CAJ | 학술논문

目的探讨移植神经长度对膈神经移位肌皮神经治疗臂丛神经根性撕脱伤疗效的影响.方法对2007年至2010年于我院行膈神经移位肌皮神经治疗臂丛损伤的患者进行临床随访,其中17例需要做神经移植.通过检测肱二头肌肌力与体重指数(BMI)评定手术疗效.结果 17例患者的总体有效率82.4％,移植神经长度以及BMI与屈肘功能恢复无明显相关性.结论臂丛损伤患者尤其是全臂丛损伤患者中,膈神经移位肌皮神经的临床疗效不受移植神经长度以及BMI的影响.
목적 탐토이식신경장도대격신경이위기피신경치료비총신경근성시탈상료효적영향.방법 대2007년지2010년우아원행격신경이위기피신경치료비총손상적환자진행림상수방,기중17례수요주신경이식.통과검측굉이두기기력여체중지수(BMI)평정수술료효.결과 17례환자적총체유효솔82.4％,이식신경장도이급BMI여굴주공능회복무명현상관성.결론 비총손상환자우기시전비총손상환자중,격신경이위기피신경적림상료효불수이식신경장도이급BMI적영향.
Objective To analyze the effect of nerve graft length and body mass index (BMI) on the clinical outcomes of phrenic to musculocutaneous nerve transfer by means of a follow-up study of 17 brachial plexus injury patients who underwent phrenic nerve transfer via a nerve graft to restore elbow flexion.MethodsA retrograde study was carried out in 17 patients who underwent phrenic nerve to musculocutaneous nerve transfervia a nerve graft from 2007 to 2010.The length of the grafts,the patients' BMI and the effectiveness of thetransfer by way of elbow flexion recovery were noted.Results The effectiveness of elbow flexion recovery inthe 17 patient was 82.4％.There was no obvious correlation of the length of the nerve graft and BMI to theeffectiveness of functional recovery.Conclusion In brachial plexus injury,especially complete brachial plexusinjury patients the length of nerve graft and BMI do not affect the functional results of phrenic to musculocutaneousnerve transfer.