Songcharoen P, Mahaisavariya B, Chotigavanich C
Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Hand Surg Am. 1996 May;21(3):387-90. doi: 10.1016/S0363-5023(96)80349-2.
Traumatic root avulsion brachial plexus injuries in 216 patients were treated with spinal accessory-musculocutaneous neurotization to restore elbow flexion. The average postoperative follow-up period was 6 years, with a minimum of 2 years for all patients. The percentage of satisfactory biceps recovery (MRC III or better) was 72.5%. The average interval between the operation and MRC III motor recovery was 17 months. The percentage of poor results increased from 25.5% to 62.5% in patients who underwent operation later than 9 months after injury. This method of neurotization produces a result comparable with, if not better than, the results of other types of neurotization in restoration of elbow flexion.
对216例创伤性臂丛神经根性撕脱伤患者采用副神经-肌皮神经转位术来恢复屈肘功能。术后平均随访6年，所有患者最短随访2年。肱二头肌恢复满意（医学研究委员会（MRC）评分为III级或更好）的比例为72.5%。手术至MRC III级运动恢复的平均间隔时间为17个月。受伤后9个月后才接受手术的患者中，效果不佳的比例从25.5%增至62.5%。这种神经转位术在恢复屈肘功能方面的效果即便不比其他类型的神经转位术更好，也与之相当。
