侧分出粗大的髌下支支配膝关节前内侧皮肤。

METHODS: Frozen fresh knees of cadavers were dissected gradually. Structural composition of MCL was observed, and the length and width of superficial and deep layers of the MCL were measured. The position, shape, size of the attachment points and their relationships were observed, and the tensity of the superficial and deep layers of MCL and posteromedial articular capsule were observed during flexion and extension of the knee, from which their functions were deduced.

冰冻新鲜尸体标本膝关节进行逐层解剖,观察内侧副韧带结构组成:测量内侧副韧带浅层和深层的长度、宽度;观察它们附着点的位置、形状、大小以及相互关系,以及观察内侧副韧带浅层与深层及后内侧关节囊在屈伸膝关节时的紧张度,由此推测其功能。

Wider access to the joint may be attained in the following ways:(1) by extending the incision proximally,(2) by extending the proximal part of the incision obliquely medially and separating the fibers of the astus medialis,(3) by diiding the medial alar fold and adjacent fat pad longitudinally, and (4) by mobilizing the medial part of the insertion of the patellar tendon subperiosteally.

还可以通过下述方法扩大手术显露:①将切口向近端延长;②将切口近端部分斜向内侧延长并分开股内侧肌纤维;③纵向劈开内侧翼状襞及邻近的脂肪垫;④骨膜下松解髌韧带止点的内侧部分。(缩略图,点击图片链接看原图

When aborted rats were injected with 10 IU/g IFN-γin group D, compared with group A, expression of TNF-αinmmuopositive substance in the nucleus pre-opticus medialis, nucleus supra-opticus, nucleus pre-opticus mango celluaris, nucleus periventricularis hypothalami, nucleus paraventricularis hypothalami, nucleus arcuatus hypothalami were highly increased, conversely, the ones in the nucleus pre-opticus suprachiasmaticus, neurohypophsis, adenohypophysis, ovary were obviously decreased, the change in the uterus was not remarkable; Compared with group B, expression of TNF-αin the arcuatus hypothalami was obviously enhanced, while in the nucleus pre-opticus suprachiasmaticus, nucleus pre-opticus mango celluaris, nucleus periventricularis hypothalami, nucleus paraventricularis hypothalami, nucleus ventromedialis hypothalami, nucleus dorsomedialis hypothalami, neurohypophsis, pars intermedia, ovary, the results were on the contrary, the uterus had no significantly variation; Compared with group C, expression of TNF-αin the nucleus pre-opticus medialis, nucleus supra-opticus, nucleus paraventricularis hypothalami, nucleus arcuatus hypothalami, adenohypophysis and pars intermedia had an obviously risen trend, however, the variation in the nucleus pre-opticus suprachiasmaticus, nucleus periventricularis hypothalami, neurohypophsis, pars intermedia, follicle and corpus luteum was completely opposite, uterus had no obviously change.

外源腹腔注射10 IU/g IFN-γ后,同A组相比:D组TNF-α免疫阳性产物在下丘脑视前内侧核、视上核、视前大细胞核、室周核、室旁核、弓状核显著增高,在视交叉上核显著降低,在其它核团较A组无显著差异,在神经垂体、垂体前叶、卵巢中阳性产物表达均较A组显著降低,在子宫中的表达较A组变化不明显;同B组相比:D组TNF-α免疫阳性产物在弓状核显著增高,在视交叉上核、视前大细胞核、室周核、室旁核、腹内侧核、背内侧核、神经垂体、垂体中间部、卵巢各部阳性物质表达均显著降低,在子宫表达变化不显著;同C组相比:D组下丘脑视前内侧核、视上核、室旁核、弓状核、垂体前叶与中间部均显著增高,在视交叉上核、室周核、神经垂体、卵泡、黄体中均显著降低,子宫中表达变化不明显。

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