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臂丛神经产瘫的管理:斯坦福大学的经验

Management of Brachial Plexus Birth Palsies: The Stanford Experience.

作者信息

Park Eugene, Fox Paige M, Curtin Catherine, Hentz Vincent R

机构信息

Shriners Hospital for Children Philadelphia, Philadelphia, Pennsylvania.

Division of Plastic and Reconstructive Surgery, Stanford Medical Center, Stanford, California.

出版信息

Semin Plast Surg. 2023 Mar 27;37(2):85-88. doi: 10.1055/s-0043-1764453. eCollection 2023 May.

DOI:10.1055/s-0043-1764453
PMID:37503531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10371404/
Abstract

The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to 1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then, our principles of care for patients with BPBP have evolved based on our group's longitudinal experience caring for children with the entire spectrum of sequelae that arise in children with BPBP. We base our clinical decision making on frequent serial examinations and use intraoperative evoked potentials to guide surgical decisions. Here, we discuss our current principles on surgical indications, timing of surgery, and preferred techniques for secondary surgery in patients with BPBP.

摘要

斯坦福大学臂丛神经产瘫(BPBP)的治疗经验始于1983年,当时文森特·罗德·亨茨博士休假期间拜访了阿兰·吉尔伯特博士。从那时起,基于我们团队长期护理患有BPBP各种后遗症儿童的经验,我们对BPBP患者的护理原则不断发展。我们的临床决策基于频繁的系列检查,并使用术中诱发电位来指导手术决策。在此,我们讨论目前关于BPBP患者手术指征、手术时机和二次手术首选技术的原则。

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Clin Obstet Gynecol. 2016 Dec;59(4):803-812. doi: 10.1097/GRF.0000000000000229.
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Nerve Transfers to Restore Shoulder Function.用于恢复肩部功能的神经移植
Hand Clin. 2016 May;32(2):153-64. doi: 10.1016/j.hcl.2015.12.004.
3
Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting.肩胛上神经重建治疗产伤性臂丛神经麻痹:副神经移位术与 C5 神经根移植术的比较。
Plast Reconstr Surg. 2011 Jun;127(6):2391-2396. doi: 10.1097/PRS.0b013e3182131c7c.
4
Current concepts in the management of brachial plexus birth palsy.臂丛神经产瘫管理的当前概念
J Hand Surg Am. 2010 Feb;35(2):322-31. doi: 10.1016/j.jhsa.2009.11.026.
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Oberlin's ulnar nerve transfer to the biceps motor nerve in obstetric brachial plexus palsy: indications, and good and bad results.奥伯林手术:将尺神经转移至产科臂丛神经麻痹患者的肱二头肌运动神经——适应证及手术效果的优劣
Microsurgery. 2004;24(3):182-7. doi: 10.1002/micr.20037.
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The active movement scale: an evaluative tool for infants with obstetrical brachial plexus palsy.主动运动量表:一种用于评估产瘫性臂丛神经麻痹婴儿的工具。
J Hand Surg Am. 2002 May;27(3):470-8. doi: 10.1053/jhsu.2002.32965.
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[Surgical repair of the brachial plexus in obstetric paralysis].[产科麻痹性臂丛神经的手术修复]
Chirurgie. 1984;110(1):70-5.