论文部分内容阅读
报告并评价儿童上肢晚期神经损伤的治疗效果。方法：报道１３岁以下儿童平均７岁上肢晚期神经损伤１５例２１条（正中神经８条，尺神经７条，桡神经５条，肌皮神经１条）。完全断裂９条，粘连、压迫１２条。损伤神经的处理时间为伤后１年至１４年（平均４年４个月）。采用神经外膜对端缝合术７条，神经松解术１２条，自体神经移植术１条，神经瘤对端缝合术１条。结果：１３例１８条神经随访１年至２３年６个月（平均４年９个月），优良率为６６．７％，尚有２７．８％病人恢复了保护性感觉。结论：本研究证实晚期神经损伤有修复价值，儿童病人能取得更满意疗效。
Report and evaluate the effect of late upper nerve injury in children. Methods: An average of 7 years old children under the age of 7 reported 15 cases of upper limb nerve injury in 15 cases (8 median nerve, ulnar nerve 7, radial nerve 5, muscle 1). Completely broken 9, adhesion, oppression 12. Injury nerves were treated for 1 to 14 years (average 4 years and 4 months). Using the epineurial end to end suture 7, 12 neurolysis, autologous nerve graft 1, neuroma end to end suture 1. Results: Thirteen of 18 neurons were followed up from 1 year to 23 years and 6 months (mean, 4 years and 9 months). The excellent and good rate was 66.7%, while 27.8% returned to protective feeling. Conclusion: This study confirms the repair of advanced nerve injury, children can achieve more satisfactory results.