论文部分内容阅读
儿童臂丛神经损伤临床并不少见,原因以产伤为主。我们1988～1996年收治26例,现报告分析如下。 1 临床资料 本组男16例,女10例。年龄4月～9岁。致伤原因:产伤22例(肩性难产8例,臀位产4例,剖腹产3例,产钳5例,不详2例),出生时有称体重者19例,其中5例体重超过3500g。合并锁骨骨折2例。创伤4例(车祸和高处落伤各2例)。神经损伤部位;上干型18例,下干型4例,全臂型4例。共施手术32次,术式有:神经粘连松解15次,神经吻合3次,自体神经移植2
Brachial plexus injury in children is not uncommon clinical reasons for birth trauma. We admitted from 1988 to 1996, 26 cases, the report is analyzed as follows. 1 Clinical data The group of 16 males and 10 females. Age from April to 9 years old. Causes of injury: birth injury in 22 cases (shoulder dystocia in 8 cases, 4 cases of breech, caesarean section in 3 cases, forceps in 5 cases, unknown in 2 cases), weighing at birth, 19 cases, of which 5 cases weighing more than 3500g. Combined clavicular fracture in 2 cases. Trauma in 4 cases (car accident and fall injury in 2 cases). There were 18 cases of dry type, 4 cases of dry type and 4 cases of full-arm type. A total of 32 operations, surgical procedures are: nerve adhesion release 15 times, nerve anastomosis 3 times, autologous nerve graft 2