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显微外科结合物理疗法治疗上肢神经损伤的疗效评价
引用本文:王克利,路来金,宫旭,张雄斌.显微外科结合物理疗法治疗上肢神经损伤的疗效评价[J].中国冶金工业医学杂志,2006,23(3):275-276.
作者姓名:王克利  路来金  宫旭  张雄斌
作者单位:1. 吉林大学第一医院手外科,吉林长春,130021
2. 南通市港闸区中心医院手外科,吉林长春,130021
摘    要:目的:通过356例上肢神经损伤的显微外科修复结合物理康复,分析神经损伤的疗效与治疗方法的关系。方法:采用端端外膜缝合、束膜缝合、外膜加束膜缝合及神经移植方法共修复356例,398条神经,术后配合物理治疗,随访8个月至4年。结果:按中华医学会手外科学会功能评定标准进行评定,优199例,良90例,优良率81%。结论:上肢周围神经损伤,通过显微外科与物理疗法综合治疗,可取得较好的效果。

关 键 词:上肢神经  损伤  显微外科  物理疗法
文章编号:1005-5495(2006)03-0275-02
收稿时间:2005-12-02
修稿时间:2005年12月2日

Microsurgery integrate with physical therapy to repair nerve injury of the upper limb
WANG Ke-li ,LU Lai-jin ,GONG Xu ,et al..Microsurgery integrate with physical therapy to repair nerve injury of the upper limb[J].Chinese Medical Journal of Metallurgical Industry,2006,23(3):275-276.
Authors:WANG Ke-li  LU Lai-jin  GONG Xu  
Institution:Department of Hand Surgery, The First Hospital of Jilin University ,Changchun 130021
Abstract:Objective:According to the treatment of 356 cases with nerve injury of the upper limb,to analyse the correlation between the effect of nerve injury and the treatment methods.Methods:After exploratory operation,356 nerves of 398 cases were repaired with 4 kinds of methods,including epineurium suture,fascicular suture,nerve grafting and epineurium- fascicular suture.After operation,the physical therapy were applied.Results:All the cases were assessed according to the functional evaluation criteria formulated by Chinese Society for Surgery of the Hand.of 356 patients repaired,199 cases were graded excellent,90 cases good.Conclusions:Microsurgery integrate with physical therapy to repair nerve is a promising method for treatment of nerve injury.
Keywords:Upper limb nerve  lnjury  Microsurgery  Physical therapy
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