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In experimental side, the peroneal nerve was transected, the distal segment was kept close to neighboring tibial nerve at suitable site, and then the epineurium and perineurium of two neigh...

实验侧 :将腓总神经在大腿下 1/3处切断,断端结扎后将其远端与相邻胫神经干适当松解后靠拢,纵行切开两神经相邻侧面的神经外膜、束膜长约 0.5 cm,至部分神经纤维外露。

ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODSThe intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

[目的]探讨下颌管的解剖结构与牙种植的关系[方法]选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本,测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据,进行统计学分析[结果]牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽;牙槽嵴由上向下逐渐增宽;下颌管位于下颌骨体内下方走行中偏舌侧,并近下颌骨下缘,在下颌第1,2磨牙区下颌管走行与下颌下缘成平行状,在近颏孔处转向外和向颊侧出颏孔;下颌管内血管位于下牙槽神经之上[结论]牙种植术中按正常解剖部位并且侧重颊侧骨板操作,可避免损伤下牙槽神经;如果术中下颌管内突然涌出大量新鲜血液,则提示若继续手术可能损伤下牙槽神经。

ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODS The intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

[目的]探讨下颌管的解剖结构与牙种植的关系[方法]选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本,测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据,进行统计学分析[结果]牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽;牙槽嵴由上向下逐渐增宽;下颌管位于下颌骨体内下方走行中偏舌侧,并近下颌骨下缘,在下颌第1,2磨牙区下颌管走行与下颌下缘成平行状,在近颏孔处转向外和向颊侧出颏孔;下颌管内血管位于下牙槽神经之上[结论]牙种植术中按正常解剖部位并且侧重颊侧骨板操作,可避免损伤下牙槽神经;如果术中下颌管内突然涌出大量新鲜血液,则提示若继续手术可能损伤下牙槽神经。

An intimate knowledge of the courses and positional relations to the 12th rib about subcostal nerve, iliohypogastric nerve and ilioinguinal nerve play very important roles in avoiding injury of the 3 nerves during the operation on kidney or lumbar hernia.

熟悉腰上三角前方肋下神经、髂腹下神经和髂腹股沟神经的走行及与第12肋的位置关系,对于避免手术中损伤这3条神经具有重要的实际意义。

Methods: The shape and formation of superior lumbar triangle were observed from the external surface of posterior abdominal wall. The grouping patterns and courses of subcostal nerve, iliohypogastric nerve and ilioinguinal nerve passing the front of superior lumbar triangle were also observed.

从腹后壁外面观察腰上三角的形态及构成,由其内面观察经过该三角前方的肋下神经、髂腹下神经和髂腹股沟神经的组合形式及走行,并分别测量其与第12肋下缘的距离。

NGFR positive nerve fibres were markedly reduced or absent in muscular layer and submucous layer while the hypertrophic nerve trunks in myenteric and submucosal plexuses showed a sheath of intense staining in the aganglionic colon from patients with HD.

结果 丰富的NGFR染色阳性神经纤维分布于正常结肠环肌层及粘膜下层,少量分布于纵肌层,NGFR染色阳性神经元分布于肌间神经丛及粘膜下神经丛;NGFR 染色阳性神经纤维在HD无肌间神经节细胞肠段肌层及粘膜下层内明显减少或缺如,而肌间肥大的神经干及粘膜下神经干为NGFR染色阳性,并且在其外周可见一强阳性染色带。

The sciatic nerve can be regarded as the optimum bridging nerve. The double C7 nerve waved into beam through the prespinal route can be selected as transfer nerve. It is feasible to identify and anastomose the L1-L4 anterior lumbar spinal nerves at the L1 level.

坐骨神经可选择为颈7神经移位重建截瘫下肢功能的桥接神经,双侧C7神经可经椎体前通路编织成束作为动力神经源,在L1阶段椎管内吻合L(下标 1~4)腰神经前根的具有可行性。

The distances between inferior margin of 12th rib and the 3 above-mentioned nerves were all measured. Results: The superior lumbar triangle was quadrilateral (55%), triangular (35%) or irregular (5%). If the 12th rib was too short, the upper border of the triangle would be the 11th rib (5%). Four grouping patterns of the 3 nerves were found in front of the triangle, and the average distance between inferior margin of 12th rib and the 3 nerves was (16.92±6.32)mm,(59.49±14.97)mm and (112.49±17.15)mm, respectively.

结果:腰上三角的形态可为四边形(55%)、三角形(35%)和不规则形(10%),该三角的上界可完全由第11肋(5%)构成;肋下神经、髂腹下神经和髂腹股沟神在腰上三角前方有4种不同的组合形式,三神经与第12肋下缘的平均距离分别为(16.92±6.32)mm、(59.49±14.97)mm、(112.49±17.15)mm。

Results The length between posterior superior iliac spine and greater trochanter of femur was (15.2±1.35) cm for man and (11.5±0.72) cm for woman; the length between posterior superior iliac spine and ischial tuberosity was (13.3±0.87) cm in man and (10.3±0.49) cm in woman; the length between greater trochanter of femur and ischial tuberosity was (8.3±0.83) cm in man and (5.5±0.61) cm in woman; the surface projection where the superior gluteal artery, superior gluteal veins and superior gluteal nerve permeate the suprapitiform foramen was below the point 0~6.8 mm between 2/5 superior and middle trunk from posterior superior iliac spine to greater trochanter of femur; the surface projection where the inferior gluteal artery, inferior gluteal veins and inferior gluteal nerve permeate the infrapiriform foramen was at the point between 2/5 inferior and middle trunk from posterior superior iliac spine to ischial tuberosity; the surface projection where sciatic nerve permeate the infrapiriform foramen was at the point between 3/5 lateral and middle trunk from ischial tuberosity to greater trochanter of femur.

结果臀三角各边的长度分别为:髂后上棘转子间距,男(15.2±1.35) cm,女(11.5±0.72) cm;髂后上棘结节间距,男(13.3±0.87) cm,女(10.3±0.49) cm;转子结节间距,男(8.3±0.83) cm,女(5.5±0.61) cm。臀上动脉、静脉、神经出入梨状肌上孔的体表投影在髂后上棘与大转子连线中、上2/5交界处向下0~6.8 mm内;臀下动脉、静脉、神经出入梨状肌下孔处的体表投影在髂后上棘与坐骨结节连线中、下2/5处;坐骨神经出梨状肌下孔处的体表投影在坐骨结节与大转子连线中外3/5处。

The quantity of CD3+ cells in the EdNSC, AdNSC of cloning goattransplantation group and control group had no statistics difference(P>0.05) at acute and chronic period.Overall, in our study, We got the conclusions as follow: 1,The EdNSC, AdNSCof cloning goat and the AdNSC of the non-cloning goat were successful obtained;EdNSC growed faster than AdNSC in the same cell culture method. 2,The braincontusion and laceration model of cloning goats were successful established by freefalling of 50 gram of steel ball accelerate strike on the goat brain from 100cm height.3, EdNSC and AdNSC transplantation both had obvious therapeutic effect on braincontusion and laceration of cloning goats; The therapeutic effect of EdNSCtransplantation was better. 4, Allograft of stem cells has acute and chronicimmunological rejection and autografting of stem cells has no acute and chronicimmunological rejection.

在相同的条件下,EdNSC体外培养速度比成AdNSC快。2对羊脑上薛氏沟周围运动皮层区使用50g×100 cm力度作自由落体加速撞击,可产生观察指标明确且存活率高的羊脑挫裂伤模型,有望广泛用于神经干细胞移植及药物等治疗的实验研究。3胚胎神经干细胞及成体神经干细胞移植治疗脑挫裂伤后均有较明显的治疗效果;二者相比较而言胚胎神经干细胞稍好于成体神经干细胞。4中枢神经系统异体神经干细胞移植存在着明显的免疫排斥反应,而自体神经干细胞移植基本无免疫排斥反应

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