摘要
目的：分析应用显微外科技术修复上肢神经损伤中影响疗效的各方面的因素及临床处理措施。方法：用显微外科技术修复上肢神经损伤５７例６８条神经，采用神经端端外膜缝合，外膜加部分束膜缝合、束膜束组缝合、束膜缝合和神经移植、束膜松解。结果：术后经２月～１０年随访，优良率８３８％。结论：神经断端准确对合和及早修复是提高疗效的关键；对不同的神经、不同的损伤平面及损伤程度不同，应采用不同的缝合方法。
cases of upper limb nerve injury were treated with microsurgery from 1986 to 1998.According to different injuries,different operative methods including neurolysis,epineurial repair,epineurial fascicular repair,fascicular repair and nerve grafting,were used respectively.The patients were followed up for 2 months to ten years,and the excellent rate was 83.8%.Those results indicate that the preceding microsurgical repair of upper limb nerve injury is an effective method for raising the excellent rate of upper limb nerve injury,and for various nerves,different sections of nerve injured,various nature of nerve injury,the methods should vary.
