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41例臂丛神经损伤的随访研究及疗效分析 被引量:7

Clinical Analysis on Brachial Plexus Injury with 41 Cases
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摘要 目的观察臂丛神经损伤后的恢复情况。方法将41例臂丛神经损伤患者分为未手术组11例、神经松解组17例和神经修复组13例,采用Mallett肩功能评分和Gilbert肘关节功能评分随访观察预后,评价未手术组自然恢复情况和手术组的疗效。结果疗效评定未手术组优9例、良1例、差1例;神经松解组优良2例、中1例、可1例、差13例;神经修复组肩关节功能优良2例、肘关节功能优良4例。结论臂丛神经损伤单纯手术效果不甚理想,应结合术后康复治疗。 Objective To observe the long-term result of brachial plexus injury.Methods 41 cases of brachial plexus injury were divided into the non-operation group (n=11), neurolysis group (n=17), never repair group (n=13). Retrospective analysis of the charts and follow-up survey of the functional recovery of shoulder joint and elbow joint were carried out. Gilbert score and Mallett score were adopted at the follow-up.Results In the non-operation group, 9 cases were graded as excellent, 1 case as good, 1 case as bad. In the neurolysis group, 2 cases were graded as excellent and good. In the never repair group, 2 cases of shoulder joint obtained excellent, 4 cases of elbow joint were grade as good. Conclusion The simple surgical result of brachial plexus injury is not satisfactory, it should be combined with postoperative rehabilitation.
出处 《中国康复理论与实践》 CSCD 2007年第4期393-395,共3页 Chinese Journal of Rehabilitation Theory and Practice
基金 战后康复技术研究 全军"十一五"计划专项课题(No.200626Z000058)
关键词 臂丛 创伤和损伤 治疗结果 随访研究 brachial plexus wounds and injuries treatment outcome follow-up study
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