摘要
目的 观察桡神经损伤后行神经松解、缝合和移植术的疗效。方法 46例桡神经损伤根据损伤类型 ,采用神经内、外松解术、直接缝合、神经移植治疗。结果 术后随访 1年至 10年 ,2 1例桡神经松解术中 ,17例的伸腕、伸拇、伸指肌力为M3 ~M5,虎口区感觉为S4。 19例神经直接缝合者 14例 ,伸腕、伸拇、伸指肌力为M3 ~M5,16例虎口区感觉为S4。 6例神经移植者 5例伸腕、伸拇、伸指肌力为M3 ~M5,虎口区感觉达S4。
Objective To observe the treatment outcome of neurolysis, neurorrhaphy and neurotization after radial nerve injury. Methods 46 cases of radial nerve injury were treated with internal and external neurolysis , neuorrhaphy and neurotization according to the injury type. Results Postoperative follow-up ranged from half a year to ten years. Of 21 cases by treatment of neurolysis, muscle power of M5 in extension of wrist,thumb and fingers was obtained in 17 cases, with S4 at the first web space. Of 19 cases by treatment of neurorrhaphy, muscle strength of M5 in extension of wrist, thumb and fingers was achieved in 14 cases, with S4 at the first web space in 16 cases. Of 6 cases by treatment of neurotization, muscle strength of M5 in extension of wrist, thumb and fingers was accomplished in 5 cases, with S4 at the first web space. Conclusions Satisfactory treatment outcome can be gained in radial nerve injury at early stage provided that suitable surgery procedure was chosen on the basis of the injury type.
出处
《中华手外科杂志》
CSCD
2002年第1期36-37,共2页
Chinese Journal of Hand Surgery