摘要
目的 报告旋前圆肌肌支联合肱肌肌支移位术重建臂丛神经中、下干损伤屈指功能的临床疗效.方法 对8例臂丛神经颈7-胸1撕脱伤、2例臂丛颈8-胸1撕脱伤患者行旋前圆肌肌支联合肱肌肌支移位术,术后随访2年以上,并随访屈指肌力、肌电及握力.结果 术后随访91.4个月,10例患者均无前臂旋前、屈肘功能下降.9例(9/10)患者术后屈指肌力至少达到M3,其中6例患者术后屈指肌力达到M4,患者平均握力达3.7 kg.结论 旋前圆肌肌支联合肱肌肌支移位术是安全、有效的,该术式能提高臂丛中、下干损伤患者的屈指力量.
Abstract
Objective To report the clinical efficacy of nerve transfer of pronator teres branch and brachialis branch for reconstructing finger flexion after C8 to T,or C7 to T,brachial plexus avulsions.Methods Nerve transfer of pronator teres branch and brachialis branch was performed on 8 patients with C7 to T,brachial plexus avulsion injury and 2 patients with C8 to T,brachial plexus avulsion injury.The postoperative follow-up was more than 2 years,and then finger flexion strength,electromyography and grip strength were assessed.Results The postoperative follow-up was 91.4 months,and none of the 10 patients had functional deficits of forearm pronation or elbow flexion.The postoperative finger flexion strength of 9 patients(9/10)reached at least M3,of which 6 patients reached M4 after surgery,and the average grip strength of patients reached 3.7 kg.Conclusion Nerve transfer of pronator teres branch and brachialis branch is safe and effective,and this procedure can improve the finger flexion strength for patients with C8 to T,or C7 to T,brachial plexus avulsions.
基金项目
国家自然科学基金(81802850)
上海市科委项目(18YF1402900)
上海市临床重点专科建设项目(shslczdzk05601)
上海市周围神经显微外科重点实验室项目(20DZ2270200)
NETL
NSTL
万方数据