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[周围神经损伤的外科治疗。一项多中心研究的评估]

[Surgical treatment of peripheral nerve injuries. Evaluation of a multicenter study].

作者信息

Päzolt H J, Henkert K

机构信息

Sektion für Plastische und Wiederherstellende Chirurgie, Gesellschaft für Chirurgie der DDR.

出版信息

Zentralbl Chir. 1990;115(11):677-84.

PMID:2201139
Abstract

In a retrospective study 674 nerve injuries of the upper limb were analysed, which were treated by operative management in 10 hospitals of the GDR. The median nerve (226 cases) and the ulnar nerve (209 cases) most were frequently concerned. 427 injured nerves were reconstructed primary or early secondary. In 46.3% epineural nerve suture was performed and in 23% interfascicular nerve grafting. Good or very good results occurred in 71% (motor recovery) and 70.7% (sensory recovery) according to the scheme of Highet. The best results occurred after primary reconstruction independent of operative technique. The results get worse with increasing age.

摘要

在一项回顾性研究中,对674例上肢神经损伤进行了分析,这些损伤在民主德国的10家医院接受了手术治疗。正中神经(226例)和尺神经(209例)最常受累。427条损伤神经进行了一期或早期二期重建。46.3%进行了神经外膜缝合,23%进行了束间神经移植。根据希格特方案,71%(运动恢复)和70.7%(感觉恢复)取得了良好或非常好的结果。无论手术技术如何,一期重建后效果最佳。结果随着年龄增长而变差。

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