摘要
目的分析江西省级顾玉东院士工作站创伤性臂丛神经损伤流行病学特点及治疗方案。方法收集2018年1月至2021年12月江西省级顾玉东院士工作站诊治的全部新发创伤性臂丛神经损伤病例,建立标准的数据采集表,采集病人性别、年龄、致伤原因、诊断、手术方案等数据,分析4年间院士工作站创伤性臂丛神经损伤的流行病学特点。结果全部符合条件的病人共58例,男47例,女11例,中位年龄43岁(8~78岁)。切割伤(29.31%)与交通事故伤(25.86%)为主要致伤原因。损伤部位以束支部多见(62.07%),其次为根干部节后损伤(22.41%)、根性撕脱伤(12.07%)。治疗方案选择中,仅有10.34%的病人选择非手术治疗,手术治疗者中以单纯臂丛神经松解术最多(67.24%),其次为神经移位术(18.97%),神经移位术中以副神经移位修复肩外展功能最为多见。结论江西省级顾玉东院士工作站创伤性臂丛神经损伤以中青年男性多见,交通事故伤与切割伤为主要致伤原因,大多数病人需要接受手术治疗。
Objective To analyze the epidemiological characteristics and treatment strategies for traumatic brachial plexus nerve injuries at the provincial level Gu Yudong Academician Workstation in Jiangxi Province.Methods All newly diagnosed cases of traumatic brachial plexus nerve injuries treated from January 2018 to December 2021 at the provincial level Gu Yudong Academician Workstation in Jiangxi Province were collected.A standardized data collection form was established to gather information on patient gender,age,causes of injury,diagnosis,and surgical approaches.The data were analyzed to identify the epidemiological characteristics of brachial plexus nerve injuries at the workstation over the four⁃year period.Results A total of 58 eligible patients were included,with 47 males and 11 females,and a median age of 43 years(8 to 78 years).Cutting injuries(29.31%)and traffic accidents(25.86%)were the main causes of injury.The injured branches were predominantly the cord branches(62.07%),followed by postganglionic injuries at the trunk(22.41%)and root avulsion injuries(12.07%).Treatment strategies included non⁃surgical approaches(10.34%),with the majority undergoing surgical intervention.Among surgical treatments,simple brachial plexus neurolysis was the most common(67.24%),followed by nerve transfer surgery(18.97%).Subsequently,repairing shoulder abduction function using the accessory nerve was the most common in nerve transfer procedures.Conclusion Traumatic brachial plexus nerve injuries at the Gu Yudong Academician Workstation in Jiangxi Province are more common in middle⁃aged males.Traffic accidents and cutting injuries are the primary causes of injury,and the majority of patients require surgical intervention.
作者
邓小兵
吴智娟
朱海燕
熊辉
章剑
DENG Xiaobing;WU Zhijuan;ZHU Haiyan;XIONG Hui;ZHANG Jian(Department of Hand Surgery,Jiangxi Jiayou Shuguang Orthopedic Hospital,Nanchang 330009,China;Gu Yudong Academician Workstation in Jiangxi Jiayou Shuguang Orthopedic Hospital,Nanchang 330009,China;Rehabilitation Department,Jiangxi Jiayou Shuguang Orthopedic Hospital,Nanchang 330009,China)
出处
《骨科》
CAS
2024年第1期41-44,共4页
ORTHOPAEDICS
基金
上海市周围神经显微外科重点实验室基金(20DZ2270200)。
