Flores Leandro Pretto
Unit of Neurosurgery, Hospital de Base do Distrito Federal, University of Brasília, Brasília DF, Brazil.
Arq Neuropsiquiatr. 2011 Aug;69(4):660-5. doi: 10.1590/s0004-282x2011000500016.
The study aims to demonstrate the techniques employed in surgery of the brachial plexus that are associated to evidence-based improvement of the functional outcome of these patients.
A retrospective study of one hundred cases of traumatic brachial plexus injuries. Comparison between the postoperative outcomes associated to some different surgical techniques was demonstrated.
The technique of proximal nerve roots grafting was associated to good results in about 70% of the cases. Significantly better outcomes were associated to the Oberlin's procedure and the Sansak's procedure, while the improvement of outcomes associated to phrenic to musculocutaneous nerve and the accessory to suprascapular nerve transfer did not reach statistical significance. Reinnervation of the hand was observed in less than 30% of the cases.
Brachial plexus surgery renders satisfactory results for reinnervation of the proximal musculature of the upper limb, however the same good outcomes are not usually associated to the reinnervation of the hand.
本研究旨在展示臂丛神经手术中所采用的技术，这些技术与基于证据改善这些患者的功能结局相关。
对100例创伤性臂丛神经损伤病例进行回顾性研究。展示了与一些不同手术技术相关的术后结局之间的比较。
近端神经根移植技术在约70%的病例中取得了良好效果。奥伯林手术和桑萨克手术的结局明显更好，而膈神经至肌皮神经和副神经至肩胛上神经移位相关的结局改善未达到统计学意义。不到30%的病例观察到手部再支配。
臂丛神经手术在上肢近端肌肉组织再支配方面取得了满意的结果，然而手部再支配通常不会有同样好的结果。
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