桡神经浅支移植修复桡神经缺损及供区功能重建的临床观察  

Clinical observation of superficial radial nerve transplanting to repair musculospiral nerve defection and functional reconstruction of donor site

作　　者：李高峰[1] 田德虎[2] 董海涛 刁雪鸥[4] 于光辉[4] 梁立伟 

机构地区：[1]河北省保定市第二医院骨科,071000 [2]河北医科大学第三医院手外科 [3]高阳县中医院骨科 [4]保定市第三医院 [5]保定恒星肿瘤医院骨科

出　　处：《中国综合临床》2010年第11期1194-1195,共2页Clinical Medicine of China

摘　　要：目的 观察桡神经浅支移植修复桡神经缺损,同时应用端侧吻合的方式重建供区功能的疗效.方法 采用桡神经浅支移植修复桡神经缺损同时应用端侧吻合的方式重建供区功能34例,观察供区及受区的恢复情况.结果 经过12～24个月随访,受体桡神经功能恢复,优23例,良5例,可6例,优良率82.53%;供体神经感觉恢复,优27例,良5例,可2例,优良率94.12%.结论 该方法是治疗神经缺损的较好选择.Objective To observe the effect of superficial radial nerve transplanting to repair musculospiral nerve defection and using end-to-side neurorrhaphy to reconstruct the function of the donor site. Methods Thirtyfour cases underwent superficial radial nerve transplanting to repair musculospiral nerve defection and end-to-side neurorrhaphy was performed to reconstruct the function of the donor site. Results All cases were followed-up for 6 to 18 months,the functional recovery of the recipient of musculospiral nerve was excellent in 23 cases and good in 5 cases,with an excellent and good rate of 82. 53 %. Sensory recovery of donator nerve was excellent in 27 cases and good in 5 cases,with an excellent and good rate of 94. 12%. Conclusions Superficial radial nerve transplanting to repair musculospiral nerve defection and functional reconstruction of donor site is a better choice in treating neurologic defect.

关 键 词：桡神经浅支 移植 端侧吻合 功能重建 

分 类 号：R658.2[医药卫生—外科学]