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[腕部尺神经与正中神经联合损伤。附17例报告]

[Associated median-ulnar nerve injuries at the level of the wrist. Apropos of 17 cases].

作者信息

Lamine A, Fikry T, Zryouil B

机构信息

Service de Chirurgie Traumatologique Orthopédique et Réparatrice, CHU Ibn Rochd., Casablanca, Maroc.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1993;79(5):398-401.

PMID:8066289
Abstract

A study of a homogeneous series of 17 complete associated wounds of the median and ulnar nerves at the level of the wrist, was conducted. They were always associated with tendinous and arterial injuries. Repair in emergency has consisted in an epiperineural suture under optic enlargement, tendinous suture and arterial suture. 29.4 per cent of patients had good results. Elements of bad prognosis were contusion, repaired but non functional arteries, and total and simultaneous character of the two nerves section.

摘要

对17例腕部正中神经和尺神经完全联合损伤的同类病例进行了研究。这些损伤总是伴有肌腱和动脉损伤。急诊修复包括在手术显微镜放大下进行神经外膜缝合、肌腱缝合和动脉缝合。29.4%的患者取得了良好的效果。预后不良的因素包括挫伤、修复后无功能的动脉以及两条神经同时完全断裂。

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