后入路副神经移位修复肩胛上神经术式的临床应用研究

介绍后入路副神经移位修复肩胛上神经、治疗臂丛神经损伤、恢复肩关节外展功能的新术式,并探讨其临床疗效。将后入路副神经移位修复肩胛上神经术式成功地应用于11例病人,并随访术后疗效;结果表明:后入路副神经移位修复肩胛上神经术式操作简单、安全可行,术后疗效确切,恢复早于传统术式,并且术后斜方肌上部肌力及其耸肩功能无影响,使恢复的肩关节外展接近于正常动作。

Spinal Accessory Nerve Transfer for the Repair of Suprascapular Nerve to Restore Shoulder Abduction through Dorsal-approach:A Clinical Study

To introduce the designed dorsal-approach spinal accessory nerve transfer for the repair of suprascapular nerve to restore the shoulder abduction. 11 patients with brachial plexus injury were treated through the designed dorsal-approach. The patients were followed-up to evaluate the shoulder abduction recovery, and compare the changes of trapezius muscle function. Success of the dorsal-approach procedure in our series of the 11 patients confirmed that the dorsal-approach accessory nerve transfer is a safe and reliable procedure. The postoperative effect is confirmed and the recovery is earlier than that of the conventional; moreover, the upper portion function of trapezius can be reserved and the restored shoulder abduction are closer to the normal.