摘要
目的 评价神经转位加神经移植修复儿童臂丛损伤的疗效。方法 应用显微外科技术 ,对6例 3～ 6岁儿童臂丛损伤采取膈神经、副神经、颈丛运动支和肋间神经转位加神经移植 ,修复肌皮神经、正中神经内侧头、腋神经和桡神经。结果 随访 5例 ,时间为 6个月 ,术后各例肌力得到不同程度的恢复 ,其中以膈神经修复肌皮神经效果最好 ;肱二头肌肌力 3～ 4级 ,正中神经支配肌肌力 3级 ,腋神经支配肌肌力 0～ 2级 ,桡神经支配肌肌力 2～ 3级。 1例处于恢复之中。结论 早期手术 ,利用显微技术精确地吻合神经是手术成功的关键。
Objective To evaluate the clinical effect of treatment of brachial plexus avulsion in children by nerve transfer and transplantation. Methods 6 cases of brachial plexus avulsion in children (ages from 3 to 6 years) were microsurgically treated by phrenic, accessory, intercostal nerves and motor braches of cervical plexus transfer and transplantation to repair the musculocutaneous, medial head of median, axillary and radial nerves. Results 5 cases were followed up for 6 months. All of the cases recovered at different levels, and the effect of phrenic nerve tranfered to repair musclocutanenous nerve was the best. The muscle strength of biceps brachii revealed M 3～M 4, the muscles manipulated by median nerve gained M 3, by axillary nerve got the recovery of M 0～M 2, by radical nerve got M 2～M 3, 1 case was in the stage of recovery. Conclusion It is pivotal that the tranfered nerves should be accurately anastomosed by early microsurgical operations.
出处
《临床骨科杂志》
2003年第3期216-218,共3页
Journal of Clinical Orthopaedics
关键词
臂丛损伤
神经转位
儿童
修复
brachial plexus injuries
nerve transfer
child
