游离股薄肌移植在臂丛损伤治疗中的临床应用

目的：探讨游离股薄肌移植在臂丛损伤治疗中的疗效。方法：对47例臂丛根性损伤患者行71次吻合血管、神经的游离股薄肌移植重建上肢主要功能,术后随访观察功能恢复情况。结果：随访32例患者,26例恢复屈肘、伸指、伸拇功能,肌力M3-M4级;18例恢复屈指、屈拇功能,肌力M3-M4级;2例恢复伸肘功能,肌力M3级;4例屈指、屈拇肌力M1级。结论：吻合血管、神经的游离股薄肌移植是治疗臂丛神经根性损伤的有效手术方法。

The Clinical Application of Free Gracilis Muscle Transplantation in Treatment of the Brachial Plexus Avulsion

Objective： To discuss the efficacy of the free gracilis muscle transplantation after brachial plexus injury.Method： 71 free gracilis muscles have been transplanted to reconstruct the main function of upper limb in 47 patients with root avulsion of brachial plexus,after surgery they were followed up to observe the functional recovery.Result： Follow-up were earned out in 32 patients,26 patients the flexion of elbow and extension of fingers and thumb were restored,Their muscle power were M3-M4,20 of them restored the function of finger and thumb flexion,with muscle power of M3-M4,2 of them restored the function of the elbow extension,with muscle power of M3,the strength of finger and thumb flexion was M1 in the other 4 cases.Conclusion： Free gracilis muscle transplantation with vaseularization and ncurotization is an effective method for treatment of complete root avulsion of brachial plexus.