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  1. 0 資料タイプ別
  2. 03 紀要論文
  1. 250 大学院医歯学総合研究科(医)
  2. 20 紀要
  3. 02 新潟医学会雑誌
  4. 第105巻第3号

腕神経叢損傷の自然経過と予後の検討

http://hdl.handle.net/10191/38654
http://hdl.handle.net/10191/38654
29e38ede-f28b-4162-bfb2-48ca8ec3425e
名前 / ファイル ライセンス アクション
105(3)_193-210.pdf 105(3)_193-210.pdf (3.3 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-02-22
タイトル
タイトル 腕神経叢損傷の自然経過と予後の検討
タイトル
言語 en
タイトル 腕神経叢損傷の自然経過と予後の検討
言語
言語 jpn
キーワード
主題Scheme Other
主題 brachial plexus injury
キーワード
主題Scheme Other
主題 natural course
キーワード
主題Scheme Other
主題 prognosis
キーワード
主題Scheme Other
主題 indication and timing of operative treatment
キーワード
主題Scheme Other
主題 腕神経叢損傷
キーワード
主題Scheme Other
主題 自然経過
キーワード
主題Scheme Other
主題 予後
キーワード
主題Scheme Other
主題 手術療法の適応と時期
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
その他のタイトル
その他のタイトル Spontaneous Motor and Sensory Recovery of the Brachial Plexus Injury and Study of Prognosis
著者 草野, 恒輔

× 草野, 恒輔

WEKO 131626

草野, 恒輔

Search repository
著者別名
識別子 131627
識別子Scheme WEKO
姓名 Kusano, Tsunesuke
抄録
内容記述タイプ Abstract
内容記述 Spontaneous motor and sensory recovery was followed up for more than five years after the injury in 90 cases of brachial plexus injury, which were seen in the Orthopaedic Department of Niigata University and its affiliated hospitals but in which no positive treatment had been given because of various situations. 87 adults and three children composed of those cases. The formers consisted of nine cases of upper postganglionic type, one of lower postganglionic, 50 of whole postganglionic and 27 of whole preganglionic, and the latters did of two of whole postganglionic and one of whole preganglionic. Muscles innervated through brachial plexus were grouped into 15 by particular specific function and a muscle group having the power of MMT-3 or more was assessed as recovered or preserved function. In whole postganglionic type, longer the time elapsed after the injury more muscle groups recovered and 90% of muscle groups had recovered to MMT-3 and more by one and half year after the injury, revealing overall prognosis of motor recovery being good. In whole preganglionic type, only very small number of muscle groups recoverd, mostly within 4 months after the injury. In upper postganglionic type, overall recovery was good. Based on the follow-up results described above, the indication of operative reconstruction was considered as follows. In whole postganglionic type, non-recovering muscle group at 4 months can still spontaneously recover but the non-recovering muscle group with MMT-0 at 10 months should be surgically reconstructed except the muscle groups innervated through upper roots. Surgical reconstruction is indicated for infraspinatus, thumb-opponens and adductor among muscle, groups with MMT-2 at 10 months. Surgical reconstruction is indicated for all muscle groups with MMT-0 to 2 at one and a half year. In whole preganglionic type, surgery is indicated for muscle group with MMT-0 to 2 at four months especially for thumb-opponens and adductor. Children showed good recovery in the long run, therefore too early surgery should be warned.
書誌情報 新潟医学会雑誌
en : 新潟医学会雑誌

巻 105, 号 3, p. 193-210, 発行日 1991-03
出版者
出版者 新潟医学会
ISSN
収録物識別子タイプ ISSN
収録物識別子 00290440
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00182415
著者版フラグ
値 publisher
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