神经移位术在脊髓损伤性瘫痪患者中的研究进展  

Research progress of nerve transposition in treatment of patients with spinal cord injury paralysis

作　　者：植剑文 张少成 张海龙 宁波 ZHI Jianwen;ZHANG Shaocheng;ZHANG Hailong;NING Bo(Department of Neurosurgery,Guangzhou Red Cross Hospital Affiliated to Jinan University,Guangzhou,Guangdong,510220;Department of Orthopedics,the First Affiliated Hospital of Naval Medical University,Shanghai Changhai Hospital,Shanghai,200433)

机构地区：[1]暨南大学附属广州红十字会医院神经外科,广东广州510220 [2]海军军医大学第一附属医院/上海长海医院骨科,上海200433

出　　处：《实用临床医药杂志》2022年第4期141-145,共5页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金委员会资助项目(82074570)。

摘　　要：神经移位术通过将原功能次要或能被代偿的自体周围神经移位,并与损伤的关键部位神经缝合,重建损伤部位神经功能,以恢复脊髓损伤性瘫痪患者部分感觉和运动功能。全面了解神经移位术治疗脊髓损伤性瘫痪的机制、发展、术式及适应症对临床治疗很有必要。本研究对国内外文献中有关脊髓损伤性瘫痪功能重建主要的神经移位术进行综述,为脊髓损伤性瘫痪的治疗提供参考。Nerve transposition is to rebuild the nerve function of the injured site and restore partial sensory and motor functions in patients with spinal cord injury paralysis by transposing the autologous peripheral nerve with secondary or compensatory functions and suturing with the nerves in the key part of the injury sites. A comprehensive understanding of the mechanism, development, operation and indications of nerve transposition in the treatment of spinal cord injury paralysis is necessary for clinical treatment. This study reviewed the main nerve transposition techniques for functional reconstruction of spinal cord injury paralysis in the literatures at home and abroad, so as to provide reference for the treatment of spinal cord injury paralysis.

关 键 词：神经移位术 脊髓损伤 瘫痪 周围神经 功能重建 

分 类 号：R651.2[医药卫生—外科学] R651.3[医药卫生—临床医学]