用骨骼肌桥接周围神经缺损的实验研究  

THE EXPERIMENTAL STUDIES ON BRIDGING DAMAGED PERIPHERAL NERVES WITH SKELETON MUSCLES

作　　者：谢洪林[1] 杨振江[1] 孔祥玉[1] 张树彬[1] 韩玉华[1] 孙广林[1] 

机构地区：[1]承德医学院解剖学教研室,河北承德067000

出　　处：《承德医学院学报》2001年第1期3-5,共3页Journal of Chengde Medical University

摘　　要：目的 :用骨骼肌桥接周围神经缺损。方法 :首先于骨骼肌上在选定肌桥的两端各做一“丁”字形切口 ,横切口与肌桥长轴垂直 ,纵切口则与其平行 ,深度以能将神经断端埋入为宜 ,然后 ,将神经远、近端分别埋入相应的两个纵切口内 ,神经断端浅部一半的神经外膜与横切口处的肌外膜对齐 ,并做缘对缘吻合 ,纵切口处的肌外膜彼此吻合。结果 :手术难度降低 ,时间缩短 ,吻合牢靠。神经纤维于肌束间隙、外膜下顺利通过肌桥与远端吻合 ,功能得到恢复。结论Objective:To repair the damaged peripheral nerve with skeleton muscle.Methods:“T”type incisions was made at the either end of the bridging muscle,the transverse incisions were cut vertically to the longitudinal axis of bridging muscle,while the longitudinal incisions were cut parallel to it.The incision should be cut in such degree of depth that the distal and proximal free nerve end parts can be implanted well,than put distal and proximal free nerve end parts into the two longitudinal incisions at the either sides of the bridging muscle,than brought the both edges of the superficial half part of epineurium and epimysium into contact,than connect them by anastomosis,finally,sewed up the two edges of epimysia from the both longitudinal incision.Results: It is proved that the operation was easily performed with the new method in less time and the suture is reliable.The new regenerating nerve fiber bundles was found to grow beneath the epimysium or deep in the muscle bundles toward the distal nerve end,finally,the distal and proximal part of nerve end met each other by anastomosis,the function of denervated muscles was restored.Conclusions:It is proved that repairing the damaged peripheral nerves with skeleton muscles is the ideal new methods.

关 键 词：神经缺损 肌桥 血管再生 坐骨神经 

分 类 号：R651.3[医药卫生—外科学]