49例全臂丛根性损伤修复的手术治疗  

The operation treatments on the 49 cases of total brachial plexus root avulsion

作　　者：帕尔哈提.热西提 艾尔肯.萨德尔[1] 乌米提.艾拜都拉 艾尔肯.阿木冬 帕拉提.阿伯拜克力 

机构地区：[1]新疆医科大学第一附属医院骨科中心,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2008年第9期1241-1243,共3页Journal of Xinjiang Medical University

摘　　要：目的:总结臂丛神经根性损伤的手术治疗经验,讨论影响臂丛神经根性损伤临床疗效的因素。方法:回顾1991～2007年收治的68例全臂丛根性损伤患者,采用多组神经移位、神经桥接术等手术方法。结果:术后获得随访的49例病人中,术后功能恢复至M4S57例,M3S414例,M2S217例,M1S111例;臂丛神经完全根性撕脱伤手术优良率40.8%。结论:术前准确诊断损伤性质及部位,术中精细操作是臂丛神经功能恢复的关键,对年轻患者应尽可能早期行手术修复。Objective： To summarize the experience of operation treatments of the total brachial plexus root avulsion and discuss the facts which influence the operation result. Methods： From 1991 to 2007, 68 cases with total brachial plexus root avulsion were received operation treatment in our hospital with multiple neurotization, nerve-graft transfer. Results： Among 68 cases, 49 cases were followed up after operation. The patients functions recovered differently, 7 cases recovered to M4S5, M3S4 14 cases, M2S2 17 cases, M1S1 11 cases. Excellent rate of total brachial plexus root avulsion was 40.8%. Conclusion： Accurate diagnosis, early operation and refine manipulation are key factors for functional recovery in treatment of brachial plexus. Injured nerves should be repaired as soon as possible in young patients.

关 键 词：臂从神经损伤 显微外科 神经修复 

分 类 号：R745.41[医药卫生—神经病学与精神病学] R61[医药卫生—临床医学]