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[神经显微外科手术]

[Microsurgical operations on the nerves].

作者信息

Grogorovich K A

出版信息

Vestn Khir Im I I Grek. 1975 Jul;115(7):93-7.

PMID:781996
Abstract

Employment of microsurgical methods in operations on nerves seems to be essential and inevitable, but it is delayed due to defects in the appropriate apparatus. Microphotography of cross sections of the nerve is absolutely necessary for the well-grounded prognosis and estimation of the results of treatment. The degree of freshening of nerve endings gained during surgery is mostly conditioned by the gravity and extent of intratruncal changes in the nerve. A precise passing of sutures through the epineurium and the corresponding juxtaposition of bundles, especially in joining fine nerves, is most reliably provided by operations with the use of an operative microscope.

摘要

在神经手术中采用显微外科方法似乎是必不可少且不可避免的,但由于合适设备的缺陷,这一进程被延迟了。对神经横断面进行显微摄影对于有充分依据的预后判断和治疗效果评估绝对必要。手术中获得的神经末梢新鲜程度主要取决于神经干内变化的严重程度和范围。通过使用手术显微镜进行操作,最可靠地实现了缝线精确穿过神经外膜以及束的相应并置,尤其是在连接细神经时。

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