神经外膜

Then the nearby epimysium flap was transferred to and wrapped around the epineurinm-removed segment in the test group, but not in the control group.

实验组用带蒂肌膜瓣转位重建损伤段的神经外膜，对照组用周围正常的软组织覆盖神经损伤段。

Methods: 10 SD rats were randomly divided into two groups: Right common peroneal nerve was amputated, in group I the distal stump was sutured to the ipsilateral tibial nerve by the end-to-side way through an epineural window.

10只SD雄性大鼠分成A、B两组。A组：切断右侧腓总神经，将远侧断端以端侧缝合术式吻合到同侧胫神经外膜开窗部。。B组：切断右侧腓总神经，并将两断端分离。

A group of 10 Wistar rats had the peroneal nerve sectioned,and the distal ending was sturued to the lateral face of the tibial nerve after removing an l mm epineural window.

实验将Wistar大鼠一侧腓神经切断，在胫神经外膜上开一1 mm小窗，将腓神经远端与胫神经作端侧吻合。

CME Regional Anesthesia, Intraneural Injection, and Nerve Injury: Beyond the Epineurium.

CME 局部麻醉，神经内注射，和神经损伤：不只是神经外膜。

METHODS: The bilateral facial nerve were obtained from rabbits, and removed the adipose tissue and epineurium of the nerve surface under the surgery microscope, then divided these nerves into 66 segments, with each length of 10 mm.

取兔双侧面神经，在手术显微镜下去除神经表面的脂肪组织和神经外膜，将其分为每段10 mm长，共66条。

Large numbers of experiments internal and external had confirmed both direct current and square pulse of distal end cathodal could improve peripheral nerve regeneration, because it could speed up transmigration, creeper, growth and development of cell Schwann, derivate growth of nerve fiber; it also increased blood capillary of epineurium, brood blood vessel, amendment ischemic of impaired nerve, it still could accelerate Wallerian

国内外大量的基础实验及临床研究都证实远端负极电流的直流电场及脉冲电场等均有促进周围神经再生的作用，认为其可加速Schwann细胞的游走、爬行及生长发育，诱导神经纤维的生长；电刺激还能促使神经外膜毛细血管数量增多，扩张血管，改善神经损伤段缺血状态，并加速Wallerian变性及崩解组织的清除，为Schwann细胞发育和髓鞘化过程提供充足的能量与物质，同时为神经轴突的再生提供良好的内环境；在神经断端出现瘢痕或神经瘤时，电刺激可增加神经纤维穿越瘢痕的能力。

METHODS The animal models of the transected sciatic nerve of 40 SD rats were established, which divided into 4 groups: normal saline group, nerve growth factor group, bFGF group and normal control group. The epineurium of the transected sciatic nerve was sutured under microscope, then bFGF or NGF was dropped into local sites and injected intramuscularly once a day for 30 days after operation.

建立大鼠坐骨神经离断模型，镜下进行神经外膜缝合，局部滴加药物和术后肌注bFGF 以及临床用药神经生长因子，通过神经传导速度和功能指数评定观察坐骨神经修复情况。

Methods: The bilateral superior buccal branches of facial nerve were exposed and transected, a nerve growth chamber were created by suturing the epineurium and silicone chamber under microscope .The chambers of experimental sides were injected with HGF/normal saline and that of the control sides with normal saline of same amount (10μL ),the regenerated nerves in the chambers were dissected and postoperative evaluation were performed byelectrophyiological testing , histopathologic, morphological studies under gross observation, light microscope at 1,2,4 weeks after operation, respectively.

实验设生理盐水对照组和肝细胞生长因子组，选用30只成年、健康新西兰家兔，暴露并分离双侧面神经上颊支，将其横断后套入硅胶管内，用显微外科技术将硅胶管与神经外膜缝合以形成硅胶神经再生腔，在一侧硅胶神经再生腔内注入HGF为实验侧，在另一侧注入生理盐水为对照侧，于术后1周、2周、4周分别麻醉家兔后行电生理检测，在肉眼、光镜、特殊染色下进行组织形态学观察，并在光镜下进行形态定量分析。

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。

Method］twenty six wistar rats were divided into two groups, with 13 in each group, peroneal nerve was transacted on the right side of all the animals, in one group, the proximal end of peroneal nerve was turned back and ligated, the distal end was sutured to the side of tibial nerve with perineurial window, in another group,both ends of the transacted peroneal nerve were turned back and ligated as contrast, no operation was done on the left side.

方法］wistar大白鼠26只，随机分实验组和对照组，每组13只，实验组右侧腓总神经切断后，近端反转结扎，远端与胫神经外膜开窗处行端侧吻合，对照组右侧腓总神经切断后，两端均反转结扎，两组动物左侧作正常对照，不作处理。术后3个月，行双侧腓总神经、胫前肌组织学检查，胫前肌湿重测定，运动终板检查。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。