神经束移位重建屈肘功能  

Function reconstruction of flexor elbow by fascicle nerve

作　　者：常万绅[1] 诸寅[1] 李玉成[1] 沈成[1] 张云涛[1] 王海华[1] 

机构地区：[1]北京积水潭医院手外科,北京市100035

出　　处：《中华显微外科杂志》2001年第3期180-182,共3页Chinese Journal of Microsurgery

摘　　要：目的　评价用神经束移位恢复屈肘功能的手术方法与临床疗效。　方法　对臂丛损伤 ,分别应用正中神经、尺神经、胸背神经及健侧 C7部分神经束移位与肌皮神经肱二头肌支缝合恢复屈肘功能。　结果　临床应用 5 2例中有 2 6例肱二头肌力达 M4级 ,屈曲肘关节达 90°以上 ,供体神经无明显的损害。　结论　利用神经束移位可以提供足够的神经纤维 ,恢复肱二头肌的神经支配。Objective To evaluate the treatment outcome of nerve fascicle transfer for treatment of flexor elbow Method Fifty two cases of brachial plexus injury were involved The function of elbow joint was restored by using fascicle nerve transfer from part of median nerve, ulnar nerve, thoracodorsal nerve and contralateral C 7, to the muscular branch of the biceps Results There was no significant adverse effects of the donor function following partial nerve resection Twenty six patients had biceps strength M 4 and flexed elbow joint more than 90 degree Conclusion Partial nerve fascicle transfer to the nerve branches of biceps from the donor nerve can provide sufficient nerve fibers to reinnervate biceps

关 键 词：屈肘功能重建 神经束移位 正中神经 尺神经 手术方法 

分 类 号：R651.3[医药卫生—外科学]