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[神经损伤外科治疗结果评估]

[Evaluation of the results of the surgical treatment of nerve injuries].

作者信息

Grigorovich K A

出版信息

Vestn Khir Im I I Grek. 1977 Oct;119(10):131-3.

PMID:337624
Abstract

From the experience with 2341 operations for nerve injuries and from the evaluation of the results obtained in 750 cases some recommendations of rational estimation of the nerve suture have been set forth. Reliable conclusions may be drawn on the basis of an objective examination of the conductability of the injured nerve only. The duration of nerve regeneration ranges widely in conformity with the type and severity degree of the injury and depending on the results of the operation. Unsuccessful surgical interventions on the nerves are usually concerned with a severe type of an injury. Repeated operations on the nerves carried out to correct an earlier failure are not infrequently difficult to perform and have poorer results than the primary ones, even when the latters are delayed for several months. The greater number of errors happen when primary nerve suture is performed in a non-specialized medical establishment.

摘要

根据2341例神经损伤手术的经验以及对750例病例所获结果的评估,已提出一些关于合理评估神经缝合的建议。只有通过对损伤神经传导性的客观检查,才能得出可靠的结论。神经再生的持续时间因损伤类型和严重程度不同而有很大差异,并取决于手术结果。对神经进行的不成功手术干预通常与严重类型的损伤有关。为纠正早期手术失败而对神经进行的再次手术,即使首次手术延迟数月,往往也很难实施,且效果比初次手术更差。在非专业医疗机构进行初次神经缝合时,出现错误的情况更多。

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