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肱骨干骨折合并桡神经损伤38例治疗及功能康复
引用本文:盂庆元,杨俊峰,徐登,张健. 肱骨干骨折合并桡神经损伤38例治疗及功能康复[J]. 神经损伤与功能重建, 2010, 5(2): 119-121
作者姓名:盂庆元  杨俊峰  徐登  张健
作者单位:武汉市第九医院骨科,武汉,430081;武汉市第九医院骨科,武汉,430081;武汉市第九医院骨科,武汉,430081;武汉市第九医院骨科,武汉,430081
摘    要:目的:探讨肱骨干骨折合并桡神经损伤的治疗最佳方案。方法:回顾性分析38例肱骨干骨折合并桡神经损伤患者临床资料,保守治疗11例;手术治疗27例,清创内固定、桡神经探查18例,其中10例桡神经离断或不完全裂伤者行神经吻合术,神经松解术治疗9例;所有患者均于早期开始康复治疗及功能训练;随访6~18月。结果:保守治疗优良率100%,手术治疗优良率74.1%,总体优良率为81.6%。结论:选择合理的治疗方式、及时手术可提高肱骨干骨折合并桡神经损伤的疗效。

关 键 词:肱骨干骨折  桡神经  治疗

Treatment and Functional Rehabilitation of Humeral Shaft Fracture with Radial Nerve Injury in 38 Cases
MENG Qing-yuan,YANG Jun-feng,XU Deng,ZHANG Jian. Treatment and Functional Rehabilitation of Humeral Shaft Fracture with Radial Nerve Injury in 38 Cases[J]. Neural Injury and Functional Reconstruction, 2010, 5(2): 119-121
Authors:MENG Qing-yuan  YANG Jun-feng  XU Deng  ZHANG Jian
Affiliation:MENG Qing-yuan,YANG Jun-feng,XU Deng,ZHANG Jian.Department of Orthopedics,the Ninth Hospital of Wuhan,Wuhan 430081,China
Abstract:Objective:To explore the treatment and functional rehabilitation strategy for humeral shaft fracture accompanied by radial nerve injury. Methods:The clinical data of 38 cases of humeral shaft fracture with radial nerve injury were analyzed retrospectively. Eleven cases underwent conservative treatment by manual reduction and external fixation in function location. Emergency operations were performed on 18 patients of open fracture having radial nerve injury. Neurolysis were performed on 9 patients. All pati...
Keywords:humeral shaft fracture  radial nerve  treatment  
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