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儿童手部周围神经损伤。38例患者的随访研究。

Peripheral nerve injuries of the hand in children. A follow-up study of 38 patients.

作者信息

Vahvanen V, Gripenberg L, Nuutinen P

出版信息

Scand J Plast Reconstr Surg. 1981;15(1):49-51. doi: 10.3109/02844318109103411.

Abstract

Thirty-eight children in whom a peripheral nerve injury of the hand had been repaired from 2 to 18 years earlier (mean 7.5 years) were examined. All repairs had been performed with the conventional technique with epineural sutures, and nearly all were primary neurorrhaphies. Sensory recovery was evaluated by using the two-point discrimination test (2 PD). The results were considered good if the 2 PD value was less than 6 mm and poor if this value was more than 15 mm. Of the 20 repairs of an ulnar or median nerve, or both, results were good in eight (40%), fair in 10 (50%) and poor in two (10%). Of the 18 digital nerve repairs, results were good in 14 (77.8%) and fair in four. The results in this series are better than results reported for adults series.

摘要

对38名儿童进行了检查,他们的手部周围神经损伤在2至18年前(平均7.5年)已得到修复。所有修复均采用传统的神经外膜缝合技术,几乎都是一期神经缝合术。使用两点辨别试验(2PD)评估感觉恢复情况。如果2PD值小于6毫米,则结果被认为良好;如果该值大于15毫米,则结果被认为较差。在20例尺神经或正中神经或两者均损伤的修复中,8例(40%)结果良好,10例(50%)结果尚可,2例(10%)结果较差。在18例指神经修复中,14例(77.8%)结果良好,4例结果尚可。本系列的结果优于成人系列报道的结果。

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