Willenberg E, Dietzmann K, Winkelmann B, Franke B
Zentralbl Neurochir. 1987;48(1):50-5.
Since Plexus brachialis lesions mainly occur in young persons, their socio-medical significance is undisputed. While the diagnostic rules are largely standardised, the time and the kind of the surgical intervention is disputed. The enzymic-histochemical examination of the denervated muscles of nine patients confirm the trend towards an intervention as early as possible. After only a few days serious changes of the mosaic structure of the muscles with a great number of histopathological particularities had occurred. After half a year, the muscles already showed considerable fibrous changes, so that re-innervation is highly restricted. The enzymic-histochemical and clinical findings largely correlate.
由于臂丛神经损伤主要发生在年轻人中，其社会医学意义是毋庸置疑的。虽然诊断规则在很大程度上已经标准化，但手术干预的时间和方式仍存在争议。对9例患者失神经支配肌肉的酶组织化学检查证实了尽早进行干预的趋势。仅仅几天后，肌肉的镶嵌结构就发生了严重变化，并出现了大量组织病理学特征。半年后，肌肉已经出现了相当程度的纤维性改变，因此神经再支配受到很大限制。酶组织化学和临床结果在很大程度上是相关的。
