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为了探讨治疗分娩性臂丛神经损伤各种术式的疗效,对1984~1994年手术治疗的16例进行回顾和随访。手术年龄3个月~11岁,其中1岁以下4例。损伤部位:上干型10例,下于型4例,全臂型2例。手术方式:神经松解术7例,神经移位或移植术3例,上肢功能重建术6例。15例得到2~12年随访(平均10.5年),有效率73%(11/15),优良率47%(7/15),1岁以下随访3例均属优良。结论:如果伤后3~6个月经综合治疗无明显功能改善者,应积极手术探查。手术应借助显微外科器械完成,松解应彻底。
In order to explore the efficacy of various surgical procedures for the treatment of labor brachial plexus injury, 16 cases of 1984 ~ 1994 surgical treatment were reviewed and followed up. The operative age ranged from 3 months to 11 years, of which 4 were under 1 year old. Injury site: 10 cases of dry type, under the type 4 cases, 2 cases of full arm. Surgical procedures: 7 cases of neurolysis, 3 cases of nerve transfer or transplantation, and 6 cases of functional reconstruction of upper limbs. Fifteen patients were followed up for 2 to 12 years (average 10.5 years), with an effective rate of 73% (11/15) and an excellent and good rate of 47% (7/15). All patients under 1 year of follow-up were excellent. Conclusion: If 3 ~ 6 months after injury, no significant improvement by comprehensive treatment should be active surgical exploration. Surgery should be completed with microsurgery equipment, release should be thoroughly.