带神经血管肌束植入术治疗肌肉瘫痪的临床应用

ABSTRACTS CLINICAL USE OF IMPLANTATION OF MUSCLE BUNDLE WITH NEUROVASCULAR PEDICLE IN THE TREAMENT OF PARALYSED MUSELE

应用带神经血管的肌束植入，治疗肢体及躯干肌肉瘫痪５例，均收到满意疗效。详细介绍了术前检查，手术设计，操作方法及术后处理。讨论了植入带神经血管的肌束使瘫痪肌肉恢复神经支配的机理及效果良好的原因。指出了带神经血管的肌束解剖学特征：含有大量的神经分支并有良好的血供；肌束切面上裸露的无数神经分支的断端，在植入瘫痪肌肉后就能与失神经肌肉产生多维的广泛紧密接触，能以多种神经再生方式与失神经肌肉连接，从而使其重获神经支配。

n the basis of laboratory research of the reinnervation of poralyysed musele by implanting muscle bundies with neurovascular pedicle ( NVMBI),this method was applied clinically to trcat paralysed musele on extremities and trunks with quite satisfactory result.Detail description of preoperative exammation,operation design,surgical procedure and potoperative management were presented。the mechanism and reason of the good result were dscussed. The anatomical characteristics of the NVMBI were noted by large amount of nerve endings and adequats blfor supply,and when the musele bundle was implanted,its nun1erous nerve endings Were widely and clcoelv in contact with the denervated muscle and finally reinnervated it.This article presented a new methed to treat the injuries of thenerves at the cntrance into the muscle,especially to the treatn1ent of paralyzed muscles on extremity.