al-Ghazal S K, McKiernan M, Khan K, McCann J
Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Ireland.
J Hand Surg Br. 1994 Apr;19(2):255-7. doi: 10.1016/0266-7681(94)90180-5.
We have carried out a retrospective study of 88 consecutive digital nerve repairs in 84 patients who presented to this department between September 1989 and September 1991. 94% of the patients were operated on within 24 hours of the injury, and the nerves were repaired using magnifying loupes (x 4.5) 71 patients were assessed clinically 8 to 32 months post-operatively. 17% of the patients had excellent results, 51.1% good results, 22.8% fair results and 9.1% had poor results. Close correlation between age and recovery of sensation and between smoking and nerve recovery were found. Results were better in nerves that were cut cleanly (64.3% were excellent/good) than in crushed nerves (28.1%). Without the availability of an operating microscope, loupes give a satisfactory result in nerve repair, and this study compares well with reported series.
我们对1989年9月至1991年9月期间来本院就诊的84例患者连续进行的88例指神经修复手术进行了回顾性研究。94%的患者在受伤后24小时内接受了手术，神经修复使用放大倍数为4.5倍的放大镜。71例患者在术后8至32个月接受了临床评估。17%的患者结果优秀，51.1%的患者结果良好，22.8%的患者结果尚可，9.1%的患者结果差。发现年龄与感觉恢复以及吸烟与神经恢复之间存在密切相关性。锐器切割伤神经的修复结果（64.3%为优秀/良好）优于挤压伤神经（28.1%）。在没有手术显微镜的情况下，放大镜在神经修复中能给出令人满意的结果，本研究与已报道的系列研究结果相当。
