Koller R, Frey M, Rab M, Deutinger M, Freilinger G
Abteilung für Plastische und Rekonstruktive Chirurgie, II. Chirurgischen Universitätsklinik Wien.
Handchir Mikrochir Plast Chir. 1995 Mar;27(2):98-101.
A histological and morphometric study was undertaken in order to evaluate the alterations in sural nerves harvested for nerve grafting using a nerve stripper. In 19 nerves biopsies were taken from the proximal and/or the distal end of the stripped nerve graft. Cross sections were examined for alterations of the perineurium and the myelin sheaths. In four nerves alterations within the perineurium were found, which affected 37% of the endoneural cross-sectional area on the average. In all specimens, the perineurial sheath was seen to be intact. The results of the present study suggest that harvesting of a nerve graft using a stripper does not cause major injuries to the graft and therefore successful neurotization of the graft should not be impaired.
为了评估使用神经剥离器获取用于神经移植的腓肠神经的改变，进行了一项组织学和形态学研究。从19根经剥离的神经移植体的近端和/或远端取活检组织。对横切面检查神经束膜和髓鞘的改变。在4根神经中发现神经束膜内有改变，平均累及神经内膜横截面积的37%。在所有标本中，神经束膜鞘均完整。本研究结果表明，使用剥离器获取神经移植体不会对移植体造成重大损伤，因此不应损害移植体的成功神经再生。
