Al-Qattan M M, El-Sayed A A F, Al-Zahrani A Y, Al-Mutairi S A, Al-Harbi M S, Al-Mutairi A M, Al-Kahtani F S
Department of Surgery, Department of Obstetrics and Gynecology, and the Medical College King Saud University, Riyadh, Saudi Arabia.
J Hand Surg Eur Vol. 2010 Jun;35(5):366-9. doi: 10.1177/1753193409355895. Epub 2009 Dec 23.
In this retrospective study we compared obstetric brachial plexus palsy (OBPP) in two non-operated groups of newborn babies delivered vaginally by breech or cephalic presentation. There were 35 cases of OBPP in the breech group and 663 cases in the cephalic group. The former group was more likely to develop upper Erb's palsy while the latter group was more likely to develop total palsy. The breech group also had a significantly lower mean birth weight, a significantly higher percentage of bilateral OBPP palsies and concurrent phrenic nerve palsy. Spontaneous recovery of shoulder abduction and elbow flexion in newborn babies with upper Erb's palsy was significantly worse in the breech compared with the cephalic group. It was concluded that OBPP following vaginal breech delivery has several unique demographic features and breech babies with upper Erb's palsy have a worse prognosis for spontaneous recovery than those in the cephalic group.
在这项回顾性研究中，我们比较了两组经阴道分娩的非手术治疗新生儿的产科臂丛神经麻痹（OBPP）情况，一组为臀位分娩，另一组为头位分娩。臀位组有35例OBPP，头位组有663例。前一组更易发生上臂型埃尔布氏麻痹，而后一组更易发生全瘫。臀位组的平均出生体重也显著更低，双侧OBPP麻痹和并发膈神经麻痹的百分比显著更高。与头位组相比，臀位分娩的患有上臂型埃尔布氏麻痹的新生儿肩外展和肘屈曲的自发恢复明显更差。得出的结论是，阴道臀位分娩后的OBPP有几个独特的人口统计学特征，患有上臂型埃尔布氏麻痹的臀位婴儿自发恢复的预后比头位组婴儿更差。
