正中神经损伤
- 网络Median nerve injury;injury of median nerve
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结论正中神经损伤后,手部相应肌肉的MP丧失程度与MNCV改变相关,并且MNCV各项指标发生显著改变。
Conclusion Loss of MP is related with the change of MNCV due to median nerve injury , all the selected measurements become significantly abnormal after median nerve injury .
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1例前臂软组织缺损并尺骨缺损,尺神经、正中神经损伤者,术后肢体功能恢复67%,骨愈合顺利;
One case with soft tissue defect and concomitant ulnar defect , ulnar nerve and median nerve injury , 67 % function of limb was recovered , and union of fibula graft was good .
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结果:束支分离定位法在远端正中神经损伤修复中的成功率为88.6%,治疗组较对照组感觉恢复率有提高,但无明显差异(P0.05),运动功能恢复率显著提高(P0.01)。
Result : Satisfactory result were obtaines in 39 cases of low median nerve injuries . The sensory recovery in treatment group was faster than in control group , but no significant diference ( P0.05 ) . Better motor functions were achieved in treatment group ( P0.01 ) .
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5例术后出现尺神经炎或尺神经炎症状加重,1例正中神经损伤。
Tardy ulnar nerve palsy occurred in 5 cases .
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外伤性前臂正中神经损伤的治疗
Treatment of median nerve injuries at the forearm
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目的:阐明神经束支定位法在远端正中神经损伤修复中的作用。
Objective : To clarify the effects of fascicular orientation in repairing low median nerve injuries .
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目的通过对正中神经损伤晚期修复方法的探索,验证晚期神经损伤修复后,最大限度获得满意功能恢复的程度。
Objective To prove the recovery of nerve function after repair median nerve injury in advanced stage .
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儿童正中神经损伤81例报告
Median Nerve Injuries in Children
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结论儿童手掌切割伤致屈指肌腱断裂时,多合并正中神经损伤。
Conclusions The traumatic flexor tendon injury of palm in children is always associated with median nerve damage .
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目的观察正中神经损伤后早期康复训练对手部感觉功能恢复的影响。
Objective To observe the effects of early rehabilitation training on sensory restoration after the median nerve injuries .
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正中神经损伤所致的大鱼际肌瘫痪用小指展肌瓣转位重建拇指外展对掌功能,提供应用解剖学基础。
It is capable of providing applied anatomic basis by using the abductor muscle flap of the little finger transposition for abductor function of thumb restoration .
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方法5例手掌切断伤患儿,分别有食、中、环指屈肌腱断裂,多合并正中神经损伤。
Methods From 1996 to 1999 , 5 cases with incised flexor tendon of 2 , 3 , 4 fingers associated with median nerve damage were admitted .
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本组病例均为闭合性骨折,其中合并正中神经损伤1例;合并下肢骨折2例;合并同侧锁骨骨折1例;无合并颅脑神经损伤患者。
All fractures were close fracture . One patient had combined median nerve injuries , two patients combined lower extremity fractures , one patient had combined clavicle fracture . there was no patients combined head trauma .
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结论拇短屈肌移位适用于手部正中神经损伤晚期的患者重建拇对掌功能,尤其适用于支配拇短屈肌深头的尺神经完好的患者。
Conclusion The new optimal transpositional operation of the flexor pollicis brevis muscle for the reconstruction of thumb opposition is suitable for the patients with late median nerve injury , especially when the ulnar nerve branch to the deep head of the flexor pollicis brevis muscle is uninjured .
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正中神经高位损伤的功能重建
The functional reconstruction of median nerve injury on high level
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结论应用带血管蒂的示指固有伸肌支移位修复尺神经深支及鱼际肌支术式可行,为临床尺、正中神经高位损伤后手内在肌功能修复提供了一种新方法及可靠的解剖学依据。
The new nerve transfer procedure provides an option for restoration of intrinsic muscle function after proximal injury of ulnar nerve and median nerve .
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临床上拇指对掌功能的丧失主要是由于支配鱼际肌的正中神经返支损伤导致,这种损伤常常是不可逆的。
Clinically , the injury of thumb opposing function mainly dues to the damage of the median nerve branch which is often irreversible .
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结论对腕部正中神经不可逆损伤,特别是合并尺神经损伤患者,尺侧腕伸肌及拇长伸肌移位术是一种理想的重建拇指对掌功能的手术方法,且操作简单,效果好。
Conclusion It is a convenient and efficient procedure that reconstructing thumb opposition function by transfering the extensor carpi ulnaris and the extensor pollicis longus muscle tendons .
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正中神经刺激治疗颅脑损伤后持续性植物状态7例报告
Medianus nervi stimulation for persistent vegetative state after head injury : A report of 7 cases
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正中神经电刺激颅脑损伤后昏迷病人神经递质的变化
The Change of Neurotransmitter Median of Patients in Coma Caused by Head Traumas Treated by Nerve Stimulation Therapy