76例骨间背侧神经损伤特点及手术治疗初探  

Clinical characteristics and surgical treatment of posterior interosseous nerve injuries

作　　者：牛彦辉 傅炳峨[2] 吴作栋 郑修存 沈强 张立明 张战波 

机构地区：[1]武警河北总队医院外二科,石家庄050081 [2]第四军医大学西京医院全军骨科中心

出　　处：《武警医学》2002年第1期19-21,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的　总结骨间背侧神经损伤的特点及诊治经验和体会。方法　对 1975年以来手术治疗并获随访的 76例进行分析 ,按国际上通用的BMRC神经损伤修复综合评价标准进行疗效评价。结果　平均随访 5a 4个月。优 49例 ,占6 4 47% ;良 2 2例 ,占 2 8 95 % ;可 5例 ,占 6 5 8% ;无差级病例。优良率 93 42 %。结论　骨间背侧神经损伤修复后效果良好。无法行神经修复者 ,采用神经肌肉植入或屈肌腱移位伸肌功能重建亦可取得满意疗效。Objective To review the clinical characteristics and the experiences with the diagnosis and treatment of posterior interosseous nerve injury. Methods Seventy-six patients with posterior interosseous nerve injury,who had been treated and followed up since 1975,were evaluated by the BMRC standards for repaired nerve injuries.Results Among 76 patients,followed up for an average of 5 years and 4 months,the results were rated as excellent,in 49(64.47%),in good 22(28.95%),in fair 5(6.58%) ,and poor in none.The combined excellent and good rate was 93.42%.Conclusions Satisfactory functional recovery can usually be expected following surgical repair of the posterior interosseous nerve;if nerve repair is unfeasible,intramuscular implantation of the nerve and reconstruction of the extensors by tendon transfer is indicated which equally effective.

关 键 词：骨间背侧神经 损伤 治疗 外科手术 

分 类 号：R651.3[医药卫生—外科学]