Gu Y D
Zhonghua Wai Ke Za Zhi. 1989 Jul;27(7):433-5, 447.
164 patients with injury of root avulsion of the brachial plexus was treated by way of ipsilateral phrenic nerve transfer through a time period from 1970 to 1987. The among 65 cases that had been followed up for 2-13.5 years on average, 55 cases (84.6%) regained muscular strength of 30 or more. None of the patients had any subjective feeling or objective signs of respiratory disturbance, although post- operative machinery tests and laboratory surveys had detected some impairment of pulmonary function, which gradually improved with lapse of time. In conclusion age of the patients, length of the time delayed for surgery, severity of the nerve injury and the operative choice are the determining factors of the final results.
1970年至1987年期间,对164例臂丛神经根性撕脱伤患者采用同侧膈神经移位术进行治疗。在平均随访2至13.5年的65例患者中,55例(84.6%)恢复了3级或以上的肌力。尽管术后的机械测试和实验室检查发现了一些肺功能损害,但随着时间推移逐渐改善,所有患者均无呼吸障碍的主观感觉或客观体征。总之,患者年龄、手术延迟时间、神经损伤严重程度及手术选择是最终结果的决定因素。