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ID:33735591
大小:1.69 MB
页数:56页
时间:2019-02-28
《桡神经浅支移植修复周围神经缺损与供区功能重建的解剖学分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、英文摘要AnatomicstudyofsuperficialradialnervetransplantingtorepairperipheralnervedefectionandfunctionalreconstructionofdonorsiteABSTRACTobjective:Peripheralnervedefectcausedbytumorexcisionandffaumaisacommonclinicalproblemthatoftenleadstomoreorlessdegreeofdisabilityorevendisabil
2、itycompletely.Repairingofneuraldefectsanditsfounctionalrecoveryisalwaysanintractableproblemandpopularissueintheperipheralnerveregenerationfield.Themostprimitiveandeffectivemethodtosolvetheproblemisself-neuraltransplantation.Self-neuraltransplantation,attheexpenseofautogenei
3、ctegumentarynerve,resultsinfunctionaldamageof’donornerves.Thereforemanyscholarsdevotethemselvestoinvestigateotherwaystotakeplaceofself-neuraltransplantation,suchasallogenic,xenogeneic,artificialneuraltransplantationandnervestube-shieldbridging(includingvein,skeletalmuscle,s
4、ilicontube,PGAtube)andSOon.Buttheoutcomesofabovemethodsareworsethanself-neuraltransplantationinclinic.Self-neuraltransplantationnourishedbybloodvesselsistheonlypracticalandreliablemethodintreatinglongdistanceneurologicdefect。Inearly1990s,Viterboraisedthemethodofend·-to··sid
5、eneurorrhaphytosolvelongdistanceneurologicdefectbasingonthefactabove.Throu-曲the英文摘要end-to-sideneuroghaphybetweendamagednerves(recipientnerves)andnormalnerves(donornerves),thedonornervessproutingcollaterallytotherecipientnerveswhichmakethefunctionoftargetorgansrecoveredtosom
6、edegree.BecausethefunctionofthedonornervesiSnotaffected,scholarshavehadgreatinterestinit.Althoughalotofexperimentalandclinicalresearcheshaveverifiedthephenomenonofnervesproutingcollaterally,buttheeffectofend·to—sideneurorrhaphyiSworsethanthatofend—to—endneurorrhaphywasalsow
7、itnessed.Inthisstudyweinvestigatedthesuperficialradialnerveanditsborderedstructuresanatomically,inordertoprovideanatomicbasisforclinicusingofsuperficialradialnervetransplantationandreconstructingthefunctionofthedonorsite.Methods:Wehaveinvestigated30adultcadavericupperlimbs(
8、1eft15andri曲t15)thatfixedbyFormaldehyde.Longitudinalskincutwasmadefromcondyluslate
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