Chuang D C
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Hand Clin. 1999 Nov;15(4):737-55, x.
Adult brachial plexus injury (BPI) is a closed injury. It usually involves a plexus of nerves formed by a number of roots, spinal nerves, trunks, cords, and numerous terminal branches, in a complicated fashion. Successful results in the management of adult BPI are based on the knowledge of anatomic arrangement, pathophysiology considerations, preoperative evaluation and diagnosis, surgical technique, postoperative management, rehabilitation and regular patient follow-up, surgical treatment of sequelae deformities, and factors influencing its results. This article deals with traumatic lesions of the brachial plexus in adults, and focuses on controversial questions and philosophy of treatment of adult BPI.
成人臂丛神经损伤（BPI）是一种闭合性损伤。它通常以复杂的方式累及由多个神经根、脊神经、神经干、神经束以及众多终末分支形成的神经丛。成人BPI治疗的成功结果基于解剖结构知识、病理生理学考量、术前评估与诊断、手术技术、术后管理、康复以及定期的患者随访、后遗症畸形的手术治疗，以及影响其结果的因素。本文探讨成人臂丛神经的创伤性损伤，并重点关注成人BPI治疗中的争议问题和治疗理念。
