McAllister R M, Gilbert S E, Calder J S, Smith P J
Blond McIndoe Centre for Medical Research, Queen Victoria Hospital, East Grinstead, Middlesex, UK.
J Hand Surg Br. 1996 Feb;21(1):4-13. doi: 10.1016/s0266-7681(96)80004-0.
This paper reports an epidemiological and clinical study of 813 patients with 1,111 peripheral nerve injuries who were treated for upper limb trauma, which included nerve injury, at two plastic surgery units in south-east England, predominantly between the years 1982 and 1991. The frequency distributions of the levels of nerve injury, and the causes of nerve injury in the sample, are presented, together with the surgical management and timing of nerve repair in these patients. 1,018 clinically suspected nerve injuries in 730 patients (91.6% of nerves, 89.8% of patients) were treated by primary nerve repair, elective delayed nerve repair or primary surgical exploration alone. Divisions of 93 nerves in 83 patients (8.3% of nerves, 10.2% of patients) were treated other than by primary repair or elective delayed repair, due to delayed referral from accident and emergency departments, resulting from missed or uncertain diagnosis at presentation or otherwise unaccounted delay in the initial referral.
本文报告了一项针对813例患者、共1111处上肢创伤所致周围神经损伤的流行病学和临床研究，这些患者主要于1982年至1991年间在英格兰东南部的两个整形外科单位接受治疗，创伤包括神经损伤。文中呈现了样本中神经损伤水平的频率分布、神经损伤的原因，以及这些患者的手术治疗和神经修复时机。730例患者中1018处临床疑似神经损伤（占神经损伤的91.6%，患者的89.8%）采用一期神经修复、择期延迟神经修复或仅行一期手术探查进行治疗。83例患者中93处神经断裂（占神经损伤的8.3%，患者的10.2%）未采用一期修复或择期延迟修复，原因是急诊科转诊延迟，这是由于就诊时漏诊或诊断不确定，或初始转诊时存在其他不明原因的延迟。
