外周神经损伤的显微外科修复

Microsurgical reparation of peripheral nerve injury

目的 分析应用显微外科技术修复外周神经损伤的临床疗效。 方法 自 1987～ 2 0 0 1年 ,用显微外科技术修复周围神经损伤 3 0 8例 466条神经 ,方法包括神经外膜缝合术、神经束膜缝合术、神经松解术及神经移植术。 结果 术后经 6～ 72个月随访 ,根据BMRC感觉、运动评价标准 ,其中疗效为优者 2 0 3条 ,良者 177条 ,优良率达 82 0 7%。伤后 3个月内修复者的优良率为 92 2 7%,优于6个月后修复者。 结论 应用显微外科技术对外周神经损伤进行修复 ,神经断端的精确对合和及早修复可提高临床疗效。

Objective To analyze the curative effect that microsurgical technique used in peripheral nerve injury. Methods Thirty-hundred and eight cases of peripheral nerve injury were treated with microsurgical technique from 1987 to 2002.The operations used in this group include epineurial repair,fascicular repair,neurolysis and nerve grafting. Results All cases were followed up after 6 months to 72 months.According to the assessment criterion of nerve function issue by the BMRC.The overall excellent and good rate was 82.07%. The treatment outcome was much better in those managed within 3 months than those managed 6 months later. Conclusions Those result indicated that the preceded microsurgical repair of peripheral nerve injury is an effective method for raising the excellent rate of peripheral nerve injuries,and for vary nerve,different section of nerve injured,very nature of nerve injury,the method are vary.