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[周围神经损伤的治疗指征与方法。采用神经外膜、神经束膜缝合及移植治疗正中神经和尺神经损伤的比较临床结果]

[Indications and methods of treatment of injuries of the peripheral nerves. Comparative clinical results of the management of the median nerve and ulnar nerve using the epineural, perineural fascicular suture and transplantation].

作者信息

Margić K, Poljsak Z, Pavlin I

出版信息

Acta Chir Iugosl. 1983;30(2):173-85.

PMID:6364660
Abstract

In the last five years we have treated 95 lesions of the peripheral nerves. There were 24 lacerations of median and 25 of ulnar nerve. The results of treatment of median and ulnar nerve with epineural, perineural fascicular suture and transplant have been compared. The authors have tested the localisation of touch, two-point discrimination, recognition of small items, basic positions of the hand, precise action of the hand, and the motor power according to the Seddon's scale. The results were divided in excellent (2PD: 3-5 mm, power 5), very good (2PD: 6-9 mm. power 4), good (2 PD: 10-12 mm. power 4), fair (2PD: over 12 mm. power 3) and poor. The good results are groups excellent, very good and good. There were 44% good results using perineural fascicular suture of median nerve and 50% of ulnar nerve. The other methods have given poor results.

摘要

在过去五年中,我们治疗了95例周围神经损伤。其中正中神经撕裂伤24例,尺神经撕裂伤25例。我们比较了采用神经外膜缝合、神经束膜缝合和移植治疗正中神经和尺神经的效果。作者根据塞登(Seddon)分级标准,测试了触觉定位、两点辨别觉、小物件识别、手部基本姿势、手部精细动作以及运动能力。结果分为优(两点辨别觉:3 - 5毫米,肌力5级)、良(两点辨别觉:6 - 9毫米,肌力4级)、可(两点辨别觉:10 - 12毫米,肌力4级)、差(两点辨别觉:超过12毫米,肌力3级)和劣。良好结果包括优、良和可三组。采用正中神经束膜缝合的良好率为44%,尺神经为50%。其他方法效果较差。

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