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- W3032363742 abstract "目的 探讨胸腔镜下膈神经超长切取、移位重建全臂丛根性撕脱伤手部功能的可行性.方法 全臂丛根性撕脱伤3例,胸腔镜下于邻膈肌处切断膈神经,逆行游离胸腔内全长膈神经及其血管组织蒂,并由第二肋间引出,经胸大肌下移位至上臂上内侧,分别与尺神经前内侧部吻合2例,与移植股薄肌之闭孔神经前支吻合1例. 结果 2例膈神经联合第3～6肋间神经运动支移位修复尺神经者,结合短期免疫抑制剂FK506口服治疗,术后12个月手内肌肌电图检测均出现再生电位,1例随访15个月出现手内肌收缩.1例用以重建屈肘、屈指屈拇的移植股薄肌术后7月出现肌肉收缩,随访12个月肌力达M3. 结论 胸腔镜下全长切取膈神经,作为运动性动力神经移位应用于全臂丛根性撕脱伤的治疗,可在短时间内有效重建屈指屈拇功能,并有使手内肌神经再支配、开始恢复手内肌收缩功能的迹象." @default.
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- W3032363742 date "2002-12-15" @default.
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- W3032363742 title "A preliminary report on full length phrenic nerve harvesting under thoracoscope and the phrenic nerve transfer for hand function reconstruction in total root avulsion of brachial plexus" @default.
- W3032363742 doi "https://doi.org/10.3760/cma.j.issn.1671-7600.2002.04.009" @default.
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