前言目的:阐明神经束支定位法在远端尺神经损伤修复中的作用。方法:选择42例远端尺神经损伤病例,进行神经内束支分离,双极电刺激定位后束膜吻合,与17例外膜吻合组对照。结果:束支分离定位法在远端尺神经损伤修复中的成功率为90。5%,治疗组较对照组感觉恢复率有提高,但无明显差异(P>0。05),运动功能恢复率显著提高(P<0。01)。结论:神经内束支分离定位应用于远端尺神经损伤修复是可行的,并能提高其功能恢复率。
Objective:[ST5BZ]Toclarifytheeffectsoffascicularorientationinrepairinglowulnarnerveinjuries.Methods:42lowulnarnerveinjurieswererepairedusingend-to-endfascicularsutureafterintraneuralfasciculardissectionandelectricalfascicularorientation.Thecontrolgroupwas17nerveinjuriesrepairedwithepineurialsuture.Results:[WT5BZ]Satisfactoryresultswereobtainesin38cases(90.5%)oflowulnarnerveinjuries.Thesensoryrecovery...