Bersnev V P
Zh Vopr Neirokhir Im N N Burdenko. 1989 Nov-Dec(6):6-8.
Analysis of injuries to the nerves in 850 patients showed that epi- and perineural sutures do not compete with one another, there are definite indications for the application of each one. A group interfascicular suture is applied when the groups of fasciculi are well formed and measure more than 300 mcm in diameter and the diastasis of the nerve is less than 3 cm. A large number of small fasciculi without a clearly defined group pattern, as well as their monofascicular structure are contraindications for applying a perineural suture but indications for placing an epineural suture. Interfascicular autoplasty by means of a cutaneous nerve is advisable when the mobilized ends of the nerves cannot be approximated. The use of the suggested system of indications for suturing nerves by various methods, optic magnification, and microsurgical techniques produced a good result: nerve conduction was restored in 199 (97%) of 205 cases.
对850例患者的神经损伤分析表明，神经外膜缝合和束膜缝合并不相互竞争，每种缝合方法都有明确的应用指征。当束组形成良好、直径超过300微米且神经断端间距小于3厘米时，采用束间缝合。大量无明确分组模式的小束以及单束结构是束膜缝合的禁忌证，但却是神经外膜缝合的指征。当神经游离端无法对合时，采用皮神经进行束间自体移植是可取的。采用所建议的各种神经缝合指征系统、手术放大镜和显微外科技术取得了良好效果：205例中有199例（97%）恢复了神经传导。
