胸大肌移位重建肩外展及屈肘功能  

RECONSTRUCTION OF ELBOW FLEXION AND SHOULDER ABDUCTION WITH TRANSFER OF PECTORALIS MAJOR

作　　者：陈聚伍[1] 贺长清[1] 陈言汤[1] 夏磊 

机构地区：[1]河南医科大学一附院外科,郑州450052

出　　处：《中国修复重建外科杂志》1999年第6期353-354,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　总结胸大肌移位一期重建肩外展及屈肘功能的临床效果。方法　1986年～1997 年对12 例臂丛神经损伤晚期后遗肩外展及屈肘功能障碍者施行胸大肌移位术,即锁骨部重建肩外展、胸肋部代二头肌重建屈肘功能。结果　术后经5～18 个月随访,功能恢复良好。结论　臂丛神经损伤者肩、肘关节被动活动正常或接近正常,胸大肌肌力4 级以上者,采用此手术,具有操作简便,一次完成,效果肯定的优点。Objective To evaluate the clinical application of primary transfer of pectoralis major to reconstruct the elbow flexion and shoulder abduction.Methods 12 cases of old injury of branchial plexus with dysfunction of both elbow and shoulder joints were received surgical operation to reconstruct the palsy joints by primary transfer of pectoralis major, shoulder abduction was reconstructed by clavicular head and elbow flexion by sternal head respectively. All cases were followed up for 5 to 18 months.Results The function of both joints recovered obviously, the total superior rate is 91.7%.Conclusion Only if the palsy joints,shoulder or elbow, remained normal or almost normal passive motion, and the muscle power of pectoralis major over 4 degree, the primary transfer of pectoralis major should be a simple, reliable and convenient technique to reconstruct the palsy joints.

关 键 词：臂丛神经损伤 胸大肌 移位 功能重建 

分 类 号：R651.3[医药卫生—外科学]