Zjuzin N, Buljina A
Institut za fizijatriju i rehabilitaciju, Klinicki centar Sarajevo.
Med Arh. 1993;47(3-4):83-5.
In a sample of 102 patients 123 lesions of peripheral nerve due to injury were found. Diagnosis was not established in 27.0% cases. In course of three months after injuries 24.0% of patients were sent on electrodiagnostic procedures, the rest of 76.0% 4-14 months after peripheral nerve injury. 15.0% of patients were treated surgically in course of two months after injury and 85.0% of patients 4-16 months after injury. 32.0% were iatrogenic lesions, due to external fixator and extension, in field of distribution of n. radialis and n. fibularis. Complete lesion of peripheral nerve was found in 60.0%, and partial lesion of nerve in 37.0% cases, that is in correlation with results of surgery: 58.0% neuroraphias, 37.0% neurolysis and only 5.0% transplantation of nerves. All neuroraphias were secondary.
在102例患者的样本中,发现123处因损伤导致的周围神经病变。27.0%的病例未确诊。受伤后三个月内,24.0%的患者接受了电诊断检查,其余76.0%在周围神经损伤后4至14个月进行检查。15.0%的患者在受伤后两个月内接受了手术治疗,85.0%的患者在受伤后4至16个月接受手术。32.0%为医源性病变,由外固定器和牵引引起,位于桡神经和腓神经分布区域。60.0%的病例发现周围神经完全损伤,37.0%为神经部分损伤,这与手术结果相关:58.0%进行了神经缝合,37.0%进行了神经松解,只有5.0%进行了神经移植。所有神经缝合均为二期手术。