臂出生损伤:治疗和干预措施
Grace O'Shea1, Sonia S Patel2, Brian A Mailey1
1Division of Plastic and Reconstructive Surgery, Saint Louis University Hospital, St. Louis, MO, USA.
Plastic surgery (Oakville, Ont.)
|January 15, 2025
概括
腕出生损伤 (BPBI) 在新生儿中通常会自发消失. 然而,在考虑手术以获得最佳的功能恢复之前,通常建议进行物理治疗和其他非手术治疗.
科学领域:
- 儿科神经学 儿科神经学
- 新生儿护理 新生儿护理
- 手术创新 在外科创新.
背景情况:
- 臂出生损伤 (BPBI) 影响新生儿,在出生时引起神经损伤.
- 虽然许多婴儿自发康复,但有时需要手术干预,这会给临床带来挑战.
研究的目的:
- 审查手臂出生损伤的治疗和干预措施的演变.
- 提供当前管理策略的全面概述.
主要方法:
- 在PubMed,Scopus和MEDLINE进行了系统的文献搜索.
- 为审查,选择和分析了24个相关的初级和二级来源.
主要成果:
- 许多BPBI病例显示自发恢复,但大多数需要物理治疗来预防并发症.
- 非手术选择包括注射肉毒素和 splinting;手术涉及神经移植,移植或肌肉/肌移植.
结论:
- 大多数患有BPBI的新生儿在三个月内会康复,但有些人需要干预才能完全发挥功能.
- 非手术治疗应优先考虑,手术只适用于对保守治疗无反应的病例.
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