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兔腓总神经束间移植的实验研究

Experimental study of interfascicular grafts in the peroneal nerve of the rabbit.

作者信息

Yamano Y

出版信息

Arch Orthop Trauma Surg (1978). 1981;99(2):97-103. doi: 10.1007/BF00389744.

Abstract

To elucidate the nerve, especially motor nerve, regeneration after interfascicular grafting, the method most often used clinically, the nerve grafting was performed on 40 adult rabbits. By resecting 2.0 cm of the right peroneal nerve, the sural nerve was made into 4 interfascicular grafts under a operating microscope. The cross section area of the grafts was about the same as that of peroneal nerve. Histological and evoked electromyographic observations were conducted on the maturation of regenerating nerves of up to 24 post-operative months, when the maturation would have been completed. The present histological and evoked electromyographic observations revealed that about 70% of nerve, especially motor nerve, recovery was attained after interfascicular grafts as compared with normal nerve. In the nerve regeneration after interfascicular grafts, several factors differing from the case of suture are involved, and these factors were considered from the experimental findings.

摘要

为阐明临床上最常用的束间移植术后神经尤其是运动神经的再生情况,对40只成年家兔进行了神经移植。通过切除右侧腓神经2.0 cm,在手术显微镜下将腓肠神经制成4个束间移植物。移植物的横截面积与腓神经大致相同。对术后长达24个月的再生神经成熟情况进行了组织学和诱发肌电图观察,此时成熟过程应已完成。目前的组织学和诱发肌电图观察结果显示,与正常神经相比,束间移植术后约70%的神经尤其是运动神经得以恢复。在束间移植后的神经再生过程中,涉及一些与缝合情况不同的因素,这些因素是根据实验结果来考虑的。

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