摘要
目的 探讨神经端侧吻合的临床疗效。方法 自 1998年起应用神经端侧吻合治疗 11例新鲜与陈旧性桡神经、尺神经、腓总神经损伤 ,采用远端神经与邻近神经干外膜“开窗”做端侧呈 3 0~ 5 0°夹角的吻合方法。结果 本组 11例经 11~ 2 5个月随访 ,按MCRR的神经疗效评定标准M4 S3+以上为优 ;M3S3为良 ;M2 S2 为中 ;M1 S1 以下为差。本组M4 为 0例 ,M3为 3例 ,M2 为 5例 ,M1 为 2例 ,M0 为 1例 ,运动神经良好率为 2 7%。S3+为 2例 ,S3为 5例 ,S2 为 3例 ,S1 为 1例。优良率为 63 .6%。结论 神经端侧吻合感觉的恢复较为理想而对运动的恢复效果欠佳 ,应慎重评价端侧吻合法。
Objective To try to find out the clinical application after nerves end to side neurorrhaphy.Methods Since 1998,we used the way of nerves end to side to assume 30~50°angle neurorrhaphy to treat 11 cases of fresh and old injury of nerve,it include 7 cases of ulnar nerve ,2 cases of radial nerve injury,2 cases of common peroneal nerve injury.Results Eleven cases were followed up.The time of follow up was 11~25 months.According to the standard of MCRR:M 3S 3 + hereinbefore is excellent,M 3S 3 is good,M 2S 2 is acceptable,M 1S 1 hereinafter is inefficient.The result:M 4 is 0 cases,M 3 is 3 cases,M 2 is 5 cases,M 0 is one cases.The rate of excellent and good of motor nerve was 27%.M 3S 3 + is 2 cases,S 3 + is 2 cases,S 3 is 5 cases,S 2 is 3 cases,S 1 is one case.The rate of excellent and good of sensory nerve was 63.6%.Conclusion Nerves end to side neurorrhaphy is very good for sensory nerve but isn't satisfactiory for motor nerve.So we should estimate the way of nerves end to side neurorrhaphy carefully.
出处
《右江医学》
2003年第5期428-430,共3页
Chinese Youjiang Medical Journal