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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 inferior mesenteric artery, especially in younger individuals without atherosclerotic occlusive arterial disease, can almost always be sacrificed without complication. Adequate collateral circulation is usually provided from below by inferior and middle hemorrhoidal vessels and from above by superior mesenteric arterial branches via the marginal artery of the colon.

肠系膜下动脉,尤其是对于那些没有患动脉粥样硬化疾病的青年人,几乎能够去掉,也不会产生并发症,因为有充足的侧支循环代替它,下部有下和中间直肠肛门血管,上部则是通过结肠的边缘动脉从肠系膜上动脉获得。

Results: Lateral extradural approach could be used to expose the second and third branches of trigeminal nerve,trigeminal ganglion,posterior vertical segment of the intrapetrosal ICA,abducent nerve and horizontal segment of the intrapetrosal ICA;lateral intradural approach could be used to expose the lateral,anteroinferior and posterosuperior venous spaces,almost all the cranial nerves within the cavernous sinus and horizontal segments of the intracavernous ICA;superior approach could be used to expose the medial,lateral and posterosuperior venous spaces,medial side of the anterior genu,anterior vertical and clinoidal segments of the intracavernous ICA and the lateral side of the hypophysis.

结果:外侧硬膜外入路可用于显露三叉神经第2、3支,三叉神经节,海绵窦内颈内动脉后垂直段,外展神经及岩骨颈内动脉水平段;侧方硬膜下入路可用于显露海绵窦外侧及前下,后上静脉间隙,以及所有走行在海绵窦内的颅神经和海绵窦内颈内动脉水平段;上方入路可用于显露海绵窦内侧、外侧及后上间隙,海绵窦内ICA水平段、前膝、前垂直段及床突段的内侧面,以及垂体的外侧面。

Methods 104 patients with chronic cerebral circulation insufficiency were randomly divided into two groups.in basis of routine therapy, patients in treatment group (n=56) were treated by yangxue qingnao granules,4 g,three times a day; patients in control group (n=48) were treated by troxerutin, 3 pills a day.the course was 30 days in two groups.the indexes of hemorrheology and mca,aca,pca, va, ba and pi were observed before and after treatment.results there were significant differences between two groups in blood viscosity, plasma viscosity, mca,aca,pca,mca and pi after treatment (p.05).conclusion yangxue qingnao granules have definite effect on chronic cerebral circulation insufficiency, and decrease and hemorrheology in patients with ccci, relieve angiospasm and improve clinical symptoms.

将慢性脑供血不足患者104例随机分为2组。在常规治疗基础上治疗组56例加服养血清脑颗粒,每次4 g,每日3次口服。对照组48例在常规治疗基础上加服曲克芦丁,每次2片,每日3次口服。2组均30日为1个疗程。观察2组临床疗效,治疗前后血液流变学指标及大脑中动脉、大脑前动脉、大脑后动脉、左右椎动脉和基底动脉的搏动指数及阻力指数的变化。结果 2组治疗后全血黏度、血浆黏度,mca、aca、pca的pi及mca的ri及总有效率比较差异均有统计学意义(p<0.05)。结论养血清脑颗粒治疗慢性脑供血不足疗效确切,能降低ccci患者的血液黏稠度及血液流变学指标,增加脑供血,缓解血管痉挛,改善临床症状,改善脑供血不足。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume (>5 cm3) confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA. In 2 cases with small cerebral infarction volume(<5 cm3), MSCTPI and MSCTA revealed normal.

其中32支颈内动脉呈不同程度的狭窄,5支颈内动脉闭塞,11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死(>5 cm3)的患者,MSCTPI发现与梗死灶相对应的异常灌注区,且均比常规CT及MRI图像上病灶体积大, MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者,为小体积梗死灶(<5 cm3),MSCTA显示颈内动脉正常。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume (>5 cm3) confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA.

其中32支颈内动脉呈不同程度的狭窄,5支颈内动脉闭塞,11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死(>5 cm3)的患者,MSCTPI发现与梗死灶相对应的异常灌注区,且均比常规CT及MRI图像上病灶体积大, MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者,为小体积梗死灶(<5 cm3),MSCTA显示颈内动脉正常。

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 skin flaps pedicled with the infraorbital artery used in six clinical cases have survived well in the nasal tissue defects.

结果:①眶下动脉与内眦动脉、面动脉及其分支在鼻唇沟有丰富的吻合;②临床上应用6例以眶下动脉为蒂形成的皮瓣用于鼻部缺损修复均获成功。

Both the two sides superior thyroid arteries were mainly arose from antero-endhymenine wall of genesis arteries (58.45%), inferior thyroid arteries of the thyrocervical trunk from endhymenine wall, and the ima thyroid arteries of genesis arteries all from anterior wall.

甲状腺上动脉源自起源动脉前内壁最多(58.45%);起源于甲状颈干的双侧甲状腺下动脉均源自其内侧壁;甲状腺最下动脉均源自起源动脉前壁。

Methods Twelve patients with clinically proved insulinoma underwent ASVS test Gastroduodenal artery, superior mensenteric artery, proximal and distal splenic arteries were selectively catheterized for stimulation by rapid injection of calcium glueonate. Blood was sampled through hepatic vein before and 30, 60, 90, 120, 150, 180 s after stimulation for gauging the insulin levels. The tumor site was considered to be at the corresponding area supplied with certain artery stimulated showing the peak ratio of insulin to the baseline.

对12例临床定性诊断为胰岛素瘤患者术前行ASVS检查,选择性插管至胃十二指肠动脉、肠系膜上动脉、脾动脉近段和远段,分别快速注入葡萄糖酸钙激发,于激发前和激发后30、60、90、120、150和180s经肝静脉采血测胰岛素值,计算不同激发值与基础值之比值,将比值最高者的动脉所供应的胰腺区域认定为肿瘤所在区域。

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