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醋酸去炎松A涂膜剂改善瘢痕松解术后神经功能的恢复

The improvement of nerve function with triamcinolone acitomide-A after neurolysis operation

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【作者】 程晖

【Author】 Chen Hui. Department of Plastic Surgery, Xijing Hospital, The 4th Military Medical College(644000)

【机构】 四川省宜宾市第一人民医院外科

【摘要】 为促进神经探查瘢痕松解术后神经功能的恢复,对探查的15例有神经功能障碍(臂丛神经10例,腓总神经5例)、局部瘢痕粘连压迫较重、神经完整性良好的病人,行神经外膜或束间瘢痕松解后,局部应用适量醋酸去炎松A涂膜剂。1~3个月后,病人瘫痪肌肉肌力均恢复到Ⅲ级以上,感觉机能恢复正常。随访1年,无1例复发。结论:该药经济、易得,局部使用副作用少。可有效减轻瘢痕再次粘连压迫,促进神经功能恢复,而且可减轻皮肤切口瘢痕,改善外观。

【Abstract】 In an effort to avoid nerve dysfunciton recurence after relaxtion of the compressed nere by neurolysis operation, we adminstered triamcinolone acitonide topically in 15 patients: 10 brachial plexus, 4 common nerve peroneal and 1 femoral nerve. It was realized that the injured nerve was compressed and adhered tightly in local condition. All the cases have achieved good results 1~3 months postoperatively and no patient recurred after 1 year follow up. It is concluded that triamcinolone acitonide A is cost saving and effecftive when used clinically. It can also improve the cosmetic appearance of the skin.

  • 【文献出处】 实用美容整形外科杂志 ,JOURNAL OF PRACTICAL AESTHETIC AND PLASTIC SURGERY , 编辑部邮箱 ,1999年02期
  • 【分类号】R619.605
  • 【被引频次】2
  • 【下载频次】15
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