周围神经药物注射伤的手术治疗(附62例报告)

SURGICAL TREATMENT OF INJECTION INJURY OF PERIPHERAL NERVE:A REPORT OF 62 CASES

治疗62例周围神经药物注射伤,随访50例,对治疗结果及影响疗效的有关因素进行了分析。结果表明,神经内外松解术是治疗此类神经伤的有效方法,优良率64％;神经完全损伤和重度损伤疗效较中度损伤差;伤后愈早手术,效果愈好,但晚期手术也能取得一定疗效;神经粘连范围轻效果好,粘连重效果差。并对此类神经伤的电生理改变、治疗方法和手术时机的选择,以及预防措施进行了探讨。

Surgical treatment of postinjection injury of peripheral nerve in 62 patients are reported, 50 patients were followed-up for 3 years in average. Neurolysis is an effective method in the treatment of such injuries with 64 percent of excellent and good result observed in this series. The results of operation were related to the degree of severity of nerve injury, timing of operation, and extent of adhesion of the injured nerve. The result of early operation is better than late operation.