膈神经全长移位治疗臂丛神经撕脱伤以恢复腕和手指伸展功能。
Full-length phrenic nerve transfer as the treatment for brachial plexus avulsion injury to restore wrist and finger extension.
机构信息
Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Fengyang Road 415, Shanghai 200003, PR China.
出版信息
Muscle Nerve. 2012 Jan;45(1):39-42. doi: 10.1002/mus.22161.
INTRODUCTION
The functional restoration of wrist and finger extension after complete brachial plexus avulsion injury remains an unsolved problem. We conducted a prospective study to elucidate a new method for resolving this injury.
METHODS
Six patients with complete brachial plexus avulsion injury underwent a new surgical procedure in which the full-length phrenic nerve was transferred to the medial portion of the radial nerve at the level of the latissimus dorsi insertion via endoscopic thoracic surgery.
RESULTS
In 5 patients, extensor carpi ulnaris and extensor carpi radialis strength recovered to Medical Research Council grade ≥M3, and in 4 patients extensor digitorum strength recovered to ≥M3.
CONCLUSIONS
Neurotization of phrenic nerve to the medial portion of the radial nerve at the level of latissimus dorsi insertion is a feasible means of restoring wrist and finger extension in cases of complete brachial plexus avulsion injury.
简介
完全性臂丛根性撕脱伤后腕和手指伸展功能的恢复仍是一个未解决的问题。我们进行了一项前瞻性研究，以阐明解决这一损伤的新方法。
方法
6 例完全性臂丛根性撕脱伤患者接受了一种新的手术方法，即通过胸腔镜手术将全长膈神经转移至背阔肌插入处的桡神经内侧。
结果
5 例患者的尺侧腕伸肌和桡侧腕伸肌力量恢复至肌力量恢复至医学研究委员会（MRC）≥M3 级，4 例患者的指伸肌力量恢复至≥M3 级。
结论
膈神经在背阔肌插入处桡神经内侧的神经化是一种恢复完全性臂丛根性撕脱伤后腕和手指伸展功能的可行方法。
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