상지 말초신경 손상에 대한 임상적 고찰

Abstract

This study is based on an analysis ol' the results of 78 peripheral nerve injuries (median: 26， ulnar： 32, radial: 20) involving the upper extremities treated by primary or delayed primary or secondary repair.

These results of the each median, ulnar, radial nerves after nerve repair were analyzed with respect to the suture technique, the age, the level of injury, and the time interval from injury.

On our clinical evaluation:

1. There revealed better results in perineuria! or epiperineurial suture.

2. There revealed better results in the younger age group.

3. There revealed better results in the lower level injuries, and in the pure sensory or pure motor nerve injuries than mixed motor and sensory nerve injuries.

4. There revealed better results in the delayed primary suture. The differences of the results between primary repair and secondary repair were negligible.

5. There revealed better results in the more long-term follow-up cases.

6. When the gap between the cut nerve ends was above 2.5cm length, we obtained more favorable results by nerve graft with sural nerve than by primary suture under tension.