查詢結果分析
來源資料
相關文獻
- Surgical Treatment for Posterior Interosseous Nerve Palsy
- 早產兒視網膜病變之手術治療
- Long-Term Outcome of Surgical Repair for Penile Fracture
- 脾臟鈍挫傷之非手術治療
- Nonoperative and Operative Management of Blunt Liver Trauma in Adults
- 肺癌的手術治療
- Jejunoileal Bypass for Morbid Obesity among Chinese
- Supracondylar and Intercondylar Fractures of the Femur--Results of Surgical Treatment
- Surgical Repair of Ventricular Septal Defect Following Acute Myocardial Infarction
- Surgical Treatment of Pressure Sores in Patients with Traumatic Spinal Cord Injury: With Relative Emphasis on Multiple and Recurrent Sores
頁籤選單縮合
題 名 | Surgical Treatment for Posterior Interosseous Nerve Palsy=後骨間神經癱瘓之手術治療 |
---|---|
作 者 | 賈維焯; 張明超; 劉毅; 羅惠熙; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 32:4 民88.07-08 |
頁 次 | 頁151-159 |
分類號 | 416.293 |
關鍵詞 | 後骨間神經; 手術治療; Posterior interosseous nerve; Surgery; |
語 文 | 英文(English) |
中文摘要 | 前臂之後骨間神經癱瘓在臨床上並不少見,其可由外傷造成,亦可由腫瘤壓迫或其他不明原因之結蒂組織壓迫造成。後骨間神經癱瘓之臨床症狀是所有手指在掌指關節處無法伸張;手腕則可伸張,但會偏向於撓側。大部份的後骨間神經傷害皆需要經由手術治療。手術方法包括神經鬆解術、神經修補術以及神經移植術。 本院從1991年至1995年共有15位後骨間神經癱瘓之病患進行手術治療,共分為四組。第一組有三位:為非外傷性在Frohse氏拱門處之纖維組織壓迫造成。其中兩位進行神經鬆解術,一位則進行神經瘤切除及神經移植術。結果只有一位病人恢復神經功能,其餘兩位皆未恢復。第二組有四位病息,皆由外傷性神經壓迫造成,此四位皆給予神經鬆解術治療。此組所有病人皆在三個月內恢復神經功能。第三組共有七位病患,為切割傷造成神經斷裂。由於治療時間之延遲,神經退縮,而需要進行2.5公分至4公分之神經移植術。其中有六位病人在6至12個月內,神經功能完全恢復。其餘一位因前臂肌肉遭多處切割傷,只得到不完全恢復之結果。第四組只有一位,為神經切斷後立即進行神經縫合,此位病患在三個月內得到良好的神經功能恢復。綜合而言,本研究中有80%(12/15)的病患得到神經功能的完全恢復,7%(1/15)之病患為部份恢復,13%(2/15)之病患則屬不良之結果。 由此臨床研究結果可知,後骨間神經神經是一純運動神經之結構,其再生能力相當強。若能在適當的時間內給予適當之治療,大部份病息之恢復情形皆相當良好。 |
英文摘要 | Palsy of the posterior interosseous nerve (PION) of the forearm is not atypical. The etiology can be traumatic or non-traumatic. From 1991 to 1995, 15 patients with PION lesions were operated on at our hospital. The patients were divided into four groups. Group 1, consisted of three patients with non-traumatic palsy of the PION. Two of the patients were treated with neurolysis and one patient received a nerve graft. This group had only one patient treated with neurolysis who completely recovered from the nerve function. Group 2 had four patients with traumatic compression of PION who were treated with neurolysis. All patients in this group had completely recovered their nerve functions within three months of the operation. Group 3 consisted of seven patients with traumatic severance of the PION who were treated with nerve grafting. Six patients had completely recovered their nerve functions within six to twelve months after the operation. The remaining patient dose not completely recover due to multiple cuts in the forearm muscle. Group 4 consisted one patient with traumatic severance of PION who was treated with a direct nerve repair. This patient completely recovered his nerve function three months after the operation. Overall, for 80% (13/15) of the patients the results were good to excellent, for 7% (1/15) of the patients the results were fair, and for 13% (2/15) of the patients, the results were poor. Results in this study demonstrate the promising nature of recovering regeneration power in patients with PION. Moreover, adequate surgery can yield excellent results. |
本系統中英文摘要資訊取自各篇刊載內容。