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Objective To discuss the application value of semitendinosus and gracilis reconstruction of anterior and posterior cruciate ligament with arthroscope.

目的探讨关节镜下采用双股半腱肌、股薄肌、微孔钢板同时重建损伤的前、后十字韧带的应用价值。

Objective To provide morphological basis for free gracilis muscle transplantation to manage brachial plexus injuries.

目的为臂丛神经损伤行游离股薄肌移植术提供形态学依据。

Gracilis muscle flap is widely used in various reconstruction in regarding to the donor site deformity and bacterial resistance.

股薄肌皮瓣因其并发症少且感染低,被广泛地运用在各种重建手术。

The semitendinosus and gracilis graft is associated with inferior knee flexion at higher angles, as compared with the semitendinosus graft.

与半肌腱移植相比,半腱肌和股薄肌移植与高角度下屈膝功能差相关。

BACKGROUND: Currently, the materials used in clinical practice to repair cruciate ligament of knee joint contain auto-graft bone- mid 1/3 patella tendon-bone, auto-semitendinous muscle, gracilis muscle and allogenic tissue graft. All of them are limited to a certain degree in clinical application.

背景:目前临床上修复膝关节叉韧带断裂的材料有自体膑腱、自体半腱肌和股薄肌,以及同种异体组织移植等,但这些方法都存在一定的局限性。

The anterolateral thigh perforator flap comprised majority of the free flaps harvested (7 cases, 57%), while the latissimus dorsi muscle, gracilis muscle and rectusw abdominis muscle flaps had two each.

其中前大腿外侧皮瓣占了大多数,而扩背肌、股薄肌、腹直肌各占两例。

Results :The deep formal vein,formed by the perforating venous trunk and tributaries of gracilis muscle,converged into the femoral vein 8.6±0.9 cm below the midpoint of inguinal ligament.Its truck was 2.6±0.5 cm long and 6.9±1.1 mm in diameter.In 29 cases,there was 1 valve proximal to the abouchement of the first perforating vein.The deep femoral vein collected the venous blood of the thigh and the knee,the superficial venous blood of the shank.

结果:股深静脉由穿静脉主干及股薄肌支汇合而成,汇入股静脉处位于腹股沟韧带中点下8.6±0.9 cm,主干长2.6±0.5 cm,外径6.9±1.1 mm,29侧各有一个瓣膜位于第一穿静脉汇入处近侧,股深静脉通过其属支收集大腿外侧、后侧、内侧深部及浅静脉回流,并收集膝部深、浅静脉及小腿浅静脉回流。

After 25 weeks, the neurophysiological information was collected through electromyography and the weight of the muscle was measured .

术后25周,采用神经肌电图仪收集各组的神经电生理信息,观察股薄肌大体形态并测量肌湿重。

In control group, obturator nerve controlling right gracilis was cut off. In in situ implantation group, the right gracilis was cut off and replanted to its original site, and the obturator nerve was implanted to the muscle. In ectopic transplantation group, the right gracilis was cut off and transplanted to the muscle of the left leg, and the obturator nerve was implanted to the muscle.

对照组:切断支配右侧股薄肌的闭孔神经,造成肌肉失神经支配;原位再植组:切取右侧股薄肌,再回植于原位,闭孔神经植入肌肉;异位移植寄养组:切取右侧股薄肌,移植寄养于左侧股部,闭孔神经植入肌肉。

Methods: The authors conducted medical record reviews and telephone interviews of 106 consecutive patients with ACL reconstruction using quadrupled semitendinosus-gracilis autograft from 2004 to 2006. Data included anthropometric measurements (height, mass, gender, and age at the time of surgery). Hamstring diameter was obtained using cylindrical sizers in 0.5-mm increments and recorded in the patient's surgical record. Correlation coefficients and stepwise, multiple linear regression were used to determine the relationship between the outcome variable and the predictor variables (age, gender, height, mass, and BMI). Independent sample t tests were used to compare hamstring graft diameter between genders.

从2004年到2006年作者对106名相关的采用股四头肌半腱肌-股薄肌自体移植重建前十字交叉韧带的病人进行了病历综述和电话随访,资料包括人体测量结果(手术时的身高,体重,性别和年龄),腘绳肌肌腱的直径用计算机圆柱分检器以0.5毫米的增值测量并记录在病人的手术病历中,相关系数和逐步,多个直线回归被用来确定结果变量和猜测变量(年龄,性别,身高,体重和体重指数)之间的关系,独立样本的t检验被用来比较不同性别之间的腘绳肌腱移植物的直径。

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每逢看到沃林顿那刚毅的脸,那乌黑、忧郁的眼睛,她便会相信,他一定作过不幸的爱情的受害者。

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