Narakas A, Herzberg G
Ann Chir Main. 1985;4(3):211-8. doi: 10.1016/s0753-9053(85)80003-x.
Neurotization with regional undamaged nerves is the principal method available for treating avulsive lesions of the brachial plexus, but the number of donor axons is low. If a patient presents traumatic brachial plexus roots avulsions associated with extraforaminal ruptures of brachial plexus roots the authors propose to use the latter stumps to reinnervate the brachial plexus below the site of the lesion (neuro-neural intra-plexal transfers). 15 patients with 28 neuro-neural intra-plexal transfers are studied; the average follow-up is 5 years and 6 months. The synkinesias are frequent (8 patients) and can cancel a positive motor result. Nevertheless, 15 of the 28 transfers gave a useful motor result at long term follow-up. The neuro-neural intra-plexal transfers are an alternative method in treating traumatic brachial plexus lesions with spinal root avulsions when plexus root stumps are available.
利用局部未受损神经进行神经移植是治疗臂丛神经撕脱伤的主要可用方法，但供体轴突数量较少。如果患者出现与臂丛神经根椎间孔外断裂相关的创伤性臂丛神经根撕脱伤，作者建议使用后者的残端对损伤部位以下的臂丛神经进行再支配（神经 - 神经丛内转移）。对15例患者进行了28次神经 - 神经丛内转移手术；平均随访时间为5年6个月。联带运动很常见（8例患者），可能会抵消积极的运动结果。然而，在长期随访中，28次转移中有15次产生了有用的运动结果。当有丛神经根残端时，神经 - 神经丛内转移是治疗伴有脊髓神经根撕脱伤的创伤性臂丛神经损伤的一种替代方法。
