CAJ | 학술논문

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,下干型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.
위료탐토치료분면성비총신경손상각충술식적료효,대1984～1994년수술치료적16례진행회고화수방.수술년령3개월～11세,기중1세이하4례.손상부위:상간형10례,하간형4례,전비형2례.수술방식:신경송해술7례,신경이위혹이식술3례,상지공능중건술6례.15례득도2～12년수방(평균10.5년),유효솔73%(11/15),우량솔47%(7/15),1세이하수방3례균속우량.결론:여과상후3～6개월경종합치료무명현공능개선자,응적겁수술탐사.수술응차조현미외과기계완성,송해응철저.
Sixteen children(3 mons to 11 yrs)with birth injuries of the brachial plexus underwent surgical treatment from 1984 to 1994.Ten were injuries of upper trunk,4 of lower trunk,and 2 of the whole brachial plexus.The operations included:neurolysis in 7,nerve transposition or transplantation in 3,and reconstruction of the functions of upper extremity in 6.Fifteen cases were followed up for 2 to 12 years with a mean of 10.5 years.The successful results were 11/15(73%)and three under one year of age recovered perlectly.Conclusion:Operative exploration should be performed on those cases unresponsive to therapy after 3 to 6 mons.Neurolysis should be done thoroughly with microsurgical techniques.