神经旁路营养在治疗周围神经损伤中的作用

 目的 探讨神经侧侧吻合方法在治疗周围神经损伤中的作用.方法 常规对神经损伤部位进行清创,神经断端修整后予以直接缝合或异体神经桥接.然后在受损神经远端与临近的正常神经行外膜、束膜侧侧吻合.结果 本组9例患者均得到术后11个月～4年的随访,受损神经支配区的感觉和运动功能得到明显的恢复.结论 应用神经侧侧吻合方法提供受损神经以远及其靶器官的营养是对高位神经损伤传统治疗方法有效的补充.

Efficacy of axoplasmic bypass in repairing peripheral nerve injury

Objective To evaluate the efficacy of side-to-side nerve anastomosis in repairing peripheral nerve injury.Methods After end-to-end neurorrhaphy or nerve allograft for repairing the peripheral nerve injury,the injured nerve trunk was kept abreast of neighboring donor nerve at suitable segment,the opposite epineurium and fascicle of the two nerves were cut open 1-2 cm until nerve fiber was seen.The two segments were closed together tightly and side-to-side anastomosis was performed with 9/0-11/0 threads.Results All the 9 patients were followed up for 11 months to 4 years with an average of 27 months.The function of injuried nerve in the main control area recovered to M3-4S3-4 in all 9 cases.All the patients were satisfied with the efficacy.Conclusion Side-to-side anastomosis of peripheral nerve is an effective measure complementary to traditional method for repairing peripheral nerve injury.