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中国现代手术学杂志  2018, Vol. 22 Issue (3): 236-240    DOI: 10.16260/j.cnki.1009-2188.2018.03.018
  综述与讲座 |
臂丛神经损伤的治疗进展
魏建伟,董忠根
中南大学湘雅二医院骨科, 长沙 410011
The Treatment Progress on the Injury of Brachial Plexus Nerve
WEI Jianwei, DONG Zhonggen
Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China
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摘要 臂丛神经损伤后患者伤侧肢体功能受损,残疾率较高,预后较差,其治疗包括保守治疗和手术治疗。手术治疗主要为神经修复或转位的术式,其中丛外神经移植的供体神经包括膈神经、健侧C7神经、肋间神经、副神经和颈丛神经;丛内神经移植的供体神经包括同侧C7神经、肌皮神经肱肌肌支、部分尺神经及正中神经、桡神经肱三头肌长头肌支以及功能性游离肌肉移植。臂丛神经损伤的治疗有各式各样的方法,临床上应根据不同患者的具体情况选择合适的方式进行治疗,尽可能有效地恢复上肢功能。本文就臂丛神经损伤治疗进展进行综述。
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WEI Jianwei
DONG Zhonggen
关键词:  臂丛神经损伤  神经移植术    
Abstract: After the injury of brachial plexus nerve, the function of the injured limb is impaired with high disability rate and poor prognosis. The treatment of the brachial plexus nerve injury includes conservative treatment and surgical intervention. The nerve repair or transposition is the main surgical methods. The donate nerves includes the phrenic nerve, contralateral C7 nerve, intercostal nerve, accessory nerve and cervical plexus nerve for the external plexus nerve transplantation, and the ipsilateral C7 nerve, musculocutaneous nerve brachial muscle branch, partial ulnar nerve and median nerve, radial nerve brachial triceps long head muscle branch and functional free muscle transplantation for the intraplexus nerve transplantation. Facing the various methods for brachial plexus nerve injury, the appropriate treatment would be chosen based on the specific conditions of different patients to restore the function of the upper limb as effectively as possible. This article reviews the treatment progress of brachial plexus injury.
Key words:  brachial plexus nerve injuries    nerve grafting
收稿日期:  2018-03-20      修回日期:  2018-06-18           出版日期:  2018-06-26      发布日期:  2018-09-05      期的出版日期:  2018-06-26
ZTFLH:  R651.3  
通讯作者:  董忠根,男,53岁,中南大学湘雅二医院骨科主任医师,博士生导师,博士。   
作者简介:  魏建伟,男,35岁,中南大学湘雅二医院骨科主治医师,博士。
引用本文:    
魏建伟,董忠根. 臂丛神经损伤的治疗进展[J]. 中国现代手术学杂志, 2018, 22(3): 236-240.
WEI Jianwei, DONG Zhonggen. The Treatment Progress on the Injury of Brachial Plexus Nerve. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 236-240.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.03.018  或          http://www.surgerychina.com/CN/Y2018/V22/I3/236
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