同侧颈_7神经根移位术的临床应用  

Clinical application of transfer of ipsilateral cervical 7 root

作　　者：蔡佩琴[1] 顾玉东[1] 薛锋[1] 彭峰[1] 陈琳[1] 

机构地区：[1]复旦大学华山医院手外科,上海200040

出　　处：《中华手外科杂志》2002年第2期73-74,共2页Chinese Journal of Hand Surgery

基　　金：国家 973创伤基础研究资助项目 (G1 9990 542 0 2 )

摘　　要：目的　探讨同侧颈7神经根移位术治疗臂丛上干撕脱伤的有效性与安全性。方法　 1998年2月至 2 0 0 0年 9月 ,对 4例颈5、6神经根节前损伤患者 ,采用同侧颈7神经根移位修复上干 ,其中 2例同时将副神经移位至肩胛上神经。结果　术后随访 1～ 2年半 ,4例肱二肌肌力均恢复至M4。肩外展 :1例外展15° ,1例 45° ,2例 >90°。供区神经的支配肌 ,除短期内肌力下降 1级外 ,均无明显功能障碍。结论　臂丛上干损伤采用同侧颈7神经根移位是有效的、安全的手术方法。如系下干不全损伤时 。Objective To determine whether transfer of ipsilateral cervical 7 root is an effective and reliable procedure in treatment of upper trunk avulsion of brachial plexus. Methods Four patients with C 5～C 6 preganglionic injury were involved between February 1998 and September 2000, who have been undertaken transfer of ipsilateral C 7 root. Transfer of accessory nerve to suprascapular nerve was simultaneously done in 2 of them. Results During the follow up (1 to 2.5 years) period , restoration of biceps has been obtained M 4 in all cases, and shoulder abduction 15° in 1, 45° in 1,> 90° in 2. No remarkable impairment has been found in all C 7 innervated muscles except for decrease of muscle power of one grade at short term. Conclusions This new technique shows promise as an efficacious and safe treatment for upper trunk injuries of brachial plexus. However, it should be prudent when incomplete injuries of lower trunk are involved.

关 键 词：临床应用 神经损伤 臂丛 神经根 神经移位 

分 类 号：R651.3[医药卫生—外科学]