Takahashi Y, Maki Y, Yoshizu T, Tajima T
Niigata Hand Surgery Foundation, Japan.
Scand J Plast Reconstr Surg Hand Surg. 1999 Jun;33(2):177-80. doi: 10.1080/02844319950159424.
We examined the influence of both stump area and volume of a distal sensory nerve segment on neurotropic induction of regenerating sensory axons in a rat saphenous nerve model. In group 1 (n = 10) the proximal stump of the severed saphenous nerve was inserted into the proximal channel, and a 2 cm free nerve segment and a double-barrelled 1 cm free nerve segment were inserted into the distal two channels of a silicone Y-chamber. In group 2 (n = 10), 2 cm and 1 cm free nerve segments were inserted into the distal two channels of a Y-chamber. The gap between the stumps was set at 4 mm. After six weeks, we counted and compared the number of regenerated myelinated sensory axons in the distal two channels. Significantly more axons regenerated in the wider stump area channel of group 1 and in the larger volume channel of group 2 than in the opposite channel in either group (p < 0.05 in each case).
我们在大鼠隐神经模型中研究了远端感觉神经节段的残端面积和体积对再生感觉轴突的向神经性诱导的影响。在第1组(n = 10)中,将切断的隐神经近端残端插入近端通道,并将一段2 cm的游离神经节段和一段双管1 cm的游离神经节段插入硅胶Y形腔的远端两个通道。在第2组(n = 10)中,将2 cm和1 cm的游离神经节段插入Y形腔的远端两个通道。残端之间的间隙设定为4 mm。六周后,我们计数并比较了远端两个通道中再生的有髓感觉轴突的数量。与两组中相对的通道相比,第1组中残端面积较宽的通道和第2组中体积较大的通道中再生的轴突明显更多(每种情况p < 0.05)。