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[外伤性展神经麻痹的肌肉神经移植术(一种手术治疗新方法)(作者译)]

[Muscular neurotisation in traumatic abducens paresis (A new method of operative treatment) (author's transl)].

作者信息

Aichmair H, Freilinger G, Holle J, Mandl H, Mayr R

出版信息

Klin Monbl Augenheilkd. 1975 Oct;167(4):580-3.

PMID:54453
Abstract

Traumatic abducens pareses occur quite often. The methods of operation known until now often achieved no good functional result. Therefore the authors experimentally tried to reinnervate by means of "musculr neurotisation" in 10 rabbits an extraocular muscle previously denervated. After 6 months the histological examination revealed the presence of newly germinated medullated nerve fibers and motor end plates. This was the proof that eye muscles may be reinnervated. Consequently in 5 patients with traumatic abducens paresis an implantation of the inferior oblique muscle was done. The functional improvement secured by this method of operation which for the first time has been applied on the human eye was good, in some cases even extremely good, depending on the time elapsed between lesion and operation.

摘要

创伤性展神经麻痹较为常见。到目前为止已知的手术方法往往无法取得良好的功能效果。因此,作者在10只兔子身上通过“肌肉神经移植”对一条先前已去神经支配的眼外肌进行了实验性再神经支配。6个月后,组织学检查发现有新萌发的有髓神经纤维和运动终板。这证明眼肌可以进行再神经支配。因此,对5例创伤性展神经麻痹患者进行了下斜肌植入术。这种首次应用于人类眼睛的手术方法所确保的功能改善良好,在某些情况下甚至非常好,这取决于损伤与手术之间的时间间隔。

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