脊神经旁路吻合术治疗外伤性截瘫的初步报告

INTERCOSTAL-LUMBAR NERVE ANASTOMOSIS IN THE TREATMENT OF LATE TRAUMATIC PARAPLEGIA: A PRELIMINARY REPORT

本文报道用脊椎旁路神经吻合术即肋间神经与腰神经根吻合,治疗15例外伤性截瘫患者的初步结果。在随访1.5~3年的7例中,1例用肉眼作神经吻合,临床与肌电图检查未发现恢复迹象;6例在手术显微镜下进行,出现不同程度恢复现象,肌力可达Ⅰ~Ⅱ级。

Since September 1978,15 patients with late traumatic paraplegia have undergone intercostal-lumbar nerve anastomosis in our hospital.The level of cord transection was between D-Land duration of complete paralysis 4-20 months.The T9-11th or T10-12th intercostal nerves were anastomosed with 3-Sth lumbar nerves,using surgical microscope in 14 cases.Seven patients had been followed up over 11/2 years.Six showed some signs of recovery of the muscles and electromyograms revealed presence of physiological contraction potential.After nerve anastomosis,the speed of recovery was slow and the maximum degree of recovery will be further observed.