不同手术方法对骨间背神经损伤的临床疗效  

The clinical curative effecs of different operation treatmont for patients with posterior interosseous nerve injury

作　　者：王斌[1] 汪志中[1] 

机构地区：[1]广东医学院附属三水医院骨二科,佛山528100

出　　处：《中国实用神经疾病杂志》2015年第1期63-64,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨不同手术方法对对骨间背神经损伤的临床治疗效果,以供参考。方法将我院2010-09—2012-08收治的骨间背神经损伤患者46例纳入本研究,根据损伤情况分别接受功能重建术、神经断端吻合术、神经移植桥接术、神经松解术等显微手术治疗。术后随访12个月,观察术后患者手部运动功能恢复情况,并对比治疗前后患者日常生活活动能力的变化。结果术后患者手部运动功能恢复至M2级4例,M3级8例,M4级25例,M5级9例。与治疗前对比,我们发现治疗后患者Barthel指数明显升高,差异有统计学意义(P<0.05)。结论根据骨间背神经损伤不同的损伤情况进行相应的外科手术治疗可有效恢复手部运动功能,改善日常生活活动能力。Objective To investigate the clinical curative effects of different operation treatmont for patients with posterior interosseous nerve injury. Methods Forty-six patients with posterior interosseous nerve injury from September 2010 to August 2012 in our hospital were treated with functional reconstruction, nerve anastomosis, nerve graft bridged operation and neurolysis microsurgery according to nervous damage condition. Postoperative follow-up of 12 months, the hand movement function recovery and daily living ability of patients were observed and compared before and after treatment. Results The hand movement function recovery of patients was 4 cases of grade M2,8 cases of grade M3, 25 cases of grade M4 and 9 cases of grade M5. The Barthel index of patients before treatment was higher than that of patients after treatment, which had significant differentce （P〈0.05）. Conclusion Operation treatment for patients with posterior interosseous nerve injury can effectively promote the hand movement function recovery and improve daily living ability.

关 键 词：骨间背神经损伤 骨外科 显微手术 

分 类 号：R687.3[医药卫生—骨科学]