摘要
为提高非神经组织桥接周围神经缺损的疗效，改善桥接物内的血供，利于再生神经的延伸和成熟。以硅胶管为桥接物，游离与置入邻近的血管束，再将两神经断端切除神经瘤后分别套入硅胶管内，以７／０无损伤针线将神经外膜与硅胶管壁固定数针。１９９０年～１９９５年修复１１例１５条上肢神经，其中正中神经７条，尺神经５条，桡神经３条，切除神经瘤后缺损长度３ｃｍ１３条，３．１ｃｍ～５ｃｍ２条。术后随访到１０例１３条神经，随访时间为１年～５年，优（Ｍ４Ｓ４）８条，良（Ｍ３Ｓ３）３条，差（Ｍ１Ｓ１）２条。认为，此法有一定优点，对神经缺损不能直接缝合，患者又不愿取自体神经移植者，可列为手术指征。
In order to improve the therapeutic effect of non neural tissue in bridging the peripheral nerve defect and increase the blood supply of the implant, the silicone tube was chosen to bridge the gap, and the vessel bundle was inserted into the tube. The procedures were performed as following: resected the pseudoneuroma and enveloped the proximal and the distal ends in a silicone tube, and then sutured the epineurium and the tube wall with 7/0 stitch. In patients, eleven cases with fifteen nerves were treated, including seven median nerves, five ulnar nerves and three radial nerves. The lengths of the nerve defects were within 3 cm in 13 nerves and 3 cm～5 cm in 2 nerves. They were followed up from one to five years and the result was excellent (M 4S 4) in 8 nerves, good (M 3S 3) in 3 and poor (M 1S 1) in 2. It was discussed that the indication for the procedure should be included: the nerve defect could not be sutured directly, and the patient would not agree to use his own nerve for graft.
出处
《中国修复重建外科杂志》
CAS
CSCD
1997年第6期340-342,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
周围神经缺损
血管刺
硅胶管
桥接
Vascular bundle Silicone tube Peripheral nerve Defect
