游离股薄肌移植在臂丛神经损伤中的应用  

Application of free gracilis muscle transfer in brachial plexus injury

作　　者：尹建[1] 陈山林[2] 李文军[2] YIN Jian;CHEN Sham-Lin;LI Wen-Jun(Department of Hand and Foot Sugery Bejing Chuiyrangliu Hospital,Beijing,100022,China)

机构地区：[1]北京市垂杨柳医院手足外科,100022 [2]北京积水潭医院手外科,1000355

出　　处：《中国骨与关节杂志》2023年第8期631-635,共5页Chinese Journal of Bone and Joint

基　　金：卫生部手功能重建重点实验室,上海市周围神经显微外科重点实验室开放课题(20190118)。

摘　　要：Ikuta等[1]在1979年首次报道了使用游离股薄肌重建臂丛损伤患者的屈肘功能,患儿有10年的病史,以第3、4肋间神经作为供体神经,术后9个月,肘关节可抗重力屈曲。一般来讲,当臂丛神经损伤时间少于9~12个月时,最常使用的方法是神经移位术[2-4].Brachial plexus is a diverse and complex group of plexopathies,while its injury may result in functional upper-extremity deficits ranging from weakness to complete paralysis.Brachial plexus injury can be treated with nerve transfer or nerve graft procedures within one year.However,delay in treatment or complete avulsion of the brachial plexus limits the reconstruction options.The number of available extraplexal donor nerves is limited,and timing of reconstructive procedures becomes critical.For cases with unsatisfactory outcome of primary nerve reconstruction,free gracilis muscle transplantation is a reliable option to reconstruct the disabled limb function.This review illustrates the history,clinical application,surgical techniques,complications as well as the prospects of the free gracilis muscle transfer applied in brachial plexus injury.

关 键 词：股薄肌 臂丛神经 周围神经损伤 移植 自体 综述 

分 类 号：R687.2[医药卫生—骨科学]