早期神经探查松解修复术治疗闭合腓总神经损伤临床分析

Clinical analysis of early neurolysis and neural-repair in the treatment of closed common peroneal nerve injury

目的探讨早期神经探查松解修复术治疗闭合腓总神经损伤患者的临床效果。方法 80例闭合腓总神经损伤患者按照随机数字表法分为实验组和对照组各40例。对照组给予常规治疗,实验组在对照组治疗基础之上采用早期神经探查松解修复术。比较2组治疗前后胫骨前肌及腓骨长短肌MMT分级、FMA评分变化及临床疗效。结果 2组胫骨前肌及腓骨长短肌MMT分级差异有统计学意义(P<0.05);实验组的FMA评分(26.03±5.90)较对照组高(16.03±4.02),差异有统计学意义(P<0.05);实验组临床总有效率为95.0%,较对照组高(70.0%),差异有统计学意义(P<0.05)。结论早期神经探查松解修复术治疗方法较常规治疗方案具有明显的优势,能够提高临床治疗效果,值得临床推广。

Objective To explore Clinical analysis of early neurolysis and neural‐repair in the treatment of closed common peroneal nerve injury.Methods 80 cases with closed common peroneal nerve injury were selected and randomly divided into the experimental group and control group according to the random number table method ,40 cases in each group. Patients in control group were given routine therapy ,and patients in the experimental group received early neurolysis and neural‐repair based on the control group. MMT grade of the tibialis anterior muscle and peroneal muscle ,FMA score and the clinical curative effect were observed and compared in two groups before and after treatment. Results After treatment ,MMT grade of the tibialis an‐terior muscle and peroneal muscle showed statistical difference compared the experimental group with control group （P〈0.05）.FMA scores in experimental group （26.03 ＆#177; 5.90） were significantly higher than that in control group （16.03 ＆#177; 4.02） （P〈 0.05）. Clinical total effective rate in the experimental group was 95.0% ,which was statistically higher than 70.0% in the control group.Conclusion Early neurolysis and neural‐repair take an advantage over routine therapy ,which can improve the clinical curative effect and can be worthy of clinical application.