摘要
目的分析不同类型上肢周围神经损伤显微手术的治疗效果。方法选择我院2016年6月—2018年12月收治的80例上肢周围神经损伤患者,根据损伤部位不同分组,27例桡神经损伤患者为甲组、26例正中神经损伤患者为乙组、27例尺神经损伤患者为丙组,均实施显微手术治疗,对比三组上肢功能优良率、FAM评分。结果(1)甲组上肢功能优良率高于乙组、丙组,甲组FAM评分均高于乙组、丙组,差异具有统计学意义(P<0.05)。(2)乙组上肢功能优良率高于丙组,乙组FAM评分均高于丙组,差异具有统计学意义(P<0.05)。结论显微手术治疗上肢周围神经损伤,桡神经损伤恢复效果最好,其次是正中神经损伤,尺神经损伤恢复效果较差。
Objective To analyze the effect of microsurgery for different types of peripheral nerve injury of upper extremity.Methods From June 2016 to December 2018,80 patients with peripheral nerve injury of upper extremity were included.According to different groups of injury sites,27 patients with radial nerve injury were in group A,26 patients with median nerve injury were in group B,27 patients with ulnar nerve injury were in group C.All patients were treated with microsurgery,and the excellent and good rate of upper limb function and fam score of the three groups were compared.Results(1)The excellent rate of upper limb function in group A was significantly higher than that in group B and group C,and the fam score in group A was significantly higher than that in group B and group C,the difference was statistically significant(P<0.05).(2)The excellent rate of upper limb function in group B was significantly higher than that in group C,and the fam score in group B was significantly higher than that in group C(P<0.05).Conclusion In the treatment of peripheral nerve injury of the upper extremity,the recovery effect of radial nerve injury is the best,followed by median nerve injury,and the recovery effect of ulnar nerve injury is poor.
作者
张凯
柏晓安
周密
周义军
李长虹
ZHANG Kai;BAI Xiaoan;ZHOU Mi;ZHOU Yijun;LI Changhong(Orthopaedics Department,the First People's Hospital of Changde,Changde Hu’nan 415000,China)
出处
《中国卫生标准管理》
2020年第14期79-81,共3页
China Health Standard Management
关键词
桡神经损伤
正中神经损伤
尺神经损伤
显微手术
治疗效果
运动功能
radial nerve injury
median nerve injury
ulnar nerve injury
microsurgery
therapeutic effect
motor function
