神经束膜

The fine vessel braneh could be found on epineurium and periheurium in 3 days, the capillary network has been formed in the midportion of the nerve segment and spread toward two sides in 7 days, from 14 to 21 days, the capillary network spreaded through the whole grafts and conrected with the capillaries from the two ends.

术后3天，血管已在神经外膜和束膜上形成微小分支。7天移植神经的中段已形成毛细血第四军医大学硕士研究生毕业论文管网，并向两端扩展，而自两端长入的血管则较少。14天至刀天，血管网己分布在移植神经段的全段及各层，并与两端长入的毛细血管相吻合。

The microsurgical decompression on cerebromedullary tube stenosis, epineurium and bundle membrane among patients with diabetic peripheral neuropathy can relieve numbness and pain for the patients. The function of the nerves can be improved too.

糖尿病周围神经病经过在显微外科手术下进行神经管道性狭窄松解及神经外膜、束膜的松解后能明显缓解病人的麻木、疼痛症状，神经功能有一定的恢复。

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。

Methods Thirty patients with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branches, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane.

30例糖尿病周围神经病人进行双下肢神经松解，在显微镜下分别在内踩管胫神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处用显微外科技术分别减压受压神经及切开松解神经外膜、束膜。

MethodsThirty cases with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branch, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane.

方法对30例糖尿病周围神经病人进行双下肢神经松解，在显微镜下分别在内踝管胫神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处在显微外科技术微创手术下分别减压神经受压及神经外膜、束膜切开松解。

Methods: 60 Wistar rats were randomly divided into three groups, with 20 rats each. The right radial nerve was repaired with end-to-side fashion after windowed, the distal end being sutured to the epineurial window (0.12 cm×0.12 cm) 0.15 cm distal of the medial fasciculus. The left radial nerve was only windowed as control.

Wistar大鼠60只，随机分为3组，每组20只，每只右侧神经外膜开窗（0.12 cm×0.12 cm），将臂丛后束损伤后的桡神经远断端端侧吻合于外膜开窗的内侧束远端0.15 cm部位，左侧不做吻合。

The lesion was very uncommon. The etiology may be a focal inflammatory response around the feeding arteries in the perineurium. The results of surgical treatment were good.

非创伤性桡神经麻痹伴神经多段束带样病变临床罕见，其病因可能是神经外膜、束膜内的血管炎；手术治疗效果良好。

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。

The operations used in this group include neurolysis,epineurial repair,epineurial-fascicular repair,fascicular repair and nerve grafting.Results:All cases were followed-up after 18 months to 60 months and the excellent rate was 80.4％.Conclusions:Those result indicated that the preceded microsurgical repair of peripheral nerve injury is an effective method for raising the excellent rate of peripheral nerve injuries,and for vary nerve,different section of nerve injured,very nature of nerve injury,the method are vary.

目的：分析应用显微外科技术在修复周围神经损伤中影响其疗效的因素及处理措施方法：从1987年至1997年，用显微外科技术修复周围神经损伤80例92条神经，方法包括神经松解术、神经外膜缝合术、外膜束组膜缝合术、束膜缝合术和神经移植术结果：经术后18个～60个随访，优良率80.4％结论：神经断端精确对合和及早修复可提高其疗效；同神经、同的损伤平面、损伤程度同，采用同的缝合方法

Before transecting inject 1ml Sodium Chloride in the epineurium. Annular tensile the proximal of epineurium with microscopic forceps annular shear the epineurium 7mm before broken ends with microscopic shear and stretch the epineurium until the two ends distance is 5mm.Use 8-0 suture line to bridge the nerve gap and make a 5 mm nerve tube at the proximal nerve end. Interrupted suture the epineurium tube and the distal nerve end make a 5 mm nerve mamuro for the injury nerve.Results: Postperative observation lasted for 6 weeks regeneration nerve through the 5 mm nerve mamuro.

在大鼠的坐骨神经距股方肌下缘15mm处，用1ml注射器向神经外膜下注入1ml生理盐水，然后于此处切断坐骨神经，用显微镊环形拉伸近端神经外膜，在距断端约7mm处用显微剪环形剪开神经外膜，并继续拉伸外膜使外膜两断端间距约5mm停止，用8-0的无损伤缝线桥接神经外膜两端，在神经近端形成约5mm的神经外膜管，将神经外膜管与神经远端间断缝合，使断伤的神经束间留有5mm的小间室。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。