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《Chinese Journal of Practical Hand Surgery》 1999-01
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Comparative study for the nerve repairs of mismatched nerves

Zhang Wei, Zhang Gaomeng, Shen Liying, et alDepartment of Orthopedic surgery, Shanghai No. 6 Hospital, Shanghai 200233  
ve To investgate the relationship between nerve repair of mismatchded nerves and nerve regeneration. Methods The six different neurorrhaphies, they were trunk - to - trunk suture, trunk - to - fascile suture, embedding suture, end - to - side suture, non - and little - gap sleeve insertion through vein conduit, were used to transfer the phrenic nerve to the lateral cord in the rat model of brachial plexus root avulsion. Electrophysiological, histological examinations and functional evaluation were applied to access nerve regeneration and the functional recovery of the biceps brachii muscle postoperatively. Results At fourth month after operation, the end - to - end coaptation groups were superior to the end - to - side group in all observation parameters. Among the end - to - end coaptation groups, except that the delay rates of latency and the maximal persisting time were no statistically significant differences, the myelinated axon counts of the two vein-conduit sleeve insertion groups were superior to that of trunk- to- fascile group. The other observation parameters indicated that the two vein-conduit sleeve insertion groups, embedding group and trunk- to- trunk group have no significant difference, but they were superior to the trunk - to - fascile group. Conclusion (1) The end - to - end coaptation is superior to the end- to-side coaptation. (2)The trunk- to- trunk coaptation is superior to the trunk- to- fascile coaptation. (3) The sleeve insertion is superior to the direct suture. (4)The non- and little- gap vein- conduit sleeve insertion groups have no significant difference.
【CateGory Index】: R651
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Kong Jiming; Zhong Shizhen; Hu Yaomin;Li Zhonghua(Department of Anatomy, The First Military Medical University. Guangzhou);RESCUE OF AXOTOMY-INDUCED MOTONEURONAL CELL DEATH BY DENERVATED SKELETAL MUSCLE EXTRACTS──AN IN VIVO STUDY IN NEONATAL RATS[J];CHINESE JOURNAL OF NEUROANATOMY;1994-04
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