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创伤性周围神经损伤治疗中的神经内松解术

Internal neurolysis in treatment of traumatic peripheral nerve lesions.

作者信息

Brown B A

出版信息

Calif Med. 1969 Jun;110(6):460-2.

Abstract

Many peripheral nerve injuries are of a contusing type with resultant intraneural scarring which causes neurologic deficit even though the nerve is still in continuity. Internal neurolysis can relieve pain and restore neurologic function in such lesions. It is important that such lesions be recognized early, fully evaluated and carefully followed so that surgical intervention can be carried out before permanent changes can develop in the denervated muscles, joints and skin. The procedure is frequently rewarded with prompt and gratifying results. The risk is minimal and the patient need spend only a short time in hospital.

摘要

许多周围神经损伤属于挫伤类型,会导致神经内瘢痕形成,即使神经仍保持连续性,也会引起神经功能缺损。对于此类损伤,内行神经松解术可缓解疼痛并恢复神经功能。重要的是,要尽早识别此类损伤,进行全面评估并密切随访,以便在失神经支配的肌肉、关节和皮肤发生永久性变化之前进行手术干预。该手术常常能迅速取得令人满意的效果。风险极小,患者只需住院很短时间。

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