Jaremczyk C
Oddziału Ortopedyczno-Urazowego Szpitala Wojewódzkiego im. dra Alfreda Sokołowskiego w Wałbrzychu.
Chir Narzadow Ruchu Ortop Pol. 1995;60(2):77-80.
A series of 52 patients with peripheral nerve injury, treated operatively is presented. Motor function has been assessed according to Highet (MO-M5). Sensory function has been evaluated according to Nicholson and Seddon (S0-S4). An attempt to show decisive factors for successful peripheral nerve reconstruction. Clinical analysis proved surgical technique, modified with experience gained influences the final result remarkably. Imposition of microsurgical techniques and instrumentation as well as operative microscopy improved efficacy of the treatment. Delay of final reconstruction worsens ultimate outcome. Age of the patient and coexisting injury of the skin, tendons and bone that change conditions of nerve regeneration are also important. The longer the skin nerve graft is the worse motor and sensory recovery.
本文介绍了52例接受手术治疗的周围神经损伤患者。运动功能根据希格特法（MO-M5）进行评估。感觉功能根据尼科尔森和塞登法（S0-S4）进行评估。试图找出成功进行周围神经重建的决定性因素。临床分析表明，随着经验积累而改进的手术技术对最终结果有显著影响。显微外科技术和器械的应用以及手术显微镜的使用提高了治疗效果。最终重建的延迟会使最终结果恶化。患者的年龄以及皮肤、肌腱和骨骼的并存损伤改变了神经再生的条件，这些也很重要。皮肤神经移植段越长，运动和感觉恢复越差。
