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首页> 外文期刊>Neurosurgery >Transfer of the medial pectoral nerve: myth or reality?
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Transfer of the medial pectoral nerve: myth or reality?

机译：胸内侧神经的转移：神话还是现实？

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OBJECTIVE: Transfer of the medial pectoral nerve is one of the most controversial procedures used to reinnervate the paralyzed upper arm because of brachial plexus spinal nerve root avulsion or directly irreparable proximal lesions of spinal nerves. The purpose of this study was to determine the value of this type of nerve transfer to the musculocutaneous and axillary nerves. METHODS: The 25 patients included in the study comprised 14 patients who had nerve transfer to the musculocutaneous nerve and 11 who underwent nerve transfer to the axillary nerve. These patients' functional recovery and the time course of their recovery were analyzed according to the type of transfer of one donor nerve or the donor nerve in combination with other donors. RESULTS: Useful functional recovery was achieved in 85.7% of patients who had nerve transfer to the musculocutaneous nerve and in 81.8% of patients who underwent nerve transfer to the axillary nerve. There was no significant difference in results with regard to the type of nerve transfer and which recipient nerves were involved. A strong trend toward better results after procedures involving the use of a donor nerve combined with other donors was observed, however. CONCLUSION: Our surgical results suggest that the transfer of the medial pectoral nerve to the musculocutaneous nerve and also to the axillary nerve may be a reliable and effective procedure.
机译：目的：由于臂丛神经根神经根撕脱或直接不可修复的近端脊神经损伤，转移胸膜内侧神经是引起神经瘫痪的上臂最有争议的方法之一。这项研究的目的是确定这种类型的神经传递到肌肉和腋神经的价值。方法：本研究中包括的25例患者中，有14例神经转移到了肌皮神经，而11例神经转移到了腋神经。根据一种供体神经或供体神经与其他供体结合的转移类型，分析了这些患者的功能恢复和恢复时间。结果：将神经转移至肌皮神经的患者中有85.7％的患者以及将神经转移至腋神经的患者中有81.8％的患者实现了有用的功能恢复。关于神经转移的类型和涉及的受者神经，结果没有显着差异。然而，在使用供体神经与其他供体相结合的手术后，观察到了一种趋向于更好结果的强烈趋势。结论：我们的手术结果表明，将胸内侧神经转移到肌皮神经以及腋窝神经可能是一种可靠而有效的方法。

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