膈神经移位术在臂丛神经损伤治疗中的应用

Phrenic Nerve Transposition for Treatment of Brachial Plexus Injury

目的 探索膈神经移位术方法改进后治疗臂丛神经损伤的疗效。方法 对膈神经移位肌皮神经治疗臂丛神经损伤的临床病例进行回顾性分析。结果 全部病例随访 1.5～ 3年 ,有效率10 0 % .结论 膈神经是臂丛神经损伤治疗中可供选择的良好移位神经 ,通过术前对膈神经功能的评估以及术中对膈神经吻合方式的改进 ,可以提高膈神经移位术治疗臂丛神经损伤的疗效。

Objective To improve phrenic nerve transposition and to study it`s effect in the treatment of brachial plexus injury.Method To transfer phrenic nerve to musculocutaneous nerve,the procedure was used in 9 patients.Result Patients were followed up for 1～3 years,effective rate 100%.Conclusion Phrenic nerve is a better nerve for transposition in the treatment of brachial plexus injury.