经椎体前通路移位健侧C7神经根的研究进展  

Research progress of contralateral C7 nerve root transfer via prevertebral pathway

作　　者：陈涛 高绍莹 魏在荣 CHEN Tao;GAO Shaoying;WEI Zairong(Department of Burn and Plastic Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi Guizhou,563003,P.R.China)

机构地区：[1]遵义医科大学附属医院烧伤整形外科,贵州遵义563003

出　　处：《中国修复重建外科杂志》2021年第2期265-268,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的综述健侧C7神经根移位修复一侧全臂丛损伤、脑性瘫痪、脑卒中、脑外伤时建立椎体前通路术式的研究进展。方法广泛查阅国内外经椎体前通路移位健侧C7神经根术式的相关文献,分析总结各种术式的发展变化及各自优缺点。结果一侧全臂丛损伤、脑性瘫痪、脑卒中、脑外伤后,可通过多种经椎体前通路移位健侧C7神经根的手术方式进行修复,包括椎体前皮下组织隧道通路、经胸锁乳突肌下方通路、咽后间隙和椎体前筋膜通路、改良食管后椎体前通路、切断双侧前斜角肌的椎体前通路、华山椎体前通路等。如何建立移位通路最短且安全、有效的经椎体前通路移位健侧C7神经根手术方式,一直备受周围神经修复医师们的关注和探讨。结论经椎体前通路移位健侧C7神经根修复一侧全臂丛损伤、脑性瘫痪、脑卒中、脑外伤患者,是一种安全、有效的手术方式。Objective To review the research progress on the establishment of prevertebral pathway in the treatment of unilateral total brachial plexus injury, cerebral palsy, stroke, and traumatic brain injury by contralateral C7 nerve root transfer. Methods The literature about contralateral C7 nerve root transfer via prevertebral pathway at home and abroad was extensively reviewed, and the development, changes, advantages and disadvantages of various operation methods were analyzed and summarized. Results After unilateral total brachial plexus injury, cerebral palsy, stroke, and traumatic brain injury, it can be repaired by a variety of surgical methods of the contralateral C7 nerve root transfer via prevertebral pathway, which include the anterior subcutaneous tissue tunnel of the vertebral body, the passage under the sternocleidomastoid muscle, the posterior pharyngeal space and the anterior vertebral fascia passage, the modified posterior esophageal anterior vertebral passage, the anterior vertebral passage that cuts off the bilateral anterior scalene,and Huashan anterior pathway, etc. Among them, how to establish the shortest, safe, and effective way of anterior vertebral canal has been paid more attention and discussed by peripheral nerve repair doctors. Conclusion It is a safe and effective surgical method to repair unilateral total brachial plexus injury, cerebral palsy, stroke, and traumatic brain injury patients with contralateral C7 nerve root transfer via prevertebral pathway.

关 键 词：经椎体前通路 健侧C7神经根移位 臂丛损伤 脑重塑 

分 类 号：R651[医药卫生—外科学]