Krupatkin A I
Zh Vopr Neirokhir Im N N Burdenko. 1992 Jul-Oct(4-5):24-6.
As the result of examination of 43 patients with injury to the ulna neurovascular bundle the author studied the regeneration of the ulnar nerve in and without reconstruction of the ulnar artery. The outcomes of ulnar nerve autoplasty are better in restoration of the artery than in application of an epineural suture. Sensitivity and tissue trophies increase essentially, the strength of the hand muscles increases to a lesser degree. Reconstruction of the ulnar artery has the best effect on regeneration of the nerve injured on the forearm and above its ramification on the palm. An important factor is early increase of blood supply and oxygenation, which promotes trophics of the graft, and perfusion of the intergrowiny axons and the surrounding tissues.
通过对43例尺神经血管束损伤患者的检查，作者研究了尺动脉重建与未重建情况下尺神经的再生情况。尺神经自体移植在恢复动脉方面的效果优于应用神经外膜缝合。感觉和组织营养状况显著改善，手部肌肉力量也有一定程度的增强。尺动脉重建对前臂及其在手掌分支以上部位损伤的神经再生效果最佳。一个重要因素是早期血供和氧合增加，这促进了移植物的营养供应以及生长中的轴突和周围组织的灌注。
