正中神经返支及伴行血管损伤的显微外科修复  

Microsurgical repair of concomitant vessel and recurrent branch of median nerve injury

作　　者：刘俊宾[1] 曾文超[1] 薛壮[1] 王艳华[1] 高东芹[1] 

机构地区：[1]济宁医学院附属济宁市第一人民医院,山东济宁272011

出　　处：《济宁医学院学报》2012年第6期410-411,共2页Journal of Jining Medical University

摘　　要：目的吻合断裂的正中神经返支的同时吻合其伴行血管,以提高神经修复的效果。方法对15例正中神经返支断裂的患者,确认正中神经返支、掌皮支及所对应伴行血管,用10～0无损伤缝线给予断裂正中神经返支进行间断吻合,同时对伴行断裂血管进行吻合。结果术后随访时间3个月～半年,鱼际区外形饱满,拇指对掌功能恢复良好,拇指、食指掌侧感觉恢复基本正常。结论对于正中神经断裂或返支断裂的修复,同时给予伴行血管吻合,能明显提高神经修复的效果。Objective To concomitant vascular anastomosis in repair of recurrent branch of median nerve and achieve maximum recovery of function of the thumb.Methods To affirm recurrent branch and palm skin branch of median nerve,and company vessels in fifth patients of broken recurrent branch of median nerve.The recurrent branch of median nerve was repaired with 10-0 suture.And its concomitant vessels was repaired with 10-0 suture.Results The patients were followed for 3 months to 6 months.Excellent shape of thenar eminence was obtained in all patients and recovery of thumb function was satisfactory.Conclusion Accurate anastomosis of concomitant vessels and repaired recurrent branch of median nerve injury lead to satisfactory recovery of thenar muscle function.

关 键 词：正中神经损伤 显微外科 修复 

分 类 号：R622[医药卫生—整形外科]