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目的 提高对膈神经移位治疗产瘫术后对呼吸功能影响的认识。方法 对６８ 例产瘫患儿术后呼吸系统变化进行分组分析。结果 膈神经移位组术后摄胸片一侧膈肌均有抬高， 透视下随呼吸呈矛盾运动。术后呼吸窘迫、肺炎、肺不张等明显高于非膈神经移位组。按年龄划分小于６ 个月手术组并发症明显高于６ 个月以上组， 呼吸窘迫均出现在小于３ 个月的手术组中。结论 膈神经作为移位神经被广泛应用到治疗产瘫手术中。临床上６ 个月以下取膈神经应慎重， 尤其３ 个月龄左右手术的病例更应慎重。
Objective To improve understanding of the effects of phrenic nerve transposition on respiratory function after the treatment of postoperative paraplegia. Methods Sixty-eight children with paralysis were divided into two groups according to the changes of respiratory system. Results After phrenic nerve transposition group, the diaphragms of one side of chest radiograph were all elevated, and under fluoroscopy, there was contradictory movement with respiration. Postoperative respiratory distress, pneumonia, atelectasis were significantly higher than non-phrenic nerve transposition group. Comparisons of age less than 6 months were significantly higher in the operation group than those in the 6 month group. Respiratory distress occurred in the operation group less than 3 months. Conclusion Phrenic nerve as a shift nerve is widely used in the treatment of paraplegia. Clinically, phrenic nerves should be cautious for less than 6 months. In particular, the cases of surgery of about 3 months should be cautious.