桡神经深支损伤的显微外科修复  

Microsurgical repair of injuried deep branch of the radial nerve

作　　者：林其仁[1] 黄奕铁 王文怀[1] 姚学东[1] 黄隆[1] 黄杰苗[1] 

机构地区：[1]福建医科大学附属第二医院骨科,福建省泉州市362000 [2]福建省南安市英都医院外科

出　　处：《中华显微外科杂志》1999年第4期256-257,共2页Chinese Journal of Microsurgery

摘　　要：目的　介绍桡神经深支损伤显微外科修复的临床疗效。　方法　对桡神经深支损伤 (挫伤 3例 ,不全断裂 2例 ,完全断裂 12例 )采用显微外科技术修复 :神经松解 3例 ,神经吻合 8例 ( 2例桡神经深支和伸肌群缺损 ,经尺桡骨缩短后吻合 ) ,神经移植修复 6例。　结果　经 18～ 2 4个月随访 ,按优 M4,M5、良 M2 ,M3 、可 ,M1 和差 M0 标准评定。其中优 12例 ,良 3例 ,可 1例 ,差 1例。　结论　不熟悉桡神经深支局部解剖导致损伤并误诊误治 ;Objective To introduce the treatment outcome of the injuried deep branch of the radial nerve Methods The injuried deep branch of the radial nerve(contusion in 3 cases,lacerated partially in 2 cases and completely in 12 cases)were treated by microsurgical technique Nurolysis in 3 cases;Nerve anastomosis in 8 cases (to overcome the defects of the deep branch of the radial nerve and the extensors by shortening the radial and the ulna in 2 cases);and nerve grafting in 6 cases Results Followed up for 18～24 months,the treatment effect assessed by following standard Excellent M4 5,good M2 3,fair M1 and poor Mo There were 12 excellent,3 good,1 fair and 1 poor Conclusions Diagnosis and treatment of the injuried deep branch of the radial nerve delayed due to unfamiliar with its regional anatomy;defects of the deep branch of the radial nerve and the extensors can be resolve by shortening the radial and the ulna

关 键 词：显微外科手术 周围神经损伤 桡神经损伤 

分 类 号：R651.3[医药卫生—外科学]