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成人臂丛神经损伤的外科治疗

The surgical treatment of brachial plexus injuries in adults.

作者信息

Terzis Julia K, Kostopoulos Vasileios K

机构信息

Norfolk, Va. From the Department of Surgery, Division of Plastic Surgery, Eastern Virginia Medical School.

出版信息

Plast Reconstr Surg. 2007 Apr 1;119(4):73e-92e. doi: 10.1097/01.prs.0000254859.51903.97.

Abstract

After studying this article, the participant should be able to: 1. Evaluate clinically a patient with brachial plexus paralysis and define the appropriate electrophysiologic and radiographic studies. 2. Differentiate between preganglionic (root) avulsion and postganglionic lesions and identify appropriate motor donors and nerve grafts. 3. Describe various nerve reconstructive strategies and make appropriate selection of secondary procedures for shoulder stability, elbow flexion, and hand reanimation. 4. Anticipate the possible functional outcome.

摘要

阅读本文后,读者应能够:1. 对臂丛神经麻痹患者进行临床评估,并确定合适的电生理和影像学检查。2. 区分节前(根部)撕脱伤和节后损伤,并确定合适的运动供体和神经移植物。3. 描述各种神经重建策略,并为肩部稳定、肘部屈曲和手部功能重建适当选择二期手术。4. 预测可能的功能结果。

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