摘要
目的 探讨几种常见四肢周围神经主干损伤的手术治疗。方法 对 35例新鲜与陈旧性桡神经、尺神经、腓总神经损伤 ,根据不同的损伤机制 ,受伤时间和受损情况分别采用了神经松解术 (包括神经内松解术 )、神经对端吻合术、远端神经与邻近神经主干外膜“开窗”端侧吻合术、近端神经束埋置于瘫痪之肌肉内及急诊清创作神经标记、二期手术等手术方式。结果 本组 35例经 1 .5~ 2年随访 ,本组优良率达 80 %。结论 四肢周围神经主干损伤致功能障碍 ,肢体残废 ,进行积极的手术治疗是唯一的办法 ,手术治疗是可以收到良好效果的。关键是术式的选择和早期手术。
Objective To investigate the operative treatment of peripheral nerve trunks injuries of the four limbs. Methods To 35 cases of old or fresh injuries of radial nerve,ulnar nerve and common peroneal nerve, we adopt the operative treatment as follows according to different injury systems,injury time and injury conditions, nerve relaxing (including nerve intenal relaxing operation),never end-to-end anastomosis,end-to-side anastomosis of far end never and the 'open window' side of the ectoblast,of adjacent never,embedding the proximal end nerve bundle in the paralyzed muscle, marking the nervrs after emergency treatment and debridement as well as secondary operation. Results 35 cases had been followed up for 1.5~2 years, the rate of excellent in the group is 80%. Conclusion To the disfunctional or disabled limbs caused by injuries of the peripheral never trunks of the limbs, the only solution is to conduct operative treatment positively, which can achieve good effect. What's important is that the operation should be carried out as early as possible and a proper method should be carefully selected.
出处
《中国煤炭工业医学杂志》
2003年第10期913-914,共2页
Chinese Journal of Coal Industry Medicine