Ducker T B, Kauffman F C
Clin Neurosurg. 1977;24:406-24. doi: 10.1093/neurosurgery/24.cn_suppl_1.406.
Respect for the metabolic changes within the neuron is critical in planning peripheral nerve surgery. Only by understanding the different metabolic responses of the nerve tissue and the supportive tissue can anastomosis be planned where the budding neuron stands its best chance of successfully regenerating across a repair site. Often, a short delay in nerve repair is indicated. With all factors ideal, good motor function can be counted on across one joint from the next group of muscles. Rarely is there good function across two joints. Protective sensory function can be achieved distally even under the most adverse metabolic conditions because of the independent metabolic state of these end organs.
在规划周围神经手术时，重视神经元内的代谢变化至关重要。只有了解神经组织和支持组织不同的代谢反应，才能规划吻合部位，使新生神经元在修复部位成功再生的机会最大化。通常，建议对神经修复稍作延迟。在所有因素理想的情况下，下一组肌肉可使一个关节实现良好的运动功能。跨越两个关节实现良好功能的情况很少见。由于这些终末器官的独立代谢状态，即使在最不利的代谢条件下，远端也可实现保护性感觉功能。
