静脉桥接周围神经缺损再植入肌肉的实验  

An experimental study of autogenous vein bridging and musclar implantation for peripheral nerve defect

作　　者：韩树峰[1] 韩西城[1] 

机构地区：[1]山西医学院第一附属医院骨科,太原030001

出　　处：《中华手外科杂志》1996年第1期23-25,共3页Chinese Journal of Hand Surgery

摘　　要：比较自体静脉移植桥接神经再植入肌肉，自体神经直接植入。自体神经移植再植入三者的疗效。方法：选用Ｗｉｓｔａｒ大白鼠３６只，随机分成上述３组。于术后３个月、６个月检测肌电活动，光镜及电镜下观察其组织学变化和超微结构特征。结果：自体神经直接植入优于自体神经或自体静脉移植再植入（Ｐ＜０．０１），自体神经移植再植入和自体静脉移植再植入之间，两者差异无显著性意义（Ｐ＞０．０５）。结论：在临床应用中，应尽可能行神经直接植入，无法直接植入时，在适当长度内可考虑用静脉替代自体神经桥接再植入。adult rats were divided into three groups . In group A, direct nerve implantation was per- formed . In group B. the autogenous nerve wasused to repair 1cm defect of the femoral merve,the distal stump of the graft was implanted into rectus femoris muscle . In group C, the atogenous vein was used in the same way as in gmup B . Electrophysiological and morphological examination 3 and 6 months after operation, showed that group A was better than group B and group C , there was no signifcant difference between group B and C . Clin- ically, if direct implantation is impossible and the nerve defect is within certain length, vein grafting could be Considered .

关 键 词：静脉移植 神经缺损 神经植入 周围神经 

分 类 号：R651.3[医药卫生—外科学]