32例分娩性臂丛神经损伤手术疗效探讨  

Discussion on Curative Effect of 32 Operations on Parturient Brachial Plexus injury

作　　者：闵若良[1] 傅阳[1] 苏昌祺[1] 

机构地区：[1]上海医科大学附属儿科医院骨科,20032

出　　处：《伤残医学杂志》2000年第3期11-13,共3页Medical Journal of Trauma and Disability

摘　　要：目的：探讨分娩性臂丛神经损伤的手术方式和时机．方法；全组 ３２例．手术年龄最小 ３个月． ≤ ６个月１４例，＞６个月１８例．行单纯神经周围粘连松解术１３例，神经移位移植术１９例．结果：全组总有效率为８７．５％，神经粘连松解术有效率为 ７６．９％，神经移位移植术有效率为 ９４．１％． ≤ ６个月组有效率为 １００％，优良率为５０％．＞６个月组为７７．７％和２２％．结论：在生后３个月无神经修复或功能恢复，肌电图显示完全性或根性损伤均应早期手术．神经移位移植术是可选的手术方式．Objective: To discuss the operation methods and its time after parturient brachial plexus injury. Methods: 14 cases were 6 months or younger and 18 cases older than 6 months in 32 cases (3 months of the youngest). Simple nervous adhesion lysis were performed in 13 cases and nerve transposition grafting were performed in 19 cases. Results: Effective rate of whole group was 87.5%. Effective rate of nervous adhesion lysis was 76.9%. Effective rate of nerve transposition grafting was 94.l%. Effective rate was 100% (50% excellent) in 6-month-old or younger group. Effective rate was 77.7% (22% excellent) in the other. Conclusion: The operation should be performed as early as possible when there is no nervous restoration or functional' restoration in 3 months after birth. The nerve transposition grafting might be the best choice.

关 键 词：臂丛神经 产伤 治疗 神经移植 外科手术 

分 类 号：R722.144[医药卫生—儿科]