电邮这篇文章 大胸肌和背阔肌单极移植恢复肌肉发育不良儿童前臂主动屈曲效果的比较分析
- 作者: Agranovich O.E.1, Petrova E.V.1, Batkin S.F.1, Kenis V.M.1, Sapogovskiy A.V.1, Melchenko E.V.1, Blagoveschenskiy E.D.1,2
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隶属关系:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- National Research University “Higher School of Economics”
- 期: 卷 10, 编号 1 (2022)
- 页面: 13-22
- 栏目: Clinical studies
- ##submission.dateSubmitted##: 31.01.2022
- ##submission.dateAccepted##: 28.02.2022
- ##submission.datePublished##: 24.03.2022
- URL: https://journals.eco-vector.com/turner/article/view/99901
- DOI: https://doi.org/10.17816/PTORS99901
- ID: 99901
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详细
论证。肌肉发育不良儿童前臂缺乏主动屈曲可导致严重的功能障碍。为了恢复这类患者自助治疗的可能性，在前臂屈肌的位置进行各种供体部位的肌肉移植。
本研究的目的是通过对比分析将大胸肌和背阔肌转位到前臂屈肌位置的结果，来确定恢复肌肉发育不良患儿肘关节主动屈曲的最佳供体区域。
材料与方法。这项回顾性研究包括61名肌萎缩症患者：30名（49%）女孩和31名（51%）男孩。 2011年至2020年，参加研究的儿童在俄罗斯联邦卫生部H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery接受检查和治疗。90个病例恢复了主动前臂屈曲，其中46人（51.1%）使用大胸肌作为移植，44人（48.9%）使用背阔肌。在这两组中，都进行了单极移植。在背阔肌的情况下，采取了整个肌肉，而在大胸肌的情况下，只采取了远端部分和腹直肌筋膜的一个片段。术前及术后6个月及以上对患者进行临床检查。统计数据处理采用Statistica 10和SAS JMP 11应用软件包。
结果。手术时患者的年龄为1.5至15.5岁（6.24±4.24岁），术后随访为6至99个月（41.25±30.19个月）。 (41.25±30.19个月)。两组患者在随访时都出现了肘部的屈曲挛缩，但与大胸肌相比，使用背阔肌作为供体肌肉时，挛缩程度较小（分别为15.19±13.04和23.24±15.37°，p=0.0483）。此外，在移植背阔肌后，前臂屈肌力量平均比移植大胸肌后大1分（分别为2.85±1.08和4.00±0.62，p<0.0001）。与大胸肌的移植相比，背阔肌在肘部实现了更大的主动运动幅度（分别为75.37±17.86和55.88±24.60°， p=0.0022）。
结论。本研究证实了肌肉发育不良患者使用背阔肌和大胸肌恢复前臂主动屈曲的有效性，但如果有可能选择供体肌肉，应优先选择背阔肌。
全文:
作者简介
Olga E. Agranovich
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
编辑信件的主要联系方式.
Email: olga_agranovich@yahoo.com
ORCID iD: 0000-0002-6655-4108
SPIN 代码: 4393-3694
Scopus 作者 ID: 56913386600
Researcher ID: B-3334-2019
http://www.rosturner.ru/kl10.htm
MD, PhD, Dr. Sci. (Med.)
俄罗斯联邦, Saint PetersburgEkaterina V. Petrova
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: pet_kitten@mail.ru
ORCID iD: 0000-0002-1596-3358
SPIN 代码: 2492-1260
Scopus 作者 ID: 57194563255
MD, PhD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgSergey F. Batkin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: sergey-batkin@mail.ru
ORCID iD: 0000-0001-9992-8906
SPIN 代码: 5173-9340
MD, PhD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgVladimir M. Kenis
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: kenis@mail.ru
ORCID iD: 0000-0002-7651-8485
SPIN 代码: 5597-8832
Scopus 作者 ID: 36191914200
Researcher ID: K-8112-2013
MD, PhD, Dr. Sci. (Med.), Professor
俄罗斯联邦, Saint PetersburgAndrey V. Sapogovskiy
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: sapogovskiy@gmail.com
ORCID iD: 0000-0002-5762-4477
SPIN 代码: 2068-2102
Scopus 作者 ID: 57193257532
MD, PhD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgEvgeniy V. Melchenko
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: emelchenko@gmail.com
ORCID iD: 0000-0003-1139-5573
SPIN 代码: 1552-8550
Scopus 作者 ID: 55022869800
MD, PhD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgEvgeniy D. Blagoveschenskiy
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; National Research University “Higher School of Economics”
Email: eblagovechensky@hse.ru
ORCID iD: 0000-0002-0955-6633
SPIN 代码: 2811-5723
Scopus 作者 ID: 6506349269
Researcher ID: B-5037-2014
PhD, Cand. Sci. (Biol.)
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