正中神经创伤性损伤修复后功能恢复评分评估工具的比较

Comparison of assessment tools to score recovery of function after repair of traumatic lesions of the median nerve.

作者信息

Wong K H, Coert J H, Robinson P H, Meek M F

机构信息

Department of Plastic and Reconstructive Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

出版信息

Scand J Plast Reconstr Surg Hand Surg. 2006;40(4):219-24. doi: 10.1080/02844310600652878.

DOI:10.1080/02844310600652878

PMID:16911995

Abstract

In this paper the recovery after repair of the median nerve has been used to compare different assessment tools for evaluation of peripheral nerve function: touch (moving 2-point discrimination (2PD); Semmes-Weinstein (SW) monofilament, motor (Medical Research Council (MRC) scale), combined motor and sensory (Dellon modification of the Moberg pick up test; Moberg Recognition test), and pain (visual analogue scale; pinprick-test). The mean (SD) age of our 28 patients was 28 (12) years. The mean (SD) follow-up period was 5 years, 2 months (2 years, 8 months). On the operated side three patients (11%) had a moving 2PD of less than 4 mm. The results of the moving 2PD were compared with those of the SW monofilaments, but with a poor correlation. The MRC score correlated well with opposition movement of the thumb and muscle wasting (p<0.01). We recommend a number of tests to evaluate (the chronological return of) peripheral nerve function.

摘要

在本文中，通过正中神经修复后的恢复情况，对评估周围神经功能的不同评估工具进行了比较：触觉（移动两点辨别觉（2PD）；Semmes-Weinstein（SW）单丝）、运动功能（医学研究委员会（MRC）分级）、运动和感觉联合功能（Dellon改良的Moberg拾物试验；Moberg识别试验）以及疼痛（视觉模拟评分法；针刺试验）。我们的28例患者的平均（标准差）年龄为28（12）岁。平均（标准差）随访时间为5年2个月（2年8个月）。在手术侧，3例患者（11%）的移动两点辨别觉小于4mm。将移动两点辨别觉的结果与SW单丝的结果进行比较，但相关性较差。MRC评分与拇指对掌运动和肌肉萎缩相关性良好（p<0.01）。我们推荐了一些测试来评估周围神经功能（按时间顺序的恢复情况）。