Birch R
War Nerve Injury Clinic, Defence Medical Rehabilitation Centre, Epsom, UK
J Hand Surg Eur Vol. 2015 Jul;40(6):562-7. doi: 10.1177/1753193414539865. Epub 2014 Jul 8.
While it is widely accepted that cases of traumatic injury to the brachial plexus benefit from early surgical exploration and repair, with results deteriorating with long delays, policies vary regarding the exact timing of intervention. This is one of a pair of review articles considering the clinical issues, investigations, and surgical factors relating to management of injuries to the supraclavicular brachial plexus, as well evidence from experimental work and clinical outcomes.In this article Professor Birch argues for early exploration of the brachial plexus as the optimum both to delineate the pathology and undertake reconstructive surgery.
虽然人们普遍认为臂丛神经创伤病例能从早期手术探查和修复中获益，且延迟时间越长结果越差，但关于干预的确切时机，政策各不相同。这是一对综述文章中的一篇，探讨与锁骨上臂丛神经损伤管理相关的临床问题、检查及手术因素，以及实验研究证据和临床结果。在本文中，伯奇教授主张早期探查臂丛神经是确定病理状况并进行重建手术的最佳选择。
