Barcelos Alécio Santos, Rodrigues Antonio Castro, Silva Maeli Dal Pai, Padovani Carlos R
Department of Anatomy-IB and Medical School, UNESP/Botucatu, São Paulo, Brazil.
Microsurgery. 2003;23(1):66-71. doi: 10.1002/micr.10083.
Although veins and arteries present similar wall structures, there are differences which may be relevant in peripheral nerve reconstruction. Inside-out vein grafts (IOVG) have been satisfactorily used to repair both motor and sensitive nerves. However, the inside-out artery graft (IOAG) is a new technique and not fully investigated. Our study presents comparative morphological data on nerve regeneration achieved with IOVG and IOAG in the repair of Wistar rat sciatic nerves. Jugular veins and aorta arteries were harvested from donor animals and used "inside-out" to bridge a 10-mm gap. Animals were sacrificed at 10 weeks to evaluate nerve regeneration. Both techniques presented great variability in nervous tissue, though some animals showed satisfactory results. Different intensities of scarring processes might have interfered with nerve regeneration. Although IOVG and IOAG techniques showed similar morphometric results, in general, IOVG presented a closer-to-normal nerve organization than IOAG.
尽管静脉和动脉具有相似的管壁结构,但仍存在一些差异,这些差异可能与周围神经重建相关。倒置静脉移植物(IOVG)已被成功用于修复运动神经和感觉神经。然而,倒置动脉移植物(IOAG)是一种新技术,尚未得到充分研究。我们的研究提供了关于在修复Wistar大鼠坐骨神经时使用IOVG和IOAG实现神经再生的比较形态学数据。从供体动物获取颈静脉和主动脉,“倒置”使用以桥接10毫米的间隙。在10周时处死动物以评估神经再生。两种技术在神经组织中都表现出很大的变异性,尽管一些动物显示出令人满意的结果。不同强度的瘢痕形成过程可能干扰了神经再生。尽管IOVG和IOAG技术显示出相似的形态计量学结果,但总体而言,IOVG呈现出比IOAG更接近正常的神经组织。