外科治疗骨间背侧神经损伤12例

Surgical Treatment for Posterior Interosseous Nerve Injury of 12 Cases

目的探讨骨间背侧神经损伤的外科治疗方法,提高该病的治疗水平。方法对2006年3月至2009年11月以来收治的12例骨间背侧神经损伤施行外科修复治疗,其中有5例行伸指和(或)伸拇功能重建术,3例行神经吻合术,3例行神经松解术,1例行神经移植桥接术。结果术后随访12例,随访半年至3年;7例经神经修复术后6个月,其中6例主动伸指和(或)伸拇功能大部分恢复,1例神经功能无明显恢复;5例手功能重建术中,优3例,良2例。结论骨间背侧神经损伤依据不同的损伤情况,采取不同的外科治疗方法是有效的,值得临床推广应用。

Objective To investigate the surgical treatment for posterior interosseous nerve injury to improve the treatment effect. Methods 12 cases of posterior interosseous nerve injury from March 2006 to November 2009 were treated by surgical repair treatment, among whom 5 patients were treated by functional reconstruction of extensor and （or） thumb extension, 3 patients were treated by neuroanastomosis, 3 patients were treated by neurolysis, and one patient was treated by nerve grafting bridge. Results The follow-up lasted 6 months to 3 years in 12 cases. After 6 months when 7 patients were treated by nerve repair, most of function of active extensor and （or） thumb extension got recovery in 6 cases, neurological function of one case had no significant recovery; among 5 cases of hand function reconstruction, 3 cases were excellent, 2 cases were good. Conclusion According to the different injuries of posterior interosseous nerves, taking different surgical treatment methods is effective, which deserves clinical application.