臂丛神经损伤后期伸腕（指）功能重建  

The later period reconstruction of wrist（digit） extending function after brachial plexus injury

作　　者：王方[1] 陈德松[2] 周瀛梁[1] 赵帅[1] 陈富强[1] 沈珊安[1] 

机构地区：[1]上海市第二人民医院骨科,上海200011 [2]复旦大学附属华山医院手外科,上海200040

出　　处：《实用手外科杂志》2009年第3期137-139,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨臂丛神经损伤后期，不同肌腱移位方法重建伸腕（指）功能的疗效。方法采用Riordan肌腱移位、指浅屈肌腱移位、伸肌腱固定等手术重建不可逆臂丛神经损伤伸腕（指）功能24例，其中全臂丛12例、臂丛上中干9例、臂丛后侧束神经损伤3例，功能重建术距神经损伤或修复后时间为2～12年。结果术后经3～36个月随访，参照肌腱移位术疗效评定标准，优4例，良11例，可5例，差4例，优良率62．5％。结论臂丛神经损伤后期伸腕（指）功能缺失的重建，需根据患肢条件，采用不同肌腱移位方法。可以获得较满意的基本功能。Objective To discuss the effects of the later period reconstruction of the extending function of wrist（digits） after brachial plexus injury. Methods 24 cases of irreversible brachial plexus injury were treated with tendons transfer to reconstruct the extending function of wrist（digits）： the Riordan, superficial flex digit tendons and tendons fixation,et al.The extension dysfunction cases： Of the total brachial plexus avulsion injury were 12 cases, the upper and middle trunk injury were 9 cases and the posterior cord injury were 3 cases.The operations of the tendon transfer was done in 2 to 12 years after the nerve injury or nerve repaired.Results After 3 to 36 months followed up. According to the assessment criterion^l, the excellent were 4 cases, the good 11 cases, the fair 5 cases and the poor 4 cases.The satisfied were 15 cases （62.5%）.Conclusion The later period reconstruction of the extending dysfunction of wrist （digits） after brachial plexus injury, should according to the condition of the wound extremity and adoppted the different methods to transfer the tendons, the comparatively satisfactory basic function can be obtained.

关 键 词：臂丛 损伤 伸指 重建 

分 类 号：R651.3[医药卫生—外科学] R686.505[医药卫生—临床医学]