Abstract
目的 探讨用健侧颈7神经根移位同时修复2条上肢神经的临床效果.方法设计2种移位修复的方法.(1) 合干法:健侧颈7前后股→尺神经→尺神经近端分2股分别和正中神经、桡神经(或肌皮神经)缝合,共5例.(2) 分干法:健侧颈7前后股→尺神经、腓肠神经→正中神经、桡神经(或肌皮神经),共3例. 结果合干法4例术后随访12～19个月,1例尚在随访中.正中神经运动:2例已恢复屈腕、屈指,肌力M3.2例屈腕肌力为M1.正中神经感觉:3例为S2,1例为S0.桡神经运动:2例伸腕、伸指肌力为M2.1例伸肘肌力为M2,1例伸腕肌力为M1.桡神经感觉:1例为S2,1例为S1,2例为S0.分干法1例术后随访15个月,已恢复屈腕、屈指,肌力为M3.正中神经感觉为S2.肌皮神经:屈肘肌力为M3.另2例术后时间短尚在随访中.结论健侧颈7神经根移位同时修复上肢2条主要神经的新术式,初步应用结果证实是可行的、有效的。
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