Application of the self-made nerve bundle with 3 mm of spatial distance between the two ends in repair of median nerve rupture of the wrist

ZHENG Hui; HAO Yi-wei; JIANG Qi-ting; XIE Ling-han

doi:10.11659/jjssx.07E023009

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Application of the self-made nerve bundle with 3 mm of spatial distance between the two ends in repair of median nerve rupture of the wrist

Clinical Research | 更新时间：2024-10-22

- Application of the self-made nerve bundle with 3 mm of spatial distance between the two ends in repair of median nerve rupture of the wrist
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 33, Issue 10, Pages: 919-921(2024)
- 作者机构：
  
  1.南京医科大学第四附属医院骨科，江苏南京 210000
  2.南京江北新区泰山街道社区卫生服务中心，江苏南京 210000
  3.南京江北医院手足显微外科，江苏南京 210048
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.07E023009
  CLC： R651.3
- Published：25 October 2024，
  
  Received：04 July 2023，
- 稿件说明：
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郑辉,郝义伟,江起庭等.自制神经束两端间距3 mm空间在腕部正中神经断裂修复中的应用[J].局解手术学杂志,2024,33(10):919-921.

ZHENG Hui,HAO Yi-wei,JIANG Qi-ting,et al.Application of the self-made nerve bundle with 3 mm of spatial distance between the two ends in repair of median nerve rupture of the wrist[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(10):919-921.
郑辉,郝义伟,江起庭等.自制神经束两端间距3 mm空间在腕部正中神经断裂修复中的应用[J].局解手术学杂志,2024,33(10):919-921. DOI： 10.11659/jjssx.07E023009.

ZHENG Hui,HAO Yi-wei,JIANG Qi-ting,et al.Application of the self-made nerve bundle with 3 mm of spatial distance between the two ends in repair of median nerve rupture of the wrist[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(10):919-921. DOI： 10.11659/jjssx.07E023009.

摘要

目的

探讨自制神经束两端间距3 mm空间在腕部正中神经断裂修复中的应用效果。

方法

纳入2014年7月至2020年8月腕部正中神经断裂患者24例，采用自制神经束两端间距3 mm空间，然后外膜连续吻合，无神经束外露。术后石膏外固定4周，逐步加强功能锻炼。参照Burchiel疗效评价标准对正中神经恢复情况进行评价。

结果

末次随访时患者中指感觉恢复均达S4级，拇指对掌、对指功能均恢复，大鱼际肌饱满，未见萎缩。末次随访时正中神经恢复情况：优18例，良6例，优良率100%。

结论

自制神经束两端间距3 mm的神经外膜吻合，可实现精准对位，防止瘢痕压迫，避免神经瘤的发生，能有效恢复正中神经功能。

Abstract

Objective

To investigate the application effect of the self-made nerve bundle with 3 mm of spatial distance between the two ends in repair of median nerve rupture of the wrist.

Methods

A total of 24 patients with median nerve rupture of the wrist from July 2014 to August 2020 were included. The self-made nerve bundle with 3 mm of spatial distance between the two ends was applied， and then the epineurium was anastomosed continuously， and no nerve bundle was exposed. After 4 weeks of plaster external fixation， functional exercise was gradually strengthened. The median nerve recovery was evaluated according to Burchiel efficacy evaluation criteria.

Results

At the last follow-up， the sensory recovery of the middle finger reached S4 level， the functions of thumb to palm and finger to finger recovered， and the thenar eminence was full without atrophy. At the last follow-up， the median nerve recovery was excellent in 18 cases， good in 6 cases， and the excellent and good rate was 100%.

Conclusion

The epineural anastomosis of self-made nerve bundle with 3 mm of spatial distance between the two ends can achieve accurate counterpoint， prevent scar compression， avoid neuroma， and effectively restore the function of the median nerve.

关键词

正中神经神经损伤神经外膜缝合自制空间

Keywords

median nervenerve injuryepineurium sutureself-made space

references

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