Long-term results of primary repair of brachial plexus lesions in children
Long-term results of primary repair of brachial plexus lesions in children
复制标题
DOI：
10.1002/micr.20248
复制
发表时间：
2006-01-01
期刊：
影响因子：
2.1
通讯作者：
Kheiralla, T
中科院分区：
文献类型：
--
作者：
Gilbert, A;Pivato, G;Kheiralla, T
成人臂丛神经重建的结果很差，尽管使用的各种方法很复杂。然而，同样的方法用于新生儿后，产科臂丛神经损伤将得到更好的结果。由于距离较短，再生潜力较强，大脑适应能力较强。完全瘫痪、相关的牙根破裂和撕脱是非常严重的，并且在生长结束之前无法评估最终结果。虽然最终结果表明，肩和肘没有做好，以及在上部型病变，结果在手的水平是令人鼓舞的，显示75%的有用功能后8年，即使在患者的下根撕脱伤。这些结果表明产丛的早期探查和修复的价值。我们也回顾我们的一系列创伤性臂丛神经麻痹的儿童。结果比新生儿差，这可能部分与这些患者中相关病变的百分比更高有关。(c)2006 Wiley-Liss，Inc.
The results of brachial plexus reconstruction in adults are poor, despite the sophistication of the various methods used. However, the same methods used in neonates after obstetrical brachial plexus injury will give far better results. because of the shorter distance, stronger potential of regeneration, and capacity of brain adaptation. Complete paralyses, associated root ruptures, and avulsions are very severe, and the end results cannot be evaluated before the end of growth. Although the end results show that the shoulder and elbow do not do as well as in upper-type lesions, the results at the level of the hand are encouraging, showing 75% with useful function after 8 years, even in patients with avulsion injuries of the lower roots. These results demonstrate the value of the early exploration and repair of the obstetric plexus. We also review our series of traumatic brachial plexus palsy in children. The results are poorer than in neonates, where may be related, in part, to a greater percentage of associated lesions in these patients. (c) 2006 Wiley-Liss, Inc.