鱼际肌

33例（45.8%）大鱼际肌可见失神经电位，募集反应减弱。

The 33 cases ( 45.8 % ), Maximus thenar muscles be found miss nerve potential and recruitment to weaken .

目的建立大鱼际肌运动单位估数（MUNE）正常值并研究与年龄的关系和该技术的重复性及其在运动神经元病（MND）中的应用。

Objective To establish the normal value of motor unit number estimation ( MUNE ) of thenar muscles , to study its relationship with age and test the reproducibility of the technique and its use in MND .

鱼际肌及骨间肌肌力达M3以上者26例，占86.7%。

26 patients had thenar and interosseous muscles strength M3 . Only 4 patients had poor results .

各组大鼠麻醉后进行左足大鱼际肌MEP检测及左胫神经SEP检测并记录数据。

After anesthetizing , we detect the MEP on muscle of thenar of left foot and the SEP on left tibial nerve and record the data .

结果腕尺管包括Guyon管、豆钩管和小鱼际肌段。

Results Ulnar tunnel included Guyon 's canal , piso-hamate tunnel and hypothenar segment .

检查时蝶形线圈置于双侧大鱼际肌的皮质运动功能区，单侧刺激，同时记录双侧大鱼际肌的皮质TMS-MEP。

MEPs of the bilateral thenar muscle were simultaneously recorded following TMS of the motor cortex in the respective hemisphere , where a circular coil was placed .

结论正常人大鱼际肌MUNE随年龄增大下降，MUNE有良好的重复性和可靠性，MUNE对MND的定量诊断有重要意义。

Conclusions The normal MUNE of thenar muscles decrease with the increase of age , MUNE had good reproducibility and reliability and had great value in quantative diagnosis of MND .

方法：使用半自动递增刺激法对67名（年龄18~72岁，平均40.6±12.3岁）健康成人进行双侧大、小鱼际肌MUNE测定；

Methods : Semi-automatic incremental stimulation was performed in 67 healthy adults ( age 18 ~ 72 years old , mean 40.6 ± 12.3 ) . The MUNE values in bilateral thenar and hypothenar muscles were collected and analyzed with age , gender and laterality .

结论：自动递增刺激记录正中神经支配的大鱼际肌MUNE为300±83个，随年龄的增大持续性下降，特别在60岁后运动单位数下降明显，运动单位估数应考虑年龄因素。

Conclusions : The MUNE of median nerve innervated thenar muscles recorded by automatic incremental stimulating was 300 ± 83.It might be decreased with the increase of ages , esp in persons with the age above 60 years . Age should be taken into consideration in MUNE recording .

按法：用拇指或鱼际肌、掌根定位式的由上往下压的手法。

Press : Press down by the thumb , thenar muscle , fixed-palm-root .

大鱼际肌爆炸伤的分型及治疗

Classification and treatment of explosive wounds of the thenar muscles A Big Kitchen

骨间前神经转移修复鱼际肌支伤恢复手内肌功能的实验研究及临床应用

Transplantation of anterior interosseous nerve to repair thenar branch experimental study and clinical application

目的评估大鱼际肌爆炸伤的分型及疗效。

Objective To study the prognosis and classification of explosive wounds of the thenar muscles .

大鱼际肌运动单位估数及其在运动神经元病中的应用

Recording estimation of thenar motor units and its use in patients with motor neurone disease

自动递增刺激记录大鱼际肌运动单位估数及其可重复性

Recording estimation of thenar motor units and its reproducibility by fully automated incremental stimulating Collecting Old Recording

组合组织移植一期修复手部组织缺损及重建大小鱼际肌功能

Primary repair of the multiple tissue defect and reconstruction of intrinsic muscle function of hand by combine tissue grafting

趾短伸肌皮瓣游离移植术重建手部大鱼际肌和拇内收肌功能

Transplantation of free myo-cutaneous flap of m.extensor digitorum brevis for restoration of the functions of thenar muscles and adductor pollicis

7例10腕大鱼际肌萎缩、拇对掌功能障碍者术后8周～12周恢复正常。

The greater thenar atrophy and opposition dysfunction in 10 sides of 7 patients disappeared at 8 ~ 12 postoperative weeks .

电刺激正中神经致主动收缩的鱼际肌出现静息期与手肌反射

Silent period from voluntarily contracting thenar muscle induced by electric stimulation of the median nerve and their relations to hand-muscle reflexes

临床上拇指对掌功能的丧失主要是由于支配鱼际肌的正中神经返支损伤导致，这种损伤常常是不可逆的。

Clinically , the injury of thumb opposing function mainly dues to the damage of the median nerve branch which is often irreversible .

结果：在冷觉、热觉、热痛觉方面大鱼际肌的感觉比脚更加敏感，而冷痛觉则无明显差异；

Results : TE was more sensitive to cold , warm and heat pain sensation than DF , but equally sensitive to cold pain .

结论应用带血管蒂的示指固有伸肌支移位修复尺神经深支及鱼际肌支术式可行，为临床尺、正中神经高位损伤后手内在肌功能修复提供了一种新方法及可靠的解剖学依据。

The new nerve transfer procedure provides an option for restoration of intrinsic muscle function after proximal injury of ulnar nerve and median nerve .

结果：依据尺神经深支的走行可分为：豆钩管段、小鱼际肌段、掌中段和终末段。小鱼际肌段行于小指对掌肌与第5掌骨之间的占56.7%；

Results : The profound branch was divided into 4 segments : pisohamate tunnel segment , hypothenar segment , midpalmar segment and terminal segment .

正中神经损伤所致的大鱼际肌瘫痪用小指展肌瓣转位重建拇指外展对掌功能，提供应用解剖学基础。

It is capable of providing applied anatomic basis by using the abductor muscle flap of the little finger transposition for abductor function of thumb restoration .

目的观察股神经移位至大小鱼际肌支对手部肌的保护功能。

Aim To observe the protective effect of femoral nerves transferred to the muscular branches of the thenar and hypothenar muscles on the hand intrinsic muscles .

结论小指对掌肌腱弓可以卡压尺神经深支，引起除小鱼际肌以外的尺神经支配的所有手内在肌的功能障碍。

Conclusion We found that the fascial arch of the opponens digiti minimi can compress the deep branch of the ulnar nerve causing motor deficit of the intrinsic muscles of hands .

目的探讨足部内在肌与其它组织组合移植修复手部组织缺损及重建大、小鱼际肌功能的方法。

Objective To explore a method of repairing the multiple tissue defect and building the intrinsic muscle function of hand by combine grafting the intrinsic muscle of foot and other tissue .

双侧小鱼际肌肌湿重及肌纤维截面积无明显差别。髓鞘厚度与d/D比值的差异无显著性意义。

There was no difference considering the wet muscle weight and muscle fiber cross sectional area of the hypothenar muscles , myelin sheath thickness and d / D ratio at two sides .

方法：用自动递增刺激记录技术估测正中神经支配的大鱼际肌运动单位数，检测无神经肌肉病变的正常人60名，年龄20～88岁，平均5033±2081岁。

Methods : A fully automated incremental stimulating technique was used to estimate the motor unit number of median innervated thenar muscles , 60 normal subjects without nerve and muscle disease were detected .

方法1980年以来，共收治162例大鱼际肌爆炸伤，按其损伤程度分为三型，Ⅰ型：损伤限于肌肉表面，仅作清创缝合即可。

Methods Since 1980 , 162 cases of explosive wounds of the thenar muscles were treated . According to the severity of injuries , explosive wounds of the thenar muscles were divided into three types .