• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Brachial Plexus and Peripheral Nerve Injury >Surgical outcomes of the brachial plexus lesions caused by gunshot wounds in adults
【24h】

Surgical outcomes of the brachial plexus lesions caused by gunshot wounds in adults

机译：成人枪击伤致臂丛神经病变的手术结局

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BackgroundThe management of brachial plexus injuries due to gunshot wounds is a surgical challenge. Better surgical strategies based on clinical and electrophysiological patterns are needed. The aim of this study is to clarify the factors which may influence the surgical technique and outcome of the brachial plexus lesions caused by gunshot injuries.MethodsTwo hundred and sixty five patients who had brachial plexus lesions caused by gunshot injuries were included in this study. All of them were male with a mean age of 22 years. Twenty-three patients were improved with conservative treatment while the others underwent surgical treatment. The patients were classified and managed according to the locations, clinical and electrophysiological findings, and coexisting lesions.ResultsThe wounding agent was shrapnel in 106 patients and bullet in 159 patients. Surgical procedures were performed from 6 weeks to 10 months after the injury. The majority of the lesions were repaired within 4 months were improved successfully. Good results were obtained in upper trunk and lateral cord lesions. The outcome was satisfactory if the nerve was intact and only compressed by fibrosis or the nerve was in-contunuity with neuroma or fibrosis.ConclusionAppropriate surgical techniques help the recovery from the lesions, especially in patients with complete functional loss. Intraoperative nerve status and the type of surgery significantly affect the final clinical outcome of the patients.
机译：背景由于枪伤造成的臂丛神经损伤的处理是外科手术的挑战。需要基于临床和电生理模式的更好的手术策略。这项研究的目的是弄清可能影响枪支损伤引起的臂丛神经损伤的手术技术和结果的因素。方法本研究纳入了265例枪支损伤引起的臂丛神经损伤的患者。他们都是男性，平均年龄为22岁。保守治疗使23例患者得到了改善，而其他患者则接受了手术治疗。根据部位，临床和电生理结果以及病变并存情况对患者进行分类和处理。结果106例患者中弹药为弹片，159例患者为子弹头。受伤后6周至10个月进行手术。大部分病变在4个月内修复成功，均得到了改善。在上躯干和侧索损伤中取得了良好的效果。如果神经完整且仅被纤维化压缩或神经与神经瘤或纤维化不相符，则结果令人满意。结论适当的外科手术技术有助于从病变中恢复，特别是对于功能完全丧失的患者。术中神经状态和手术类型显着影响患者的最终临床结局。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号