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The deep temporal fascia and subgaleal tissues are the autologous tissues whose structures are similar to the dura mater. They have enough area and blood supply.

颞深筋膜与帽状腱膜下组织是自体同部位组织,与硬脑膜组织结构相同,有足够大的面积和较好的血运。

2The anterior cutereous branches of the obturator artery penetrate deepfascia of thigh and epimysium of the adductor muscles closing against the lower rami of pubisor at its outer margin.Pudendal-thigh skin flap pedicled on it may be elevated to repairrectovaginal fistula or small skin defects of perineum.As its piercing point is much higher andthe location of pedicle is more fixed because of restriction of pubic rami,it is not suited toreconstruct new vagina.Moreover,it is not appropriate naming the obturator aretry(or themedial femoral circumflex artery)the pudendal-thigh artery.

闭孔动脉前皮支紧邻耻骨下支或于其外侧缘,穿大腿深筋膜和内收肌肌膜浅出,以之为蒂可以形成皮下蒂阴股沟岛状皮瓣,用于阴道直肠瘘或会阴部较小皮肤缺损的修复,但由于闭孔动静脉前皮支浅出点位置较高,并且由于耻骨下支的阻挡和限制,致使血管蒂的位置较为固定,以之为蒂形成的阴股沟皮瓣不适宜用于阴道再造;另外,将闭孔动脉命名为阴股沟动脉,也有欠妥帖。

Objective: Through comprehensive treatment of the loose skin, muscle, lower eyelid septum and protruding orbital fat in the aged, this kind of operation can correct them and meantime correct the sunken deformity of semilunar curve on the area of oculonasal groove and infraorbital marginalis in some patients.

目的:通过对老化和松弛的眼睑皮肤、肌肉、眶隔筋膜的矫正及眶脂膨出的综合处理,达到矫正睑袋膨出畸形、下睑皮肤皱纹、局部臃肿以及部分求医者显现的眼鼻沟区或眶下沟区的下睑半月弧凹陷畸形。

Methods The Wistar rats were used as the experimental animal. On the back of each rat, a skin flap, measuring 1.5 cm×6 cm, caudally based, was elevated. Wound edges and the flap bed were separated from the flap itself by a silicone sheet. The VitC, bFGF, Magnesium sulfate and Papaverine were taken in the areas between flap and sheet. With 8 rats in each group, the drug-taken group was as trial group, while the physiological saline group was as control group. On the seventh day after the flap elevation, flap survival length was measured.

以鼠背部中线为中轴,以两侧髂嵴连线为蒂,形成一个1.5cm×6cm的单蒂皮瓣,其全长自皮肌层下与深筋膜游离,下垫置医用硅膜,硅膜以不露出切口,又起到阻隔真皮血运为宜,以小三角针用3-0丝线先缝合皮瓣两侧切口,然后将上述4种药物加入皮瓣与硅膜之间,再缝合皮瓣的头端将维生素C、bFGF、硫酸镁、罂粟碱分别作为实验组,以生理盐水作为空白对照组,每组8只动物,术后单笼喂养7d,取材并检测皮瓣存活的长度。

Results Presacral gap was an extension of Toldt's fascia and the hypogastric nerves in it had close relationship with the rectal proper fascia.

结果 Toldt间隙和骶前间隙是一个相互延续的筋膜间隙,走行于该间隙的腹下神经与直肠固有筋膜关系密切。

Using two fresh upper limbs of adult, the ABS casts of the fine vasculature about the skin, superficial and deep fascia of thenar and hypothenar were studied by scanning electron microscopy.

本文用2侧成人新鲜尸体上肢,经肱动脉灌注ABS丁酮溶液,制成铸型样品,喷镀金膜。在扫描电镜下,观察了手鱼际和小鱼际皮肤及浅、深筋膜微细血管的立体构筑。

Methods: A little improvement was made on the management of orbital septum and septal fat while doing the general lower eyelid blepharoplasty. Separate the plane between them. Orbicularis oculi and orbital septum to the infraorbital marginalis, incise the orbital septum transversely, then sewing up the orbital fat onto the periosteum of the infraorbital marginaslis in order to fill up and correct the sunken deformity of this area.

在进行常规的睑袋整复术同时,对眶隔和眶脂的处理作适当的改进,在眼轮匝肌下平面分离到眶下缘,横向切开下睑眶隔筋膜,将眶脂缝合在眶缘的骨膜上,填充和纠正该区域的凹陷畸形。

Methods 46 clinical cases were the patients in our hospital who had cranial trauma to have operation. The lesions were located on frontal, temporal and junctional areas. The coronal incision, enlarged pterion and standard large cranial flap approach were adopted to decompress by removing cranial flap, hematoma or cerebral tissues. The dura mater was mended by the deep temporal fascia with pedicle and subgaleal tissues.

我院收治的颅脑损伤手术患者46例,病灶主要位于额颞部或交界处,采用冠状切口、扩大翼点入路或标准大骨瓣减压入路,进行去骨瓣减压、血肿清除或内减压手术,硬脑膜用带蒂颞深筋膜与帽状腱膜下组织进行修补。

Clinical data and Methods: Laparoscopic left colectomies carried out in the Department of General Surgery, Nanfang Hospital from 2003 to 2004, on 15 left colonic cancer patients were observed and analyzed on the anatomical natures of fascias posterolateral, middle to the left colon, posterolateral to the rectum, as well as the laparoscopic location markers.

临床资料和方法:2003~2004年南方医院普通外科施行的腹腔镜左半结肠切除术15例,病例均为左半结肠癌。对腹腔镜下左半结肠后外侧、中线侧和直肠后外侧相关筋膜的解剖特点和镜下定位标志进行观察和描述。

METHODS: Gelatin sponge (0.5 mm×0.5 mm) was implanted into deep fascia posterior segment of L3 transverse foramen of model group to establish models of L3 transverse foramen syndrome. The identical volume of sponge was implanted into gluteus maximus of experimental group. In the sham operation group, only L3 transverse foramen was exposed. The normal group was not given any treatment.

模型组将0.5 mm×0.5mm的明胶海绵置入L3横突后半段深筋膜中层下制备L3横突综合征动物模型;材料实验组将同样大小明胶海绵置于臀大肌下:假手术组仅显露L3横突,不置入明胶海绵:正常组为不做任何处理。

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