神经松解减压术治疗上肢神经损伤

TREATMENT OF UPPER LIMB NERVE INJURY WITH NEUROLYSIS AND DECOMPRESSION

目的 :报告采用神经松解压术治疗上肢神经损伤的效果。方法 :采用显微外科技术对 6例 48条上肢神经分别行神经外膜松解、外膜加束膜松解及神经前置治疗。结果 :48条神经中疗效优的 18条 ,良 2 4条 ,可 5条 ,差 1条 ,总优良率 87.5 %。结论 :对上肢神经损伤患者 ,应尽早选用神经探查松解减压术 ,可望获得满意效果。

Objective:To report the effect of neurolysis and decompression for the treatment of upper limb nerve injury.Methods:48 nerves in 36 patients were operated with microsurgery technique including epineurium neurolysis, epineurium plus perineurium neurolysis and nerve ventralization. Results:Of 48 nerves,the result was excellent in 18 nerves, good in 24 nerves, fair in 5 nerves and poor in one nerve. The overall satisfactory rate was 87.5%.Conclusions:In cases of upper limb nerve injury, early operative exploration, neurolysis and decompression is necessary for satisfactory therapeutic effect.