Surgical management for sciatic nerve injury / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 338-341, 2002.
Article
Dans Anglais
| WPRIM
| ID: wpr-332937
ABSTRACT
<p><b>OBJECTIVE</b>To summarize surgical treatments and their corresponding curative effects on sciatic nerve injuries.</p><p><b>METHODS</b>Surgical treatments on sciatic nerve injury were performed in 28 patients from January 1990 to July 2000. The treatments included neurolysis, neurolysis plus partial nerve anastomosis, nerve anastomosis and nerve transplantation. The curative effect was evaluated according to Sunderland criteria.</p><p><b>RESULTS</b>Of 28 cases, 22 patients were followed up with a follow-up period of 13 months to 5 years (average 30 months). Of 22 nerves, 7 were excellent, 5 good, 7 fair and 3 poor, with an excellence rate of 54.5%.</p><p><b>CONCLUSIONS</b>The fair results of sciatic nerve injury are related to its structural character. Surgical exploration should be performed if nerve function does not recover 3 months after primary operation and if Tinel's sign and electromyogram show no signs of nerve regeneration. Electrophysiological monitoring in the operation is useful in electing surgical methods and predicting the results of nerve anastomosis.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Physiologie
/
Nerf ischiatique
/
Chirurgie générale
/
Plaies et blessures
/
Anastomose chirurgicale
/
Score de gravité des lésions traumatiques
/
Études rétrospectives
/
Études de cohortes
/
Études de suivi
/
Résultat thérapeutique
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Adulte
/
Enfant
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Chinese Journal of Traumatology
Année:
2002
Type:
Article
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