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    find Keyword "皮下包埋" 2 results
    • AN EFFECT OF THE PERIPHERAL NERVE ALLOGRAFT WITH SUBCUTANEOUS PRESERVATION AT DIFFERENT TIMES ON THE NERVE REGENERATION

      Objective To study an effect of the peripheral nerve allograft with subcutaneous preservation at different times on the sciatic nerve regenerationin rats. Methods Fifty-five Wistar rats were used in this experiment, which were randomly divided into the following 5 groups: the experimental groups (Groups A, B, C, 10 rats), the control group (Group D, 10 rats), and the donorgroup (Group E, 15 rats). In the experimental groups, a 15-mm segment of the sciatic nerve harvested from the donors was separately inserted into the subcutaneous compartment on the left thigh after the 1week (Group A), 2-week (Group B), and 3week (Group C) preservation; the segment of the sciatic nerve in the subcutaneous compartment was removed and transplanted into a 10-mm defect of theright sciatic nerve, which was made immediately. In Group D, a 10-mm sciatic nerve defect was made and immediately repaired in situ on the right thigh. The function of the sciatic nerve was evaluated by the sciatic functional index (SFI) at 2, 4, 6, 8, 10 and 12 weeks after operation. The histological and electrophysiological examinations were performed at 12 weeks after operation. Results After operation, SFI decreased gradually at 12 weeks afteroperation, SFI inGroups A and D was at the minimal level and had a significant difference compared with that in Groups B and C (Plt;0.05).There was no significant difference between Group A and Group D. A large number of the myelinated nerve fibers and a small number of the unmyelinated nerve fibers were regenerated in Groups A and D. The number and the structure of the regenerated nerve were similar to the normal ones. The number and the size of the regenerated axon had a significant difference compared with those in Groups B and C (Plt;0.05). There was no significant difference between Group A and Group D. The conduction velocity and the latent period of the motor nerve had significant differences between Groups A and D and Groups B and C (Plt;0.05), and there was no significant difference betweenGroupA and Group D. Conclusion The nerve allograft with a 1-weeksubcutaneous preservation can promote nerve regeneration better. 

      Release date:2016-09-01 09:26 Export PDF Favorites Scan
    • 皮下包埋二期重建指腹治療甲根部斷指

      目的 總結皮下包埋二期重建指腹治療甲根部斷指的療效。 方法2009年8月-2011年6月,收治10例12指甲根部離斷傷患者。男6例,女4例;年齡18~34歲,平均25歲。損傷指別:拇指1例,示指2例,中指5 例,環指3例,小指1例。斷指按Ishikawa等分區標準均為Ⅱ區。末節掌側缺損范圍1.5 cm × 1.0 cm~2.5 cm × 2.0 cm。傷后至手術時間2~10 h,平均3.7 h。采用腹部皮下包埋回植的指骨及甲床,二期帶神經的指動脈皮瓣重建指腹方法治療,皮瓣切取范圍1.8 cm × 1.2 cm~3.0 cm × 2.5 cm。 結果術后皮瓣均順利成活。9例傷口Ⅰ期愈合;1例遠端甲床部分壞死出現骨外露,行殘端修整術后愈合。患者均獲隨訪,隨訪時間6~24個月,平均12個月。患指長度與健側接近,指甲生長平整,指腹飽滿,質地柔軟,彈性良好。皮瓣兩點辨別覺6~9 mm,平均7.5 mm。術后復查X線片示回植指骨密度與健指接近,骨折愈合時間1~2.5個月,平均1.8個月,手指各關節活動正常。術后6個月手指功能按照中華醫學會手外科學會上肢部分功能評定試用標準,獲優5例,良4例,可1例。 結論應用皮下包埋回植指骨及甲床,二期重建指腹的方法修復斷指,為無再植條件的甲根部離斷傷提供了一種新的修復方法。

      Release date:2016-08-31 04:21 Export PDF Favorites Scan
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