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Results:The following were observed and measured:the location where the genitofemoral nerve coming out from the psoas major,the plane of the location the highest plane of the iliac crest,common iliac vessels branch plane,the distance between the ureter and the lateral part of the psoas major,the distance between the genitofemoral nerve and the lateral part of the psoas major,the distance between the genitofemoral nerve and the ureter,the location at the decussation of the genitofemoral nerve and the ureter.

结果:观测了生殖股神经穿出腰大肌的位置;在穿出点平面、髂嵴最高点平面、髂总血管分叉平面,输尿管距离腰大肌外侧缘的水平距离,生殖股神经距离腰大肌外侧缘的水平距离,生殖股神经与输尿管的水平距离;生殖股神经与输尿管交叉点与腰大肌外侧缘的水平距离,交叉点距离髂嵴最高点平面的垂直距离。

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。

There were two variants of the central approach, the choice of which depends on whether the frontal nerve was retracted medially or laterally.

外侧入路是经上直肌与外直肌之间的间隙,根据眼上静脉牵向内侧还是外侧也分为两种术式,经此入路可切除眶尖区上、下、外侧部及眶上裂区病变。

Objective To investigate the application of anterolateral thigh fasciocutaneous flap on abdominal chronic ulcer,and provide evidence for its clinical use. Methods From Oct 2005 to Dec 2008,5patients with abdominal ulcer caused by different reasons were repaired with anterolateral thigh fasciocutaneous flap, the flap pedicled with rami descenden of lateral circumflex femoral artery was designed according to the size of abdominal defect,the vessel pedicle was dissociated adequately, the flap was transferred to the abdominal wound under appropriate tension through tunnel, the donor site was sutured directly or repaired with skin-grafting. Results The anterolateral thigh fasciocutaneous flap survived well in all 5 patients,there were no other complication such as skin necrosis.

目的:探讨股前外侧皮瓣在下腹部慢性溃疡中的作用,为其临床应用提供依据;方法:2005年10月~2008年12月间,对5例不同原因引起的下腹部慢性溃疡患者进行修复,术前根据腹部组织缺损的大小设计以旋股外侧动脉降支为血管蒂的岛状股前外侧皮瓣,充分游离血管蒂部,在合适张力下经过皮下或开放隧道将皮瓣带蒂转移至下腹部创面,供区直接缝合或植皮修复。

After treated the spinal cord slice at E18 ~ P0 with ChABC at a final concentration of 0.1 U/ml, CGRP-LI fibers in the superficial layers of DH and their branches were seen to extend ventrally instead. When the concentration of ChABC increased to 0.5 U/ml, the above changes were more obvious.

2用0.1 U/ml终浓度的ChABC处理E18 ~ P0的小鼠脊髓片后,原本由DH浅层外侧部向腹内侧延伸的CGRP-LI轴突转为向腹外侧延伸,由DH浅层内侧部向腹外侧延伸的轴突同原本向背侧延伸的分支一起变为向腹侧生长。

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。

Such as mouth pain, dizziness, malaria, headache, jaw pain, head pain, outer canthal, Quepen Department of swelling, pain, armpit swelling, chest, threatening, stocks, and lower extremity lateral pain, lateral foot pain, foot fever and other certificates outside

如口苦,目眩,疟疾,头痛,颔痛,目外眥痛,缺盆部肿痛,腋下肿,胸、胁、股及下肢外侧痛,足外侧痛,足外侧发热等证

The CGRP-positive fibers in the MrD of the striatum connected dorsally with the bed nucleus of the stria terminals through the stria terminals, ventrally with the amygdaloid nucleus, and caudally with the CGRP-positive cell bodies in the lateral part of the substantia nigra and its dorsolateral area.(4) The CGRP-positive fibers connected mainly with the central amygdaloid nucleus, and less with the medial amygdaloid nucleus; the CGRP-positive fibers in the lateral border of the caudate putamen connected mainly with the central amygdaloid nucleus as well.

并与边缘区的CGRP阳性纤维带之间存在较多的横向联系纤维;(3)纹状体边缘区的CGRP阳性纤维向背侧通过终纹与吻侧的终纹床核联系,向腹侧与杏仁核的CGRP阳性纤维相连,向尾侧和中脑黑质外侧部及其背外侧区的CGRP阳性胞体相连;(4)边缘区的CGRP阳性纤维主要与杏仁中央核相联系,少量与杏仁内侧核相联系;尾壳核外侧缘的CGRP阳性纤维也主要与杏仁中央核相联系。

Results ①In 60% of the specimens, the deep dural layer of the lateral wall of CS was incomplete, which was located in the posterior part of Parkinson's triangle or the anterior part of Mullan's triangle;②The length of each side of the Parkinson's triangle was (13.28±3.77) mm,(15.19±3.84) mm and (5.52±1.06) mm respectively; While that of the Mullan's triangle was (15.09±4.12) mm,(8.81±2.38) mm and (10.91±2.03) mm respectively;③ The course of the intra-cavernous trochlear nerve had three types: straight, convex and intercrossed type.

鉴于CS外侧壁深层不完整的原因尚无定论,且国内关于CS外侧壁诸三角和穿行脑神经行径的资料较缺乏〔1~ 4〕,笔者进行了该方面的研究,拟进一步探讨CS外侧壁形态特点,并为临床CS外侧壁手术入路设计、避免脑神经损伤提供解剖学基础。1 材料与方法成人头颅湿标本 15例(30侧),经福尔马林溶液固定,动脉灌注红色乳胶

Wherein, the handle is formed by the hand-holder and a handle tube with adjustable length; the machine body has a handle mounting part and several parts inside it to filter the foreign matters of air; the fixing plug can fix handle tube on the machine body; the handle guider can guide the handle tube on one side of machine body and it is formed by the inner guider at the back of machine to cover the front of handle tube and a outer guider outside the inner guider to cover the back of handle tube, while the inner and outer guiders have protective element to avoid their damage caused by the friction between them and handle tube.

把手由手握部和可调整长度的把手导管构成;机身形成有把手安装部,并内置多个部件而过滤空气中异物;固定插座将把手导管固定在机身上;把手导向在机身的一侧引导把手导管移动。把手导向由在机身后面包住把手导管前面的内侧导向和在内侧导向外侧包住把手导管后面的外侧导向构成。这样的内侧导向和外侧导向还配备保护部件,防止内侧导向和外侧导向与把手导管摩擦而受到损伤。

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