Gu Liqiang
Division of Orthopedic Trauma, Hand and Microsurgery, Department of Orthopedics and Microsurgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong, 510080,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Jul 15;32(7):786-791. doi: 10.7507/1002-1892.201807020.
The peripheral nerve group of the reparative and reconstructive surgery committee (branch of Chinese association of rehabilitation medicine) was established in 1995. Major research progress has been made in the repair, regeneration, and reconstruction of peripheral nerve injury. Professor GU Yudong initiated the contralateral cervical7 root (CC7) transfer for the treatment of total brachial plexus root injury in 1986. Now this method has been applied safely and effectively for 30 years with profound progress and refinement. In addition, the repair and reconstruction of peripheral nerve injury had achieved great development such as the treatment of spastic paralysis of upper limb, CC7 transfer using a modified prespinal route, the reconstruction of bladder function after spinal cord injury, the development of acellular allograft nerve, the small gap suture technique, the functioning free gracilis muscle transplantation, and contralateral S transfer which have been widely used in clinical application with good outcomes. With the progress of the biological manufacturing of peripheral nerve bio-materials and the remodeling of central nervous system after brachial plexus injury, a novel peripheral neuroscience research field was growing up. It is still a challenge for surgeons and scholars in this field to insist on the popularization and improvement of peripheral nerve repair and reconstruction by microsurgical technique, and to make efforts to transform the results of peripheral nerve research into clinical practice.
中华康复医学会修复重建外科专业委员会周围神经学组于1995年成立。在周围神经损伤的修复、再生及重建方面取得了重大研究进展。顾玉东教授于1986年首创健侧颈7神经移位术治疗全臂丛神经根性损伤。目前该方法已安全有效地应用了30年,取得了长足的进步并不断完善。此外,周围神经损伤的修复与重建也取得了很大发展,如上肢痉挛性瘫痪的治疗、改良脊髓前入路的颈7神经移位术、脊髓损伤后膀胱功能的重建、脱细胞异体神经移植的研发、小间隙缝合技术、游离股薄肌功能移植以及健侧S 神经移位术等,均已在临床广泛应用并取得良好疗效。随着周围神经生物材料的生物制造技术进步以及臂丛损伤后中枢神经系统的重塑,一个新兴的周围神经科学研究领域正在兴起。对于该领域的外科医生和学者而言,坚持通过显微外科技术普及和改进周围神经修复与重建,并努力将周围神经研究成果转化为临床实践,仍然是一项挑战。