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

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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