摘要
目的：报道应用显微外科手术早期治疗产瘫150例的经验．方法：应用显微外科技术，对产瘫进行早期的神经松解、神经吻合、神经移植及神经移位,计150例．结果：全部随访2年以上，3个月内手术者79例，优良率89％；3个月～1年内手术者28例，优良率53％；1年以上手术43例，优良率35.松解手术优良率82.35％,神经移植或移位手术优良率75％.发现根性撕脱伤有7种类型，分别进行了处理，有5种情况影响松解手术的疗效．结论：产瘫的早期显微外科治疗者中，适应证的选择很重要．早期手术疗效显著优于后期手术者．
Objective: Report the experience in 150 cases of the obstertic paralysis of brachial plexus treated by microsurgery technique in early stage. Methods: Lytic operation of nerve, anastomosis of nerve,nerve grafting and transposition of nerve were used in 150 cases with the obstetric paralysis in eary stage by microsurgery technique. Results: After a follow-up of 2 years, 79 cases operated in 3 months. The excellen rate: 89%, 28 cases from 3 months to 1 year: 53%, 43 cases from 1 year up: 35%. Excellent rate oflytic operation of nerve: 82.35%, of nerve grafting or transposihon: 75%. 7 types of root avulsion of the brachial plexus were found and repaired separately There are 5 conditions that affected curative effect of lytic operation. Conclusion: The selection of indication is important in microsurgical treatment of the obstetric paralysis of brachial plexus in early stape. The curative effect of operatin in early stage is obviously excellen than in late stage.
出处
《伤残医学杂志》
1998年第4期17-21,共5页
Medical Journal of Trauma and Disability
关键词
产瘫
早期治疗
显微外科手术
Obstetric, paralysis, Treatmen, in early stage, Microsurgery
