《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (04): 393-395.

• 临床研究 • 上一篇    下一篇

41例臂丛神经损伤的随访研究及疗效分析

刘子洋1a; 王兴林1a; 郭义柱1b   

  1. 1.解放军总医院a.理疗科;b.骨科,北京 100853
  • 收稿日期:2006-10-25 出版日期:2007-04-01 发布日期:2007-04-01

Clinical Analysis on Brachial Plexus Injury with 41 Cases

LIU Zi-yang, WANG Xing-lin, GUO Yi-zhu.   

  1. The Department of Physiotherapy, the General Hospital of PLA, Beijing 100853, China
  • Received:2006-10-25 Published:2007-04-01 Online:2007-04-01

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被引次数

14

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。

关键词: 臂丛, 创伤和损伤, 治疗结果, 随访研究

Abstract: Objective To observe the long-term result of brachial plexus injury.Methods41 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.ResultsIn 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.ConclusionThe simple surgical result of brachial plexus injury is not satisfactory, it should be combined with postoperative rehabilitation.

Key words: brachial plexus, wounds and injuries, treatment outcome, follow-up study