周围神经损伤的显微外科治疗

Microsurgical treatment of peripheral nerve injuries.

作者信息

Dolene V

出版信息

Zentralbl Neurochir. 1977;38(2):185-90.

Abstract

In the period from 1972 to 1976, 536 patients with injuries of the peripheral nerves were treated at the Neurosurgical University Clinic Lyublyana. The treatment was performed according to the principles of microsurgery. Preoperative and postoperative supervision included EMG, electroneurography and nerve conduction speed. Subdivision: N. facialis 6, plexus brachialis 78, n. radialis 58, n. medianus 189, n. ulnaris 212, n. ischiadicus 17, n. femoralis 3, n. tibialis 12, n. fibularis 37. On the plexus brachialis 50 funiculolyses and 28 raphies were carried out. Immobilisation for 10 days. The length of the transplants showed no negative influence. After-observation was necessary for three and more years, especially in case of plexus injuries. Complete restoration was only found in children. Sensitivity in 80% more than Seddon III, 17% III and 3% less than III. Motor function in 60% IV, 20% III, 12% II and 8% less than II.

摘要

1972年至1976年期间，卢布尔雅那大学神经外科诊所治疗了536例周围神经损伤患者。治疗按照显微外科原则进行。术前和术后监测包括肌电图、神经电图和神经传导速度。分类如下：面神经6例，臂丛神经78例，桡神经58例，正中神经189例，尺神经212例，坐骨神经17例，股神经3例，胫神经12例，腓总神经37例。对臂丛神经进行了50次束间松解和28次缝合。固定10天。移植神经的长度未显示出负面影响。需要进行三年及更长时间的随访观察，尤其是在臂丛神经损伤的情况下。仅在儿童中发现了完全恢复。感觉功能方面，80%的患者恢复程度超过塞登三级，17%为三级，3%低于三级。运动功能方面，60%的患者为四级，20%为三级，12%为二级，8%低于二级。