pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2025_20_1_134pirogovestnik-278Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSВЫБОР ХИРУРГИЧЕСКОЙ ТАКТИКИ ПРИ ТРАВМЕ ПЕРИФЕРИЧЕСКИХ НЕРВОВTHE CHOICE OF SURGICAL TACTICS FOR THE TREATMENT OF PERIPHERAL NERVES IN COMBAT TRAUMAКрайнюковП. Е.KraynyukovP. E.

Москва

Moscow

КокоринВ. В.KokorinV. V.

Москва

Moscow

kokorinvv@yandex.ruГлоткоВ. Л.GlotkoV. L.

Москва

Moscow

ГридневЕ. С.GridnevE. S.

Москва

Moscow

КрайнюковИ. П.KrainyukovI. P.

Москва

Moscow

СуворовА. В.SuvorovA. V.

Москва

Moscow

ФКУ «Центральный военный клинический госпиталь им. П.В. Мандрыка»; ФГАОУ ВО «Российский университет дружбы народов»РоссияP.V. Mandryka Central Military Clinical Hospital; RUDN UniversityRussian FederationФКУ «Центральный военный клинический госпиталь им. П.В. Мандрыка»; ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова»РоссияP.V. Mandryka Central Military Clinical Hospital; Pirogov National Medical and Surgical CenterRussian FederationВоенно-медицинская академия им. С.М. Кирова, филиалРоссияMilitary Medical Academy named after S.M. Kirov, branchRussian FederationФКУ «Центральный военный клинический госпиталь им. П.В. Мандрыка»РоссияP.V. Mandryka Central Military Clinical HospitalRussian Federation202509032025201134138Copyright © Крайнюков П.Е., Кокорин В.В., Глотко В.Л., Гриднев Е.С., Крайнюков И.П., Суворов А.В., 20252025Крайнюков П.Е., Кокорин В.В., Глотко В.Л., Гриднев Е.С., Крайнюков И.П., Суворов А.В.Kraynyukov P.E., Kokorin V.V., Glotko V.L., Gridnev E.S., Krainyukov I.P., Suvorov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/278

Травма периферических нервов является частым осложнением пулевых, осколочно-фугасных и минно-взрывных ранений верхних и нижних конечностей. Понимание многофакторности патогенеза повреждения нервного волокна и выбор соответствующих временных параметров оказания хирургической помощи необходимы для специализированного лечения этой патологии. Рассмотрены патофизиологические аспекты травматического повреждения периферических нервов, представлены целесообразная классификация травм и ранений периферической нервной системы, желательные сроки хирургического вмешательства и лечения. Учитывая, что тяжелая травма периферических нервов приводит к потере трудоспособности и частой инвалидизации пострадавших, необходимо знание особенности патогенеза, влияющих на выбор своевременной и адекватной хирургической помощи для скорейшего реабилитационного восстановления и недопущения развития осложнений.

Peripheral nerve injuries are a common complication of bullet, highexplosive and mine blast wounds of the upper and lower extremities. Understanding the multifactorial spectrum of pathogenetic mechanisms of nerve fiber damage and choosing the appropriate time parameters for providing the necessary surgical care are necessary for specialized treatment of this complex traumatic process. The article discusses the pathophysiological factors of traumatic damage to peripheral nerves, presents the most appropriate classification of injuries and wounds of the peripheral nervous system, the preferred timing of surgical intervention. Considering that severe trauma of peripheral nerves leads to loss of ability to work and frequent disability of military personnel, it is necessary to know the pathophysiological factors that influence the choice of timely and adequate surgical care for a fast recovery and to prevent the complications.

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The authors declare that there are no conflicts of interest present.