Emek GÜLDOĞAN, Ramazan PAŞAHAN, Cengiz GÖLÇEK

PERİFERİK SİNİR YARALANMALARI VE CERRAHİ SONUÇLARI

Periferik sinir yaralanmaları (PSY) önemli sakatlık nedenidir. PSY genelde ateşli silah yaralanmaları, penetran ve künt travmalar sonucunda meydana gelmektedir. PSY’de kısmi kesilerde iyileşme görülmesine karşın, tam kesilerde iyileşme daha nadir olur ve bu vakalar cerrahi operasyona adaydır. Birçok çalışmada cerrahi müdahalenin şekli ve cerrahi zamanlamada farklılıklar görülmektedir. PSY’de farklı cerrahi prosedürler mevcuttur. Electromyelography (EMG) bulguları tanı ve takipte önemli olup bu konuda yol göstericidir. Bu araştırmada, İnönü Üniversitesi Beyin Cerrahisi kliniğinde periferik sinir travması nedeniyle cerrahi operasyon yapılmış olan hastaların uzun dönem klinik sonuçları ile literatüre katkısı olacak bir çalışma yapılmıştır. PSY nedeniyle cerrahi operasyon yapılan 15 hasta; yaş, cinsiyet, travma türü, ameliyat öncesi ve sonrası EMG bulguları, ameliyat öncesi ve sonrası nörolojik muayene sonuçları açısından değerlendirildi. İstatistik analizlerde Pearson Ki-kare testleri kullanıldı. İstatistiksel olarak p<0,05 çıkan sonuçlar anlamlı kabul edildi. Analizlerde IBM SPSS Statistics 26.0 programı kullanıldı. Sonuç olarak; PSY’lerinde bir yılı aşan tedavi edilmemiş hastalarda iyileşme oranı düşük olsa da çalışmamızda bu oran daha yüksek çıkmıştır. Bundan dolayı, travma sonrası süreye bakılmaksızın tüm hastalara cerrahi müdahale önermekteyiz.

Anahtar Kelimeler:

EMG, Periferik sinir, Travma

Peripheral Nerve Injuries And Surgery Results

Peripheral nerve injuries (PNI) are major causes of disability. PNI generally occurs as the result of firearm injuries, penetrating and blunt traumas. Although improvement is seen in partial incisions of PNI, recovery is rare in complete incisions and these cases are candidates for surgical operation. Differences about the type of surgical intervention and the timing of the surgery are seen in many studies. There exists different surgical procedures in PNI. Electromyelography (EMG) findings are important in diagnosis and follow-up, and guide this issue. In this research, a study that will contribute to the literature with the long-term clinical results of patients who underwent surgery for peripheral nerve trauma at the Inonu University Neurosurgery Clinic has been made. 15 patients who underwent surgery for PNI were evaluated according to; age, gender, type of trauma, pre- and postoperative EMG findings, pre- and postoperative neurological examination results. Pearson Chi-square tests were used for statistical analysis. Statistically, p <0.05 results were considered significant. IBM SPSS Statistics 26.0 program was used for analysis. As the result; although the recovery rate in patients with PNI more than 1 year is low, this rate was higher in our study. Therefore, we recommend surgical intervention to all patients regardless of the post-traumatic period.

Keywords:

EMG, Injury, Peripheral Nerve,

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