Slooff A C
Department of Neurosurgery, Ziekenhuis De Wever en Gregorius, Heerlen, The Netherlands.
Clin Neurol Neurosurg. 1993;95 Suppl:S73-7. doi: 10.1016/0303-8467(93)90039-j.
The present series of 655 brachial plexus lesions includes 240 obstetric palsies. The results of neurophysiological and radiological examinations in these cases are often disappointing in regard to the evaluation of the severity of the lesion. Timing for surgery was according to the criterium of Gilbert: lack of clinical signs of recovery of the biceps at the end of the third month. Intra- and/or extraplexal neurotizations were performed in 94 children. Although only 28 children operated upon have been followed up for at least 2 years, some tentative conclusions may be drawn. A good to very good result was achieved in 10 children with an upper plexus lesion, born in cephalic presentation. In breech presentation cases, often associated with root avulsion, and in (sub)total lesions, the final result was much less.
本系列655例臂丛神经损伤中包括240例产瘫。对于这些病例，神经生理学和放射学检查结果在评估损伤严重程度方面往往不尽人意。手术时机依据吉尔伯特标准：第三个月末肱二头肌仍无恢复的临床迹象。94例患儿接受了神经束内和/或神经束外神经移位术。尽管仅28例接受手术的患儿得到了至少2年的随访，但仍可得出一些初步结论。10例头位分娩的上干型臂丛神经损伤患儿取得了良好至非常好的效果。臀位分娩病例常伴有神经根撕脱，（部分）完全损伤的最终效果则差得多。
