周围神经断裂减张缝合术  

Relaxation suture of peripheral nerve rupture

作　　者：王军义[1] 郭卫[2] 艾京 耿孟录[1] 

机构地区：[1]濮阳市人民医院骨科,河南濮阳457000 [2]北京医科大学人民医院骨科,北京100044

出　　处：《临床骨科杂志》1999年第3期208-209,共2页Journal of Clinical Orthopaedics

摘　　要：目的　介绍并评价3 种新的修复周围神经断裂减张缝合方法。方法　治疗周围神经断裂96例,103 条神经,其中正中神经20 条,桡神经39 条,尺神经44 条。分别采用外膜- 外膜法、神经瘤外膜- 外膜法、外膜- 组织床法等3 种方法,使神经断端在无张力下缝合。结果　手术优良率84-4 % 。结论　神经减张缝合术效果确切,利于神经的再生。Objective To introduce and evaluate 3 new suture methods of relieving tension for peripheral nerve rupture. Methods 96 patients with 103 peripheral nerve ruptures were repaired by relieving tension suture. There were 20 median nerves, 39 radial nerves, and 44 ulnar nerve ruptures. The operation mainly used epineurium epineurium coaptation, neuroma epineurium coaptation and epineurium tissue coaptation respectively. Therefore, the ruptured nerves were sutured without tension. Results The excellent and good rate for the operation was 84 4%. Conclusion The relieving tension suture, with its definite effect, is helpful for nerve regeneration.

关 键 词：周围神经损伤 缝合技术 神经再生 

分 类 号：R651.305[医药卫生—外科学]