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[晚期神经创伤的诊断]

[The diagnosis of nerve trauma late].

作者信息

Krupatkin A I

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1990 Sep-Oct(5):28-31.

PMID:2176762
Abstract

On the basis of examination of 110 patients with sequelae of incised damages to 146 nerves, the author compared the clinical data and the results of electroneuromyography, thermography, polarography, and the ninhydrin test to appraise the anatomical condition of the nerve trunks. Electroneuromyography is a sensitive method in determining the indications for operation, but is insufficiently informative for making the differential diagnosis of intratruncal neurinomas. Complex clinico-instrumental study of the pulsed (electroneuromyography) and the trophic function proper of the nerves (evaluation of microcirculation, thermotopography, and perspiration of the autonomous zones of innervation) allows their preoperative condition to be evaluated more fully.

摘要

在对146条神经切割损伤后遗症的110例患者进行检查的基础上,作者比较了临床数据以及神经肌电图、热成像、极谱分析和茚三酮试验的结果,以评估神经干的解剖状况。神经肌电图是确定手术指征的一种敏感方法,但对于进行神经干内神经鞘瘤的鉴别诊断,其信息量不足。对神经的脉冲(神经肌电图)和营养功能本身(评估微循环、热地形图和神经支配自主区域的出汗情况)进行综合临床仪器研究,可以更全面地评估其术前状况。

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