Abstract
Combined damage of neurovascular structures is complicate pathology and require repeated surgical interventions and often lead to permanent disability. Aim. To define the features of restorative surgical treatment of traumatic injuries of limbs neurovascular structures and to study the effect of regional hemodynamics on the nerve function restore. Methods and results. In 98 patients with combined trauma of the neurovascular structures microcirculation indicators were established with laser Doppler flowmetry and determine the degree of restoration of nerve function. Conclusion. Strong direct correlation between the degree of restoration of nerve function and microcirculation was detected, the correlation coefficient was +0.72 at t = 3,16 p<0,05. Careful surgical restoration of blood flow helps to improve microcirculation in the limbs, makes positive impact on the recovery of limb function.
Highlights
Поєднані травми судинно-нервових структур мають тяжкий характер, потребують неодноразових оперативних втручань і часто призводять до стійкої втрати працездатності
In 98 patients with combined trauma of the neurovascular structures microcirculation indicators were established with laser Doppler flowmetry and determine the degree of restoration of nerve function
Виявили сильний прямий кореляційний зв’язок між ступенем відновлення функції нерва та станом мікроциркуляції кінцівки, коефіцієнт кореляції – +0,72 при t = 3,16, p
Summary
Поєднані травми судинно-нервових структур мають тяжкий характер, потребують неодноразових оперативних втручань і часто призводять до стійкої втрати працездатності. Restorative surgery of combined injuries of neurovascular structures of limbs I. Aim. To define the features of restorative surgical treatment of traumatic injuries of limbs neurovascular structures and to study the effect of regional hemodynamics on the nerve function restore. In 98 patients with combined trauma of the neurovascular structures microcirculation indicators were established with laser Doppler flowmetry and determine the degree of restoration of nerve function.
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