【摘要】 选健康杂种成年狗,采取显微外科技术施行右侧第12肋间神经与切断的第5腰神经吻合;第13肋间神经与切断的第6腰神经吻合手术。对手术后的狗定期进行测股四头肌功能、肌电和病理检查。综合判定优良率为55.6％。在动物实验基础上,临床选择胸腰段脊髓横断性截瘫病人11例,用同样方法,施行单侧或双侧第11、12肋间神经与股神经或闭孔神经、骶神经吻合手术。术后观察术侧肢体功能恢复情况,定期进行肌电检查。观察2～9年,结果:无效7例;有效2例;显效2例。动物实验和临床应用结果证实,肋间神经与腰骶神经吻合后,神经可以再生,并且可以恢复下肢肌肉的功能。更多还原

【Abstract】 A new method of intercostal nerves anastomosis to lumbosacral roots is reported. The anastosis was made on the proximal stump of the 12th intercostal nerve to the distal stump of the 5th lumbar root, and the 13th intercostal nerve to the 6th lumbar root. Functional and electromyographic examinations of M. quadriceps femoris were made regularly for 6 months. The effective rate was 55.6%. Based on it, A transfer-anastomosis were performed in 11 complete parapletic patients either unilaterally or bilaterally. The 11th and 12th intercostal nerves were anastomose to the femoral nerve, obturator nerve or sacral nerve. Functional and electromyographic examination of the operated lower extremity were followed up for 2～9 years. The results showed 2 were excellent, 2 good, the others no changes. The results also showed the method could make the nerve regenerated and fuctions of the muscles regained.更多还原