期刊导航

论文摘要

几丁聚糖—胶原再生室和双桥接技术修复兔面神经缺损的实验研究

The experimental study of double-bridging facial nerve defect in rabbits by chitosan-collagen chambers

作者:屈振宇 杨聪 王卫红 许彪;

Author:QU Zhen-yu1,2, YANG Cong1, WANG Wei-hong1, XU Biao1

收稿日期:2009-02-25          年卷(期)页码:2009,27(01):75-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:神经再生,双桥接技术,几丁聚糖—胶原再生室,

Key words:nerve regeneration,double-bridging technique,chitosan-collagen chamber,

基金项目:

云南省自然科学基金资助项目(2006C0002R)

中文摘要

目的探讨利用双桥接技术和几丁聚糖—胶原再生室修复兔面神经长段缺损的可行性。方法将实验用30只健康中国大耳白兔随机分成3组,分别为双桥接组(Ⅰ组)、原位神经吻合组(Ⅱ组)、正常空白对照组(Ⅲ组)。手术制作兔右侧面神经下颊支15 mm缺损模型,采用双桥接和原位神经吻合进行修复。术后12周进行大体观察、神经电生理检测、组织学观察、图像分析,以评价神经修复情况。结果12周时,Ⅰ组几丁聚糖—胶原再生室吸收明显,且无异物反应,能抑制周围纤维结缔组织形成,可为神经再生提供良好的微环境。Ⅱ组吻合口处膨大,周围有瘢痕样组织包绕。Ⅰ组神经肌肉功能恢复良好,神经传导速度(NCV)和复合肌肉动作电位振幅(M波)检测结果经统计学分析显示与Ⅱ组相似(P>0.05),但仍未恢复至正常水平(P

英文摘要

Objective To evaluate the feasibility of repairing the long defects in rabbits by double -bridging technique and chitosan-collagen chambers. Methods Thirty Chinese rabbits were divided into three groups randomly. 15 mm defects in right facial nerve of rabbits were repaired in three groups: double-bridging(groupⅠ), nerve autografts (group Ⅱ), and normal control (group Ⅲ). General observation, electrophysiological study, histological study and image analysis were performed 12 weeks postoperatively. All results were used to evaluate the nerve regeneration. Results Chitosan-collagen chambers were obviously degraded 12 weeks postoperatively and there was no foreign body reaction at this stage. They also restrain the formation of neuroma and provided a good microcircumambience for nerve regeneration. The recovery of nerve regeneration were good in group Ⅰ . The nerve conduction velocity (NCV) and compound muscle action potential(CMAP) of regenerated nerve were analyzed, which showed that there was no significant difference between the group Ⅰ and group Ⅱ(P>0.05), but they all did not recover to normal level(P

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