产瘫的肌电图神经电图分类

Myographic and electrophysiological classification of obstetric brachial plexus palsy

产瘫的重新认识顾玉东时至今日，产瘫已从少见病变成常见疾患。回顾２３０年来，人们对它研究的发展过程，大致可分为认识期、发展期和深化期三个阶段。一、产瘫的认识期１７６８年Ｓｍｅｌｉｅ首先报道一名面先露患儿难产后发生双侧臂丛神经麻痹。随后，１８６１年Ｄｕｃ...

Objective:To observe the severity and location of obstetric brachial plexus palsy, and the characteristics of electrophysiological diagnosis. Methods: 131 cases of birth palsy were studied. The evoked motor potentials of the musculocutaneous nerve, median nerve, ulnar nerve, radial nerve and axillary nerve were recorded. Then,the severity and the type of birth palsy were determined. Results:In 131 cases,complete lesion, severe injury and partial lesion accounted for 10.8%, 12.2% and 77% respectively. On the other hand, total plexus palsy, Erb's palsy, upper and middle trunk palsy, middle and lower trunk palsy and Klumpke's palsy accounted for 46.6%,6.9%,13.7%,29 8%and 3.1% respectively. Conclusions: In our series, partial lesion and total plexus palsy are the most common types in obstetric brachial plexus palsy. Klumpke's palsy only accounted for 3.1%.