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肌神经的

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Results In the distal two - thirds of the upper arm, branches of the median nerve constantly formed three fascicular groups. The anterior part of nerve trunk hosted branches to the pronator teres and the flexor carpi radialis. The posterior part of nerve trunk contained the anterior interosseous nerve and branches to the palmaris longus muscle. Branches to the hand and to the flexor digitorum superficialis which was the main trunk of the median nerve at the proximal forearm were grouped to form the middle part.

结果 在臂中、下段,正中神经的分支恒定地组成3个神经束组:旋前圆肌肌支和桡侧腕屈肌肌支束组在神经干的前方,骨间前神经和掌长肌肌支束组在神经干的后方,中间束组是由指浅屈肌肌支和手部分支组成的正中神经前臂主干的近段。

The results showed an increased mean jitter value, fiber density and abnormal percentage both in EDC and AT muscles in group 1 and II diabetic patients comparing to the normal controls. These findings suggest an impaired or immatured neuromuscular junctions and an evidence of reinnervation through axonal sprouting in the diabetic patients either with or without nerve conduction abnormalities. In conclusion, the changes of axonal degeneration and reinnervation are the main pathophysiological mechanism of diabetic neuropathy, and the SFEMG is more sensitive than routine nerve conduction study in the diagnosis of diabetic neuropathyKeyword Axonal degeneration , diabetes mellitus , neuropathy , single fiber electromyography

结果显示两组糖尿病病患的连续间值差异,肌纤维密度及不正常比率比对照组显著增加(t试验,依序p.01),在第一组糖尿病患中,伸指总肌的连续波间值差异比第二组高(p.05),而连续波间值差异与纤维密度之间也成线性相关的增加(伸指总肌,r=0.471,p.01;胫前肌,r=0.386,p.02),在伸指总肌测得的连续波间值差异上,第一组糖尿病患有75%不正常,第二组有33.3%不正常,而在胫前肌的连续波间值差异上,第一组糖尿病患有83.3%的不正常,第二组有75%不正常,在肌纤维密度的测定中,第一组糖尿病患的伸指总肌有27.8%不正常,胫前肌有58.3%不正常,第二组病患的伸指总肌有25%不正常,胫前肌有41.7%不正常,此结果表示糖尿病神经变造成的神经肌像交接处不稳定及有神经轴再生的重分布现象,因此也证实糖尿病神经病变的主要病理机转为神经的退化所致,而在诊断上单纤维肌电图检查的敏感度也比运动神经传导速度检查为高。

Results The thickness between skin and hypodermis is 1.12±0.35cm,the gluteus maximus' is (1.75±0.48)cm,gluteus medius'is (1.41±0.35)cm,the deep branch of superior gluteal nerve and blood form in common vascular nerve layer,most of which divided into upper and lower branches,tacking (64±0.68)cm,the blood vessela are separately under the revelant nerve.

结果:皮肤与皮下组织厚度为(1.12±0.35)cm,臀大肌厚度为(1.75±0.48)cm,臀中肌的厚度为(1.41±0.35)cm,臀上神经与臀上血管的深支在臀肌之间共同形成血管神经层,多分为上、下两支,占(64±0.68)%,血管分别位于相应神经的下方。

Objective: To provide the anatomical basis for the reparing of axillary nerve and musculocutaneous nerve with brachial triceps branches of radial nerve.

目的:明确桡神经肱三头肌支的解剖学特征,为臂丛上干损伤腋神经或肌皮神经肱二头肌支的修复提供解剖学基础,使术式更安全、简单。

The result showed that, the body wall most outer layer cuticle assumesthe translucent porodine, the surrounding entire body wall; Close isconnected with the cuticle 表皮层 for 合胞体 the structure, inthe back, the abdomen and its two sides separately adds thick to inprominent Cheng Jizhuang, separately contains the back side,腹侧the nerve and compares to the developed back, the abdomen nerve; Themyo- position to the body wall most inner layer, has the muscle cellto arrange becomes; Between the body wall and the digestive tractcavity is a body cavity; Digestive tract for 肌质 structure, afterinference for roundworm's esophagus.

结果显示,体壁最外层的角质层呈半透明的胶状,包围整个体壁;与角质层紧密相连的表皮层为为合胞体构造,在背、腹及其两个侧面分别加厚向内突出成脊状,分别包含背侧、腹侧神经和相比对发达的背、腹神经;肌层位于体壁最内层,有肌细胞排列而成;体壁与消化道之间的空腔为体腔;消化道为肌质结构,经推断为蛔虫的食道。

Objective: To compare the effects of different doses of astragalus membranaceus injection on fatigue in nerve centre,neuromuscular junction and muscle in hoptoads and mice.

目的:利用已建立的蟾蜍和小鼠中枢、神经-肌接头和肌疲劳模型,比较不同剂量的黄芪注射液对蟾蜍和小鼠中枢、神经-肌接头和肌疲劳的影响。

Objective: To provide anatomic basis for pectoranis minor muscle transplantation by vessels and nerves anastomosis to reconstruct thumb opposition function. Methods: The blood supply and nerve innervation of pectoralis minor muscle, the comparison of the morphology and dimension of both pectoralis minor muscle and thenar muscle were investigated on 20 sides of adult cadaveric thoraxes and hands. According to the locations of the vessels and nerves of the pectoralis minor, the clipped pectoralis minor muscle at the same side were transplanted and fixed to thenar muscles with the same direction of thenar muscle fiber. After that, the process of dragging simulating opposition movement of hand were performed and observed.

目的:为吻合血管神经的选择性胸小肌移植重建拇对掌功能术式提供解剖学依据方法:在20侧成人胸部及手部标本中,解剖观察胸小肌的血管神经分布及胸小肌和大鱼际肌的形态、大小并将一者进行比较;然后按照大鱼际肌纤维走行方向,参考血管神经位置,将胸小肌修剪合适后移植固定于同侧手部大鱼际,模拟正常手部拇对掌功能予以牵拉,观察标本手部拇对掌过程。

In group A, the left musculocutaneous nerve was transected to make the model of biceps brachii denervation and anastomosed to its proximal end 6 weeks later; In group B, the musculocutaneous nerve was transected and the distal end was coapted to the purely motor medial pectoral nerve immediately and the musculocutaneous nerve was separated from the medial pectoral nerve, and reanastomosed to its proximal end 6 weeks later.

随机分为两组( n =8):肌皮神经延期修复组,单纯剪断左侧肌皮神经,造成肱二头肌失神经支配模型,6 周后行肌皮神经修复;神经移位寄养二期肌皮神经修复组,剪断左侧肌皮神经后即刻将胸内侧神经分支的近端移位寄养于肌皮神经的远端,6 周后结束寄养关系行二期神经修复术。

The rate of enteric transit was measured, and the histological changes in nitriergic nerves in intestinal myenteric plexus of scalded rat were observed as well. The densities of neurons and ganglions with positive nitric oxide synthetase as well as ICC in duodenal myenteric plexus were assessed for both groups.

用酶组织化学方法观察回肠肌间神经丛内氮能神经的组织学改变,并对两组大鼠回肠肌间神经丛内一氧化氮合酶阳性神经元、神经节和Cajal间质细胞的密度进行测定。

Results:The anterior bundle of the UCL starts from anterior inferior part of the medial condyle,and ends on the sublimis tubercle in front of the coronoid process of ulna,locating in the deep layer of the flexor carpal ulnar muscle.The distance between ulnar nerve and UCL is (0.9±0.1)cm in the center of cubital tunnel,and (0.6±0.3)cm in the distal foramen of cubital tunnel.The distance from the point of ulnar nerve entering the flexor carpi ulnar muscle to the medial epicondyle is (3.7±0.8)cm.The distance between the closest branch innervated flexor muscle of the median nerve and the approach is (1.6±0.5)cm at the level of medial epicondyle,and (0.9±0.4)cm at the level of ulnar tubercle.

结果:UCL前束起于肱骨内侧髁的前下方,止于尺骨冠突内侧的小结节,UCL前束位于尺侧腕屈肌肱头、尺头之间的深层;尺神经在肘管中部与尺侧副韧带前束的平均距离为(0.9±0.1)cm,在肘管的远侧出口,距尺侧副韧带的尺骨止点(0.6±0.3)cm;尺神经至尺侧腕屈肌尺头肌支的入肌点距肱骨内侧髁的距离为(3.7±0.8)cm;正中神经最靠近切口的分支距切口的距离,在肱骨内侧髁和尺骨结节水平分别为(1.6±0.5)cm和(0.9±0.4)cm。

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