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使用自体神经移植物进行大神经缺损的显微外科重建。

Microsurgical reconstruction of large nerve defects using autologous nerve grafts.

作者信息

Daoutis N K, Gerostathopoulos N E, Efstathopoulos D G, Misitizis D P, Bouchlis G N, Anagnostou S K

机构信息

Hand Surgery-Microsurgery Clinic, Kat Accident Hospital, Athens, Greece.

出版信息

Microsurgery. 1994;15(7):502-5. doi: 10.1002/micr.1920150713.

DOI:10.1002/micr.1920150713
PMID:7968482
Abstract

Between 1986 and 1993, 643 patients with peripheral nerve trauma were treated in our clinic. Primary neurorraphy was performed in 431 of these patients and nerve grafting in 212 patients. We present the functional results after nerve grafting in 93 patients with large nerve defects who were followed for more than 2 years. Evaluation of function was based on the Medical Research Council (MRC) classification for motor and sensory recovery. Factors affecting functional outcome, such as age of the patient, denervation time, length of the defect, and level of the injury were noted. Good results according to the MRC classification were obtained in the majority of cases, although function remained less than that of the uninjured side.

摘要

1986年至1993年间,我院共治疗了643例周围神经损伤患者。其中431例行一期神经缝合术,212例行神经移植术。我们报告了93例有大段神经缺损且随访超过2年的患者行神经移植术后的功能结果。功能评估基于医学研究委员会(MRC)的运动和感觉恢复分类标准。记录了影响功能结果的因素,如患者年龄、失神经时间、缺损长度和损伤平面。根据MRC分类标准,大多数病例取得了良好的结果,尽管功能仍低于未受伤侧。

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1
Microsurgical reconstruction of large nerve defects using autologous nerve grafts.使用自体神经移植物进行大神经缺损的显微外科重建。
Microsurgery. 1994;15(7):502-5. doi: 10.1002/micr.1920150713.
2
Nerve grafting in peripheral nerve microsurgery of the upper extremity.上肢周围神经显微外科中的神经移植术。
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Further experience with interfascicular grafting of the median, ulnar, and radial nerves.正中神经、尺神经和桡神经束间移植的更多经验。
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Use of vein conduit and isolated nerve graft in peripheral nerve repair: a comparative study.静脉导管与游离神经移植在周围神经修复中的应用:一项对比研究。
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Sensory recovery outcome after digital nerve repair in relation to different reconstructive techniques: meta-analysis and systematic review.
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Median nerve repair with autologous sciatic nerve graft: a case report.自体坐骨神经移植修复正中神经:1例报告
ISRN Surg. 2011;2011:120367. doi: 10.5402/2011/120367. Epub 2011 Apr 26.