关键词: 周围神经;缺血;再灌注损伤;神经传导;兔;神经外膜 码

    摘 要:目的 研究周围神经缺血再灌注损伤后不同时间外膜切开手术后运动神经传导速度的变化. 方法 24只周围神经缺血再灌注兔随机分成对照组，即刻行神经外膜切开减压组、1wk后神经松解和4wk后神经松解组进行运动神经传导速度观察. 结果 神经传导的潜伏期、传导速度和肌肉动作电位波幅，各实验组均好于对照组(P<0.05)，其中即刻行外膜切开减压组与对照组及4wk后松解组比较差异非常显著(P<0.01). 结论 周围神经缺血与再灌注损伤后如能尽快或急诊行神经外膜切开减压，可取得较好疗效.

    Effect of decompressive epineurial incision on post┐ischemia reperfusion injury of peripheral nerves

    XU Xin-Zhi，SHI Ji-Hong，HUANG Yao-Tian，HU Yun-Yu

    1 Institute of Orthopaedics of Chinese PLA，Xijing Hosptial，Fourth Military Medical University，Xi'an710033，China，

    2 Trauma Centre，Kunming General Hospital of Chinese PLA，Kunming650032，China

    Keywords:peripheral nerve;ischemia;reperfusion injury;neural conduction velocity;rabbits;epineurium

    Abstract:AIM To evaluate the results of surgical treatment for reperfusion injury of periperal nerves performed at various time intervals between the injury and the decompression pro-cedure，by means of electrophysiological examinations.METHODS Twenty-four rabbits were randomly divided in-to four groups ......