周围神经损伤的显微外科修复  

Microsurgical reparation of peripheral nerve injury

作　　者：彭德飞[1] 李自力[1] 程代薇[1] 朱文[1] 杜娇[1] 

机构地区：[1]贵州省人民医院整形外科,550002

出　　处：《中国实用医药》2011年第21期9-10,共2页China Practical Medicine

摘　　要：目的分析应用显微外科技术修复周围神经损伤的临床疗效。方法自1997～2009年,用显微外科技术修复周围神经损伤176例197条神经,方法包括神经外膜缝合术、神经束膜缝合术、神经松解术及神经移植术。结果术后经3～60个月随访,根据BMRC感觉、运动评价标准,其中疗效为优者84条,良者77条,优良率达81.73%。伤后24h内修复者的优良率为93.52%,优于3个月内修复者。3个月内修复者优良率为79.31%,优于6个月后修复者。结论应用显微外科技术对周围神经损伤的早期修复和显微镜下神经断端的精确对合可提高临床疗效。Objective To analyze the curative effect that microsurgical technique used in peripheral nerve injury.Methods One hundred and seventy-six cases（197 nearal） of peripheral nerve injury were treated with microsurgical technique from 1997 to 2009.The operations used in this group include epineurial repair,fascicular repair,epineurial-fascicular repair,neurolysis and nerve grafting.Results All cases were followed up after 3 months to 60 months.According to the assessment criterion of nerve function issue by the BMRC.The overall excellent and good rate was 81.73%.The treatment outcome was much better in those managed with in 25 h than those managed 3 mouths（93.52%）.The treatment outcome was much better in those managed within 3 months than those managed 6 months later（79.31%）.Conclusion The preceded microsurgical repair of peripheral nerve injury is an effective method for raising the excellent rate of peripheral nerve injuries.

关 键 词：周围神经 损伤 修复 显微外科技术 

分 类 号：R651.3[医药卫生—外科学]