筋膜下的

It was a good effect that the open Achilles tendon ruptures were treated by modified Tsuge Stuture or auxileary Repair with free deep-fascia circuitously.......

改良津下缝合法吻合跟腱或辅助游离深筋膜环行修复治疗开放性跟腱断裂具有良好的疗效。关键词：跟腱断裂；津下缝合；筋膜移植

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%。

Results The anatomic structures of "Jianzhongshu" for perpendicular insertion downward were skin, superficial fascia, trapezius, rhomboideus, splenius cervicis, erector spinae, suprapleural membrane and cupula of pleura in order.The anatomic structures of "Dazhu" were skin, superficial fascia, trapezius, rhomboideus, upper posterior serratus, splenius cervicis, erector spinae, levator ribs, internal intercostal membrane and costal pleura in order.

结果 肩中俞向下直刺的解剖结构依次是皮肤、浅筋膜、斜方肌、菱形肌、颈夹肌、竖脊肌、胸膜上膜、胸膜顶；大杼穴向下直刺的解剖结构依次是皮肤、浅筋膜、斜方肌、菱形肌、上后锯肌、颈夹肌、竖脊肌、肋提肌、肋间内膜、肋胸膜。

Subfascial anterior transposition is an effective and reliable method for cubital tunnel syndrome, especially for moderate to severe compression cases and recurrent cases treated by other method.

&筋膜下向前置放尺神经&的方法是治疗肘隧道症候群的有效方法特别是针对较严重或是经由其他手术方法治疗后复发的病例更有其重要性。

Results The anatomic structures of "Jianzhongshu" for perpendicular insertion downward were skin, superficial fascia, trapezius, rhomboideus, splenius cervicis, erector spinae, suprapleural membrane and cupula of pleura in order.The anatomic structures of "Dazhu" were skin, superficial fascia, trapezius, rhomboideus, upper posterior serratus, splenius cervicis, erector spinae, levator ribs, internal intercostal membrane and costal pleura in order.

结果 肩中俞向下直刺的解剖结构依次是皮肤、浅筋膜、斜方肌、菱形肌、颈夹肌、竖脊肌、胸膜上膜、胸膜顶；大杼**向下直刺的解剖结构依次是皮肤、浅筋膜、斜方肌、菱形肌、上后锯肌、颈夹肌、竖脊肌、肋提肌、肋间内膜、肋胸膜。

Several studies indicate a worse outcome in patients who received fasciotomy compared with those who did not.7, 11 It is felt to be indicated only in a potentially viable extremity that is pulseless due to elevated intracompartmental pressure.18 Fasciotomy was felt to be useful in preventing cases of Volkman's ischemic contracture after the Tangshan earthquake.3 In Israel, fasciotomy was reserved as a treatment of last resort in cases refractory to the use of intravenous mannitol.7

几项研究表明，采用筋膜切开术的患者后果比未手术者更严重。这说明仅在可能的极端情况下筋膜间区压力升高才会导致无脉动现象。在唐山地震后，筋膜切开术对预防前臂缺血性肌挛缩有效。在以色列，筋膜切开术被做为难以采用静脉输注甘露醇病人最后的治疗方法。

Method］thirty patients who had definite chronic lumboscaral compartment syndrome without other lumbal diseases were choosed respectively to test muscle force of lumbar and abdomen,intra-sacrospinal muscle pressure,blood routine,esr,ck,ck-mm,ldh and ldhs.all patients received decompressive operation.skeletal muscle specimens taken from sacrospinal muscle in each operation were possessed for histological and ultrastructuml observation.

［目的］探讨慢性骨筋膜间隔综合征所致下腰痛的发病机理。［方法］选取明确诊断为腰骶部慢性骨筋膜间隔综合征且未合并其他腰部疾病的患者30例，分别行腰腹肌肌力测定，竖脊肌内压测定，血常规，血沉，肌酸激酶及同工酶，乳酸脱氢酶及同工酶（ldh5）测定，采用骨筋膜间隔切开减压手术治疗。

Focal solution of muscle fiber,the aggregation of mitochondria around the nucleus,the increase of lipid droplet and lysosome in cyte,and the proliferation and differentiation of muscle satellite cell could be observed with an electron microscope.

结论］腰骶部慢性骨筋膜间隔综合征是由于内在压力增加，筋膜间隔内组织代谢障碍，骨骼肌慢性受损，炎症因子释放，最终影响脊神经后支导致的下腰痛。

A more assertive, dynamic look is accomplished with crisp, V-shaped hood edges, bold front and rear fascias with premium cues, such as larger, available front fog lamps; a rear-fascia lower grille; and a larger available rear spoiler located on the trailing edge of the roof.

更自信，动态看，还设计了脆，V型，配有优质的暗示，如较大的，可前雾灯，引擎盖边缘，大胆的前后面板，，一个后方筋膜下格栅，以及更大的后扰流板可位于屋顶的后缘。

The driver's head hit the steering wheel, loads on his chest were high and he risked leg injuries from hard points under the fascia.

驾驶员的头部击中他的胸部方向盘，负载很高，他险些从硬点筋膜下，腿部受伤。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。