• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

创伤性臂丛神经撕脱伤后对侧C7神经移位直接吻合修复下干功能：手术技术

Contralateral C7 Nerve Transfer with Direct Coaptation to Restore Lower Trunk Function After Traumatic Brachial Plexus Avulsion Injuries: Surgical Technique.

作者信息

Wang Shu-Feng, Xue Yun-Hao

机构信息

Department of Hand Surgery, Beijing Jishuitan Hospital, No. 31 East Street of Xinjiekou, West District, Beijing 100035, Republic of China. E-mail address for Y.-h. Xue:

出版信息

JBJS Essent Surg Tech. 2014 Mar 12;4(1):e5. doi: 10.2106/JBJS.ST.M.00027. eCollection 2014 Mar.

DOI:10.2106/JBJS.ST.M.00027
PMID:30775112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6355036/
Abstract

INTRODUCTION

We describe a new technique for treating traumatic brachial plexus avulsion injury with a contralateral C7 nerve transfer with direct coaptation that shortens the time to muscle reinnervation.

STEP 1 EXPLORE THE INJURED BRACHIAL PLEXUS: Explore the brachial plexus carefully and confirm the nerve-root avulsion injuries from C7 to T1.

STEP 2 HARVEST THE CONTRALATERAL C7 NERVE: Dissect the divisions of the contralateral C7 nerve root, divide the nerve at the junction between the divisions and cords, and mobilize it proximally.

STEP 3 CREATE THE PRESPINAL ROUTE: Create the prespinal route to guide the contralateral C7 nerve to the injured side.

STEP 4 HUMERAL SHORTENING OSTEOTOMY: If the contralateral C7 nerve does not reach the injured lower trunk, perform a humeral shortening osteotomy, generally with <5 cm of shortening in adults.

STEP 5 NEURORRHAPHY: Suture one end of the sural nerve together with the medial antebrachial cutaneous nerve to the musculocutaneous nerve; anastomose the remainder of the contralateral C7 nerve directly with the lower trunk.

STEP 6 POSTOPERATIVE CARE: Use a prefabricated brace to hold the head in the neutral position and immobilize the injured limb for six weeks.

RESULTS

We evaluated the results of the technique in a study of seventy men and five women with a mean age (and standard deviation) of 28 ± 10 years (range, ten to fifty-three years).IndicationsContraindicationsPitfalls & Challenges.

摘要

引言

我们描述了一种治疗创伤性臂丛神经撕脱伤的新技术，即采用直接端端吻合的对侧C7神经移位术，该技术可缩短肌肉再支配时间。

步骤1 探查受伤的臂丛神经：仔细探查臂丛神经，确认C7至T1神经根撕脱伤。

步骤2 切取对侧C7神经：解剖对侧C7神经根的分支，在分支与束的交界处切断神经，并向近端游离。

步骤3 创建脊柱前通道：创建脊柱前通道，将对侧C7神经引导至受伤侧。

步骤4 肱骨缩短截骨术：如果对侧C7神经无法到达受伤的下干，则进行肱骨缩短截骨术，成人一般缩短<5 cm。

步骤5 神经缝合：将腓肠神经的一端与前臂内侧皮神经一起缝合至肌皮神经；将对侧C7神经的其余部分直接与下干吻合。

步骤6 术后护理：使用预制支具将头部保持在中立位，固定受伤肢体六周。

结果

我们在一项研究中评估了该技术的结果，该研究纳入了70名男性和5名女性，平均年龄（及标准差）为28±10岁（范围为10至53岁）。适应症 禁忌症 陷阱与挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/e708e97c831a/jbjsest-4-e5-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/0188bbab500e/jbjsest-4-e5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/c591ac3bd084/jbjsest-4-e5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/e2932b9005e8/jbjsest-4-e5-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/d6eea3e54cb4/jbjsest-4-e5-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/051f20e70ce3/jbjsest-4-e5-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/d00447d5c04f/jbjsest-4-e5-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/e708e97c831a/jbjsest-4-e5-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/0188bbab500e/jbjsest-4-e5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/c591ac3bd084/jbjsest-4-e5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/e2932b9005e8/jbjsest-4-e5-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/d6eea3e54cb4/jbjsest-4-e5-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/051f20e70ce3/jbjsest-4-e5-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/d00447d5c04f/jbjsest-4-e5-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/6355036/e708e97c831a/jbjsest-4-e5-g007.jpg

相似文献

1
Contralateral C7 Nerve Transfer with Direct Coaptation to Restore Lower Trunk Function After Traumatic Brachial Plexus Avulsion Injuries: Surgical Technique.创伤性臂丛神经撕脱伤后对侧C7神经移位直接吻合修复下干功能：手术技术
JBJS Essent Surg Tech. 2014 Mar 12;4(1):e5. doi: 10.2106/JBJS.ST.M.00027. eCollection 2014 Mar.
2
Contralateral C7 nerve transfer with direct coaptation to restore lower trunk function after traumatic brachial plexus avulsion.经健侧 C7 神经移位直接吻合修复外伤性臂丛根性撕脱后下干功能。
J Bone Joint Surg Am. 2013 May 1;95(9):821-7, S1-2. doi: 10.2106/JBJS.L.00039.
3
Prespinal Versus Conventional Hemicontralateral C7 Nerve Transfer in the Treatment of Total Brachial Plexus Roots Avulsion Injuries: A Retrospective Study With a Minimum Follow-Up Period of 4 Years.颈椎前路与传统半侧颈 7 神经移位术治疗全臂丛神经根撕脱伤：至少 4 年随访的回顾性研究。
J Hand Surg Am. 2023 Nov;48(11):1175.e1-1175.e10. doi: 10.1016/j.jhsa.2023.07.012. Epub 2023 Aug 18.
4
Contralateral C7 nerve root transfer to neurotize the upper trunk via a modified prespinal route in repair of brachial plexus avulsion injury.经改良椎管前置路对侧 C7 神经根移位至上干，修复臂丛神经撕脱伤。
Microsurgery. 2012 Mar;32(3):183-8. doi: 10.1002/micr.20963. Epub 2011 Oct 17.
5
Transdiscal C6-C7 contralateral C7 nerve root transfer in the surgical repair of brachial plexus avulsion injuries.经椎间盘C6-C7对侧C7神经根移位术在臂丛神经撕脱伤手术修复中的应用
Acta Neurochir (Wien). 2015 Dec;157(12):2161-7. doi: 10.1007/s00701-015-2596-0. Epub 2015 Oct 5.
6
[Anatomical study on contralateral C7 nerve transfer via posterior spinal route for treatment of brachial plexus root avulsion injury].经后路对侧C7神经移位治疗臂丛神经根性撕脱伤的解剖学研究
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Feb;26(2):235-7.
7
Contralateral C7 transfer via the prespinal and retropharyngeal route to repair brachial plexus root avulsion: a preliminary report.经脊柱前和咽后途径进行对侧C7转移修复臂丛神经根撕脱伤：初步报告
Neurosurgery. 2008 Sep;63(3):553-8; discussion 558-9. doi: 10.1227/01.NEU.0000324729.03588.BA.
8
Complications of contralateral C-7 transfer through the modified prespinal route for repairing brachial plexus root avulsion injury: a retrospective study of 425 patients.经改良脊髓前入路行对侧C7神经移位修复臂丛神经根性撕脱伤的并发症：425例患者的回顾性研究
J Neurosurg. 2015 Jun;122(6):1421-8. doi: 10.3171/2014.10.JNS131574. Epub 2014 Dec 12.
9
[EFFECTIVENESS OF CONTRALATERAL C7 NERVE ROOT AND MULTIPLE NERVES TRANSFER FOR TREATMENT OF BRACHIAL PLEXUS ROOT AVULSION].[对侧C7神经根及多神经移位治疗臂丛神经根性撕脱伤的疗效]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Jun;28(6):737-40.
10
Repair of brachial plexus lesions by end-to-side side-to-side grafting neurorrhaphy: experience based on 11 cases.端侧-端端移植神经缝合术修复臂丛神经损伤：基于11例病例的经验
Microsurgery. 2005;25(2):126-46. doi: 10.1002/micr.20036.

引用本文的文献

1
Femoral to sciatic nerve transfer: A cadaver study.股神经至坐骨神经移位术：一项尸体研究。
Surg Neurol Int. 2025 Feb 28;16:73. doi: 10.25259/SNI_60_2025. eCollection 2025.
2
Variation in the Distribution of the Middle Trunk: Potential Contraindication for C7 Harvest?中干分布的变异：C7 取骨的潜在禁忌证？
Indian J Plast Surg. 2024 Aug 12;57(Suppl 1):S133. doi: 10.1055/s-0044-1788897. eCollection 2024 Dec.

本文引用的文献

1
Contralateral C7 nerve transfer with direct coaptation to restore lower trunk function after traumatic brachial plexus avulsion.经健侧 C7 神经移位直接吻合修复外伤性臂丛根性撕脱后下干功能。
J Bone Joint Surg Am. 2013 May 1;95(9):821-7, S1-2. doi: 10.2106/JBJS.L.00039.
2
Limb length inequality: clinical implications for assessment and intervention.肢体长度不等：评估与干预的临床意义
J Orthop Sports Phys Ther. 2003 May;33(5):221-34. doi: 10.2519/jospt.2003.33.5.221.