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[外周神经切断吻合术的新进展]

[New aspects of anastomoses of severed peripheral nerves].

作者信息

Duspiva W

出版信息

Fortschr Med. 1978 Nov 16;96(43):2214-8.

PMID:361529
Abstract

Nerve anastomoses glued with Fibrinkleber are stabilized against the plasminogen-activators of the tissue by natural and synthetical inhibitors of fibrinolysis administered locally and systemically. So the early lysis of the clots is inhibited. The glued nerve anastomoses do not reach the bond strength of sutured nerves, but foreign body reactions are avoided by this method. Glueing nerves with Fibrinkleber combined with inhibition of fibrinolysis seems to be a good method reuniting severed nerves, especially in nerve transplantation, provided too much tension is avoided.

摘要

用纤维蛋白粘合剂粘合的神经吻合口,通过局部和全身应用天然及合成的纤维蛋白溶解抑制剂,可抵御组织中的纤溶酶原激活剂,从而抑制血栓的早期溶解。粘合的神经吻合口虽未达到缝合神经的粘结强度,但该方法可避免异物反应。在避免张力过大的情况下,用纤维蛋白粘合剂粘合神经并结合纤维蛋白溶解抑制,似乎是一种修复离断神经的良好方法,尤其适用于神经移植。

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