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[感觉神经植入皮瓣:一项实验研究与临床应用]

[Implantation of sensory nerve into flap: an experimental study and clinical application].

作者信息

Fan Q S

机构信息

Center of Traumatic Surgery, 89th Hospital of PLA, Shandong.

出版信息

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1992 Sep;8(3):193-5, 247-8.

PMID:1298531
Abstract

Experimental implantation of sensory nerve into flaps was done, with the purpose of restoration of sensation of the flaps. A scanty amount of nerve endings were found in the vicinity of the implantation after 2 months, obvious regeneration was observed after 3 months, and never endings similar to normal after 4 months. Sensory nerve was implanted into flaps in the hands and feet of 25 patients. 1-2 year follow-up showed that pain, temperature and tactile sensations recovered to normal, and two-point discrimination was 11-22 mm in the hands and 35-40 mm in the feet. In 3 patients, the implanted nerves were blocked with procaine, and anesthesia of the flaps ensued, thus it was proved that the flaps were innervated by the implanted sensory nerves.

摘要

进行了感觉神经植入皮瓣的实验,目的是恢复皮瓣的感觉。2个月后在植入部位附近发现少量神经末梢,3个月后观察到明显的再生,4个月后神经末梢类似正常。对25例患者的手足皮瓣植入感觉神经。1至2年的随访显示,疼痛、温度和触觉恢复正常,手部两点辨别觉为11至22毫米,足部为35至40毫米。3例患者中,植入的神经用普鲁卡因阻滞,随后皮瓣出现麻醉,从而证明皮瓣由植入的感觉神经支配。

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