41例臂丛神经损伤的随访研究及疗效分析

目的观察臂丛神经损伤后的恢复情况。方法将41例臂丛神经损伤患者分为未手术组11例、神经松解组17例和神经修复组13例，采用Mallett肩功能评分和Gilbert肘关节功能评分随访观察预后，评价未手术组自然恢复情况和手术组的疗效。结果疗效评定未手术组优9例、良1例、差1例；神经松解组优良2例、中1例、可1例、差13例；神经修复组肩关节功能优良2例、肘关节功能优良4例。结论臂丛神经损伤单纯手术效果不甚理想，应结合术后康复治疗。

Clinical Analysis on Brachial Plexus Injury with 41 Cases

Objective To observe the long-term result of brachial plexus injury.Methods41 cases of brachial plexus injury were divided into the non-operation group (n=11), neurolysis group (n=17), never repair group (n=13). Retrospective analysis of the charts and follow-up survey of the functional recovery of shoulder joint and elbow joint were carried out. Gilbert score and Mallett score were adopted at the follow-up.ResultsIn the non-operation group, 9 cases were graded as excellent, 1 case as good, 1 case as bad. In the neurolysis group, 2 cases were graded as excellent and good. In the never repair group, 2 cases of shoulder joint obtained excellent, 4 cases of elbow joint were grade as good.ConclusionThe simple surgical result of brachial plexus injury is not satisfactory, it should be combined with postoperative rehabilitation.