肌皮神经

Compression of nerve roots often produces objective sensory changes early, with paresthesia and loss of sensating detectable in the affected dermatome.

神经根受压常很早即产生客观的感觉变化，在受影响的皮节区有感觉异常及感觉缺失，神经根持续受压，可发生运动肌无力，若累及腰4神根，可见膝腱反射减弱和轻度股四头肌无力，小腿肌肉感觉减退。

Compre ion of nerve roots often produces objective se ory changes early, with paresthesia and lo of se ating detectable in the affected dermatome. With continued root compre ion. Motor weakne may develop. With involvement of the L4 root, the patellar tendon reflex may be diminished and slight quadrice weakne may be o erved.

神经根受压常很早即产生客观的感觉变化，在受影响的皮节区有感觉异常及感觉缺失，神经根持续受压，可发生运动肌无力，若累及腰4神根，可见膝腱反射减弱和轻度股四头肌无力，小腿肌肉感觉减退。

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。

Formation: formed by anterior rami of L1-L3, a part of anterior rami of T12and L4

掌握胫神经的行径、皮支分布区及其所支配的肌群。

Then, anastomose extensor indicis proprius having vessel with distal branch proximal, anastomose deltal distal postenior interosseous having vessel with ulnar nerve deep branch through tunnal at fore-arm, Cutting self skin nerve for right length, anatomose distal posterior interosseous distant part with thenar branch through skin nerve cutted.

用带血管蒂的示指固有伸肌支与终末支近端吻合，将带血管蒂的骨间后神经终末支通过隧道在前臂掌侧与尺神经深支直接吻合；切取自体皮神经合适长度，将骨间后神经终末支远端通过切取的皮神经与鱼际肌支相吻合。

We evaluated 350 tumors: 136 ES, including 64 conventional ES, 64 proximal-type ES, and 8 with hybrid features of conventional and proximal-type ES; 54 metastatic carcinomas (22 from lung, 6 breast, 6 stomach, 5 colorectum, 5 kidney, 5 prostate, 5 pancreas); 12 metastatic testicular embryonal carcinomas; 20 metastatic melanomas; 20 epithelioid mesotheliomas; 20 epithelioid angiosarcomas; 10 epithelioid hemangioendotheliomas; 24 epithelioid malignant peripheral nerve sheath tumors; 22 myoepithelial carcinomas of soft tissue; 7 anaplastic large cell lymphomas; 5 histiocytic sarcomas; and 10 control MRT of infancy (4 brain, 3 liver, 2 soft tissue, 1 kidney).

我们总共研究了350例肿瘤：136例ES，其中包括64例寻常型ES、64例近端型ES和8例混有前两型特征的混合型ES；54例转移癌（22例来自肺、6例来自乳腺、6例来自胃、5例来自结直肠、5例来着肾、5例来着前列腺、5例来着胰腺）；12例转移性睾丸胚胎性癌；20例转移性黑色素瘤；20例上皮样间皮瘤；20例上皮样血管肉瘤；10例上皮样血管内皮瘤；24例上皮样恶性外周神经鞘膜瘤；22例软组织的肌上皮癌；7例间变性大细胞淋巴瘤；5例组织细胞肉瘤；10例作为对照的婴幼儿MRT（4例位于脑、3例位于肝、2例位于软组织、1例位于肾）。

Results:The blood supply of medial arm cutaneous nerves origined from three cutaneous branch of intermuscular septa, which from superior ulnar collateral artery, brachial artery and inferior ulnar collateral artery.The mean diameters at the originated site were 1.0 mm, 0.6 mm and 0.7 mm.

结果：臂内侧皮神经的血供来自尺侧上副动脉肌间隔皮支、肱动脉肌间隔皮支和尺侧下副动脉肌间隔皮支，起始处外径分别为1.0 mm、0.6 mm和0.7 mm，穿出深筋膜前长为1.5 cm、1.1 cm和1.2 cm。

In small intestine,the villous epithelial cells,Paneth cells and parasympathetic ganglion cells in myenteric plexus show GnRHR immunoreactivity.

三段小肠绒毛上皮细胞、潘氏细胞、十二指肠腺上皮细胞以及小肠肌间神经丛副交感神经节细胞，均呈较强的GnRH受体免疫反应性。

But our study suggested that the innervation of knee joint had two layer groups : the superficial layer group and the profunda layer group.

浅层为皮神经，部分干较粗，容易形成皮神经瘤；深层可以分为伸膝肌支膝关节支组成的髌上区组，隐神经分支组成的内侧及髌下区组，腓总神经关节支组成的后外侧区组，月国丛神经组成的月国区组4组。4组神经在关节囊外分布有重叠交叉，但区域明确。

In rat esophagus, the positive varicosities and fibres could be observed in the circular muscle layer and the muscularis mucosae layer at 21st day before birth. With the development of rat digestive tract, neurokinin A-immunoreactivity positive nerves could be observed gradually in the epithelium, submucosa, longitudinal muscle layer, myenteric plexus and submucosal plexes, while mature nerve fibres could be seen at one month after birth. 2. In rat stomach, the positive reaction of NKA initially happened in the myenteric plexus at the 14th day of embryo, and then appeared on circular muscles, longitudinal muscles, submucosal, muscularis mucosae, lamina propria and epithelium. 30 days after birth, expression of NKA is same as seen in adaulthood. 3. In rat small intestinal, the NKA-IR could first be found in the myenteric plexus of the duodenum, jejunum and ileum at 14th , 15th and 17th day before birth respectively. Then the NKA-IR occurred in the longitudinal muscle layer, circular muscle layer, intestinal villus, intestinal gland, muscularis mucosae, submucosa, submucosal plexes, mucosa plexus and deep muscular plexus.

结果 1、在食管，于胚胎21天的粘膜肌层和环肌层内观察到神经激肽A免疫阳性膨体纤维，出生后，随幼鼠的生长发育，相继在上皮，粘膜下层，纵肌层、肌间丛、粘膜下丛有NKA-IR表达，30天时已和成年鼠相似；2、在胃，首先于胚胎14天的肌间丛出现NKA-IR的表达，随发育相继在环肌、纵肌，粘膜下层、粘膜肌、固有膜及上皮内出现NKA-IR的表达，30天时具备成年鼠的分布特征；3、在小肠，分别于胚胎14、15、17天的十二指肠、空肠和回肠的肌间丛处出现NKA-IR的表达，随发育相继出现在纵肌、环肌、绒毛、小肠腺周、粘膜肌、粘膜下层、粘膜下丛、粘膜丛、深肌丛。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。