[神经内注射局麻药后周围神经形态学改变]。

Deutsche zahnarztliche Zeitschrift Pub Date : 1991-12-01
B Hoffmeister
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引用次数: 0

摘要

三叉神经第三支的神经感觉障碍发生在罕见的病例中,没有任何手术治疗的神经附近受累。最常受影响的神经分支是下牙槽神经和舌神经。我们在动物实验研究中探讨了局部麻醉溶液的神经内注射问题。Wistar大鼠坐骨神经和猫舌神经经神经内注射Articain(4%)溶液后,未见毒性损伤。可以认为,神经内局部麻醉注射引起的神经感觉障碍是神经内血肿伴连续纤维化的结果。
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[Morphological changes of peripheral nerves following intraneural injection of local anesthetic].

Neurosensory disturbances of the third branch of the trigeminal nerve occur in rare cases without any operative treatment near the nerve involved. The most frequently affected nerve branches are the inferior alveolar nerve and the lingual nerve. We examined the problem of intraneural injection of local-anaesthetic solutions in an experimental study on animals. After intraneural injection of Articain (4%)-solution in the ischiadic nerve of Wistar rats and the lingual nerve of cats no toxic lesions were observed. It can be assumed that neurosensory disturbances caused by intraneural local-anaesthetic injection are the result of intraneural haematomas with consecutive fibrosis.

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