中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2009年
2期
133-135
,共3页
王玉发%王斌%李福%朱哲%李幼琼%苏略%邹双伟
王玉髮%王斌%李福%硃哲%李幼瓊%囌略%鄒雙偉
왕옥발%왕빈%리복%주철%리유경%소략%추쌍위
臂丛%移位%颈椎%第七颈神经%应用解剖
臂叢%移位%頸椎%第七頸神經%應用解剖
비총%이위%경추%제칠경신경%응용해부
Brachial plexus%Transfer%Cervical spine%C7 nerve%Applied anatomy
目的 探讨健侧C7神经移位修复臂丛根性撕脱伤的最佳径路.方法 选用15具30侧成人尸体标本,显露双侧臂丛,将C7神经在干、股交界处切断并游离至椎间孔处,测量C7神经前、后股最大长度,分别测量C7神经根经椎体径路、椎前径路、颈前皮下径路至对侧臂丛上、下干的距离.结果 C7神经前、后股最大长度分别为(7.67±1.06)cm和(7.79±1.36)cm,C7神经经椎体径路、椎前径路、颈前皮下径路至对侧臂丛神经上千的距离分别为(6.97±0.56)cm、(10.04±0.94)cm、(16.56±1.24)cm,三组相比差异有统计学意义(P<0.01),至对侧臂丛神经下干的距离分别为(6.82±0.92)cm、(9.91±0.83)cm和(17.64±0.97)cm,三组相比,差异有统计学意义(P<0.01).结论 从解剖学角度,经椎体通路是健侧C7神经移位修复臂丛损伤的最佳径路.
目的 探討健側C7神經移位脩複臂叢根性撕脫傷的最佳徑路.方法 選用15具30側成人尸體標本,顯露雙側臂叢,將C7神經在榦、股交界處切斷併遊離至椎間孔處,測量C7神經前、後股最大長度,分彆測量C7神經根經椎體徑路、椎前徑路、頸前皮下徑路至對側臂叢上、下榦的距離.結果 C7神經前、後股最大長度分彆為(7.67±1.06)cm和(7.79±1.36)cm,C7神經經椎體徑路、椎前徑路、頸前皮下徑路至對側臂叢神經上韆的距離分彆為(6.97±0.56)cm、(10.04±0.94)cm、(16.56±1.24)cm,三組相比差異有統計學意義(P<0.01),至對側臂叢神經下榦的距離分彆為(6.82±0.92)cm、(9.91±0.83)cm和(17.64±0.97)cm,三組相比,差異有統計學意義(P<0.01).結論 從解剖學角度,經椎體通路是健側C7神經移位脩複臂叢損傷的最佳徑路.
목적 탐토건측C7신경이위수복비총근성시탈상적최가경로.방법 선용15구30측성인시체표본,현로쌍측비총,장C7신경재간、고교계처절단병유리지추간공처,측량C7신경전、후고최대장도,분별측량C7신경근경추체경로、추전경로、경전피하경로지대측비총상、하간적거리.결과 C7신경전、후고최대장도분별위(7.67±1.06)cm화(7.79±1.36)cm,C7신경경추체경로、추전경로、경전피하경로지대측비총신경상천적거리분별위(6.97±0.56)cm、(10.04±0.94)cm、(16.56±1.24)cm,삼조상비차이유통계학의의(P<0.01),지대측비총신경하간적거리분별위(6.82±0.92)cm、(9.91±0.83)cm화(17.64±0.97)cm,삼조상비,차이유통계학의의(P<0.01).결론 종해부학각도,경추체통로시건측C7신경이위수복비총손상적최가경로.
Objective To find the optimal route of eontralateral C7 nerve transfer for brachial plexus avulsion injuries through autopsy. Methods The bilateral brachial plexus were exposed on 30 sides of 15 cadaverie specimens of adult. The C7 nerve root was sectioned at the junction site of trunk and division, and then dissected proximally to the foramina. The max length of anterior and posterior division of C7 was measured. The distance between the roof of C7 and the upper trunk and the lower trunk at the affected side through vertebral body route, prespinal route and a subcutaneous tunnel on the anterior surface of the neck was measured. Results The max length of anterior and posterior division of C7 was (7.67±1.06) cm and (7.79±1.36) cm respectively. The distance between the roof of C7 and the upper trunk at the affected side through vertebral body route, prespinal route and a subcutaneous tunnel on the anterior surface of the neck was (6.97±0.56) cm and (10.04±0.94) cm and (16.56±1.24) cm respectively, there were statistical significance among them (P < 0.01). The distance between the roof of C7 and the lower trunk at the affected side through vertebral body route and prespinal route and a subcutaneous tunnel on the anterior surface of the neck was (6.82±0.92) cm、(9.91±0. 83) cm and (17.64±0.97) cm, with a significant difference (P<0.01). Conclusion The best way of contralateral C7 nerve transfer for the treatment of brachial plexus injury was through the vertebral body route from the point of anatomy.
