带蒂大圆肌双极移位重建产瘫肩外展功能  

Pedicel teres major muscle bipolar transfer for shoulder abduction reconstruction in obstetric brachial plexus palsy

作　　者：陈宏[1] 王欣[1] 魏鹏[1] 陈德松[2] 周丹亚[1] 胡瑞斌[1] 王扬剑[1] 章伟文[1] 李学渊[1] 

机构地区：[1]宁波市第六医院手外科,浙江宁波315040 [2]上海华山医院手外科,上海200040

出　　处：《实用手外科杂志》2009年第4期200-201,共2页Journal of Practical Hand Surgery

摘　　要：目的评价带蒂大圆肌双板移位重建分娩性臂丛神经损伤（产瘫）后肩外展功能的疗效及临床应用前景。方法对9例产瘫后肩外展功能障碍的患儿行带血管神经蒂大圆肌双极移位术重建肩外展功能，并经术后1年以上的随访，观察其临床应用效果。结果9例患儿术前肩外展平均11．2°（0°-30°），术后肩外展平均75．4°（45°～95°）。按照顾玉东的评定标准评价：优3例，良4例，可2例，优良率为77．8％。结论对于产瘫后肩外展功能障碍者，用带血管神经蒂大圆肌双极移位术重建其肩外展功能是有效而值得临床推广的治疗方法。Objective To evaluate the clinical effect and clinical application foreground on the treatment of pedicel teres major muscle bipolar transfer for shoulder abduction reconstruction in obstetric brachial plexus palsy. Methods 9 cases of obstetric brachial plexus palsy with shoulder abduction dysfunction in children were treated by pedicel teres major muscle bipolar transfer to reconstruct shoulder abduction, and followed-up for more than 1 year after operation to observe its clinical effect. Results The average range of the shoulder abduction in these 9 children was 11.2 o （range0°-30°） before the operation, and 75.4 °（range45°-95°） after the operation. According to the evaluation standard by Gu Yu-dong, the results were excellent in 3 cases, good in 4 cases, and fair in 2 cases, and the excellent and good rate was 77.8%. Conclusion For the patients of obstetric brachial plexus palsy with shoulder abduction dysfunction, the treatment of pedicel teres major muscle bipolar transfer for shoulder abduction reconstruction is effective and worthy of clinical popularization.

关 键 词：产瘫 肩外展 功能重建 

分 类 号：R651.305[医药卫生—外科学] R658.2[医药卫生—临床医学]