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肌束膜

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The FCL graft was then passed distally along its normal course under the superficial layer of the iliotibial band and the lateral aponeurosis of the long head of the biceps femoris35 and through the fibular tunnel, from lateral to medial.

然后,FCL移植物通过远侧髂胫束浅层下面、股二头肌长头的外侧腱膜[35]和从外侧到内侧穿过腓骨隧道。

The FCL graft passes along its native course between these 2 attachment sites, medial to both the superficial layer of the iliotibial band and the lateral aponeurosis of the long head of the biceps femoris.35 We chose to study an anatomic FCL reconstruction because previous studies have reported that anatomic ligament reconstructions more closely approximate normal knee biomechanics.

FCL移植物通过两个附着点自然连接,向内到达髂胫束表层和股二头肌长头外侧腱膜[35]。我们选择研究FCL解剖学重建是因为过去研究已经报道了解剖学韧带重建更接近正常膝关节生物力学机制[5,6,11,12,19]。

Immunohistochemically, cells in myoid/myofibroblastic areas showed positive staining for α-SMA, MSA and vimentin, but negative for desmin and CD34. Electron microscopic study displayed the presence of microfilament bundles, focal dense bodies and micropinocytic vesicles, consistent with those of myofibroblasts.

免疫组织化学标记显示肌样区域细胞表达α-平滑肌肌动蛋白和肌特异性肌动抗原,不表达CD34;电镜观察证实细胞含有质膜下微丝束、局灶性致密体及微胞饮囊泡样结构,与肌纤维母细胞相一致。

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。

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