神经松解术

The time from injury to admission was between 2 monthes214 monthes except 1patient who underwent emergency operation 4 hours after injury ,and 1 patient was treated with debridment and epineurial neurorrhaphy ,7 cases with nerve trunk grafting ,6 cases with nerve cable grafting ,4 cases with neurolysis ,1 case with arthrodesis of ankle.

伤后至入院手术时间除1 例为4 h 外，其余均为2～14 个月。1 例行清创、神经外膜对端吻合术，7 例行神经全干移值术，6 例行神经电缆式移植，4 例行神经松解术，1 例行踝关节融合术。

Methods:Fifty adult cadaveric specimens(100 sides) fixed with formalin were dissected,analyzed,and the palmar neurovascular structures,the flexor retinaculum,and their distance to the distal wrist crease were measured.

在行腕管探查术及掌中间隙引流术时，尤其是在环指中轴线上进行的内窥镜腕管松解术时易损伤邻近腕横韧带的神经血管，如尺/正中神经交通支[1]，尺神经[2]和掌浅弓[3]。

Objective To introduce our methods and experiences of ulnar nerve neurolysis for treatment of cubital tunnel syndrome under the endoscope using small incision.

目的探讨应用小切口内窥镜下作尺神经松解术治疗肘管综合征的经验和方法。

The operations used in this group include neurolysis,epineurial repair,epineurial-fascicular repair,fascicular repair and nerve grafting.Results:All cases were followed-up after 18 months to 60 months and the excellent rate was 80.4％.Conclusions:Those result indicated that the preceded microsurgical repair of peripheral nerve injury is an effective method for raising the excellent rate of peripheral nerve injuries,and for vary nerve,different section of nerve injured,very nature of nerve injury,the method are vary.

目的：分析应用显微外科技术在修复周围神经损伤中影响其疗效的因素及处理措施方法：从1987年至1997年，用显微外科技术修复周围神经损伤80例92条神经，方法包括神经松解术、神经外膜缝合术、外膜束组膜缝合术、束膜缝合术和神经移植术结果：经术后18个～60个随访，优良率80.4％结论：神经断端精确对合和及早修复可提高其疗效；同神经、同的损伤平面、损伤程度同，采用同的缝合方法

Method］from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法］2003年1月～2006年5月，根据ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。病因：腓总神经损伤2例，腰椎管内肿瘤1例，硬脊膜膨出5例，小儿麻痹后遗症11例，先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例，用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄，确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术，25例同期实施了有限的截骨术和跗骨间关节融合术，9例合并踝关节内外翻肌力明显失衡者，同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序，7 d开始旋转相应的螺纹牵拉杆，对器械进行三维空间的缓慢调整，先矫正前足内收和后足内翻，后矫正足下垂畸形，直至达到矫形要求的标准。在矫形的过程中定期进行x线检测，以防止发生踝关节前后移位，治疗期间允许患足负重行走。术后平均牵伸42 d，拆外固定器后患足再上石膏固定适当时间。

Methods 24 cases were choosed for the neurolysis after the systematic expectant treatment.

对符合手术指征的24 例患者经系统的保守治疗无效后行颈神经根探查松解术。

This review paper also introduce the management of spasticity, such as physical therapy, durg therapy, chemical neurolysis and surgery.

本文进而讨论脊体损伤痉孪的各种疗法，包括物理治疗、药物治疗、化学药剂神经松解术及手术疗法。

The patients of treatment group were treated by neurolysis of spinal nerve root canal with acupotomy,traction,acupuncture,massage and traditional chinese drugs based on differentiation; The patients of control group were treated by the same therapy as that of ...

治疗组20例给予小针刀神经根管松解术、牵引、针灸、推拿及中药辨证施治内服；对照组20例给予小针刀神经根管假松解术，其他治疗与治疗组完全相同。

Intra-articular injections, medial branch nerve blocks, and neurolysis of medial branch nerves have been described in managing chronic neck pain of facet joint origin.

关节内注射，内侧支神经阻滞，内侧支神经松解术也可以用于治疗颈椎小关节源性慢性疼痛。

Peripheral nerve ; Compression ; Neurolysis ; Lemithason ; Pathophysiology

周围神经；卡压；神经松解术；利美达松；病理生理学

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。