CAJ | 학술논문

目的探讨术中超强电刺激对不完全产瘫的治疗价值. 方法 2008年7月至2011年9月,对9例产瘫在进行神经松解后,术中给予超强肌电刺激,分别测定超强电刺激前后复合肌肉动作电位的潜伏期、波幅,并比较其改善程度. 结果 9例中7例潜伏期改善,8例波幅改善.经神经超强电刺激前、后其潜伏期缩短差异百分比为1.06％～ 39.77％,平均为8.02％；波幅提高差异百分比为2.70％～400.00％,平均为185.97％.术后2周内随访,8例患儿受刺激神经根干所支配相应肌肉有可见的功能改善. 结论超强电刺激可作为一种提高产瘫松解手术疗效的辅助治疗方法.
목적 탐토술중초강전자격대불완전산탄적치료개치. 방법 2008년7월지2011년9월,대9례산탄재진행신경송해후,술중급여초강기전자격,분별측정초강전자격전후복합기육동작전위적잠복기、파폭,병비교기개선정도. 결과 9례중7례잠복기개선,8례파폭개선.경신경초강전자격전、후기잠복기축단차이백분비위1.06％～ 39.77％,평균위8.02％；파폭제고차이백분비위2.70％～400.00％,평균위185.97％.술후2주내수방,8례환인수자격신경근간소지배상응기육유가견적공능개선. 결론 초강전자격가작위일충제고산탄송해수술료효적보조치료방법.
Objective To explore clinical value of intraoperative extra strong electrical stimulation in the treatment of birth brachial plexus palsy. Methods From July 2008 to September 2011,intraoperative extra strong electrical stimulation was applied in 9 cases of incomplete birth brachial plexus palsy after neurolysis.The latency and amplitude of compound muscle action potentials before and after electrical stimulation were recorded and the extent of improvement was compare. Results The latency was improved in 7 cases with 8.02％ in average,amplitude in 8 cases with 185.97％ in average.The related nerve recover partial motor function in 8 cases in 2 weeks after operation. Conclusion Intraoperative extra strong electrical stimulation is a effective assistant technique to promote motor functional recovery of birth brachial plexus palsy.