A PROSPECTIVE CLINICAL-EVALUATION OF AUTOGENOUS VEIN GRAFTS USED AS A NERVE CONDUIT FOR DISTAL SENSORY NERVE DEFECTS OF 3 CM OR LESS
A PROSPECTIVE CLINICAL-EVALUATION OF AUTOGENOUS VEIN GRAFTS USED AS A NERVE CONDUIT FOR DISTAL SENSORY NERVE DEFECTS OF 3 CM OR LESS
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DOI：
10.1097/00006534-199011000-00015
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发表时间：
1990-11-01
影响因子：
3.6
通讯作者：
STRAUCH, B
中科院分区：
文献类型：
--
作者：
CHIU, DTW;STRAUCH, B
本研究的目的是确定自体静脉移植物作为神经移植物（AVNC）桥接小的外周感觉神经间隙的有效性，并与直接修复和传统神经移植技术（ANG）进行比较。选择疼痛性神经瘤或节段性神经损伤3cm的患者作为试验组。那些适合直接修复的被归类为对照。在1982年至1988年期间，共有22名患者参加了这项研究。共修复神经34条，其中静脉神经导管15条，腓肠神经移植4条，直接修复15条。症状明显缓解，感觉功能恢复满意。两点辨别力测量表明直接修复的优越性，可能是传统的神经移植。然而，普遍有利的患者接受度和可测量的两点辨别力的恢复表明，当选择性地应用于桥接非必需外周感觉神经上的小神经间隙（≤ 3 cm）时，自体静脉移植物作为神经导管的有效性。
The purpose of this study was to determine the efficacy of autogenous vein grafts as nerve grafts (AVNC) for bridging of small peripheral sensory nerve gaps as compared with direct repair and with conventional nerve grafting techniques (ANG). Patients with painful neuroma or segmental nerve injury of 3 cm were chosen as the test group. Those amenable to direct repair were classified as controls. Between 1982 to 1988, a total of 22 patients were enrolled in this study. A total of 34 nerves were repaired, 15 with a venous nerve conduit, 4 with a sural nerve graft, and 15 with direct repair. Significant symptom relief and satisfactory sensory function return were uniformly observed. The two-point discrimination measurements indicated superiority of direct repair and probably of conventional nerve grafting. However, the universally favorable patient acceptance and the return of measurable two-point discrimination indicates the effectiveness of autogenous vein grafts as nerve conduits when selectively applied to bridge a small nerve gap (≤ 3 cm) on nonessential peripheral sensory nerves.