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With the aids of new electromyographic instrument to localize an MTrP, this study is designed to search and define the morphological characteristics of the MTrP.

本研究的目的是藉由新进之肌电图学仪器来对肌筋膜激痛点做定位,再来找寻出肌筋膜激痛点的形态学特徵。

Herein, we describe a patient who developed extensive necrotizing fasciitis of the abdominalwall after intestinal resection for necrotizing enterocolitis .

在此,作者报道1例因坏死性小肠结肠炎而接受肠切除的新生儿发生的腹壁广泛性坏死性筋膜炎病例。坏死性筋膜炎为新生儿坏死性小肠结肠

Anatomical study proved:①.4~8 nutritional vessels of sural nerve –small saphenous vein were the intermuscular perforators of peroneal artery, the furthermost one located at(1.0±1.3)cm above the tip of external malleolus with diameter (0.6±0.2)mm;②.2~6 musculocutaneous perforators were given off by the artery of outer head of gastrocnemius muscle to supply nutrition to the sural nerve-small saphenous vein;③.intermuscular perforators from peroneal artery supplied blood to fibula and outer head of soleus muscle.the perforators with an average outer diameter of (1.3-1.6)cm gave off cutaneous branch ,fascial branch and nutritional vessels to the sural nerve-small saphenous vein,which formed the vessel chain of the sural nerve-small saphenous vein ,sub-fascial and suprafascial vessel net.

结果:1、解剖实验证实:①、腓肠神经-小隐静脉营养血管来自腓动脉肌间隔穿支4~8支,最远的跟外侧动脉穿支距外踝尖上(1.0±1.3)cm,外径(0.6±0.2)mm。②、腓肠肌外侧头动脉沿途发2-6支的肌皮穿支营养腓肠神经-小隐静脉。③、腓动脉肌间隔穿支营养腓骨、比目鱼肌外侧半。上述穿皮支平均外径在0.3~1.6mm,发出皮支、筋膜支、腓肠神经-小隐静脉营养血管,形成腓肠神经-小隐静脉血管链以及深、浅筋膜血管网。

Relatively good results were also obtained similarly by using fresh autografts of periosteum and cartilage.

软骨细胞可以在筋膜上正常生长,筋膜可以作为软骨细胞移植的较为理想的载体。

If not treated timely, the relevant muscle will get denaturalized or be of putrescence and fibrosis.

骨筋膜间隔内压力的直接测定仍然是骨筋膜间隔综合征诊断的金标准。

The main components were a lateral expansion to the oblique popliteal ligament; a direct arm, which attached to the tibia; and an anterior arm. The oblique popliteal ligament, the largest posterior knee structure, formed a broad fascial sheath over the posterior aspect of the knee and measured 48.0 mm in length and 9.5 mm wide at its medial origin and 16.4 mm wide at its lateral attachment. It had two lateral attachments, one to the meniscofemoral portion of the posterolateral joint capsule and one to the tibia, along the lateral border of the posterior cruciate ligament facet. The semimembranosus also had a distal tibial expansion, which formed a posterior fascial layer over the popliteus muscle.

主要的部分是一个可以侧方扩展的腘斜韧带,最大的膝关节后方的组织结构,形成了一个较大的筋膜外皮位于膝关节的后方,测量结果显示长度为48mm,边缘宽度为9.5mm,侧方附件的宽度为16.4mm,它具有两个方面的附件,一个位于半月板股骨间部分的后外侧关节囊和一个在胫骨端的后叉韧带边缘,半膜肌同时也存在一个远处的胫骨扩展,形成了一个后方的筋膜附着腘肌。

Objective To discuss the clinical effect of repairing soft tissue defects in cnemis,ankle and foot with reversed sural posterior fasciocutaneous island flaps. Methods 14 cases of soft tissue defects in cnemis,ankles and feet were repaired with reversed sural posterior fasciocutaneous island flaps. The sizes of the flap ranged from 7cm×5cm to 15cm×10cm.

目的 小腿后侧逆行筋膜蒂岛状皮瓣移植修复小腿和足踝部软组织缺损的临床效果方法对14例小腿和足踝部骨关节、肌腱及内固定物外露的患者行小腿后侧逆行筋膜蒂岛状皮瓣局部转移修复术,皮瓣面积最 15cm×10cm,最小7cm×5cm。

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 bistological and ultrastrucluml observation. All of enzyme tests were normal.

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。

Ten paired suprafascial and subfascial flaps were harvested, the radial arteries were cannulated, and methylene blue dye was injected into the radial artery followed by a barium sulfate/gelatin mixture.

12具新鲜尸体上取下24个桡侧前臂皮瓣。10对取下的筋膜上和筋膜下皮瓣,桡动脉被插入导管,蓝色亚甲基染料和硫酸钡混合后被注入血管内,对皮瓣行数字化摄影,用软件来测量血管分布区。

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。

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