陈旧性腓总神经损伤的手术治疗  

The treatment of the injury of obsolete common peroneal nerve

作　　者：黄鹏博[1] 王奇才[1] 

机构地区：[1]河南安阳钢铁集团公司职工总医院骨二科,安阳455004

出　　处：《临床医学》2015年第7期28-29,共2页Clinical Medicine

摘　　要：目的探讨陈旧性腓总神经损伤治疗方法和疗效。方法选择2005年7月至2013年12月的29例陈旧性腓总神经损伤患者,根据损伤的类型、受伤的时间、恢复情况、镜下吻合口神经生长情况及术中肌电刺激结果的不同,分别采取单纯松解、重新吻合、与邻近神经干＂开窗＂端侧缝合、肌腱移位重建术。结果本研究除2例功能替代术患者外,余27例均获随访,随访时间6个月～3年,平均16个月。27例中优11例,良9例,可5例,差2例。优良率为74%。结论对于陈旧性的腓总神经损伤,由于损伤到修复时间的延迟已造成不同程度的恢复能力的丧失,但积极的手术治疗仍是主要的治疗手段,关键是手术干预的时机及手术方式的选择。Objective To study the treatment methods and curative effect of the injury of obsolete peroneal nerve.Methods Twenty nine cases of the injury of obsolete peroneal nerve from July 2007 to December 2013 were selected. According to the type of injury,the time of the injury,recovery,nerve growth situation and the results of electrical stimulation in the operation,the cases were conducted release surgery,together again,and neighboring nerve trunk side stitch,tendon translocation revascularization. Results Besides 2 cases with functional replacement surgery,and the other 27 cases were followed up,followed up for 6 months to 3 years（ average of 16 months）. Optimal of 11 cases; good of 9 cases; general of 5 cases; poor of 2 cases.The excellence rate was 74%. Conclusion The injury of obsolete peroneal nerve,due to delay time to repair the damage has been caused by the different degree of recovery capacity loss,but positive surgical treatment is still the main treatment,so it is important to the operation of the timing and the selection of surgical procedure.

关 键 词：腓总神经 损伤 手术 

分 类 号：R651.3[医药卫生—外科学]