Fatemi Mohammad Javad, Foroutan Kamal Seyed, Ashtiani Abass Kazemi, Mansoori Maryam Jafari, Vaghardoost Reza, Pedram Sepehr, Hosseinpolli Aidin, Rajabi Fatemeh, Mousavi Seyed Jaber
Associate Professor of Plastic and Reconstructive Surgery, Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2010 Jul;15(4):208-13.
Considering the common origin of skin and peripheral nervous system, a tube of dermal layer of skin hypothetically can be an ideal conduit for nerve reconstruction. An experimental study performed to evaluate the nerve regeneration of efficacy into a dermal tube.
Sixty male Wistar rats were used. A 10 mm gap was produced in right sciatic nerves. In group A the autogenous nerve grafts were used to bridge the defects. In group B vein conduit were use to reconstruct the gaps. In group C dermal tube were used to bridge the defects. Morphologic studies were carried out after 3 month.
The density of nerve fibers was significantly higher in autogenous nerve graft group. The efficacy of nerve growth into the dermal tube group was significantly poor in comparison to other groups.
In the present study, dermis was used as the nerve conduit for the first time. This study indicates that the dermal tube is not a suitable conduit for nerve regeneration till further studies to resolve the problems before clinical application.
考虑到皮肤和周围神经系统的共同起源,假设皮肤的真皮层管可以成为神经重建的理想管道。进行了一项实验研究以评估神经向真皮管内再生的效果。
使用60只雄性Wistar大鼠。在右侧坐骨神经上制造10毫米的间隙。A组使用自体神经移植物桥接缺损。B组使用静脉导管重建间隙。C组使用真皮管桥接缺损。3个月后进行形态学研究。
自体神经移植组的神经纤维密度明显更高。与其他组相比,神经长入真皮管组的效果明显较差。
在本研究中,首次将真皮用作神经导管。本研究表明,在进一步研究解决问题以用于临床应用之前,真皮管不是神经再生的合适导管。