Fantoni Caterina, Erra Carmen, Fernandez Marquez Eduardo Marcos, Ortensi Andrea, Faiola Andrea, Coraci Daniele, Piccinini Giulia, Padua Luca
IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy.
World Neurosurg. 2018 Jul;115:320-323. doi: 10.1016/j.wneu.2018.04.179. Epub 2018 May 3.
Peripheral nerve injuries often undergo surgical repair, but poor postoperative functional recovery is frequently observed.
We describe 4 cases of traumatic nerve lesions in whom postoperative recovery was prevented by complications such as detachment of nerve sutures or neuroma growth. To the best of our knowledge, no similar cases have been reported in literature so far. It is important to obtain an early diagnosis of such condition because it prevents recovery and delays reintervention, which should be performed before complete muscle denervation and atrophy.
Nerve ultrasound is a valuable tool in traumatic nerve injury and has proven to be useful in postoperative follow-up, especially in diagnosing surgical complications such as detachment of nerve direct sutures.
周围神经损伤常需进行手术修复，但术后功能恢复不佳的情况屡见不鲜。
我们描述了4例创伤性神经损伤病例，其术后恢复因神经缝线脱落或神经瘤生长等并发症而受阻。据我们所知，目前文献中尚未报道过类似病例。尽早诊断此类情况很重要，因为它会阻碍恢复并延迟再次干预，而再次干预应在肌肉完全失神经支配和萎缩之前进行。
神经超声是创伤性神经损伤评估中的一项重要工具，已证实在术后随访中有用，特别是在诊断诸如神经直接缝线脱落等手术并发症方面。
