CAJ | 학술논문

目的分析探讨肋间神经移位修复桡神经肱三头肌肌支的长期随访疗效.方法回顾性随访2004年至2008年于我院行肋间神经移位修复桡神经肱三头肌肌支的23例患者术后肱三头肌肌力的恢复情况.其中16例患者诊断为全臂丛神经根性撕脱伤,7例患者诊断为C5～G7根性撕脱伤合并下干损伤(非根性撕脱伤).患者受伤至接受肋间神经移位手术的时间间隔为5.7个月；平均随访时间48.7个月.结果肱三头肌肌力恢复优良率(肌力恢复至M3及以上)为39.1％,肌力恢复至M2的患者占30.4％,肌力恢复至M1及以下占30.5％.G5～C7根性撕脱伤合并下干损伤患者肱三头肌肌力恢复优于全臂丛神经根性撕脱伤患者.使用2根或2根以上的肋间神经移位修复肱三头肌肌支术后疗效未见明显差异.结论肋间神经移位修复桡神经肱三头肌肌支可使肱三头肌得到一定程度的恢复.
목적 분석탐토륵간신경이위수복뇨신경굉삼두기기지적장기수방료효.방법 회고성수방2004년지2008년우아원행륵간신경이위수복뇨신경굉삼두기기지적23례환자술후굉삼두기기력적회복정황.기중16례환자진단위전비총신경근성시탈상,7례환자진단위C5～G7근성시탈상합병하간손상(비근성시탈상).환자수상지접수륵간신경이위수술적시간간격위5.7개월；평균수방시간48.7개월.결과 굉삼두기기력회복우량솔(기력회복지M3급이상)위39.1％,기력회복지M2적환자점30.4％,기력회복지M1급이하점30.5％.G5～C7근성시탈상합병하간손상환자굉삼두기기력회복우우전비총신경근성시탈상환자.사용2근혹2근이상적륵간신경이위수복굉삼두기기지술후료효미견명현차이.결론 륵간신경이위수복뇨신경굉삼두기기지가사굉삼두기득도일정정도적회복.
Objective To evaluate the long-term outcomes of restoring elbow extension by transferring intercostal nerves to the triceps branch of the radial nerve.Methods A retrospective study of 23 cases of brachial plexus injuries treated with intercostal nerve transfer to the triceps branch of the radial nerve at our hospital between 2004 and 2008 was conducted.Recovery of triceps muscle power and elbow extension was analyzed.Among these patients 16 had complete brachial plexus root avulsions while 7 had C5 to C7 root avulsions with lower trunk non-avulsion lesions.The mean duration between injmy and intercostal nerve transfer was 5.7 months.The mean follow-up time was 48.7 months.Results Good or excellent motor recovery of the triceps (muscle power over Ms) was achieved in 39.1％ of the patients.Triceps strength recovered to M2 in 30.4％ of the patients and to M1 or lower in 30.5 ％ of the patients.Patients with C5 to C7 root avulsion along with C8 to T1 traction had better recovery than those with complete brachial plexus root avulsions.There was no significant difference in treatment outcomes when 2 or more than 2 intercostal nerves were used for neurotization.Conclusion Intercostal nerves transfer to the triceps branch of the radial nerve can restore triceps function to some extent.