改良Batemen法斜方肌移位重建肩外展功能  

Reconstruction of abductor shoulder function with modified Batemen method for trapezius muscle transfer

作　　者：周波 肖颖锋[1] 王全震[1] 张建[1] 周喆刚[1] 孟繁斌[1] 彭艳斌[1] Zhou Bo;Xiao Yingfeng;Wang Quanzhen;Zhang Jian;Zhou Zhegang;Meng Fanbin;Peng Yanbin(Department of Hand Microsurgery,Peking University Shenzhen Hospital,Shenzhen 518036,China)

机构地区：[1]北京大学深圳医院手显微外科,518036

出　　处：《中华肩肘外科电子杂志》2021年第4期348-351,共4页Chinese Journal of Shoulder and Elbow(Electronic Edition)

基　　金：深圳市知识创新计划基础研究基金(20180213103216652)。

摘　　要：目的介绍改良斜方肌移位重建肩外展功能的临床应用。方法根据肩外展运动生物力学原理及斜方肌解剖学特点,采用改良Batemen法(在Batemen法的基础上加用异体肌腱)对3例三角肌恶性肿瘤完全切除术后患者,重建肩外展功能。结果术后平均随访12个月,按中华医学会手外科学会上肢部分功能评定试用标准评定,优3例,上肢功能评分平均为4.44分。结论三角肌恶性肿瘤切除术后肩外展功能重建,改良Batemen法斜方肌移位法值得临床推广。Background As a part of the stable structure of shoulder joint,the deltoid muscle has the functions of abduction,flexion and extension,of which shoulder abduction is particularly important.For the malignant tumor growing in the deltoid muscle,deltoid muscle compartment resection is considered as the preferred surgical method.In the meanwhile,after the complete deltoid muscle resection,the abduction function of the shoulder joint will be damaged,and it will also induce dislocation or subluxation of the glenohumeral joint.Therefore,reconstruction of the abduction function of the shoulder joint after total deltoid muscle tumor resection is necessary.Objective To investigate the clinical application of modified trapezius muscle transfer in the reconstruction of abductor shoulder function.Methods According to the biomechanical principle of shoulder abduction and the anatomical characteristics of trapius muscle,3 patients with deltoid malignant tumor were reconstructed by using modified Batemen method(using allogeneic tendon on the basis of Batemen method).Results The mean follow-up duration was 12 months,and 3 cases were excellent according to the trial standard of upper limb function evaluation of Chinese Medical Association Hand Surgery Society,and the mean disability of arm shoulder and hand(DASH)score was 4.44 points.Conclusion Reconstruction of shoulder abductor function after complete resection of deltoid malignant tumor with modified Batemen method of trapezius muscle transfer is worthy of clinical promotion.

关 键 词：三角肌恶性肿瘤 肩外展功能 斜方肌移位 异体肌腱 

分 类 号：R687.3[医药卫生—骨科学]