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坐骨神经横断修复后肌肉再支配的特异性。大鼠不同修复技术的比较研究。

Specificity of muscle reinnervation following repair of the transected sciatic nerve. A comparative study of different repair techniques in the rat.

作者信息

Zhao Q, Dahlin L B, Kanje M, Lundborg G

机构信息

Department of Hand Surgery, General Hospital, Malmö, Sweden.

出版信息

J Hand Surg Br. 1992 Jun;17(3):257-61. doi: 10.1016/0266-7681(92)90110-n.

Abstract

Specificity of muscle reinnervation and the recovery of muscle contractility were studied after repair of the transected rat sciatic nerve. Six different techniques were compared: epineurial suture, perineural suture, whole nerve graft, interfascicular grafts, skeletal muscle bridge and tubulization. Muscle tetanic force and specificity of reinnervation were evaluated 12 weeks after nerve repair. Recovery of tetanic force was superior after repair with epineurial sutures. There was no statistical significance between the other methods in respect of tetanic force. The specificity of muscle reinnervation was best after tubulization, repair with interfascicular grafts and perineurial suture.

摘要

在大鼠坐骨神经横断修复后,研究了肌肉再支配的特异性和肌肉收缩力的恢复情况。比较了六种不同的技术:神经外膜缝合、神经束膜缝合、全神经移植、束间移植、骨骼肌桥接和管道化。在神经修复12周后评估肌肉强直收缩力和再支配的特异性。神经外膜缝合修复后,强直收缩力的恢复更好。在强直收缩力方面,其他方法之间无统计学差异。管道化、束间移植修复和神经束膜缝合后,肌肉再支配的特异性最佳。

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