采用显微外科束间自体电缆移植技术修复正中神经、尺神经和桡神经损伤的长期效果。

Long-term results of transplantations to repair median, ulnar, and radial nerve lesions by a microsurgical interfascicular autogenous cable graft technique.

作者信息

Singh R, Mechelse K, Hop W C, Braakman R

机构信息

Department of Neurosurgery, University Hospital Rotterdam-Dijkzigt, The Netherlands.

出版信息

Surg Neurol. 1992 Jun;37(6):425-31. doi: 10.1016/0090-3019(92)90130-f.

DOI:10.1016/0090-3019(92)90130-f

PMID:1595047

Abstract

A comprehensive analysis of 187 patients (78 median, 86 ulnar, and 23 radial nerve lesions) treated by an interfascicular autogenous nerve grafting technique is presented. After a follow-up of at least 18 months good motor recovery was achieved in 72% of median nerve lesions, 77% of ulnar nerve lesions, and 57% of radial nerve lesions. Good functional sensory recovery was found in 36% of median, 45% of ulnar, and 48% of radial nerve lesions. It appears by multivariate analysis that the results obtained generally were better in younger patients, in patients with a shorter preoperative delay, and in cases with a shorter transplant.

摘要

本文对187例采用束间自体神经移植技术治疗的患者（78例正中神经损伤、86例尺神经损伤和23例桡神经损伤）进行了综合分析。经过至少18个月的随访，正中神经损伤患者中72%实现了良好的运动恢复，尺神经损伤患者中77%实现了良好的运动恢复，桡神经损伤患者中57%实现了良好的运动恢复。正中神经损伤患者中36%、尺神经损伤患者中45%以及桡神经损伤患者中48%实现了良好的功能性感觉恢复。多因素分析显示，总体而言，年轻患者、术前延迟较短的患者以及移植段较短的病例所取得的结果更好。