背阔肌肌皮瓣移位重建对晚期臂丛神经上干损伤屈肘功能的疗效评价  

Evaluation of the therapeutic effect of latissimus dorsi muscle flap reconstruction surgery on elbow flexion function in advanced upper brachial plexus injury

作　　者：袁枭[1] 刘满花[1] 向湘松[1] 罗顺红[1] 唐海斌 贺尚文 张槐 Yuan Xiao;Liu Manhua;Xiang Xiangsong;Luo Shunhong;Tang Haibin;He Shangwen;Zhang Huai(The First People's Hospital of Huaihua City,Hunan Province,Hunan Huaihua 418000)

机构地区：[1]湖南省怀化市第一人民医院,湖南怀化418000

出　　处：《中国社区医师》2020年第21期41-41,43,共2页Chinese Community Doctors

摘　　要：目的:评价背阔肌肌皮瓣移位重建对晚期臂丛神经上干损伤屈肘功能的疗效。方法:2016年9月-2017年1月收治晚期臂丛神经上干损伤患者12例,按不同治疗方法分为两组,各6例。对照组给予常规手术治疗;试验组给予背阔肌肌皮瓣移位重建手术治疗。比较两组治疗效果。结果:试验组治疗满意度及屈肘功能恢复正常率均高于对照组,且并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:采用背阔肌肌皮瓣移位重建对晚期臂丛神经上干损伤有效,能够帮助患者早恢复屈肘功能。Objective:To evaluate the effect of latissimus dorsi muscle flap reconstruction surgery on elbow flexion function in advanced upper brachial plexus injury.Methods:From September 2016 to January 2017,12 cases of upper brachial plexus injury were enrolled,they were divided into two groups according to different treatment methods with 6 cases in each group.The control group was given conventional surgery.The experimental group was given latissimus dorsi muscle flap reconstruction surgery.The therapeutic effects between the two groups was compared.Results:The treatment satisfaction and the returned to normal rate of elbow flexion of experimental group were higher than those of control group,the incidence of complications was lower than that of control group,the differences were statistically significant(P<0.05).Conclusion:The effect of latissimus dorsi muscle flap reconstruction surgery on elbow flexion function in advanced upper brachial plexus injury is remarkable,which can help the patients to recover the elbow flexion function early.

关 键 词：臂丛神经损伤 治疗分析 屈肘功能 

分 类 号：R658.2[医药卫生—外科学]