摘要
目的：回顾性分析应用显微外科技术治疗臂丛神经损伤的疗效。方法：从１９８４年５月至１９９４年５月共治疗臂丛神经损伤患者１０５例，手术方法包括神经松解术、神经直接缝合术、神经移植术和神经转移术。结果：５４例经１年以上随访，功能恢复优良率达５８．２５％。结论：临床资料表明，（１）开放性臂丛损伤应尽早修复，而闭合性的可保守治疗观察３～６个月；（２）当神经断裂时应尽量利用近端残留的神经根或干优先修复远端重要的神经束，同时，即使长度超过１０ｃｍ的神经段移植亦可获得较好的效果；（３）术后要作长期的随访观察，以便检查术后功能恢复情况和决定是否需要采取其他补救措施。
Objective:To retrospect and analyze the curative effect in brachial plexus injury.Methods:105 cases of brachial plexus injury were treated with microsurgical technique from May 1984 to May 1994.The operations used in this group included neurolysis,direct neurorrhaphy,nerve grafting and nerve transfer,Results:50 cases were followed up more than one year and the excellent rate was 58.25%,Conclusions:The data suggested that:(1)The opening brachial plexus injury should be repaired as soon as possible,while the closed injury should be treated conventionaly for 3～6 months.(2)when the nerves were avulsion,the Proximal remainder roots or trunks should be sutured with the distal major nerves as well as possible.By the way nerve grafting might get satisfactory functional recovery eventhough the defect of nerve was longer than 10 cm,(3)This kind of patients should be followed up for a long period of time enough to examine the functional recovery after operation and to determine what remedial measures should be taken.
出处
《中华显微外科杂志》
CSCD
北大核心
1996年第3期183-185,共3页
Chinese Journal of Microsurgery
关键词
臂丛神经损伤
显微外科手术
Peripheral nerve,Nerve injury,Brachial plexus
