黄东生 刘尚礼 马若凡 李春海 戴绍业 中山医科大学孙逸仙纪念医院骨科，广东 广州 510120 临床骨科杂志 1999 0 2 2


    关键词：肌支神经；臂丛损伤；胸背神经；神经移植 期刊 lcgkzz 0 临床研究 fur -->


    

【摘要】 目的 选择最好的肌支神经转位治疗臂丛上干损伤。方法 采用选择性肌支神经转位治疗臂丛上干损伤16例24人次，供转位的胸背神经、副神经、胸长神经和肋间神经等与腋神经的三角肌支、肌皮神经的肱二头肌支缝接。结果 16例24块肌肉经4～14年随访，疗效优12块，良5块，可4块，差3块。结论 手术的关键是肌支神经与肌支神经的缝接，从而使吻合口靠近肌肉，关节功能恢复快，转位神经中以胸背神经转位效果最好。

    【中图分类号】 R651.3

Transference of selectedmuscular branchial nerve for treatment of upper trunk injury of brachial plexus

Huang Dongsheng, Liu Shangli, Ma Ruofan, Li Chunhai, Dai Shaoye

(Departmentof Orthopaedics, Memorial Hospital, Sun Yat-Sen University of Medical Sciences, Guangzhou,Guangdong 510120)

【Abstract】 Objective To analyse the outcomes of transference of the bestselected muscular branchial nerve for treatment of upper trunk injury of brachial plexus. Methods 16 patients(24person-times) who suffered from upper trunk injury of brachial plexus were treated withtransference of selected nerve of muscular branch. The thoracodorsal nerve, accessorynerve, long thoracic nerve and intercostal nerves were transferred to the muscular branchof axillary nerve and musculocutaneous nerve. Results 24 muscles in 16 patients werefollowed up for 4 to 11 years after operation. The outcomes were excellent in 12, good in5, fair in 4, and failed in 3 of 24 muscles. Conclusion The key to the operation is transferring the muscularbranch to muscular branch of the associated nerve. The thoracodorsal nerve is the best onefor transference.

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