摘要:臂丛神经损伤是常见的周围神经损伤性病症,早期诊断对其治疗和预后都极为重要。然而臂丛神经损伤情况复杂,诊断存在一定困难。本文简要介绍了臂丛神经损伤的病因和分类,比较了常见的诊断臂丛神经损伤的方法,分析了他们各自的优缺点,结论认为目前阶段体格检查和电生理检查仍应为臂丛神经损伤的主要诊断手段,而影像学方法有相当的发展前景。
Abstract: Injuries of the brachial plexus are frequently observed in the cases of peripheral never injuries. Diagnosis in early period is extremely important for the treatment and prognosis. However, due to the complexity of the situations, difficulties exist in the process of diagnosis. This paper gave a brief introduction to the causes and classifications of the brachial plexus injuries. It compared the diagnostic methods of present, analyzed their advantages and shortages, and finally reached the conclusion that the physical inspection and electrophysiologic study were still the key methods, while the imaging methods would be relatively important in the future.
臂丛神经损伤是由直接暴力或间接暴力所致的C5~T1神经牵拉及嵌压等引起的损伤,临床表现为受累上肢感觉与运动功能障碍。近年来,由于我国交通运输业、建筑业的高速发展,使得臂丛神经损伤的发病率逐年增高。及时诊断损伤位置、类型和程度对治疗方案、时机的选择和预后等方面至关重要。严重的臂丛神经损伤是周围神经损伤中最复杂的一种,然而准确诊断却极为困难。[1] |