肌神经的

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。

Part three: An experiment study on the repair of peripheral nerve injury by NT-3 gene modified neural stem cells objective To investigate the effective treatment of peripheral nerve injury with NT-3 gene modified neural stem cells, to explore the feasibility of the treatment by means of gene transfection Methods 54 SD rats were divided evenly into 3 groups. The sciatic nerve transected model were made and sutured end to end with epineurium. The neural stem cell without NT-3 gene or with NT-3 gene modified were injected into triceps muscle one time a week, saline injected as control group. The nerve trunks of stomas and triceps muscle were acted as specimen three weeks、six weeks and nine weeks after operation.

最后，为了探讨神经营养素-3基因修饰的神经干细胞对周围神经再生修复的影响，从转基因角度探讨治疗周围神经损伤的有效方法，我们选用54只SD大鼠随机分为3组，造成坐骨神经切断损伤模型，神经外膜端端对位缝合后，于小腿三头肌每周分别注射生理盐水、未被神经营养素-3基因修饰的神经干细胞、及神经营养素-3基因修饰的神经干细胞。

Caudal part of sartorius muscle may be the most suitable bridge for nerve regeneration than other muscle.

并非机体肌肉为肌桥都有同样神经再生效果，缝匠肌尾侧部可能是一个适宜神经再生条件的肌肉。

In the proximal angle of the wound avoid the radial nerve where it enters the interval between the brachialis and brachioradialis muscles Fig.

在切口的近端要注意防止损伤桡神经，此神经在该处进入肱肌和肱桡肌间隙(图1－107)。

A total of 150 mesenchymal neoplasms of the GI tract, abdominal cavity, and retroperitoneum were retrieved from consult and surgical pathology archives, including 54 GISTs (8 KIT-negative; 13 desmin-positive), 17 GI leiomyosarcomas, 11 GI mural leiomyomas, 13 leiomyomas of the muscularis mucosae, 12 gastric schwannomas, 15 inflammatory myofibroblastic tumors, 9 cases of mesenteric desmoid fibromatosis, 10 dedifferentiated liposarcomas, and 9 malignant peripheral nerve sheath tumors.

我们从会诊病例及活检病例中找出150例间叶性肿瘤（来自胃肠道、腹腔和后腹膜），其中包括54例GISTs（8例KIT阴性、13例desmin阳性）、17例GI道平滑肌肉瘤、11例GI道肌壁间平滑肌瘤、13例GI道粘膜肌层平滑肌瘤、12例胃的神经鞘瘤、15例炎性肌纤维母细胞瘤、9例肠系膜韧带样纤维瘤、10例去分化型脂肪肉瘤和9例恶性外周神经鞘膜瘤。

Electrophysciological indexes: in the experimental group ,the tardy rate of induced motorius action potential ,recovery rates of the amplitude of compound muscle action potential and twitch tension and tetanic tension of triceps surae muscle ,were significantly higher than in the control group.(4) Compared with the control group ,the triceps surae muscle wet weight was significantly greater in the experimental group.(5) histomorphological indexes: the count of myelinated nerve fibers ,diameter of regenerated axon,thickness of nerve myelin sheath and area of capillary were much more in the experimental group than in the control group.(6) observation of ultrastructure with the transmission election microscope: more abundant organella and maturer myelin sheath lay in the injured peripheral nerve of the experimental group, while not lay in the control group.

分别在术后第2、4、6周时进行各项指标的检测，结果发现：（1）实验组SD大鼠在整个实验过程中，其精神、毛发、体重，运动灵活性等一般情况优于对照组；（2）实验组的坐骨神经功能指数恢复率显著优于对照组，P＜0.01；（3）神经电生理指标：实验组运动神经诱发电位潜伏期的延迟率显著优于对照组，P＜0.05；复合肌肉动作电位振幅的恢复率显著高于对照组，两组比较第2周时P＜0.01，第4、6周时，P＜0.05；小腿三头肌单收缩力和强直收缩力的恢复率实验组显著高于对照组，P＜0.01；（4）小腿三头肌湿重的恢复率，第2、4周时实验组高于对照组，差异非常显著，P＜0.01；第6周时，差异仍显著，P＜0.05；（5）组织形态学指标：有髓神经轴突计数、再生轴突直径的恢复率，毛细血管面积，实验组均显著大于对照组，P＜0.01、P＜0.05、P＜0.001；实验组髓鞘厚度的恢复率也显著高于对照组，第2周时P＜0.01，第4、6周时，P＜0.05；（6）透射电镜超微结构观察：实验组再生轴突中细胞器丰富，髓鞘结构成熟，神经再生情况优于对照组。

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。

The intensity of sensory block of the radial, median, ulnar, musculocutaneous and cutaneous nerve of forearm were measured. The intensity of motor blockade of wrist,elbow and shoulder joint and the quality of anesthesia during operation were assessed. the complications were recorded.

观察桡神经、正中神经、尺神经、肌皮神经、前臂内侧皮神经感觉阻滞效果和肩关节、肘关节和腕关节运动阻滞程度，评定手术全程的麻醉效果，记录并发症。

Methods 12 patients with soft tissues defects around the foot of the diabetes were repaired by musculocutaneous,neurocutaneous axial island flaps transfer which included 4 cases of femoral forelateral flap,1 case of latissimus dorsi muscular flap,1 case of tensor fascia lata musculocutaneous flap,3 case of island flaps based on the sural nerve,1 case of island flaps based on the peroneus superficialis nerve and 2 cases of medial crural faee flap.

目的 探讨皮瓣移植修复糖尿病足组织缺损的临床效果方法采用股外侧皮瓣4例，背阔肌皮瓣1例，阔筋膜张肌皮瓣1例游离移植，腓肠神经营养血管蒂岛状皮瓣逆行转位3例，腓浅神经营养血管蒂岛状皮瓣逆行转位1例，小腿内侧皮瓣2例逆行移植修复糖尿病足组织缺损创面12例。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。