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Objective:To study the effect of three methods for treatment of closed fracture of the distal tibia.

中文摘要:目的:探讨闭合性腓骨下段骨折治疗方法的选择及其对预后的影响。

Objective:To evaluate the results of distal tibial and fibular fractures treated with different surgical methods.

目的 :探讨腓骨远端骨折治疗术式的选择、术中术后应注意的问题及其疗效。

Now the son of Tydeus was in pursuit of the Cyprian goddess, spear in hand, for he knew her to be feeble and not one of those goddesses that can lord it among men in battle like Minerva or Enyo the waster of cities, and when at last after a long chase he caught her up, he flew at her and thrust his spear into the flesh of her delicate hand.

就这样,她把心爱的儿子抢出战场;啸吼战场的狄俄墨得斯的命令,风快的驭马,把缰绳系上车杆,然后直奔埃内阿斯长鬃飘洒的骏马,把它们赶离特洛伊兵壮,拢回甲坚固的阿开亚人的队阵,交给德伊普洛斯——他的挚友,同龄人中最受他敬重的一位,因为他俩心心相印——由他赶往深旷的海船。与此同时,塞奈洛斯跨上马车,抓起闪亮的缰绳,驾着蹄腿强健的驭马,朝着图丢斯之子

Methods 18 rabbits were randomly divided into three groups. The common peroneal nerve on both sides was transected and then its distal end sutured to the tibial nerve with epineural window in an end - to - side fashion.

18只健康白兔按取材时间的不同随机分为A、B、C 3组,白兔双侧腓总神经切断后与同侧外膜开窗的神经作端侧缝合。

Methods: 10 SD rats were randomly divided into two groups: Right common peroneal nerve was amputated, in group I the distal stump was sutured to the ipsilateral tibial nerve by the end-to-side way through an epineural window.

10只SD雄性大鼠分成A、B两组。A组:切断右侧腓总神经,将远侧断端以端侧缝合术式吻合到同侧神经外膜开窗部。。B组:切断右侧腓总神经,并将两断端分离。

In the side-to-side group, the lateral side of distally severed peroneal nerve trunk with removal of the epineurium was sutured to the tibial nerve trunk with removal of the same area of the epineurium.

侧-侧缝合组:将腓神经远侧断段侧壁去除外膜,同样神经侧壁去外膜,两者去除外膜的面积相当于腓神经直径的3倍。

In experimental side, the peroneal nerve was transected, the distal segment was kept close to neighboring tibial nerve at suitable site, and then the epineurium and perineurium of two neigh...

实验侧 :将腓总神经在大腿下 1/3处切断,断端结扎后将其远端与相邻神经干适当松解后靠拢,纵行切开两神经相邻侧面的神经外膜、束膜长约 0.5 cm,至部分神经纤维外露。

Methods Thirty patients with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branches, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane.

30例糖尿病周围神经病人进行双下肢神经松解,在显微镜下分别在内踩管神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处用显微外科技术分别减压受压神经及切开松解神经外膜、束膜。

MethodsThirty cases with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branch, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane.

方法对30例糖尿病周围神经病人进行双下肢神经松解,在显微镜下分别在内踝管神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处在显微外科技术微创手术下分别减压神经受压及神经外膜、束膜切开松解。

Result: The model group rats bone epiphysis were thinner, the trabecular cracks were more numerous and the net-structure was destroyed.

结果:模型组大鼠骨器板变薄,骨小梁裂纹、断裂者较多,网状结构破坏。

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