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下肢神经损伤的外科治疗。临床评估、手术技术及结果。

The surgical management of nerve lesions in the lower limbs. Clinical evaluation, surgical technique and results.

作者信息

Sedel L

出版信息

Int Orthop. 1985;9(3):159-70. doi: 10.1007/BF00268166.

DOI:10.1007/BF00268166
PMID:4077335
Abstract

The author present his experience of the repair of nerve lesions in the lower limb. The cases are classified into four main groups: traumatic lesions; acute and chronic compression; tumours and leprosy. The traumatic lesions include those associated with a clean wound, missile injuries, traction injuries and a miscellaneous group. The diagnosis and treatment of the different lesions are discussed. The results of nerve grafting using microsurgical techniques are presented. The results are good enough, even in severe traction injuries, to recommend the repair of nerve lesions of the lower limbs in the circumstances which are outlined.

摘要

作者介绍了他修复下肢神经损伤的经验。病例分为四大类:创伤性损伤;急慢性压迫;肿瘤和麻风病。创伤性损伤包括与清洁伤口相关的损伤、导弹伤、牵拉伤以及一组杂类损伤。文中讨论了不同损伤的诊断和治疗方法。介绍了使用显微外科技术进行神经移植的结果。即使在严重牵拉伤的情况下,这些结果也足够理想,足以推荐在所述情况下修复下肢神经损伤。

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本文引用的文献

1
The late consequences of sciatic nerve injury.
J Bone Joint Surg Br. 1960 May;42-B:213-25. doi: 10.1302/0301-620X.42B2.213.
2
[Results in grafts of the large nerve trunks].[大神经干移植的结果]
Ann Chir Plast. 1981;26(4):341-6.
3
Avulsion of lumbar roots complicating fracture of the pelvis.骨盆骨折并发腰神经根撕脱伤。
J Bone Joint Surg Am. 1973 Oct;55(7):1436-42.
Short- and long-term results of common peroneal nerve injuries treated by neurolysis, direct suture or nerve graft.
采用神经松解术、直接缝合或神经移植治疗腓总神经损伤的短期和长期结果。
Eur J Orthop Surg Traumatol. 2019 May;29(4):893-898. doi: 10.1007/s00590-018-2354-0. Epub 2018 Dec 7.