CAJ | 학술논문

目的报道上肢神经卡压手术治疗的临床效果.方法对646例上肢神经卡压患者行神经松解术或神经受损段切除重新吻合术,术后部分病例给予康复治疗.分析其临床特点、术中表现、治疗方法及预后效果.结果术后405例经过6个月～3年随访.神经支配区麻木感消失、运动功能正常或接近正常252例,占全部随访病例的62.2%;神经支配区麻木感和运动功能较术前明显改善124例,占全部随访病例的30.6%;神经支配区麻木感和运动功能无改善或较术前加重29例,占全部随访病例的7.2%.经过规范性康复治疗134例中有121例获得随访,神经功能获得改善率为93%.结论上肢神经卡压后,患肢感觉、运动功能丧失程度为手术方式提供参考,与神经恢复效果密切相关,应加强和重视术前对受损神经感觉、运动功能丧失程度的评估;术后系统的康复治疗对患肢畸形的发生有良好的预防作用,并且对神经功能的恢复具有促进作用.
목적 보도상지신경잡압수술치료적림상효과.방법 대646례상지신경잡압환자행신경송해술혹신경수손단절제중신문합술,술후부분병례급여강복치료.분석기림상특점、술중표현、치료방법급예후효과.결과 술후405례경과6개월～3년수방.신경지배구마목감소실、운동공능정상혹접근정상252례,점전부수방병례적62.2%;신경지배구마목감화운동공능교술전명현개선124례,점전부수방병례적30.6%;신경지배구마목감화운동공능무개선혹교술전가중29례,점전부수방병례적7.2%.경과규범성강복치료134례중유121례획득수방,신경공능획득개선솔위93%.결론 상지신경잡압후,환지감각、운동공능상실정도위수술방식제공삼고,여신경회복효과밀절상관,응가강화중시술전대수손신경감각、운동공능상실정도적평고;술후계통적강복치료대환지기형적발생유량호적예방작용,병차대신경공능적회복구유촉진작용.
Objective To analyze the clinical results of surgical treatment of nerve compression of the upper limb.Methods The clinical characterisitcs treatment methods and prognosis of nerve compres sion of the upper Iimbs in 646 padents were analyzed.Results Four hundred and of them were followed up for from 6 months to 3 years.The numbness disappcared and the function five of the nerve innervation area became normal or near normal after operation in 252 cases(62.2%),improved in 124 cases(30.6%),no change or worse in 29 cases(7.2%).The excellent rate of nerve funcfion recovery were 93%after rehabilitation teatment.Conclusions The loss degree of sensorimotor function of the effected limbs provides reference for operating mode and iS closely related to nerve functional restoration.The evaluation of the loss degree of sensorimotor function of the affected limbs before the operation should be taken into account.Rehabilitation teatment after operation can promote functional restoration and prevent teratogencsis.