对侧颈7神经移植治疗全臂丛神经根撕脱伤在新疆地区的临床效果

Yushan Maimaiaili, P. Ren, Alike Yamuhanmode, Abulaiti Alimujiang, Abula Abulaiti
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引用次数: 0

摘要

目的评价臂丛神经根性撕脱伤对侧第7颈神经(C7)移位术后远期功能恢复情况及对侧肢体的影响。方法自2004年9月至2014年12月,对83例臂丛神经撕脱伤患者进行对侧C7移位术。其中对侧C7转移至正中神经33例,转移至桡神经14例,转移到肌皮神经22例,同时转移至正中和肌皮神经14例。随访内容包括受体神经支配的肌肉力量和感觉的恢复、双侧肢体的协同活动以及术后对对侧肢体的影响。结果83例患者均成功随访3.2~6.2年(平均4.5年),对侧肢体功能无明显影响。C7转移至正中神经组,肌力恢复≥M3者10例,感觉恢复≥S3者26例;C7转移至桡神经组,6例肌力恢复≥M3,9例感觉恢复≥S3;C7转移至肌皮神经组,12例肌力恢复≥M3,17例感觉恢复≥S3。C7同时转移至正中和肌皮神经组,6例手腕肌力和指屈恢复≥M3,5例肘屈恢复≥C3,9例和10例神经支配区感觉和前臂外侧区感觉分别恢复≥S3。结论C7对侧移位是治疗全臂丛神经根性撕脱伤的理想方法,临床疗效确切。关键词:臂丛根性撕脱伤;第七颈神经;神经转移;肢体协调
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical outcomes of contralateral 7th cervical nerve transfer in the treatment of total brachial plexus root avulsion in Xinjiang Autonomous Region
Objective To evaluate the long-term functional recovery after contralateral 7th cervical nerve(C7) transfer with brachial plexus root avulsion and the effect on the contralateral limbs after operation. Methods A total of 83 patients with injory of brachial plexus avulsion were underwent contralateral C7 transfer from September, 2004 to December, 2014. Among them, contralateral C7 were transferred to the median nerve in 33 cases, to radial nerve in 14 cases, to musculocutaneous nerve in 22 cases, and simultaneous transfer to median and musculocutaneous nerve in 14 cases. The followed-up contents included recovery of muscular strength and sensory innervated by the recipient nerve, bilateral limbs synergistic activity and the effect on the contralateral limbs after the surgery. Results All 83 cases were successfully followed-up for 3.2-6.2 years (average, 4.5 years), and found no significant effect on function of the contralateral limbs. In the group of C7 transferred to the median nerve group, 10 cases had muscle strength recovered≥M3, and 26 cases had sensory recovered≥S3; In the group of C7 transferred to the radial nerve, 6 cases had muscle strength recovered≥M3, and 9 cases had sensory recovered ≥S3; In the group of C7 transferred to the musculocutaneous nerve, 12 cases had muscle strength recovered≥M3, and 17 cases had sensory recovered≥S3. In the group of C7 simultaneous transferred to the median and musculocutaneous nerve, 6 cases had muscle strength of wrist and digital flexion recovered≥M3, 5 cases had elbow flexion recovered≥M3, 9 and 10 cases had sensory of innervated area and lateral forearm region recovered≥S3, respectively. Conclusion Contralateral C7 transfer is an ideal procedure for the treatment of total brachial plexus root avulsion with definitive clinical outcomes. Key words: Brachial plexus root avulsion; Seventh cervical nerve; Nerve transfer; Limb coordination
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
6448
期刊介绍: Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.
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