在ERB麻患者中,下神经转移到骨神经后,评估下神经功能
在PubMed上查看摘要
概括
此摘要是机器生成的。脊柱辅助神经转移用于臂出生损伤 (BPBI) 保持下形肌的功能. 这一发现支持其在BPBI患者中进一步进行肌移植以改善肩部功能.
科学领域
- 神经外科
- 骨科手术
- 儿童手术
背景情况
- 脊柱辅助神经转移到上神经是手臂出生损伤 (BPBI) 的肩部功能恢复的常见程序.
- 人们担心在神经转移后,形肌功能可能受到损害.
研究的目的
- 在患有BPBI的儿科患者中,研究脊柱辅助神经转移后下形肌的功能状态.
- 为了确定形肌是否仍有功能,
主要方法
- 对经过神经移植的19名儿科患者进行了回顾性截面研究.
- 手术后至少六个月的随访.
- 评估包括肩部绑架和外部旋转的临床检查,以及电肌图和神经传导速度 (EMG-NCV) 以评估下形功能.
主要成果
- 所有19名患者在EMG-NCV上表现出功能性下形肌活动.
- 在89. 47%的肩部移动和94. 73%的外部旋转中观察到良好的或中度的功能.
- 在57. 89%的病例中,下肌功能被评为良好,在31. 57%的病例中被评为中度,在10. 52%的病例中被评为不良.
结论
- 这项研究支持下肌在脊柱辅助神经转移后保持功能的假设.
- 建议对梯形肌进行双动力内化.
- 这种保留的功能为进一步的梯形肌移植提供了机会,以增强BPBI的肩部功能.
相关概念视频
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