成人臂丛神经损伤的诊断与治疗：前50例病例结果
Diagnosis and management of adult BPI: Results of first 50 cases.
作者信息
Agarwal Pawan, Mittal Saket, Sharma Dhananjaya
机构信息
Plastic Surgery Unit, NSCB Government Medical College, Jabalpur, MP, 482003, India.
Department of Surgery, NSCB Government Medical College, Jabalpur, MP, 482003, India.
出版信息
J Clin Orthop Trauma. 2021 Jan;12(1):166-171. doi: 10.1016/j.jcot.2020.06.036. Epub 2020 Jul 1.
Abstract
INTRODUCTION
Commonest cause of brachial plexus injury in adults is traction injury sustained in motorcycle accidents. This article reports the results of first 50 cases done in a tertiary referral center with a brief review of literature.
MATERIAL AND METHODS
First 50 patients (46 male; 4 female, age from 12 to 45 years) with post traumatic brachial plexus palsy were included. There were 30 upper plexus and 20 pan plexus injuries, 27 had preganglionic and 23 postganglionic injury. Neurolysis was done in 19 patients and various combination of nerve transfer in 31. Mean follow-up period was 13.98 months.
RESULTS
- Over all shoulder abduction was good in 10 patients, fair in 32 and poor in 8. Elbow flexion was good in 19 patients, fair in 18 and poor in 13 patients.
CONCLUSION
The upper plexus and partial injuries have a good outcome in a majority of cases, while the results in global palsy are far from satisfactory.
摘要
引言
成人臂丛神经损伤最常见的原因是摩托车事故中遭受的牵拉伤。本文报告了一家三级转诊中心完成的首批50例病例的结果，并对文献进行简要回顾。
材料与方法
纳入首批50例创伤后臂丛神经麻痹患者（46例男性；4例女性，年龄12至45岁）。其中30例为上干型损伤，20例为全臂丛损伤，27例为节前损伤，23例为节后损伤。19例患者进行了神经松解术，31例进行了各种神经移位组合手术。平均随访期为13.98个月。
结果
总体而言，10例患者肩部外展良好，32例尚可，8例较差。19例患者肘关节屈曲良好，18例尚可，13例较差。
结论
大多数情况下，上干型和部分损伤预后良好，而全臂丛麻痹的结果远不能令人满意。
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