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[腘窝间隙内与创伤相关的神经损伤]

[Trauma related injury to nerves within the popliteal space].

作者信息

Frankowski S, Frankowska B, Hanger W, Tejza J, Budny M

机构信息

Oddziału Urazowo-Ortopedycznego Szpitala MSWiA w Bydgoszczy.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1998;63(2):151-4.

PMID:9684499
Abstract

A series of 18 patients aged 21-45 years treated due to nerve injuries within popliteal space in Traumatology and Orthopaedics Department of MSWIA Hospital in Bydgoszcz between 1992 and 1994 has been studied. In 16 patients (88.8%) common peroneal nerve was involved, in one patient (5.6%) tibial nerve and both nerves were injured in 1 patient also (5.6%). In 14 cases (77.8%) neuropraxis was diagnosed, in 2 cases (11.1%) axonotmesis and neurotmesis in remaining 2 cases. Patients with neuropraxis and axonotmesis type of injury regained complete function after conservative treatment of 4 weeks to 3 months duration. Those with neurotmesis have been operated on. The patient with injury to both nerves regained tibial nerve function. No return of function has been achieved in the patient with peroneal nerve neurotmesis.

摘要

对1992年至1994年间在比得哥什市MSWIA医院创伤与矫形外科因腘窝区神经损伤接受治疗的18例21至45岁患者进行了研究。16例患者(88.8%)腓总神经受累,1例患者(5.6%)胫神经受累,1例患者(5.6%)两条神经均受损。14例(77.8%)诊断为神经失用,2例(11.1%)为轴突断裂,其余2例为神经断裂。神经失用和轴突断裂型损伤的患者在持续4周3个月的保守治疗后恢复了完全功能。神经断裂的患者接受了手术治疗。两条神经均损伤的患者恢复了胫神经功能。腓总神经断裂的患者未恢复功能。

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