手外科扎根临床不断创新  

The continuous innovation of hand surgery team rooted in clinical practice

作　　者：徐文东 顾玉东 

机构地区：[1]复旦大学附属华山医院手外科,上海200040

出　　处：《复旦学报（医学版）》2017年第6期703-706,共4页Fudan University Journal of Medical Sciences

摘　　要：手外科以往在手指再造、皮瓣移植等领域取得了多项世界首创的辉煌成果。在顾玉东院士的领衔下,提出了以健侧颈7为代表的多项治疗臂丛神经损伤的手术策略,成为国际领先的周围神经损伤诊治中心。近十年来,我们聚焦神经损伤及修复后的脑功能重塑研究,揭示了健侧颈7移位后运动感觉中枢功能重塑的模式,发现了一侧半球可以同时支配双侧上肢的重要规律,并将此发现应用到中枢损伤后偏瘫患者的治疗中,将健侧颈7应用到更广泛的人群中,实现了将科研创新与临床实践相结合,手外科在创新中不断发展。Previously, hand-surgeons made great advancements and pioneering surgeries such as thumb reconstruction, flap transplantation surgery. Under the leadership of professor Yu-dong GU〉we put forward several surgical strategies to treat the brachial plexus injury including the widely-used contralateral cervical 7 （CC7） nerve root transfer surgery. Now our department is one of the leading centers in treating peripheral nerve injury disease worldwide. During the past 10 years, we focused on the brain plasticity research in brachial plexus injury patients and revealed the reorganization pattern of sensorimotor cortex after the CC7 nerve root transfer surgery. Our study indicated the potential of one hemisphere in controlling bilateral upper limb and we further applied this conclusion in treating hemiplegic paralysis patients. In the past 10 years,we applied basic research findings in clinical practice and expanded the indication of CC7 nerve transfer surgery. By making innovations we keep making progress.

关 键 词：手外科 健侧颈7移位术 中枢性偏瘫 

分 类 号：R658.2[医药卫生—外科学]