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[前臂和手部周围神经陈旧性损伤的外科治疗]

[Surgical treatment of inveterate injuries of peripheral nerves of the forearm and hand].

作者信息

Abramian A V, Khamraev Sh Sh

出版信息

Ortop Travmatol Protez. 1991 Jun(6):14-6.

PMID:1784481
Abstract

In the article is described the method of application of the wrapping epineural suture, proposed by the authors. There are demonstrated the advantages of the given suture in relation to the ordinary epineural one in comparative aspect. Moreover, there is proposed the method of autoneuroplasty at injuries of the median and ulnar nerves with regard to the direction of transplants in the "cable". 18 patients have been operated on according to the proposed method of autoneuroplasty . The positive effect has been detected when studying the remote results. The operated nerve function restores much quicker due to the application of the local hyperthermia of a limb beginning from the 6th post-operative day during 2-3 months. The comparative evaluation of the results of treatment demonstrated the efficiency of the proposed methods.

摘要

本文描述了作者提出的包裹性神经外膜缝合术的应用方法。在比较方面,展示了这种缝合术相对于普通神经外膜缝合术的优势。此外,针对正中神经和尺神经损伤时“电缆”中移植方向,提出了自体神经成形术的方法。根据所提出的自体神经成形术方法,对18例患者进行了手术。在研究远期结果时发现了积极效果。由于从术后第6天开始在2至3个月内对肢体进行局部热疗,手术神经功能恢复得更快。治疗结果的比较评估证明了所提出方法的有效性。

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