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移植肾的手术再神经支配:有必要吗?

Surgical reinnervation of the transplanted kidney: is it needed?

作者信息

Shioshvili T I

机构信息

Institute for Urology and Nephrology, Ministry of Health of the Georgian SSR, Tbilisi.

出版信息

Eur Urol. 1988;14(1):56-60. doi: 10.1159/000472898.

Abstract

The influence of surgical reinnervation on the organ was experimentally investigated on 175 dogs using the model of in situ denervation and kidney autotransplantation. It was found to ensure: anatomic and physiological conditions for the directed intergrowth of nerve fibres up to the principal structural elements of kidney; normal levels of nervous mediators, and complete kidney efficiency over a long period of time. The expediency of surgical reinnervation in the case of auto- and allotransplantation of the kidney is discussed.

摘要

采用原位去神经支配和肾自体移植模型,对175只犬进行实验研究,探讨手术再神经支配对器官的影响。结果发现,手术再神经支配可确保:神经纤维向肾脏主要结构成分定向生长的解剖学和生理学条件;神经介质水平正常,且肾脏在较长时间内功能完全正常。文中还讨论了肾脏自体移植和同种异体移植时手术再神经支配的合理性。

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