Ahmad Imran, Akhtar Md Sohaib
Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, Uttar Pradesh 202002, India.
Plast Surg Int. 2014;2014:587968. doi: 10.1155/2014/587968. Epub 2014 Oct 27.
Aims and Objectives. The aim of this study was to evaluate the effectiveness of vein conduit in nerve repair compared with isolated nerve graft. Materials and Methods. This retrospective study was conducted at author's centre and included a total of 40 patients. All the patients had nerve defect of more than 3 cm and underwent nerve repair using nerve graft from sural nerve. In 20 cases, vein conduit (study group) was used whereas no conduit was used in other 20 cases. Patients were followed up for 2 years at the intervals of 3 months. Results. Patients had varying degree of recovery. Sensations reached to all the digits at 1 year in study groups compared to 18 months in control group. At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group. In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group (P < .05). Conclusions. It was concluded that the use of vein conduit in peripheral nerve repair is more effective method than isolated nerve graft providing good sensory and motor recovery.
目的。本研究的目的是评估静脉导管在神经修复中与单纯神经移植相比的有效性。
材料与方法。这项回顾性研究在作者所在中心进行，共纳入40例患者。所有患者神经缺损均超过3厘米，均采用腓肠神经移植进行神经修复。其中20例使用静脉导管（研究组），另外20例未使用导管。患者每3个月随访一次，共随访2年。
结果。患者恢复程度各异。研究组患者在1年时所有手指均恢复感觉，而对照组为18个月。在第二年末，研究组84%的患者两点辨别觉<10毫米，而对照组仅为60%。在运动恢复方面，研究组82%的患者手部功能恢复良好，而对照组为56%（P<.05）。
结论。得出的结论是，在周围神经修复中使用静脉导管比单纯神经移植更有效，能带来良好的感觉和运动恢复。
