Holdenried M, Schenck T L, Akpaloo J, Müller-Felber W, Holzbach T, Giunta R E
Handchirurgie, Plastische Chirurgie, Äshetische Chirurgie, Klinikum der Ludwig-Maximilians Universität, München.
Handchir Mikrochir Plast Chir. 2013 Aug;45(4):229-34. doi: 10.1055/s-0033-1353161. Epub 2013 Aug 22.
Brachial plexus lesions are among the most severe injuries of the upper extremity. Despite intensive conservative and surgical treatment efforts, patients frequently suffer from serious impairments in the quality of life. This contribution presents the results of a retrospective clinical survey on the quality of life after brachial plexus injuries. Out of 38 treated patients, 25 patients could be included in the study. The disability of arm, shoulder and hand was evaluated by the DASH score and the quality of life by the FLZm, a questionnaire on life satisfaction. In addition, demographic data, work situation and mechanism and type of injury were recorded. The examined patients were mainly young males who were injured in traffic, in particular motorcycle accidents. The DASH score analysis revealed that plexus injuries are among the most disabling injuries of the upper extremity. The associated restrictions in the different sections of the quality of life involve not only the health-related section but also partnership, family and leisure time activities. A strong relation between the possibility to return to work and the quality of life was found. We recommend the use of the DASH score and the FLZm questionnaire on life satisfaction as routine tools for the evaluation of the therapeutic outcome after brachial plexus injuries.
臂丛神经损伤是上肢最严重的损伤之一。尽管进行了积极的保守和手术治疗，但患者的生活质量仍经常受到严重损害。本文介绍了一项关于臂丛神经损伤后生活质量的回顾性临床调查结果。在38例接受治疗的患者中，25例患者可纳入研究。采用上肢功能障碍评分（DASH）评估上肢、肩部和手部的功能残疾情况，采用生活满意度问卷（FLZm）评估生活质量。此外，还记录了人口统计学数据、工作情况以及损伤机制和类型。受检患者主要为年轻男性，多在交通事故中受伤，尤其是摩托车事故。DASH评分分析显示，臂丛神经损伤是上肢致残性最强的损伤之一。生活质量不同方面的相关限制不仅涉及与健康相关的方面，还包括伴侣关系、家庭和休闲活动。研究发现重返工作的可能性与生活质量之间存在密切关系。我们建议将DASH评分和生活满意度问卷FLZm作为评估臂丛神经损伤治疗效果的常规工具。
