双侧C7神经根与下肢神经吻合治疗外伤性完全截瘫

摘要

Objective To explore the treatment of traumatic paraplegia by the combination of Bilateral C 7 nerve root and peripheral nerve anastomosis.Methods Bilateral C7 nerve root and peripheral nerve were combined in the first period of operation.Amputating C 7 nerve root of tibial nerve and sciatic nerve chain was done in the second stage.By the time the third step , anastomosis the neural chains and lumbar 2, 3, 4 nerve root was done.Results 5 of the 6 patients had been successfully operated.Patients reached the 2-degree function of flexion and extension muscle power of hip joint , and the low limb function was restored.3 of them, at the same time, regained the superficial sensory , and 2 patients recovered the superficial sensory tactile , but without pain and temperature.Conclusion The treatment of traumatic paraplegia by the combination of Bilateral C 7 nerve root and peripheral nerve anastomosis could effectively get certain consequence , but its operation cycle is long and of great difficulty.%目的：探索双侧C7神经根与下肢神经吻合治疗外伤性完全截瘫。方法第一期手术：双侧C7神经根与胫神经吻合，第二期手术：切断C7神经根-胫神经-坐骨神经链，第三期手术：神经链与腰2、3、4神经根吻合。结果本组6例病人，5例进行了完整的手术，病人下肢屈伸髋关节肌力可以达到2级，整个下肢都能恢复本体感觉，有3例病人同时也恢复了浅感觉，有2例病人恢复了浅感觉的触觉，而痛、温觉未恢复。结论双侧C7神经根与下肢神经吻合治疗外伤性完全截瘫，手术周期长，手术难度大，可以取得一定的疗效。