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[上肢常见周围神经损伤的手术治疗结果]

[Results of surgical treatment of common peripheral nerve lesions of the upper extremities].

作者信息

Witzmann A, Reisecker F, Valencak E, Leblhuber F

出版信息

Wien Med Wochenschr. 1985 Jun 15;135(11):285-8.

PMID:2992173
Abstract

The results of operative treatment and clinical as well as electrodiagnostic findings are discussed in 68 cases. In about one half of our cases a carpal tunnel syndrome was found with excellent outcome of the operation in 93,6%, with fairly good outcome in the rest of the cases. In 14 of the patients studied a sulcus nervi ulnaris syndrome was seen, 9 of them showing excellent improvement after operative neurolysis was performed. Motor function improved in 8 out of 11 traumatic nerve dissections; Restitutio ad integrum was seen in incomplete lesions of the brachial plexus only, useful recovery of motor and sensory functions in 7 out of 10 patients with total plexus lesions. Regarding these good results of operative treatment of mechanical lesions of the peripheral nerves an exact clinical and neurophysiological examination has to be done for diagnosing and localizing those peripheral nerve affections.

摘要

本文讨论了68例患者的手术治疗结果以及临床和电诊断结果。在我们的病例中,约一半患者被诊断为腕管综合征,其中93.6%的患者术后效果极佳,其余患者效果也较好。在所研究的患者中,14例出现尺神经沟综合征,其中9例在进行手术神经松解术后有显著改善。11例创伤性神经离断患者中有8例运动功能得到改善;仅在臂丛神经不完全损伤患者中实现了完全恢复,10例全臂丛神经损伤患者中有7例运动和感觉功能得到有效恢复。鉴于周围神经机械性损伤手术治疗取得的这些良好效果,必须进行精确的临床和神经生理学检查,以诊断和定位这些周围神经疾病。

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