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find Keyword "骨间前神经" 2 results
  • 骨间前神经嵌压综合征的手术治疗

    目的 总结骨间前神经嵌压综合征手术方法及效果。 方法 2001 年3 月- 2009 年6 月,收治8 例骨间前神经嵌压综合征患者。男6 例,女2 例;年龄28 ~ 46 岁,平均35 岁。左侧3 例,右侧5 例。病程1 个月~ 1 年8 个月。前臂扭伤3 例,慢性职业劳损4 例,无明显诱因1 例。前臂均有酸胀不适伴拇指屈曲乏力,但无手指麻木。手术彻底解除嵌压因素后,6 例行神经外膜松解,2 例行束间松解。 结果 患者均获随访,随访时间1 ~ 3 年,平均2 年。末次随访时, 5 例 恢复良好,拇长屈肌、示指深屈肌、旋前方肌肌力恢复正常或大部分恢复;2 例尚可,肌力部分恢复;1 例较差,未见明显恢复。 结论 骨间前神经嵌压综合征一旦确诊,经保守治疗无效后,应及时手术治疗。

    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • ANATOMICAL STUDY AND CLINICAL APPLICATION OF TRANSFER OF PRONATOR QUADRATUS BRANCH OF ANTERIOR INTEROSSEOUS NERVE IN THE REPAIR OF THENAR BRANCH OF MEDIAN NERVE AND DEEP BRANCH OF ULNAR NERVE

    In order to obtain the anatomical basis of transferring the anterior interosseous nerve to repair the injury of thenar or ulnar nerve at the wrist level, ten fresh cadaveric forearms were dissected. The pronator quadratus branch of the median nerve was (1.5 +/- 0.4) mm in diameter with (866 +/- 144) nerve fibers. The recurrent branch of median nerve was (1.7 +/- 0.3) mm in diameter with (1,120 +/- 97) nerve fibers. The deep branch of ulnar nerve was (2.1 +/- 0.4) mm in diameter with (1,318 +/- 120) nerve fibers. To repair the thenar recurrent branch, nerve graft should be used to bridge between the distal end of the anterior interosseous nerve and the origination of the recurrent branch. The deep branch of the ulnar nerve could be repaired by direct suture after being dissected proximally. In patients, the technique was applied to repair 17 cases of injury of thenar branch and 3 cases of injury of deep branch of ulnar nerve. Among them, seventeen cases were followed up from 2 to 7 years. On electromyogram it was normal in 10. The myodynamia was restored in different degree: M2 in 2, M3 in 5, M4 in 7, M5 in 3. The procedure of the operation and the matters needed attention during the operation were discussed.

    Release date:2016-09-01 11:09 Export PDF Favorites Scan
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