不同部位供皮与神经再支配的关系
失神经皮肤,,失神经皮肤;神经再生;神经再支配,0引言,1材料和方法,2结果,3讨论,参考文献
关键词: 失神经皮肤;神经再生;神经再支配摘 要:目的 研究不同类型的移植皮肤在获得神经再支配后的表现. 方法 猴手指皮肤造成失神经支配并植入神经,于术后12mo取指腹标本利用免疫组织化学染色技术观察游离末梢和感觉小体再生情况. 结果 术后12mo移植皮肤内再生的游离神经末梢数量与正常无差异,分布均匀.植入的神经能再生触觉小体,且小体多分布于植皮区的边缘,体积为正常组58%,相对灰度为正常组80%,主要呈单轴突支配;各类皮肤中触觉小体的再生率不同,上睑、前臂、手掌的再生率分别是35%,40%,60%.未发现环层小体的再生. 结论 移植皮肤可再生游离末梢,触觉小体的再生率与皮片供区有关.
Study on the relations between types of grafting skin and reinnervation
CHENG Biao,CHEN Shao-Zong,LI Xue-Yong,LI Yue-Jun
Department of Plastic and Burn Surgery,Tangdu Hospital,Fourth Military Medical University,Xi'an710038,China
Keywords:denervated skin;nerve regeneration;reinnerva-tion
Abstract:AIM To investigate the reinnervation of grafting skin from different donor sites.METHODS Nerve was im-planted into the denervated finger skin of monkey,the sam-ples were taken from monkey finger palm after nerve implan-tation ......
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