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[神经外膜缝合术和神经束膜缝合术。109例比较临床结果(作者译)]

[Epiperineural nerve sutures and neurilemmatic sutures. Comparative clinical results about 109 cases (author's transl)].

作者信息

Bourrel P, Ferro R M, Lorthioir J M

出版信息

Sem Hop. 1981;57(47-48):2015-23.

PMID:6276984
Abstract

During the last ten years, 109 medical cases of traumatic hand nerve lesions have been observed, implicating 78 big nerves (median 35, cubital 42, radial 1) and 37 little nerves (median 35, cubital 42, radial 1) and 37 little nerves (interosseous, collateral, digital). 81 "mixte" epiperineural sutures have been realized (according to a technical proceeding purposed by one of the authors since 1970, and practised with the only aid of a simple optical increase by dissection's magnifying-glasses) : In the same time, 38 neurilemmatic sutures have been seen at second hand and their clinical results noted. 64+ of the global results are very good or "good" concerning the "mixte" epiperineural sutures against 34% for the neurilemmatic sutures. To note : the best quality of the results for the median nerve as well for the primitive sutures, and unfavourable influence of the associated lesions.

摘要

在过去十年间,共观察到109例手部创伤性神经损伤病例,涉及78条大神经(正中神经35条、尺神经42条、桡神经1条)和37条小神经(骨间神经、侧支神经、指神经)。已进行了81例“混合”神经外膜缝合(根据作者之一自1970年起提出的一项技术操作方法,并仅借助解剖放大镜的简单光学放大辅助进行):同时,还间接观察到38例神经鞘缝合,并记录了其临床结果。关于“混合”神经外膜缝合,总体结果中64%以上非常好或“良好”,而神经鞘缝合的这一比例为34%。需要注意的是:正中神经的原始缝合效果最佳,以及合并损伤的不利影响。

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