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阻断部分臂丛神经下干分支对健侧颈7移位下干后神经再生的影响
引用本文:冯俊涛,王涛,陈亮,罗鹏波,顾玉东.阻断部分臂丛神经下干分支对健侧颈7移位下干后神经再生的影响[J].中华手外科杂志,2010,27(6):73-76.
作者姓名:冯俊涛  王涛  陈亮  罗鹏波  顾玉东
作者单位:上海交通大学附属仁济医院外科基地;复旦大学附属华山医院手外科,上海,200040;
基金项目:卫生部重点学科基金资助项目上海市周围神经显微外科重点实验室课题项目
摘    要:Objective To explore the changes of the nerve fibers from median and ulnar nerves after cutting the branches of lower trunk which was repaired by the contralateral C7.Methods Forty female SD rats were divided into A, B, C and D groups randomly.In group A,the contralateral C7 root was transferred to lower trunk directly, and the posterior division of lower trunk, medial anterior thoracic nerve and the medial antebrachial cutaneous nerve were severed at the beginning of them;In group B, the contralateral C7 root was trarsferred to lower trunk directly, and the posterior division of lower trunk, medial anterior thoracic nerve and the medial antebrachial cutaneous nerve were severed at the point which was 1 cm away from the beginning of above branches;In group C, the contralateral C7 root was transferred to lower trunk directly, and the posterior division of lower trunk was severed at the beginning of it;In group D, control group.After the operation, myelinated fiber count, nerve fiber density, the percentage of the number of nerve fiber from branch accounting for that from lower trunk, nerve fiber diameter,the percentage of nerve fibers with different diameters and N Ratio were carried out to evaluate the outcome of each group.Results Myelinated fiber count, nerve fiber density, the percentage of the number of nerve fiber from branch accounting for that from lower trunk, nerve fiber diameter,the percentage of nerve fibers with different diameters and N Ratio in ulnar and median nerve, there were no difference between group A, group B and group C ( P > 0.05).Conclusion After the medial anterior thoracic nerve and medial antebrachial cutaneous nerve, repaired by the contralateral C7, were severed at the beginning and at the point which was 1 cm away from the beginning of above branches, the changes of the quantity and quality of the nerve fibers from median and ulnar nerves were not significant.

关 键 词:神经纤维    神经移位    周围神经    颈7    

The changes of the nerve fibers of lower trunk repaired by the contralateral C7 after its branches were cut
FENG Jun-tao,WANG Tao,CHEN Liang,LUO Peng-bo,GU Yu-dong.The changes of the nerve fibers of lower trunk repaired by the contralateral C7 after its branches were cut[J].Chinses Journal of Hand Surgery,2010,27(6):73-76.
Authors:FENG Jun-tao  WANG Tao  CHEN Liang  LUO Peng-bo  GU Yu-dong
Abstract:
Keywords:Nerve fibersNerve transferPeripheral nervesC7
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