Tomnikov A M, Dashin V P, Kalashnikova O I, Abramenko V R, Petrova E G
Zh Vopr Neirokhir Im N N Burdenko. 1988 May-Jun(3):34-8.
Twenty-one patients with injury to the brachial plexus suffered as the result of traumatic dislocation of the shoulder were examined and operated on with the use of microsurgical techniques. Traumatic changes of the nerve trunks, the development of a cicatricial-adhesive process around and within them lead to stable disorders of conduction which do not yield to nonoperative treatment. Stable traumatic changes revealed in the nerve trunks on EMG in the first 4-6 weeks after the trauma as well as the absence of an effect of nonoperative treatment within this period of time were indications for surgery. Despite the coarse macroscopic external changes found in the nerves of the brachial plexus they should not be resected without preliminary intratruncal inspection of the fasciculi with intraoperative electrodiagnosis.
对21例因肩部外伤性脱位而导致臂丛神经损伤的患者进行了检查，并采用显微外科技术进行手术。神经干的创伤性改变，以及其周围和内部瘢痕粘连过程的发展，导致传导功能持续紊乱，非手术治疗无效。创伤后最初4 - 6周肌电图显示神经干存在稳定的创伤性改变，以及在此期间非手术治疗无效，均为手术指征。尽管臂丛神经在肉眼下有明显的外部改变，但在未对束支进行术中电诊断的初步干内检查之前，不应切除神经。
