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find Author "卫晓恩" 2 results
  • EXPERIMENTAL STUDY OF REPAIRING PERIPHERAL NERVE BY DIFFERENT TYPES OF GRAFTS

    A 0.6cm segment of right common peroneal nerve was resected in 60 SpragueDawley rats. The nerve defects were bridged by adhering the epineurium with autogenous nerve, vein, skeletal muscle, tendon and silastic tube. According to the kinds of the grafts used, the rats were divided into 5 groups. In 6 and 12 weeks after operation, the effect was assessed by motor nerve conduction velocity, weight of the anterior tibial muscle, number of distal axons and histological examination. It was demonstrated that the result from autogenous nerve graft was superior to other grafts in all aspects and that of the vein graft was better thanthe other three. The characteristics of the nerve regeneration and the process of maturation in different types of the grafts were discussed. The related microenvironment which caused the difference was also discussed.

    Release date:2016-09-01 11:10 Export PDF Favorites Scan
  • 聚四氟乙烯材料在肩关节肿瘤假体功能重建中的应用

    目的 总结肱骨近端肿瘤大块切除人工肩关节置换术中采用聚四氟乙烯(polytetrafluethlene,PTFE)材料行动力起止点重建,以及周围软组织修复的方法及疗效。 方法 2004 年1 月- 2006 年6 月,收治肱骨近端骨肿瘤5 例。男4 例,女1 例,年龄23 ~ 72 岁。骨肉瘤3 例,骨巨细胞瘤2 例。MTS(musculoskeletal tumor society)外科分期ⅠB 型2 例,Ⅱ B 型3 例。肿瘤大小为6 cm × 4 cm × 4 cm ~ 9 cm × 7 cm × 7 cm。病程3 ~ 19 个月。经影像学检查证实侵犯周围软组织。术中距肿瘤边界3 ~ 5 cm 连同周围软组织行大块肿瘤切除术,并予以定制人工肩关节肿瘤假体置换,骨水泥固定。采用PTFE 材料修复肩袖等软组织缺损并重建动力起止点。 结果 术后患者引流量为250 ~ 600 mL,伤口均Ⅰ期愈合。5 例均获随访,随访时间24 ~ 47 个月,平均38 个月。末次随访时4 例假体位置良好,无松动、下沉、磨损等并发症;1 例肩关节假体术后27 个月出现向上轻度脱位,外展功能受限明显,未作特殊处理。患者肿瘤均未见复发。末次随访时关节功能采用美国肌肉骨骼肿瘤学会保肢评分系统进行评定:优2 例,良1 例,可2 例。 结论 PTFE 材料可在肱骨近端恶性肿瘤大块切除人工肩关节置换中应用,以帮助解决肩关节周围软组织缺损修复以及动力起止点重建的问题。

    Release date:2016-09-01 09:07 Export PDF Favorites Scan
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