神经束支移位重建屈肘功能80例随访分析  

Function reconstruction of flexor elbow by nerve fascicle transfer: an analysis of 80 cases follow up

作　　者：常万绅[1] 李玉成[1] 诸寅[1] 张云涛[1] 李忠哲[1] 王丹[1] 

机构地区：[1]北京积水潭医院手外科,100035

出　　处：《中华显微外科杂志》2004年第4期247-248,共2页Chinese Journal of Microsurgery

摘　　要：目的　评价用神经束支移位恢复屈肘功能的手术结果和影响疗效的因素。　方法　臂丛神经上干根性损伤或上干根性损伤合并中、下干不全损伤的病例 ,应用正中神经束支或尺神经束支移位与肌皮神经肱二头肌支相吻合 ,恢复屈肘功能 ,临床治疗 80例。　结果　术后经过 8～ 10 8个月随访 ,肱二头肌力达M4者 5 0例 ,肌力达M3 者 16例 ,M3 以下者 14例 ;手术有效率为 (肱二头肌力M3 以上 ) 82 5 % ,优良率 (肱二头肌肌力M4以上 ,为 62 5 %。　结论　对于臂丛神经上干或上、中干根性的损伤应首选尺神经或正中神经束支移位修复 ,重建恢复屈肘功能。Objective To evaluate the treatment outcome of nerve fascicle transfer for treatment of flexor elbow and influencing factors Methods Eighty cases of brachial plexus injury were involved The function of elbow joint was restored by using fascicle nerve transfer from past of median nerve or ulnar nerve to the muscular branch of the biceps Results Follow up period ranged from 8 months to 108 months Fifty patients had M 3 and 14 patients had M 2 The effective rate was 82 5% while the excellent and good rate was 62 5% Conclusion Partial median and ulnar nerve transfer to restoration of elbow flexion for C 5,6 avulsion of the brachial plexus is feasible and effective [Key words] Brachial plexus; Median nerve; Ulnar nerve; Fascicle nerve

关 键 词：屈肘功能 肌力 肱二头肌 神经束 移位 臂丛神经 随访分析 正中神经 恢复 

分 类 号：R651[医药卫生—外科学]