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神经嫁接术治疗脑外伤、脊髓伤后痉挛性瘫痪的神经干内显微解剖与嫁接位点的选择 被引量:3
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作者 张少成 李颉 +4 位作者 杨军 马玉海 吴大江 黄飞 张传森 《解剖学杂志》 CAS CSCD 北大核心 2015年第3期308-310,共3页
目的:通过分析常用神经嫁接术之神经根、主要神经干的干内神经显微解剖,确定神经束或束组的解剖定位及走行规律,为选择嫁接神经切口位置、切开深度、范围提供解剖学依据,探讨依据该解剖学规律标定切口的可行性。方法:选用成人尸体标本... 目的:通过分析常用神经嫁接术之神经根、主要神经干的干内神经显微解剖,确定神经束或束组的解剖定位及走行规律,为选择嫁接神经切口位置、切开深度、范围提供解剖学依据,探讨依据该解剖学规律标定切口的可行性。方法:选用成人尸体标本8具,16侧,分离出主要神经,进行测量对照及术中验证,按照腕表表针刻度法进行标记,确认不同平面神经束或神经纤维分布位点。结果:主要神经根、干内神经束解剖位置具有规律性,如无明显变异,可根据各神经不同平面神经束、纤维分布定位,确定切开受体神经的位点。根据神经嫁接术中电刺激及术后效果评估反证显示,按该方法选择定位可达到70%~80%的准确率。结论:通过神经干内显微解剖,确定受体神经楔形切口嫁接位置是可行的。 展开更多
关键词 神经 显微解剖 脑外伤 脑卒中 痉挛性瘫痪 神经嫁接术
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Autogenous standard versus inside-out vein graft to repair facial nerve in rabbits 被引量:11
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作者 唐杰 王雪梅 +2 位作者 胡静 罗恩 戚孟春 《Chinese Journal of Traumatology》 CAS 2008年第2期104-109,共6页
Objective: To evaluate autogenous vein grafts and inside-out vein grafts as conduits for the defects repair in the rabbit facial nerves. Methods: The 10 nun segments of buccal division of facial nerve were transect... Objective: To evaluate autogenous vein grafts and inside-out vein grafts as conduits for the defects repair in the rabbit facial nerves. Methods: The 10 nun segments of buccal division of facial nerve were transected for 48 rabbits in this study. Then the gaps were immediately repaired by autogenous vein grafts or inside-out vein grafts in different groups. All the animals underwent the whisker movement test and electrophysiologic test during the following 16 weeks at different time points postoperatively. Subsequently, the histological examination was performed to observe the facial nerve regeneration morphologically. Results: At 8 weeks after operation, the facial nerve regeneration has significant difference between the experimental group and the control group in electrophysiologic test and histological observation. However, at the end of this study, 16 weeks after operation, there was no signifi- cant difference between inside-out vein grafts and standard vein grafts in enhancing peripheral nerve regeneration. Conclusion: This study suggest that both kinds of vein grafts play positive roles in facial nerve regeneration after being repaired immediately, but the autogenous inside-out vein grafts might accelerate and facilitate axonal regeneration as compared with control. 展开更多
关键词 Facial nerve Nerve regeneraation Tissuegraft Tubulization
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