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In the last two decades, morphological and electrophysiological studies have revealed that primary sensory information from the pelvic organs is conveyed to the lumbosacral spinal cord by the pelvic nerve, and then mediated by the secondary spinal neurons to supraspinal sites.

近二十余年的形态学和电生理学研究表明,盆腔内脏器的感觉是主要由盆神经传递至腰骶髓,然后由脊髓内的二级神经元向上位脑结构传递。

These results suggestthat the antiallodynic and antihyperalgesic effect of NTP onneuropathic pain induced by spinal nerve ligation is mediatedprincipally through the action at supraspinal sites and throughactivation of spinal noradrenergic systems, possibly via thedescending inhibitory pathway.

这些结果提示 NTP 对脊神经结扎导致神经性疼痛的抗痛觉超敏和抗痛觉过敏作用主要是脊髓上作用和去甲肾上腺素能系统的激活介导的,可能是通过下行抑制通路起作用。

The current study not only confirmed the up-expression of muscarinic acetylcholine receptor five subtypes in rat spinal cord during morphine dependence appears to be reg□lated by endogenous NGF and GDNF, but also demonstrated that 〓 and 〓 receptor in spinal cord and ml in supraspinal predominantly mediate the morphine withdrawal symptoms.

本研究首次证实吗啡依赖时脊髓M受体发生适应性表达增加,这种改变可能与GDNF和NGF表达有关。

Methods:keep supraspinous ligament,interspinous ligament ,thoracolumbar and the periosteum of lamina.The supraspinous ligament and interspinous ligament was cut off below affected spinal canal.The lamina was cut off longitudinally with a chisel along the outside of lamina,detach ligament flavum bilaterally,and reverse upward lamina and the compound structure of back to open spinal canal.

将部分腰背筋膜、棘上韧带、棘间韧带及椎板上骨膜保留,于病变节段下一椎间隙切断棘上棘间韧带,用骨刀(骨刀宽面与矢状面成角10~15度)在上下关节内侧2mm处自下而上并保持骨刀宽面进入椎板深度与椎板厚度相一致切断两侧椎板,牵开椎板及棘上棘间韧带,常规进行椎管减压,椎板及棘上棘间韧带回植。

The method of internal fixation by lateral neck of vertebra and bone graft between processus transversus can give not only a thorough decompression of the spinal canal but also a one-time reconstruction of spinal stability,with a good effect in the early and intermediate follow-ups.So it is a satisfactory method in the grass-roots hospitals for the treatment of lumbar disc herniation.

结论保守和手术治疗对腰椎间盘突出症均具有良好的治疗效果,保守治疗基本无创,无并发症,安全,无痛苦,费用低;而采用后路椎弓根内固定系统结合横突间植骨术,既能够对椎管做到彻底减压,又能一次性重建腰椎稳定性,中、早期随访效果良好,是基层医院治疗腰椎间盘突出症较满意的治疗方法。

Conclusion]ECT plays an important role in diaognosing the spinal tuberculosis and the tuberculose focus of body can be found and has the guidance for doctors to formulate the therapeutic regimem of spinal tuberculosis.

结论]核素全身骨显像在脊柱结核诊治中有重要价值,可以发现全身骨与关节多个结核病灶,对制定脊柱结核的治疗方案有指导作用。

Methods the clinical data of 211 patients with spinal lipoma were analyzed retrospectively. a comprehensive assessment was performed based on operative age,pre- and post-operative function of the bladder and anal sphincter,motor function,intraoperative anatomic typing and extent of spinal cord untethering in surgery.

方法回顾性分析211例儿童脊髓脂肪瘤的最好整形资料,以手术年龄、手术前后直肠膀胱功能评分和运动功能评价、术中解剖分型、脊髓松解程度进行综合评估。

To measure the anterior-posterior proportion of ossified mass or degenertive apophyses and bulge of disc to spinal canal in CT myelography before operation,to record the minimum AP diameter of spinal cord.

根据术前CTM片测量OPLL骨化块及退变性软硬突(椎体后缘增生的骨质或突出的椎间盘)各自占据椎管前后径的比例,并记录颈脊髓最小前后径。

Chitosan films can be easily biodegraded and has good biocompatibility in the spinal cord, which can be used in repairing spinal cord injury.

壳聚糖膜易于降解并与脊髓组织有良好的生物相容性,是一种可应用于脊髓损伤修复的生物材料。

Objective The changes of some neuropeptides were observed in brain slices of rats with spinal cord damage. Methods The experimental rats were divided into five groups:spinal cord occupied,contused,transected,false-operation groups and normal control.24 hours after operation,all animals were sacrificed,and brain slices produced.

随着神经系统神经肽的发现,针对神经肽功能以及通过神经肽变化来明确神经系统病理生理机制的研究越来越多[1];因而,在脊髓损伤领域,神经细胞继发性改变中神经肽的作用也有许多研究[2],但脊髓损伤后大脑中枢神经肽的改变尚无文献报道。

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Spinal Compression
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