SU1694118A1 - Method of treatment of ulnar nerve injuries - Google Patents
Method of treatment of ulnar nerve injuries Download PDFInfo
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- SU1694118A1 SU1694118A1 SU894646951A SU4646951A SU1694118A1 SU 1694118 A1 SU1694118 A1 SU 1694118A1 SU 894646951 A SU894646951 A SU 894646951A SU 4646951 A SU4646951 A SU 4646951A SU 1694118 A1 SU1694118 A1 SU 1694118A1
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- USSR - Soviet Union
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- nerve
- ulnar
- treatment
- ulnar nerve
- segments
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Abstract
Изобретение относитс к медицине, а именно к нейрохирургии. Способ позвол ет сократить сроки лечени и восстановлени функции нерва при большом повреждении его концов и достигаетс это тем, что после отсечени- невромы центрального конца локтевого нерва и освежени периферического при наличии диастаза в 3-5 см, на концы локтевой артерии накладывают лигатуры , которые св зывают между собой узло- вым швом, добива сь при этом сопоставлении отрезков локтевого нерва, в таком положении лигатуры фиксируют, отрезки нервов сопоставл ют и накладывают фасцикул рно-эпиневральные швы.The invention relates to medicine, namely to neurosurgery. The method allows reducing the time of treatment and restoration of nerve function with a large damage to its ends, and is achieved by the fact that after cutting off the neuroma of the central end of the ulnar nerve and refreshing the peripheral nerve in the presence of diastasis of 3-5 cm, ligatures are applied to the ends of the ulnar artery They are knotted together with a knotted suture, having achieved the matching of the ulnar nerve segments, fixing the ligature in this position, matching the nerve segments and fascicular-epineural sutures.
Description
Изобретение относитс к медицине, а именно к нейрохирургии.The invention relates to medicine, namely to neurosurgery.
Целью изобретени вл етс сокращение сроков лечени и восстановлени функции нерва при большом диастазе его. концов.The aim of the invention is to reduce the duration of treatment and restoration of nerve function in case of its large diastasis. the ends.
Способ осуществл ют следующим образом. После отсечени невромы центрального конца локтевого нерва и освежени периферического, при наличии диастаза 3-5 см, на концы локтевой артерии накладывают лигатуры, которые св зывают между собой узловым швом, добива сь при этом сопоставлени отрезков локтевого нерва. В таком положении лигатуры фиксируют , отрезки нерва сопоставл ют и накладывают фасцикул рно-эпиневральные швы.The method is carried out as follows. After cutting off the neuroma of the central end of the ulnar nerve and refreshing the peripheral, in the presence of a diastasis of 3-5 cm, ligatures are placed on the ends of the ulnar artery, which are interconnected by an anchor suture, thus achieving a comparison of the ulnar nerve segments. In this position, the ligatures are fixed, the nerve segments are aligned and the fascicular-epineural sutures are applied.
Пример. Больной Ж., 25 лет, диагноз: резана рана в области левого лучезап ст- ного сустава, полное повреждение локтевого нерва. Во врем операции из массивных рубцов выделен центральный отрезок локтевого нерва, последний оканчиваетс не- Ј/), вромой 2,0x1,5 см. Периферический отрезок нерва найден в рубцовой ткани на 1,5 см j ниже центрального отрезка. После отсече- Н ни невромы и освежени периферического отрезка нерва образовалс диастаз около 5 см. Из-под общей оболочки выделен цент- , ральный и периферический отрезки локте- 0s вой артерии. На концы артерии наложены О шелковые лигатуры, при помощи которых Ј при большем нат жении сближены и зафиксированы ее отрезки. На сопоставленные отрезки нерва наложены фасцикул рно- IQQ эпиневральные швы без нат жени атрав- матической иглой N 6. Example. Patient G., 25 years old, diagnosed with a cut of a wound in the area of the left ray of the fasting joint, complete damage to the ulnar nerve. During the operation, a central segment of the ulnar nerve was isolated from massive scars, the latter ending non- Ј /), except 2.0x1.5 cm. The peripheral segment of the nerve was found in scar tissue 1.5 cm j below the central segment. After cutting off the neuroma and refreshing the peripheral segment of the nerve, a diastasis was formed about 5 cm. From the common envelope, the central, peripheral and peripheral segments of the ulnar-0s artery were separated. On the ends of the artery, O are ligatures of silk, with the help of which нат with greater tension, its segments are drawn together and fixed. The fascicles of the p-IQQ epineural sutures without tension with the atraumatic needle N 6 are superimposed on the correlated nerve segments.
Первые признаки регенерации локтевого нерва по вились через 2 мес.The first signs of ulnar nerve regeneration appeared after 2 months.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894646951A SU1694118A1 (en) | 1989-01-05 | 1989-01-05 | Method of treatment of ulnar nerve injuries |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894646951A SU1694118A1 (en) | 1989-01-05 | 1989-01-05 | Method of treatment of ulnar nerve injuries |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1694118A1 true SU1694118A1 (en) | 1991-11-30 |
Family
ID=21427142
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU894646951A SU1694118A1 (en) | 1989-01-05 | 1989-01-05 | Method of treatment of ulnar nerve injuries |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1694118A1 (en) |
-
1989
- 1989-01-05 SU SU894646951A patent/SU1694118A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Григорович К.А, Хирурги нерва, Л.: Медицина, 1969, с. 156. * |
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