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束支

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Objective To improve possibility of transfer extensor carpi ulnaris branch to supinator branch in anatomy. Methods Twelve adult embalmed cadaver arms were dissected.

目的 探讨臂丛颈5、6根性撕脱伤后桡神经尺侧腕伸肌支部分束移位修复旋后肌支解剖上的可行性。

Methods Recurrent branch of median nerve were separated adversely to wrist and both side were differentiated by its thickness,position and pathway of epineurium vessels.

远端定位:自正中神经返支发出处逆行追踪正中神经返支至腕部断裂部位,准确定位远断端上那一束为正中神经返支。

We can find the joints of the weakest stiffness and its directions by using the method of modified Guass elimination.

令每一个最弱劲度点的移动量为一单位,加上每支杆件长度不变的束制条件,得到对应的移动模态向量。

God is alone – but the devil, he is far from being alone; he sees a great deal of company; he is legion. I am no more lonely than a single mullein or dandelion in pasture, or a bean leaf, or sorrel, or a horse-fly, or a bumblebee.

比起牧场上的一朵毛蕊花,一支蒲公英,一片豆叶,一束酢浆草,一只牛虻或大黄蜂来,我并不孤单多少;比想密尔溪,风标,北极星,南风,四月春雨,正月融雪,或者新房中的第一只蜘蛛,我也并不更加孤单。

I am no more lonely than a single mullein or dandelion in pasture, or a bean leaf, or sorrel, or a horse-fly, or a bumblebee. I am no more lonely than the Mill Brook, or a weathercock, or the north star, or the south wind, or and an April shower, or a January thaw, or the first spider in new house.

比起牧场上的一朵毛蕊花,一支蒲公英,一片豆叶,一束酢浆草,一只牛虻或大黄蜂来,我并不孤单多少;比想密尔溪,风标,北极星,南风,四月春雨,正月融雪,或者新房中的第一只蜘蛛,我也并不更加孤单。

The constant nutritional arteries of the great saphenous vein-saphenous nerve on the medial foot: Perforator at medial side of the tendon of the tibialis anterior ,it is (2.27±0.43)cm distal to the intermalleolar line .it passes across the medial side of the tendon of the tibialis anterior and pierces the deep fascia between the upper and lower bundle of the inferior extensor retinaculum with a diameter of (0.72±0.04)mm;The length of it after piercing the deep fascia is (7.3±0.6)mm,It has an emerging rate of 95%; Perforator between tendons ,it is (3.02±0.39)cm distal to the intermalleolar line;it pierces the deep fascia between the tendons of tibialis anterior and extensor digitorum longus with a diameter of (0.57±0.06)mm ;The length of it after piercing the deep fascia is (7.4±0.6)mm .It has an emerging rate of 94%; A constant distal fascial perforator pierces the deep fascia between abductor hallucis muscle and medial side of first metatarsal bone (1.97±0.23)mm distal to the first metatarsophalangeal joint with a diameter of (0.50±0.03)mm.

足内侧大隐静脉-隐神经营养血管近端来自内踝前动脉较为恒定,外径较大的穿支有:踝间线远端(2.27±0.43)cm,经胫骨前肌腱内侧、伸肌下支持带上、下束间穿出,外径(0.72±0.04)mm ,穿出深筋膜的长度为(7.3±0.6)mm,出现率为95%;踝间线远端(3.02±0.39)cm,经胫骨前肌腱与趾伸肌腱穿出,外径(0.57±0.06)mm,穿出深筋膜的长度为(7.4±1.2)mm ,出现率为94%;3远端来自交通支最为恒定,外径较大的穿支于踇展肌与第一跖骨内侧缘之间穿出深筋膜,距第一跖趾并节近端(1.97±0.23)cm,直径(0.50±0.03)mm,穿出深筋膜的长度为(6.5±0.5)mm,出现率为100%。

The epineurial vessels run along the nerves length and gave off branches, distributing along nerve bundle, to enter into endoneurium. The endoneurium contained only capillaries. Arteriolovenular anastomoses were few in trigeminal nerve root. The distribution of microvessels in trigeminal nerve root was uneven. The number of microvessels in the medial portion was less than that of the distant.

神经外膜血管沿神经根径向走行,沿途再发侧支斜行或横行入神经束之间,顺神经根束分布,并发侧支进入神经内膜;半月结内微血管围绕神经节细胞分布;三叉神经根内的微血管配布不均,其近侧端微血管数量较少,远侧端微血管数量较多。

MATERIALS: 2 cube glass vases, one large (6") and one small (4"); 1 small square (approximately 4" x 4" x 3\8") of floral clay; 4"-square flower frog; 5 floral stakes; 2 bunches peonies (approximately 10 stems) in two shades of pink; 1 bunch of lilacs; 1 bunch of miniature kale; 2 bunches of thin asparagus; 5 baby artichokes; 2' pink and green ribbon

材料:2个方型玻璃花瓶,一个大的(6&)和一个小的(4&);1块方型花泥(大约为4&*4&*3/8&),一个4&方型花插,5根插花杆,2束不同深浅的粉红芍药花(大约10支),1束紫丁香,1束小型羽衣甘蓝,2束细芦笋,5个嫩朝鲜蓟,2'粉绿相间的丝带。

Small bottle: 10 ml, 6 individuals; medical gloves: No. 2 pay; stainless steel Yashe Ban: 16 cm, 2 branches card button tourniquet: a single valve of the ventilator: 20 x20cm, 2 tablets; T - Flashlight: an electronic thermometer: 1; blood pressure Table: 1 Taiwan; Stethoscope: single: 1; roll splint fracture: 46 x11cm, 1 vol; finger fracture splint: 5 x11cm, 4 tablets; Yiyong Yang cylinders: 1.4 l, 1 sets of medical scissors: straight round 14 cm, 1把; medical scissors: straight sharp 14 cm, 1把; medical Yong Niezi: 14 cm have teeth, one; bleeding clamp: straight-mosquito, 2 To; scalpels films: 20 #, 2; surgical knife handle:# 4, 1; a needle clamp: 14 cm, 1把; medical suture needle round: 1 / 2 arc, 0.8x20mm, 2枚; medical 1.30 suture needle: 1/2arc, 0.9x24mm, 2枚; medical thread: 1 #, a beam; medical cotton ball: 5 tablets / bag, 2 packets; povidone iodine disinfectant solution: a bottle; compound alcohol disinfection Shijin: 21 x14cm, 4片; Alcohol cotton: 30 Tablets / bag, 1 cylinder; iodine cotton: five tablets / package bag, 4 packets; iodine Mianbang: single-cartridge, 20; wound paste: 72 x19mm, 20 tablets; Butterfly - Shaped wound paste: 4; self-adhesive wound Application: 6 x7cm, 4 tablets

小药瓶:10ml,6只;医用手套:中号,2付;不锈钢压舌板:16cm,2支;卡扣式止血带:1条;单相阀式呼吸器:20x20cm,2片;笔式手电筒:1支;电子体温计:1支;血压表:1台;听诊器:单头:1只;卷式骨折夹板:46x11cm,1卷;手指骨折夹板:5x11cm,4片;医用氧气瓶:1.4l,1套;医用剪刀:直圆14cm,1把;医用剪刀:直尖14cm,1把;医用镊子:14cm 有齿,1支;止血钳:直蚊式,2把;手术刀片:20#,2片;手术刀柄:4#,1把;持针钳:14cm,1把;医用圆缝合针:1/2arc,0.8x20mm,2枚;医用三角缝合针:1/2arc,0.9x24mm,2枚;医用丝线:1#,1束;医用棉球:5tablets/bag,2包;聚维酮碘消毒液:1瓶;复方酒精消毒湿巾:21x14cm,4片;酒精棉球:30粒Tablets/bag,1筒;碘酒棉球:5粒tablets/包bag,4包;碘酒棉棒:单支装,20支;创口贴:72x19mm,20片;蝶形创口贴:4片;自粘伤口敷贴:6x7cm,4片;自粘伤口敷贴:10x10cm,4片;自粘伤口敷贴:10x15cm,4片;吸血垫:10x10cm(1片/包),4包;医用纱布绷带:6x600cm,2卷;自粘弹性绷带: 2.5x450cm,2卷;自粘弹性绷带:5x450cm,2卷;自粘弹性绷带:7.5x450cm,1卷;医用纱布三角绷带:90x90x129cm,2卷;急救毯:140x204cm银色,1条;降温贴:单片装,2片;活络油:5ml,1瓶;云南白药:4g,1瓶;绿药膏:10g,2瓶;急救手册:1本;铝合金箱:1个。

Results:The anterior bundle of the UCL starts from anterior inferior part of the medial condyle,and ends on the sublimis tubercle in front of the coronoid process of ulna,locating in the deep layer of the flexor carpal ulnar muscle.The distance between ulnar nerve and UCL is (0.9±0.1)cm in the center of cubital tunnel,and (0.6±0.3)cm in the distal foramen of cubital tunnel.The distance from the point of ulnar nerve entering the flexor carpi ulnar muscle to the medial epicondyle is (3.7±0.8)cm.The distance between the closest branch innervated flexor muscle of the median nerve and the approach is (1.6±0.5)cm at the level of medial epicondyle,and (0.9±0.4)cm at the level of ulnar tubercle.

结果:UCL前束起于肱骨内侧髁的前下方,止于尺骨冠突内侧的小结节,UCL前束位于尺侧腕屈肌肱头、尺头之间的深层;尺神经在肘管中部与尺侧副韧带前束的平均距离为(0.9±0.1)cm,在肘管的远侧出口,距尺侧副韧带的尺骨止点(0.6±0.3)cm;尺神经至尺侧腕屈肌尺头肌支的入肌点距肱骨内侧髁的距离为(3.7±0.8)cm;正中神经最靠近切口的分支距切口的距离,在肱骨内侧髁和尺骨结节水平分别为(1.6±0.5)cm和(0.9±0.4)cm。

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关闭眼睛,深呼吸,一切不再是梦想,犹如。。。。。。