Kallio P K
Orthopaedic Hospital of Invalid Foundation, Helsinki, Finland.
J Hand Surg Br. 1993 Jun;18(3):327-30. doi: 10.1016/0266-7681(93)90054-j.
95 patients with 254 completely divided digital nerves were reviewed, on average, 12.4 (5-20) years after repair. There were 47 sharp and 48 blunt injuries. 45 injuries were at the level of the palm of the hand and 50 more distally. Secondary epineurial suture was used in 53, fascicular grafting in 37 and fascicular suture in five. Four sensory factors were assessed and evaluated quantitatively. Useful sensory function was recovered in 79.5% of the nerves operated on with epineurial or fascicular suture and in 56.3% with fascicular grafting.
对95例共254条完全离断的指神经修复患者进行回顾性研究,平均随访时间为修复后12.4(5 - 20)年。其中锐器伤47例,钝器伤48例。45例损伤位于手掌部,另外50例位于更远处。53例采用二期神经外膜缝合,37例采用束膜移植,5例采用束膜缝合。评估并定量分析了4个感觉因素。采用神经外膜或束膜缝合的神经中,79.5%恢复了有用的感觉功能;采用束膜移植的神经中,56.3%恢复了有用的感觉功能。