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神经干

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Results In the distal two - thirds of the upper arm, branches of the median nerve constantly formed three fascicular groups. The anterior part of nerve trunk hosted branches to the pronator teres and the flexor carpi radialis. The posterior part of nerve trunk contained the anterior interosseous nerve and branches to the palmaris longus muscle. Branches to the hand and to the flexor digitorum superficialis which was the main trunk of the median nerve at the proximal forearm were grouped to form the middle part.

结果 在臂中、下段,正中神经的分支恒定地组成3个神经束组:旋前圆肌肌支和桡侧腕屈肌肌支束组在神经干的前方,骨间前神经和掌长肌肌支束组在神经干的后方,中间束组是由指浅屈肌肌支和手部分支组成的正中神经前臂主干的近段。

METHODS: The right peroneal nerve was transected and an epineural window of 1 mm was created on the neighboring tibial nerve.

表皮生长因子组:切断右侧腓神经,在邻近的胫神经干外膜上开一1 mm小窗,将腓神经远端吻合到胫神经干侧方开窗处。

The proximal and distal nerve stumps were sutured l cm apart, in an end-to-side fashion like "π", to the epneurium windows, opened by removing the epineural sheath on the intact tibial nerve trunk with 1 mm long.

方法将大鼠右侧腓总神经在胭窝处剪除约5mm后,将断裂的腓总神经近端和远端分别就近与同侧胫神经上的外膜窗施行端侧吻合,吻合口间距约10mm;动物存活24个月后,将手术侧近端吻合口以上胫神经剪断,再将辣根过氧化物酶注入远段腓总神经干内,72h后取材并经四甲基联苯胺显色显示脊髓L3-6节段神经元和L4、L5脊神经节细胞,同时取腓总神经远段行电镜观察神经纤维再生状态。

Objective To study the possibility of nerve regeneration along normal nerve trunk to overcome nerve defect, when both ends of a defected nerve is sutured end to side with the common normal nerve.

目的 研究将一有缺损神经的近端和远端与同一正常神经干行端侧缝合后,近端神经纤维沿该神经干克服缺损进行再生的可能性。

The morphology, size and signal of nerve root, nerve ganglion, nerve trunk and femoral nerve, were observed. The brachyaxis and nerve-muscle signal ratio of right L4 nerve root, nerve gatiglion and nerve trunk were measured.

正常组观测腰2~5神经根、神经节及神经干、股神经的形态、大小及信号;GBS及CIDP组观察神经及其周围的改变,测量右侧腰4神经根、神经节、神经干及股神经的短轴径线及神经肌肉信号比。

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。

Results: the location, shape and number of the sympathetic ganglia were quite variable, and there was 1 to 6 in number unilaterally. Lumbar sympathetic trunk divided into 2-3 branches at the distal part were found in 12 sides. Lumbar arteries were all located under the lumbar sympathetic trunk and the lumbar veins, consisting (68.42+4.35)% situated superficially to the trunk, mainly in L4 arid L5 veins. Genitofemoral nerve pierced psoas muscle at the level of L2-L4 or its intervertebral disc (0.83±0.48) cm away from the medial edge of psoas muscle.

结果:腰交感神经节数目及位置变异较大,每侧1~6个不等;腰交感干可分裂为2~5支,分裂处多在干的下端,本组共发现12侧发生分裂;腰动脉均位于神经干的深面,腰静脉位于腰交感干浅面者占(68.42±4.35)%,以腰4、5静脉多见;生殖股神经穿出腰大肌平面多数与第2~4腰椎或椎间盘对齐,穿出点距腰大肌内侧缘(0.81±0.48)cm。

Results:(1) The two nerves were found anatomically related at 5~10 mm and 26~30 mm respectively following hypoglossal nerve entering the muscle.(2)The diameter of the two nerves were observed to match well with each other or with the main branches at 10 mm following the branching of hypoglossal nerve.(3) At 6~10 mm prior to the branching of hypoglossal nerve there was a branch going to the lingual muscles and plexiform of lingual nerve.

结果:(1)舌下神经与舌神经之间有二个恒定的联系部位,即舌下神经分支进入舌肌后最初5~10 mm处和26~30mm处;(2)舌下神经与舌神经最佳吻接部位,我们认为应在舌下神经主干分叉后10 mm左右;神经直径测量也发现神经直径与舌神经主干和分支直径较为匹配,且此区有利解剖,便于神经吻合;(3)舌下神经分叉之前,在神经干上方距分叉约6~10 mm处有一较固定分支,参与分布舌肌并与舌神经呈丛状结构。

Results In healthy subjects, L2-L5 nerves were displayed clearly by MRN, with a round or ellipse ganglion of 3-6 mm in diameter, and smooth stick-like nerve root and trunk, 2-5 mm in diameter. The signal intensity was higher in ganglion than nerve root or trunk. 40% of nerve root sheath was surrounded by small amount of cerebrospinal fluid, Femoral nerve was displayed in all subjects, while only 83.3% of obturator nerve and 43.3% of lumbosacral trunk were manifested. Lamellar blurred hyper-signal intensity was seen around 80.9% of lumbar plexus in GBS, but none in CIDP.

结果 正常组MRN可清晰显示腰2~5神经的走行,神经节呈圆或椭圆形膨大,大小约为3~6mm,神经根及干呈条状、边缘光滑,大小约为2~5mm、神经节信号高于神经根和干,40%的神经根鞘有少量脑脊液,股神经、闭孔神经、腰骶干的显示率分别为100%、83.3%、43.3%。80.9%的GBS腰丛神经周围有片状模糊高信号,神经根和节大小和信号无明显改变,25%神经干增粗,50%的神经干信号增高,边缘模糊。

Results:(1) The two nerves were found anatomically related at 5~10 mm and 26~30 mm respectively following hypoglossal nerve entering the muscle.

结果:(1)舌下神经与舌神经之间有二个恒定的联系部位,即舌下神经分支进入舌肌后最初5~10 mm处和26~30mm处;(2)舌下神经与舌神经最佳吻接部位,我们认为应在舌下神经主干分叉后10 mm左右;神经直径测量也发现神经直径与舌神经主干和分支直径较为匹配,且此区有利解剖,便于神经吻合;(3)舌下神经分叉之前,在神经干上方距分叉约6~10 mm处有一较固定分支,参与分布舌肌并与舌神经呈丛状结构。

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