Gu Y D, Wu M M, Zhen Y L, Zhao J A, Zhang G M, Chen D S, Yan J Q, Cheng X M
Department of Hand Surgery, Hua Shan Hospital, Shanghai Medical University.
Chin Med J (Engl). 1990 Apr;103(4):267-70.
Phrenic nerve transfer was performed in 164 patients with root avulsion of the brachial plexus. The methods of operation consisted of phrenic nerve transfer to and anastomosis with the musculocutaneous nerve, the phrenic nerve bridging to the musculocutaneous nerve, phrenic nerve anastomosis with or bridging to the median nerve, and phrenic nerve anastomosis with other nerves. Follow-up of 65 patients for more than 2 years showed an effective rate of 84.6%. The result indicated that this operation has no deleterious effects on respiration, and the surgical effects are related to severity of injury, duration, mode of operation and patient's age.
对164例臂丛神经根性撕脱伤患者施行膈神经移位术。手术方法包括膈神经移位并与肌皮神经吻合、膈神经桥接至肌皮神经、膈神经与正中神经吻合或桥接以及膈神经与其他神经吻合。对65例患者进行了2年以上的随访，有效率为84.6%。结果表明，该手术对呼吸无不良影响，手术效果与损伤严重程度、病程、手术方式及患者年龄有关。
