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猫神经切断与缝合后肌肉的感觉再支配

Sensory reinnervation of muscles following nerve section and suture in cats.

作者信息

Banks R W, Barker D, Brown H G

出版信息

J Hand Surg Br. 1985 Oct;10(3):340-4. doi: 10.1016/s0266-7681(85)80057-7.

Abstract

The common peroneal nerve was transected and repaired by epineurial suture in nine cats. In a further nine the nerve was transected twice and similarly repaired so as to produce a short autograft. Recovery of stretch receptors in peroneus brevis was monitored histologically and physiologically from six to fifty weeks. In recovery after single neurotomy functionally identifiable muscle-spindle and tendon-organ afferents were reduced to 25% and 45% of normal, respectively; after double neurotomy (autograft) both were reduced to about 10% of normal. Muscle spindles were reinnervated with annulospiral terminals, or wholly abnormal fine axon terminals, or both. Recovery evidently entails not only a reduction in number of stretch afferents, but also the making of some incorrect reconnections that presumably result in abnormal proprioceptive feedback and reflex action. When a graft is used the sensory impairment is compounded.

摘要

对9只猫的腓总神经进行横断并采用神经外膜缝合术修复。另外9只猫的神经被横断两次并同样进行修复以形成一段短的自体移植神经。从6周龄至50周龄,通过组织学和生理学方法监测短伸肌中牵张感受器的恢复情况。在单次神经切断术后的恢复过程中,功能上可识别的肌梭和腱器官传入纤维分别降至正常的25%和45%;在两次神经切断术(自体移植)后,两者均降至正常的约10%。肌梭由环螺旋终末或完全异常的细轴突终末或两者重新支配。恢复显然不仅需要减少牵张传入纤维的数量,还需要进行一些不正确的重新连接,这可能导致异常的本体感觉反馈和反射动作。当使用移植神经时,感觉障碍会加重。

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