Nerve transfer in brachial plexus traction injuries.
Nerve transfer in brachial plexus traction injuries.
复制标题
臂丛神经牵引损伤中的神经转移。
DOI：
10.3171/jns.1992.76.2.0191
复制
发表时间：
1992
影响因子：
4.1
通讯作者：
V. Antunović
中科院分区：
文献类型：
--
作者：
M. Samardžić;Danica Grujicic;V. Antunović
由于牵拉性损伤，特别是脊神经根撕脱引起的臂丛神经麻痹，对患者来说是一个严重的障碍。尽管最近在诊断和显微外科修复方面取得了进展，但此类病例的预后仍然不利。神经移位是脊神经根撕脱伤唯一的修复方法。该技术在37例患者中进行了分析，共64次肌皮神经和/或腋神经的神经再支配手术，使用上肋间神经、脊髓副神经和区域神经作为供体。最有利的结果，与83.8%的总率有用的功能恢复，获得了在上臂丛神经麻痹的患者，其中区域供体神经，如内侧胸，胸背，长胸，肩胛下神经，已被使用。副脊神经和上肋间神经的总恢复率分别为64.3%和55.5%，明显较低。作者评价神经移位的结果，并分析不同供体神经作为影响手术修复预后的因素。
Brachial plexus palsy due to traction injury, especially spinal nerve-root avulsion, represents a severe handicap for the patient. Despite recent progress in diagnosis and microsurgical repair, the prognosis in such cases remains unfavorable. Nerve transfer is the only possibility for repair in cases of spinal nerve-root avulsion. This technique was analyzed in 37 patients with 64 reinnervation procedures of the musculocutaneous and/or axillary nerve using upper intercostal, spinal accessory, and regional nerves as donors. The most favorable results, with an 83.8% overall rate of useful functional recovery, were obtained in patients with upper brachial plexus palsy in which regional donor nerves, such as the medial pectoral, thoracodorsal, long thoracic, and subscapular nerves, had been used. The overall rates of recovery for the spinal accessory and upper intercostal nerves were 64.3% and 55.5%, respectively, which are significantly lower. The authors evaluate the results of nerve transfer and analyze different donor nerves as factors influencing the prognosis of surgical repair.