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An intimate knowledge of the courses and positional relations to the 12th rib about subcostal nerve, iliohypogastric nerve and ilioinguinal nerve play very important roles in avoiding injury of the 3 nerves during the operation on kidney or lumbar hernia.

熟悉腰上三角前方肋下神经、髂腹下神经和髂腹股沟神经的走行及与第12肋的位置关系,对于避免手术中损伤这3条神经具有重要的实际意义。

Methods: The shape and formation of superior lumbar triangle were observed from the external surface of posterior abdominal wall. The grouping patterns and courses of subcostal nerve, iliohypogastric nerve and ilioinguinal nerve passing the front of superior lumbar triangle were also observed.

从腹后壁外面观察腰上三角的形态及构成,由其内面观察经过该三角前方的肋下神经、髂腹下神经和髂腹股沟神经的组合形式及走行,并分别测量其与第12肋下缘的距离。

The two other main branches of the dorsal ramus are the intermediate branch, which sends fibers into the longissimus muscle,and the lateral branch, which innervates the iliocostalis muscle, the thoracolumbar fascia, the skin of the lower back and buttock, and the sacroiliac joint.29,136,137 At the superomedial border of the trans-verse processes where the lumbar medial branches are most amenable to blockade, these nerves are in such close proximity that anesthetizing any one of them will almost invariably lead to blockade of the others branches of the primary dorsal rami.

背侧支另外的两个分支是支配最长肌的中间支及支配髂肋肌、胸腰筋膜和下腰部皮肤,臀部及骶髂关节的外侧支。在横突上内侧缘,内侧支容易被阻滞,在此处的神经彼此距离很近,阻滞一支即可将其他背侧支一齐阻滞。

Results There were four arteries supplying blood to the dorsum of the rat:cephalic artery,thoracodorsal artery,posterior intercostals artery,and deep circumflex iliac artery.

结果大鼠背部皮肤由四组血管供血:分别是顶支、胸背动脉、肋间后动脉的皮穿支、旋髂深动脉的皮穿支。

The distances between inferior margin of 12th rib and the 3 above-mentioned nerves were all measured. Results: The superior lumbar triangle was quadrilateral (55%), triangular (35%) or irregular (5%). If the 12th rib was too short, the upper border of the triangle would be the 11th rib (5%). Four grouping patterns of the 3 nerves were found in front of the triangle, and the average distance between inferior margin of 12th rib and the 3 nerves was (16.92±6.32)mm,(59.49±14.97)mm and (112.49±17.15)mm, respectively.

结果:腰上三角的形态可为四边形(55%)、三角形(35%)和不规则形(10%),该三角的上界可完全由第11肋(5%)构成;肋下神经、髂腹下神经和髂腹股沟神在腰上三角前方有4种不同的组合形式,三神经与第12肋下缘的平均距离分别为(16.92±6.32)mm、(59.49±14.97)mm、(112.49±17.15)mm。

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

这两个团体间的分歧难以掩饰。

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这种做法不仅鼓励了更多的反应,而且减少跟风的可能性。

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