组织工程与重建外科杂志2011，Vol.7Issue(6)：335-337,3.DOI:10.3969/j.issn.1673-0364.2011.06.010
神经移植合并双端侧神经吻合修复双侧指固有神经陈旧性损伤
Nerve Graft with Two End-to-Side Neurorrhaphy in Treating Bilateral Chronic Proper Digital Nerve Injuries
江起庭 1冯明生 1江志伟 2刘进竹1
作者信息
- 1. 238000 安徽省巢湖市巢湖紫晨手外科医院
- 2. 210002 江苏省南京市 南京军区南京总院
- 折叠
摘要
Abstract
Objective To introduce a new method for the repair of the bilateral chronic proper digital nerve injuries. Methods From November 2000 to October 2009, 40 cases with bilateral chronic proper digital nerve injuries were divided into 3 groups. Fifteen cases in Group A were conducted nerve graft with two end-to-side neurorrhaphy. Thirteen cases in Group B were conducted nerve graft with one end-to-side nerve neurorrhaphy. Twelve cases in Group C were performed nerve transplantation with end-to-end nerve anastomosis. Results After 6-8 months of follow-up, the anaesthesia and pain of the injured fingers disappeared completely and finger pulp was plump with good flexibility in group A. The measurement of the sense was S4-S4+ and 2-PD was 5.0-6.0 mm. The feeling recovery was not synchronization and the operative side felt more obvious in group B. The measurement of the sense was SI-S3 and 2-PD was 7.0-7.6 mm. In Group C, the measurement of the sense was S3-S3+, SI or even blind on the finger pulp, and 2-PD was 7.5~8.5 mm. Conclusion Nerve transplantation with end-to-side nerve anastomosis were a new valuable method for the repair of bilateral chronic proper digital nerve injuries.关键词
神经端侧吻合/修复/指固有神经Key words
End-to-side nerve neurorrhaphy/Repair/Proper digital nerve分类
医药卫生引用本文复制引用
江起庭,冯明生,江志伟,刘进竹..神经移植合并双端侧神经吻合修复双侧指固有神经陈旧性损伤[J].组织工程与重建外科杂志,2011,7(6):335-337,3.
